Voice Therapy Expectations for Injured Singers

IF 2.5 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice Pub Date : 2024-11-01 DOI:10.1016/j.jvoice.2022.04.014

Lesley F. Childs, Alexandra D'Oto, Amy Harris, Ashwin Rao, Ted Mau

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引用次数: 0

Abstract

Objectives/Hypothesis

Voice therapy is a mainstay treatment modality in the management of phonotrauma in singers. However, the typical duration of therapy an injured singer undergoes is unknown. The primary aims of the study were to determine (1) the number of therapy sessions preceding a decision for surgery and (2) the number of sessions and length of time to achieve improvement in singers who did not undergo surgery. Whether specific singer factors were associated with the length of therapy was also investigated.

Study Design

Retrospective.

Methods

Records of singers with phonotraumatic vocal fold lesions seen over a 9-year period at a tertiary care voice center were reviewed.

Results

Sixty singers who underwent surgery and 183 singers who did not undergo surgery were included in the final analysis. In nearly ¾ of the surgical patients, five or fewer voice therapy sessions were completed prior to the decision for surgery. Singers who did not undergo surgery required on average 3-4 sessions before noting improvement. Over 60% of the non-surgical singers improved within 3 months and 84% were judged to be improved by 6 months. Lesion type, professional/amateur status, formal voice training, and having a current voice teacher/coach were not associated with the length of voice therapy.

Conclusions

The length of voice therapy prior to decision for surgery was limited, and so was the length of therapy leading to initial improvement in singers who did not require surgery. These findings provide a framework for voice therapy expectations and could be reassuring for this unique population.

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受伤歌手的嗓音治疗期望值

目标/假设：嗓音治疗是治疗歌手嗓音创伤的主要方法。然而，受伤歌手接受治疗的典型持续时间尚不清楚。本研究的主要目的是确定：(1) 决定手术前的治疗次数；(2) 未接受手术的歌手获得改善的治疗次数和时间长度。研究设计：回顾性研究：研究设计：回顾性：方法：回顾性分析一家三级嗓音治疗中心 9 年来接诊的声带损伤歌手的记录：结果：接受手术治疗的 60 名歌手和未接受手术治疗的 183 名歌手被纳入最终分析。在近 3/4 的手术患者中，在决定手术前完成了 5 次或更少的嗓音治疗。未接受手术的歌手平均需要接受 3-4 次治疗后才会有明显改善。超过 60% 的非手术歌手在 3 个月内病情有所好转，84% 的歌手在 6 个月内病情好转。病变类型、专业/业余身份、正规嗓音训练以及是否有现任嗓音教师/教练与嗓音治疗时间长短无关：结论：在决定手术之前，嗓音治疗的时间长度是有限的，而对于不需要手术的歌手来说，嗓音治疗的时间长度也是有限的。这些研究结果为嗓音治疗的预期提供了一个框架，可以让这一特殊群体放心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Voice 医学-耳鼻喉科学

CiteScore

4.00

自引率

13.60%

发文量

395

审稿时长

59 days

期刊介绍： The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.