Journal of Voice最新文献

{"title":"Multifeature Fusion Method with Metaheuristic Optimization for Automated Voice Pathology Detection.","authors":"Erdal Özbay, Feyza Altunbey Özbay, Nima Khodadadi, Farhad Soleimanian Gharehchopogh, Seyedali Mirjalili","doi":"10.1016/j.jvoice.2024.08.018","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.08.018","url":null,"abstract":"<p><p>Voice pathologies occur due to various factors, such as malfunction of the vocal cords. Computerized acoustic examination-based vocal pathology detection is crucial for early diagnosis, efficient follow-up, and improving problematic speech. Different acoustic measurements provide it. Executing this process requires expert monitoring and is not preferred by patients because it is time-consuming and costly. This paper is aimed at detecting metaheuristic-based automatic voice pathology. First, feature maps of 10 common diseases, including cordectomy, dysphonia, front lateral partial resection, contact pachyderma, laryngitis, lukoplakia, pure breath, recurrent laryngeal paralysis, vocal fold polyp, and vox senilis, were obtained from the Zero-Crossing Rate, Root-Mean-Square Energy, and Mel-frequency Cepstral Coefficients using a thousand voice signals from the Saarbruecken Voice Database dataset. Hybridizations of different features obtained from the voices of the same diseases using these three methods were used to increase the model's performance. The Grey Wolf Optimizer (MELGWO) algorithm based on local search, evolutionary operator, and concatenated feature maps derived from various approaches was employed to minimize the number of features, implement the models faster, and produce the best result. The fitness values of the metaheuristic algorithms were then determined using supervised machine learning techniques such as Support Vector Machine (SVM) and K-nearest neighbors. The F1 score, sensitivity, specificity, accuracy, and other assessment criteria were compared with the experimental data. The best accuracy result was achieved with 99.50% from the SVM classifier using the feature maps optimized by the improved MELGWO algorithms.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146703","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":"Implementation of Eclectic Voice Therapy Program via Telepractice in Hyperfunctional Voice Disorders: A Preliminary Efficacy Study.","authors":"Ranjitha Kashyap Bannur Nanjundaswamy, Thirunavukkarasu Jayakumar, Tumkur Kumaraswamy Prakash","doi":"10.1016/j.jvoice.2024.08.026","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.08.026","url":null,"abstract":"<p><strong>Purpose: </strong>Hyperfunctional voice disorder (HFVD) has a multifaceted origin. Individuals with HFVD work in professions that demand high vocal usage and are bound to work for longer hours with very inflexible work schedules. In consequence, it can be speculated that an eclectic voice therapy program that uses combinatory approaches delivered via telepractice could bring about better efficiency of voice in these individuals. Nevertheless, very less attempts have been made in these lines. Therefore, the present study aims to implement eclectic voice therapy via telepractice and examine the efficacy of the same in HFVD.</p><p><strong>Method: </strong>In total, 10 individuals with HFVD in the age range of 20-55years received Comprehensive Voice Habilitation Program (CVHP), an eclectic voice therapy approach via a videoconferencing platform, Zoom Video Communications, Inc. All the participants completed 15 sessions of voice therapy spread across 3weeks. Stroboscopy examination was performed at the baseline and post therapy to track the changes in laryngeal functions. Further, Consensus Auditory Perceptual Evaluation-Voice (CAPE-V), Acoustic Voice Quality Index (AVQI), and Voice Handicap Index in Kannada (VHI-K) were obtained at the baseline, post therapy, and two follow-ups to report the therapy outcomes. Related-sample Friedman's Two-way Analysis of Variance by Ranks and Wilcoxon Signed Rank Test were used to note the pre-post and follow-up changes in voice outcomes.</p><p><strong>Results: </strong>Significant improvement in movement patterns of the vocal folds and a reduction in ventricular hyperadduction were noted in stroboscopy. CAPE-V and AVQI scores decreased in post-therapy and follow-up evaluations indicating reduction in dysphonia severity over time. Also, decrease in VHI-K scores indicated improved psychosocial aspects and quality of life in HFVD.</p><p><strong>Conclusion: </strong>The current study provided preliminary evidence on the possible benefits of telepractice in the delivery of CVHP in HFVD. Hence, telepractice could be recommended as an alternate treatment modality for patients with HFVD.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146701","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":"Toward Sham Interventions for Behavioral Voice Treatment Outcome Research in Female Students Without Dysphonia.","authors":"Youri Maryn, Marie Dedry, Valentine de Mahieu, Julie Fournier-Foch","doi":"10.1016/j.jvoice.2024.08.023","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.08.023","url":null,"abstract":"<p><strong>Objectives/hypothesis: </strong>To develop sham voice treatment techniques to be used in voice treatment outcome research, and to investigate their effectiveness as sham. This entails that the techniques induce no changes in voice or voice physiology, yet still lead to a perception of efficacy.</p><p><strong>Study design: </strong>Prospective randomized blinded controlled study.</p><p><strong>Methods: </strong>Three distinct sham intervention protocols (SIPs) were conceptualized as placebic comparators for three common voice treatment approaches with focus on vocalization (SIP1), respiration (SIP2), and manipulation (SIP3). Forty-eight female students participated in the study. Each participant attended ten 30-minute sessions over 5weeks, including a baseline evaluation, three sessions of one SIP, an inter-SIP voice assessment, three sessions of a second SIP, and a final post-SIP assessment. Auditory-perceptual and instrumental voice evaluations were used as voice treatment outcome measures. The participants' perception of voice-related quality of life was evaluated using the French Voice Handicap Index (VHI_FR). Frequentist as well as Bayesian statistical methods were applied for group comparisons. The effects of combining two SIPs, the potential influence of SIP order, and experimenter/clinician effects, were also investigated.</p><p><strong>Results: </strong>The respiration-based SIP2 showed changes only in sound intensity level on a sustained vowel across the three sham intervention sessions. In contrast, the vocalization-based SIP1 impacted sound intensity level on a sustained vowel, sound intensity level on read text, and maximum phonation time. The manipulation-based SIP3 affected smoothed cepstral peak prominence on read text, Acoustic Voice Quality Index, and Dysphonia Severity Index. SIP2 thus demonstrated the highest alignment with the study's objectives, followed by SIP1 and SIP3. GRBASI ratings revealed no statistical differences for any SIP. VHI_Fr decreased significantly after all three SIPs. Combining the SIPs generally replicated the effects observed when each SIP was used individually. There was no order effect or experimenter/clinician effect on the results.</p><p><strong>Conclusions: </strong>This study demonstrated significant changes in participants' perceived voice quality (measured with VHIFr) across various SIPs, despite minimal impact on objective voice function measures. Further investigation is necessary to establish one or more protocols as genuinely sham interventions.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156489","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":"Vocal Fold Vibratory Dose and Perceived Exertion Responses to the Fluid Interval Test for Voice (FIT-V): A Novel Vocal Loading Task Platform.","authors":"Christopher S Apfelbach, Mary Sandage, Katherine Verdolini Abbott","doi":"10.1016/j.jvoice.2024.08.017","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.08.017","url":null,"abstract":"<p><strong>Introduction: </strong>Vocal loading tasks are often used to study how specific variables influence downstream vocal effort or fatigue. The current study introduces a novel vocal loading task, the Fluid Interval Test for Voice (FIT-V) that combines laryngeal diadochokinesis, intervallic rest and exercise, and fluid back pressure. To assess the differences between this novel task and existing vocal loading tasks, we measured vocal fold vibratory dose and perceived phonatory exertion across three 30-minute task conditions: a control loud oral reading task (LOR), a back pressure-resisted Fluid Interval Test for Voice (FIT-V₅), and an unresisted Fluid Interval Test for Voice (FIT-V₀).</p><p><strong>Methods: </strong>Following a training session, 30 participants completed the three tasks (LOR, FIT-V₀, and FIT-V₅) in counterbalanced order on different days. Vocal fold cycle (Aim 1A) and distance doses (Aim 1B) were collected continuously using a dosimeter. The overall perceived phonatory exertion (Aim 2A) was rated once per minute, while anatomically localized cognitive, laryngeal, thoracic, abdominal, and articulatory exertion (Aim 2B) were rated once at the end of each task. Statistical analyses examined the effects of task and task× time interactions on the dependent variables.</p><p><strong>Results: </strong>The FIT-V₀ and FIT-V₅ tasks imposed smaller vocal fold cycle doses (P < 0.001; Aim 1A) and distance doses (P < 0.001; Aim 1B) than the LOR task while eliciting comparable or greater magnitudes of overall perceived phonatory exertion (P = 0.003; Aim 2A). However, anatomically localized perceived exertion was greater in the abdomen and thorax (P < 0.05) and lesser in the anterior neck (P < 0.05) in the two FIT-V tasks relative to the LOR task (Aim 2B). Absolute forced vital capacity was a significant predictor of most forms of anatomically localized perceived exertion.</p><p><strong>Discussion: </strong>The unresisted FIT-V₀ and the back pressure-resisted FIT-V₅ tasks yielded similar profiles of overall perceived phonatory exertion, despite vocal fold vibratory doses roughly half that of the LOR task. However, the anatomically localized perceived exertion data underscored subtle across-task differences not apparent in the overall ratings, suggesting potentially distinct physiological and perceptual niches for the three task protocols.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146704","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":"Characterization of the Vertical Stiffness Gradient in Cadaveric Human and Excised Canine Larynges.","authors":"Jacob Michaud-Dorko, Gregory R Dion, Charles Farbos de Luzan, Ephraim Gutmark, Liran Oren","doi":"10.1016/j.jvoice.2024.08.011","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.08.011","url":null,"abstract":"<p><p>The elastic properties of the folds govern the characteristics of vocal fold vibrations. This study addresses existing gaps by investigating the Young's modulus along the anterior-posterior direction in excised canine and cadaveric human vocal folds. Micro-indentation testing was conducted on six excised canines and three cadaveric human larynges. Multiple points along the medial glottal wall were indented to determine force-displacement, stress-strain relationships, and Young's modulus as a function of Green's strain. A vertical stiffness gradient was consistently observed in both canine and human samples, with higher stiffness in the inferior aspect compared with the superior aspect. The stiffness increased toward both the anterior and posterior directions from the mid-coronal plane, with a more pronounced increase at the posterior edge. Human vocal folds generally exhibited lower stiffness at low strains but were comparable to canine vocal folds at higher strains. These findings suggest that the canine larynx model is a reasonable representation of the human laryngeal tissues' elastic property trends. This analysis of the vertical stiffness gradient in canine and human vocal folds provides valuable data for improving experimental and numerical models of phonation.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146700","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":"Integration of Dysphagia Therapy Techniques into Voice Rehabilitation: Design and Content Validation of a Cross-Therapy Protocol.","authors":"Carlos Calvache, Nicolás Castillo-Triana, Fernando Delprado Aguirre, Paola Leguízamo, Sandra Rojas, Pahola Valenzuela, Mónica Morales Piedrahita, Maria Del Pilar Ramirez Ardila, Dalia Vanessa Ballesteros Pérez","doi":"10.1016/j.jvoice.2024.07.024","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.07.024","url":null,"abstract":"<p><strong>Background: </strong>The intricate relationship between swallowing and phonation, sharing anatomical and physiological substrates, underscores a clinical demand for integrated therapeutic approaches. Existing interventions often address these functions in isolation, overlooking their interconnected dynamics.</p><p><strong>Objective: </strong>To design and validate a cross-therapy protocol incorporating dysphagia therapy techniques (maneuvers/exercises) into voice rehabilitation. This protocol aims to exploit the shared biomechanical components of swallowing and phonation to improve both functions simultaneously in patients with underlying hypofunctional laryngeal pathology.</p><p><strong>Methods: </strong>A descriptive research design was employed, consisting of three phases: a comprehensive literature review and expert discussions in a German seminar format to conceptualize the protocol; detailed analysis and categorization of swallowing maneuvers/exercises; and content validation by a panel of seven experts through a structured evaluation instrument. The process integrated motor learning and exercise physiology principles to ensure the protocol's clinical applicability and theoretical coherence.</p><p><strong>Results: </strong>The developed cross-therapy protocol incorporates four core swallowing therapy techniques to voice therapy procedures. Selected swallowing therapy techniques target laryngeal excursion and vocal fold closure because they are critical components of swallowing and phonation. Expert validation yielded a Content Validity Coefficient exceeding 0.90 for most items, indicating high consensus on the protocol's relevance, clarity, and applicability. Adjustments were made based on feedback, enhancing the protocol's precision and user-friendliness.</p><p><strong>Conclusion: </strong>We present a novel, evidence-based therapy protocol for voice and swallowing difficulties resulting from hypofunctional laryngeal pathology. Its development marks a significant step toward bridging the gap between swallowing and voice therapy. Future empirical studies are needed to assess its effectiveness in clinical settings.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146702","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":"Burden of Voice Use and Voice Disorders in Early Childhood Educators in Singapore.","authors":"Zhou Hao Leong, Stephanie Yeap, Alberta Low, Hui Hui Gan, Christina Ng, Wei Xin Yeo, Shalini Arulanandam","doi":"10.1016/j.jvoice.2024.08.012","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.08.012","url":null,"abstract":"<p><p>It is well established that teachers are prone to voice-related problems. Much of existing literature focuses on grade-school teachers, and early childhood educators are an understudied demographic. This study aims to determine the burden of voice use and prevalence of voice disorders in early childhood educators in Singapore. METHODS: A cross-sectional survey was performed in 2022. This was sent via email to all registered preschools/kindergartens in Singapore. RESULTS: There were a total of 413 responses. Mean age of respondents was 37.4years (range 28-46years) and 99.0% were female. 67.0% were Chinese, 14.8% Malay, 9.5% Indian, and 8.7% Others. Regarding burden of voice use, 81.4% of respondents reported talking for extended periods of time (>30 minutes) and 74.5% reported having to sing on >1 occasion a day. 321/413 respondents (77.9%) had to shout or raise their voice at least once a day, whereas 128 of out 413 respondents (31.1%) reported having to scream at least once a day. Point prevalence of voice disorder (defined by VHI-10 >11 was 37.5% and sVHI-10 >12) was 47.2%. Over the preceding 12months, 72.2% of respondents experienced hoarseness on at least 4-7 occasions, with 41.4% losing their voice. While 52.5% of respondents have taken at least 1 sick day off due to an issue with their voice, only 38% has consulted a GP and 13.6% consulted an ENT specialist on at least one occasion. 45.8% have considered leaving the profession on at least one occasion. Factors significantly associated with both point prevalence and year-long prevalence of voice disorders include large class size of >20 students and needing to shout and/or scream >1 time/day.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146699","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":"Hyolaryngeal Kinematics in Primary Muscle Tension Dysphonia Determined by Ultrasound.","authors":"Anya Freedman-Doan, Lisandra Pereyra Maldonado, Soren Y Lowell","doi":"10.1016/j.jvoice.2024.08.016","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.08.016","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to determine hyolaryngeal kinematics during voicing in people with primary muscle tension dysphonia (pMTD) compared with healthy speakers, and to investigate the relationships between hyolaryngeal displacement and self-perceived vocal function.</p><p><strong>Methods: </strong>Twenty-six participants, 13 with pMTD and 13 healthy speakers, were assessed using sonography during sustained vowel phonation and rest. Displacement of the hyoid bone and thyroid cartilage was measured from still frames extracted from ultrasound video recordings, with measures normalized to reflect change from rest during voicing for each participant. Vocal function was determined for all participants through self-perceived speaking effort and the Voice Handicap Index-10.</p><p><strong>Results: </strong>Normalized displacement of the hyoid bone and thyroid cartilage was significantly greater during voicing for participants with pMTD than for the healthy speakers. Weak-to-moderate, nonsignificant relationships between hyoid displacement and vocal function measures were evidenced, whereas moderate-to-strong, significant relationships were found for thyroid displacement and vocal function measures.</p><p><strong>Conclusions: </strong>Displacement of the hyoid and elevation of the larynx during phonation appear to be prominent features of pMTD that differentiate the disorder from healthy phonatory kinematics. Ultrasound imaging provides a sensitive, reliable, noninvasive, and feasible method for objectively determining hyolaryngeal kinematics and may be useful for differential diagnosis and determination of treatment outcomes in pMTD.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134287","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":"Competitive Swim Breathing: A Survey-Informed Tutorial for Speech-Language Pathologists Who Treat EILO.","authors":"Leigh M Nicholson, Mary J Sandage","doi":"10.1016/j.jvoice.2024.08.013","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.08.013","url":null,"abstract":"<p><strong>Purpose: </strong>Swimmers present a unique challenge for the clinician when presenting with a diagnosis of exercise-induced laryngeal obstruction (EILO). The purpose of this tutorial was to query competitive swimmers about commonly used breathing strategies and then use that information as a basis from which to provide speech-language pathologists who treat EILO in swimmers with a clinical perspective for treatment planning and implementation.</p><p><strong>Methods: </strong>A survey of competitive female and male swimmers aged 18 and over was conducted to inquire about swim breathing techniques used in the context of swim distance(s), training versus competition, bilateral versus unilateral head turn, and stroke-to-breath ratio. Questions regarding experience with EILO and asthma were also included.</p><p><strong>Results: </strong>Following receipt of consent, 62 competitive swimmers completed the survey. The survey results indicated a preference for trickle breathing; however, many volunteers described different breathing strategies for training versus competition. Breath-to-stroke ratios differed widely, often based on swim distance as a means to have competitive advantage. Thirteen volunteers reported difficulty inhaling while swimming, two of whom reported a diagnosis of EILO and one who reported a diagnosis of asthma.</p><p><strong>Conclusions: </strong>Swimmers with EILO present with unique challenges for clinicians, given the various breathing techniques used and the idiosyncratic nature of breathing strategies for each swimmer. A one-size-fits-all approach is insufficient for this population and clinicians interested in treating swimmers with EILO will need to employ optimal critical thinking skills for intervention success-a true merger of art and deep understanding of respiratory and laryngeal physiology.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134286","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":"A Preliminary Report of Developing Performer-Centered Vocal Injury Rehabilitation: An Interprofessional Collaborative Practice for Graduate Students in Speech-Language Pathology and Acting.","authors":"Srihimaja Nandamudi, Kathryn Cunningham","doi":"10.1016/j.jvoice.2024.08.024","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.08.024","url":null,"abstract":"<p><strong>Objectives: </strong>Acting voice coaches (AVCs) and speech-language pathologists (SLPs) use dynamic teaching methods and intervene using motor learning principles. Both display instructional flexibility based on the actor/client's needs. With these criteria, we developed a virtual 3-hour professional voice lab to promote team-based learning between SLP graduate students and Master of Fine Arts (MFA) student actors.</p><p><strong>Methods: </strong>The lab contained three phases: prebrief (50 minutes), case-study simulation (1.5 hours), and debrief (30 minutes). The students completed pre and postevaluation surveys to reflect on their learning experience. During the prebrief, the roles of AVCs and SLPs in actor's voice habilitation and rehabilitation, respectively, were discussed along with the special vocal needs of stage actors. The learners completed a comprehensive voice evaluation on \"Maria Horseman,\" a 23-year-old professional actor with a voice disorder, in small interprofessional groups. The provided template offered a holistic approach to explore speaking-singing-acting vocal activities, vocal behaviors, physical demands/cardiorespiratory load, training/practice regimen, lifestyle changes including medication effect, and voice ergonomics. A customized client-centered voice intervention plan was developed by considering Maria's best interests and stimulability.</p><p><strong>Results: </strong>Two different surveys, 15 items in Performance Voice Diagnostics for SLP students and Voice-Related Self-Perception for MFA students, and 20 items in modified Casey-Fink Readiness to Practice, were used to compare differences in self-confidence levels intervening professional voice disorders. Comparison of pre and postevaluation data revealed a statistically significant difference in learner self-confidence and readiness levels.</p><p><strong>Conclusions: </strong>A team-based, interprofessional learning approach on voice rehabilitation would help SLPs to consider special vocal demands of professional voice users in their evaluation methods. This may also lead to preventive early intervention by increasing vocal awareness and knowledge on phonatory function in professional actors from the beginning of their careers.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127178","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}