M-C Le Beller, M Poncelet, F Depierreux, S Gillain, V Defaweux, A Lagier
{"title":"Screening for silent penetration and/or aspiration in older adults: assessment of different cough reflex test modalities.","authors":"M-C Le Beller, M Poncelet, F Depierreux, S Gillain, V Defaweux, A Lagier","doi":"10.1080/14015439.2026.2675574","DOIUrl":"10.1080/14015439.2026.2675574","url":null,"abstract":"<p><strong>Objectives: </strong>Reduced laryngeal sensitivity increases the risk of silent penetration and/or aspiration (SPA) and reduces the effectiveness of dysphagia screening tests. The aim of this study was to evaluate the diagnostic value of several Cough Reflex test (CRT) modalities for screening SPA in patients over 75 years of age.</p><p><strong>Method: </strong>This prospective study included 37 patients over the age of 75 who were hospitalised for acute conditions. Fiberoptic Endoscopic Evaluation of Swallowing (FEES) was used to compare the presence of SPA with the results of CRT obtained using citric acid at concentrations of 0.1 mol/L, 0.2 mol/L and 0.4 mol/L. During CRT, the presence of C2 (2 or more coughs) and C5 (5 or more coughs) were noted.</p><p><strong>Results and discussion: </strong>Only the 0.1 mol/L concentration proved to be discriminatory: absence of C2 distinguished patients with SPA from healthy individuals (<i>p</i> = 0.009; Se: 81.25%; Sp: 71.43%). Absence of C5 discriminated patients with SPA from those with detected penetrations and/or aspirations (DPA) (i.e. aspiration triggering cough) (<i>p</i> = 0.026; Se: 81.25%; Sp: 71.43%). This test does not require specific expertise in dysphagia management, is non-invasive and is sensitive for detecting SPA.</p><p><strong>Conclusions: </strong>The CRT using citric acid at 0.1 mol/L is a clinically valuable, non-invasive and sensitive tool for detecting SPA in an acute-care geriatric population.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"1-8"},"PeriodicalIF":1.0,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maja Sigurd Pilesjö, Samantha Siyambalapitiya, David Trembath, Jytte Isaksen
{"title":"Speech and language therapists' training and service delivery with children and adults with neurogenic communication disorders from culturally and linguistically diverse backgrounds in Denmark and Sweden.","authors":"Maja Sigurd Pilesjö, Samantha Siyambalapitiya, David Trembath, Jytte Isaksen","doi":"10.1080/14015439.2026.2668113","DOIUrl":"10.1080/14015439.2026.2668113","url":null,"abstract":"<p><strong>Background: </strong>Speech and language therapists' (SLT) practice with cultural and linguistic diverse (CALD) populations with acquired and congenital neurogenic communication disorders in Denmark and Sweden is becoming more urgent due to demographic changes.</p><p><strong>Aim: </strong>To investigate SLTs training, clinical practice, and issues regarding services to children and adults from CALD backgrounds with neurogenic communication disorders, in Denmark and Sweden.</p><p><strong>Methods and procedures: </strong>A survey with 19 questions about training, assessment, intervention, and counselling related to CALD was administered to SLTs working with children and adults with neurogenic communication disorders in Denmark and Sweden.</p><p><strong>Results: </strong>296 SLTs from Denmark and Sweden participated. About half of the respondents had received training in working with people from a different linguistic background and fewer in working with people from a different cultural background. The majority reported that they did not feel very well prepared to work with these populations. A mismatch between the SLTs language proficiencies and the languages of the served CALD population was reported. Large variations in recommendation and practice related to practice with CALD populations. However, professional interpreters were used to some extent.</p><p><strong>Conclusions and implications: </strong>The results indicate that the SLTs in the area of neurogenic communication disorders face challenges and have a need for more training and other support about how to provide appropriate services for a CALD population.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"1-16"},"PeriodicalIF":0.7,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Differences in non-word repetition, oral-motor performance and auditory discrimination in children with childhood apraxia of speech (CAS) and speech motor delay (SMD).","authors":"Åsa Mogren, Matilda Rane, Josefine Sigvant, Emilia Carlsson","doi":"10.1080/14015439.2026.2671824","DOIUrl":"10.1080/14015439.2026.2671824","url":null,"abstract":"<p><p>Non-word repetition (NWR) is a frequently used task in speech and language assessments. This study investigated NWR performance in children with childhood apraxia of speech (CAS) and speech motor delay (SMD), examining its relation to auditory discrimination (AD) and oral motor performance. Participants were 54 children with persistent speech-sound disorders (SSD) (31 with CAS and 23 with SMD) and 39 children with typical speech development (TSD) aged 6-16 years. Assessments of word naming, NWR, AD, and oral-motor performance were conducted. Percentage consonants correct (PCC), and percentage vowels correct (PVC) were calculated from phonetic transcriptions. The results revealed a difference between children with SSD and children with TSD on all variables and also revealed some differences between children with CAS and children with SMD. Children with CAS had a lower PCC and PVC score on NWR and a lower AD score than those with SMD. More parents of children with CAS reported difficulties with reading and writing. A large proportion of both children with SMD and children with CAS were found to have orofacial dysfunction. Our findings suggest that assessing AD skills and oral-motor skills is important for understanding the underlying difficulties of motor speech disorders in children. Our results indicate differences related to motor planning and motor execution, underscoring the importance of broad assessment approaches to facilitate accurate diagnoses and tailored interventions.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"1-14"},"PeriodicalIF":0.7,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Standards versus reality in voice assessment: facilitators, barriers, and protocol variability in Quebec clinical practice.","authors":"Timothy Pommée, Imane Hocine, Ingrid Verduyckt","doi":"10.1080/14015439.2026.2671823","DOIUrl":"10.1080/14015439.2026.2671823","url":null,"abstract":"<p><p>Voice assessment is crucial in the diagnosis and management of voice disorders, yet clinical practice often diverges from standardized protocols due to contextual constraints. This qualitative study explored facilitators, barriers, and protocol variability in Quebec French-speaking Speech and Language Therapists' (SLTs) voice assessment practices. Semi-structured interviews were conducted with 11 SLTs specializing in voice therapy, and transcripts were analyzed thematically. Findings revealed strong facilitators such as interdisciplinary collaboration with Ear, Nose and Throat (ENT) specialists, access to imaging, professional peer networks, and continuing education. Barriers included limited access to specialized services, insufficient standardization, inconsistent acoustic measures, and gaps in training. Protocols were highly variable and flexibly adapted across pediatric, adult, and geriatric populations, as well as according to patient needs and local resources. Rather than deviations, these adaptations reflected clinical reasoning and patient-centred care in real-world contexts. The study highlights the need for co-designed, modular protocols that balance standardization with flexibility, improved interdisciplinary collaboration, equitable access to equipment, and linguistically adapted tools. Such an approach could bridge the gap between guidelines and practice, ensuring protocols remain both scientifically robust and clinically feasible.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"1-12"},"PeriodicalIF":0.7,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amela Ibrahimagić, Ana Bonetti, Sujata Maya Huestegge
{"title":"The effectiveness of voice hygiene and practical training for preschool teachers in Bosnia and Herzegovina.","authors":"Amela Ibrahimagić, Ana Bonetti, Sujata Maya Huestegge","doi":"10.1080/14015439.2025.2560967","DOIUrl":"10.1080/14015439.2025.2560967","url":null,"abstract":"<p><p>Effective voice education promotes healthy voice use, particularly for kindergarten teachers in demanding environments. This study assessed the effectiveness of a brief, workplace-based voice education program for the preschool teachers. Teachers were quasi-randomly assigned based on work schedules to either the Direct Voice Training Group (<i>N</i> = 31), which received a four-hour face-to-face training session and an educational booklet, or the Educational Booklet Only Group (<i>N</i> = 45). Outcomes were measured using the Vocal Fatigue Index (VFI) and blinded perceptual voice quality assessments <i>via</i> the GRBAS scale at baseline and three months post-intervention. Nonparametric Wilcoxon signed-rank tests assessed statistical significance, with effect sizes (r) calculated. Both groups improved significantly, but the Direct Voice Training Group showed broader improvements, with small to medium effect sizes (<i>r</i> = 0.25-0.38), whereas the Booklet Only Group had limited improvements (<i>r</i> < 0.3). Blinded evaluations confirmed greater benefits for the direct training group. These findings highlight the value of brief, targeted interventions for occupational vocal health, though small to medium effect sizes suggest that more intensive interventions may be required for clinically significant outcomes.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"51-59"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura González-Sanvisens, Cecília Gassull, Josep Vila-Rovira, Mariangeles Arévalo
{"title":"The perception of voice handicap in singers: its relationship with perfectionism and perceived stress.","authors":"Laura González-Sanvisens, Cecília Gassull, Josep Vila-Rovira, Mariangeles Arévalo","doi":"10.1080/14015439.2025.2487441","DOIUrl":"10.1080/14015439.2025.2487441","url":null,"abstract":"<p><strong>Introduction: </strong>Research indicates that psychological factors such as stress and perfectionism play a crucial role in voice problems, either triggering them or intensifying the perception of difficulty. This study examines the relationship between voice handicap, perceived stress, and perfectionism in singers, exploring the impact of factors such as vocal role (soloists, choral singers, and students), music genre, years of professional experience, and the correlation between performance competency perception, perceived stress, and perfectionism.</p><p><strong>Method: </strong>155 singers (choral singers, soloists, and students) were assessed using the Multidimensional Perfectionism Scale (MPS), the Perceived Stress Scale (PSS-10), and the Singing Voice Handicap Index-10 (SVHI-10), along with an ad hoc questionnaire exploring their perception of performance in the work context.</p><p><strong>Results: </strong>Correlations were found between SVHI-10, PSS-10, and MPS, although the behavior varied depending on vocal role (<i>p</i> < .01) and years of professional experience (<i>p</i> < .01), except for perceived stress (<i>p</i> = .07). Among the MPS subscales, \"Fear of mistakes\" and \"Expectations of success\" showed stronger correlations with SVHI-10 (<i>p</i> < .01) compared to the other subscales. Singers who experienced their performance more negatively than positively in the work context had higher scores on all three scales.</p><p><strong>Conclusions: </strong>This study explored the complex relationship between voice handicap, perceived stress, and perfectionism in singers, revealing role-based differences. Students displayed the highest scores across all scales, in contrast with experienced singers who had lower scores. These findings emphasize the need to address psychological factors in vocal training and support programs.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"1-9"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lady Catherine Cantor-Cutiva, Lindon J Robison, Eric J Hunter
{"title":"Why do teachers with voice disorders keep teaching? Insights from applications of social capital motives.","authors":"Lady Catherine Cantor-Cutiva, Lindon J Robison, Eric J Hunter","doi":"10.1080/14015439.2025.2523738","DOIUrl":"10.1080/14015439.2025.2523738","url":null,"abstract":"<p><strong>Introduction: </strong>This study investigated why teachers with voice disorders continue teaching by surveying their motives described in social capital theory.</p><p><strong>Methods: </strong>Teachers were asked to rate their motives for continued teaching even with voice disorders using online surveys. The five key motives (social capital framework) were: Motive #1 (selfishness), Motive #2 (internal validation), Motive #3 (external validation), Motive #4 (transcendence or altruism), and Motive #5 (belonging).</p><p><strong>Results: </strong>As teachers' income increased, so did the relative importance of the transcendence motive. Income maintenance (selfishness) accounted for 47% of the total motivation, with teachers with a master's degree and higher incomes being less likely to prioritize this motive. Teachers reporting bad voice quality were more likely to prioritize income (selfishness) and less likely to be motivated by helping others (altruism) or feel connected to other people (belonging).</p><p><strong>Conclusion: </strong>Voice problems can negatively impact a teacher's sense of fulfilment and motivation beyond financial constraints. These findings highlight the need for implementing preventive measures for voice disorders in schools that can address voice problems before they significantly affect teachers' performance and students' learning. Moreover, competitive teacher salaries and benefits may create a supportive environment where educators feel empowered to focus on their students' needs.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"10-18"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Embracing variability: toward proactive and precision-based voice science.","authors":"Eric J Hunter, Mark L Berardi","doi":"10.1080/14015439.2025.2562929","DOIUrl":"10.1080/14015439.2025.2562929","url":null,"abstract":"<p><strong>Purpose: </strong>We propose that rigorous measurement practices combined with frameworks focused on functional capacity can transform physiological variability, traditionally dismissed as \"noise,\" into diagnostic information for precision-based voice care. A conceptual framework integrating vocal capacity, demand response, reserve, and recovery enables individualized monitoring, predictive risk assessment, and proactive intervention, mirroring progress in cardiology and orthopedics where variability became diagnostic. <i>Applied to voice, this approach can transform clinical practice:</i> a teacher's inconsistent perturbation may signal depleted reserve requiring pacing; a singer's instability may reflect insufficient reserve under rehearsal load, guiding recovery scheduling; <i>and</i> a neurological patient's fluctuations may indicate variable demand response, informing targeted intervention.</p><p><strong>Conclusions: </strong>Variability-informed models can establish individual baselines, track change trajectories, and identify functional thresholds before overt disorder emerges. Embracing physiological variability offers a path to align clinical strategies with functional sustainability, transforming uncertainty into actionable insight for research and clinical practice.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"60-68"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12884546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mingjun Ji, Jinwei Lan, Jianhan Lei, Can Zhang, Boquan Liu
{"title":"Biomechanical insights into intrinsic laryngeal control: a cross-linguistic study of Mandarin vowel production in native Mandarin speakers and South Korean learners.","authors":"Mingjun Ji, Jinwei Lan, Jianhan Lei, Can Zhang, Boquan Liu","doi":"10.1080/14015439.2025.2556766","DOIUrl":"10.1080/14015439.2025.2556766","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines differences in intrinsic laryngeal muscle control during Mandarin vowel production between native Mandarin speakers and advanced South Korean learners. By analyzing vocal fold vibrations and muscle activation patterns, it provides a biomechanical perspective on second language phonetic challenges.</p><p><strong>Method: </strong>Twenty native Mandarin speakers (control) and twenty advanced South Korean learners (experimental), all from the same university, participated in the study. Participants produced monosyllabic words while formant frequencies were recorded. A computational vocal fold-airway model simulated vowel production, focusing on the activation of the cricothyroid (CT), thyroarytenoid (TA), and lateral cricoarytenoid (LC) muscles. Simulated formant frequencies were compared with actual recordings to identify muscle control differences.</p><p><strong>Results: </strong>Native speakers exhibited higher CT and TA activation for /a/ and /i/, while South Korean learners showed reduced activation of these muscles and increased reliance on the LC muscle. For /u/, the native speakers' model revealed lower overall muscle activation, whereas learners over-activated all three muscles.</p><p><strong>Conclusions: </strong>The findings reveal distinct laryngeal control patterns between native and non-native speakers, emphasizing the role of biomechanical modeling in second language phonetics research. By identifying specific muscle activation differences, this study provides insights into the physiological basis of vowel articulation challenges and lays the groundwork for future research on cross-linguistic phonetic and phonemic acquisition.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"29-50"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of olfactory functions of individuals with total laryngectomy using different voice restoration methods.","authors":"Rıdvan Başaran, Fatma Esen Aydınlı, Önal İncebay, Nilda Sütay Süslü","doi":"10.1080/14015439.2025.2574617","DOIUrl":"10.1080/14015439.2025.2574617","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate whether there is a difference in olfactory functions among individuals who use different voice restoration methods after total laryngectomy.</p><p><strong>Method: </strong>The study group for this research comprised individuals who had undergone total laryngectomy and aged 44 to 75 years; 10 participants using oesophageal speech, 10 participants using tracheoesophageal speech, and 10 participants using electrolarynx were included. The control group comprised 10 individuals with normal olfactory function of similar age and gender to the individuals in the study group. The participants' olfactory functions were evaluated using the Sniffin Sticks Extended Test. European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - H&N-35 was used as a subjective scale.</p><p><strong>Result: </strong>All laryngectomised patients exhibited olfactory impairment, with 73.3% diagnosed with anosmia and 26.7% with hyposmia. Regarding Sniffin Sticks Test combined scores; the mean values of voice prosthesis users, electrolarynx and oesophageal speech group were 8.4, 10.1 and 21.6 respectively, while in the control group it was 38.2. In terms of Sniffin Sticks Test composite scores, the oesophageal speech group had significantly higher scores than the voice prosthesis and electrolarynx groups (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>While all laryngectomised patients showed olfactory dysfunction, those using oesophageal speech - a somewhat overlooked rehabilitation method - exhibited statistically significant preservation of olfactory function compared to other voice restoration techniques. These findings suggest that oesophageal speech may offer distinct advantages for maintaining post-laryngectomy olfactory capacity, warranting further consideration in clinical practise.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"19-28"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}