Journal of Voice最新文献

{"title":"Pre- and Post-operative Voice Therapy for Benign Vocal Fold Lesions: A feasibility Trial of the PAPOV Intervention.","authors":"A White, V Booth, P Carding, J H Van Stan, J McGlashan, B Saccente-Kennedy, R Awad, P A Logan, D Britton","doi":"10.1016/j.jvoice.2025.08.024","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.08.024","url":null,"abstract":"<p><strong>Introduction: </strong>Clinical management of benign vocal fold lesions is variable. Phonosurgery combined with pre- and post-operative voice therapy (PAPOV) may improve voice and quality-of-life outcomes, but the content of the voice therapy had previously not been defined or evaluated. We created the PAPOV intervention for adults with benign vocal fold lesions undergoing phonosurgery. It comprises seven essential and four additional intervention components. This study tested the feasibility of delivering PAPOV in the UK NHS.</p><p><strong>Methods: </strong>A nonrandomized, multicenter feasibility trial was conducted in two UK NHS hospital sites. Measures of feasibility included recruitment, retention, and intervention fidelity. Multidimensional clinical and health economic outcomes were gathered to assess data completion rates and give preliminary indications of voice changes over time using standardized assessments.</p><p><strong>Results: </strong>All feasibility objectives were met. In total, 41 patients were recruited to the trial with an attrition rate of 15% (n = 6). Intervention fidelity was high with 93% of participants receiving the seven essential components of the PAPOV intervention. Data collection for all clinical and health economic outcomes remained over 80% completion at each time point. There was evidence of statistically significant changes in all patient-reported [Voice Handicap Index (VHI), Vocal Tract Discomfort Scale (VTDS), and Reflux Symptom Index (RSI)], clinician-reported (CAPE-V), and acoustic (AVQI and ABI voice outcomes before and after treatment). There was no evidence of change in maximum phonation time (MPT) and pitch range.</p><p><strong>Conclusion: </strong>The PAPOV intervention appears feasible for delivery by voice specialist speech and language therapists. Patients tolerated and competed the intervention and preliminary indications suggest potential benefit for voice and quality of life. Further research including randomized controlled trials is required to establish clinical and cost-effectiveness research for this intervention.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151533","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":"Letter to the Editor: \"Effects of Silent Segment Processing on Cepstral Measures in Japanese Voice Assessment: A Reliability and Perceptual Correlation Study\" by Kodama et al, In Press in Journal of Voice.","authors":"Kiyohito Hosokawa, Itsuki Kitayama, Makoto Ogawa","doi":"10.1016/j.jvoice.2025.08.033","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.08.033","url":null,"abstract":"","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151530","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":"The Role of Laryngology Evaluation in Parkinson Dysphonia Therapy: Process Evaluation and Outcomes.","authors":"John L Wilson, Andy Goings, George Ashji, Sheryl Maier, G Todd Schneider, Ellen L Ferraro","doi":"10.1016/j.jvoice.2025.08.039","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.08.039","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the clinical evaluation process for patients with Parkinson disease (PD)-related dysphonia at an academic voice center, including potential delays in voice therapy initiation, the incidence of lesions at the time of screening laryngoscopy, and the frequency of procedural voice interventions.</p><p><strong>Methods: </strong>Retrospective single-institution chart review of patients (n = 113) with PD-related dysphonia seen in consultation by a fellowship-trained laryngologist and speech language pathologist (SLP) between 2014 and 2024 who underwent either SPEAK OUT!® or Lee Silverman Voice Treatment®. Sociodemographic information, referral/clinical encounter dates, medical history, laryngoscopy findings, and details regarding procedural interventions were collected.</p><p><strong>Results: </strong>Thirty-three patients satisfied inclusion criteria, including those who underwent appropriate laryngologist clearance prior to voice therapy (n = 29) and those who saw a laryngologist following treatment initiation in delayed fashion (n = 4). Time from SLP intake to therapy initiation occurred approximately 2 months sooner when patients did not see a laryngologist prior to treatment (mean 46 days versus 117 days, P < 0.05.) Screening laryngoscopy findings and voice-directed interventions ultimately performed did not significantly differ between cohorts.</p><p><strong>Conclusion: </strong>Requiring laryngology consultation for screening laryngoscopy prior to PD-directed voice therapy can delay care without affecting the procedural interventions ultimately performed. While all patients with PD-related dysphonia should undergo laryngoscopy at some time during treatment, these patients may benefit from timelier therapy if preceding medical clearance from laryngology is not required. Regardless of the timing of laryngologist consultation, select patients with PD may benefit from voice-directed interventions, and this warrants further study.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139167","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":"Voice as Pedagogy: Enhancing EMI Teachers', Self-Efficacy, Instructional Clarity, and Vocal Health Literacy Through Integrated Voice Training Workshops.","authors":"Mingliang Wang, Ali Khodi, Samantha Curle, Fatemeh Amiri","doi":"10.1016/j.jvoice.2025.08.030","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.08.030","url":null,"abstract":"<p><p>English-Medium Instruction (EMI) teachers often face vocal fatigue and difficulties in clarity when they speak a lot in a second language without proper training in voice use or vocal health. This mixed-methods study looked at the effects of a 1-day, 6-hour integrated voice training workshop that combined vocal health literacy with teaching voice techniques. Thirty university EMI instructors took part in a single-group pre-post design, completing a Vocal Health Literacy Survey and the 12-item Teachers' Sense of Efficacy Scale (TSES), and sat for semi-structured interviews. Quantitative results showed significant immediate improvements in vocal hygiene (P < 0.005), preventive strategies, and symptom recognition, although some of this improvement faded by the 3-month follow-up. Self-efficacy scores rose modestly (pre: M = 6.07, post: M = 7.93), but there was no significant correlation with vocal health literacy. Thematic analysis of semi-structured interviews revealed seven key themes: metacognitive vocal awareness, discipline-specific adaptation, contextual barriers, student-led reinforcement, emotional resilience, technological mediation, and self-reported vocal fatigue. These highlight both the supports and challenges teachers face in using these strategies over time. Importantly, teachers reported fewer requests from students for clarification after the workshop, suggesting that instructional clarity improved. These findings emphasize how frameworks of embodied pedagogy and health literacy can empower EMI teachers, enhance vocal well-being, and promote clearer instruction. Recommendations include periodic booster sessions, institutional support for voice care policies, and the use of amplification technologies to maintain long-term benefits.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132285","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":"Knowledge, Attitudes, and Practices Regarding Postoperative Vocal Dysfunction Among Patients With Pulmonary Diseases in Southwestern Mainland China: A Cross-Sectional Study.","authors":"Yuanyuan Peng, Qinghan Zeng, Yuhao Fu, Tianpei Ma, Jiaxin Li, Yuxin Wang, Xiaojun Tang, Dan Lu","doi":"10.1016/j.jvoice.2025.08.040","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.08.040","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to investigate knowledge, attitudes, and practices regarding vocal dysfunction among patients with pulmonary diseases.</p><p><strong>Methods: </strong>An electronic questionnaire consisting of 24 items in four sections was designed and distributed to patients with pulmonary diseases at the lung cancer center of West China Tian Fu Hospital from June 2024 to December 2024.</p><p><strong>Results: </strong>Among the 253 patients, 154 (60.9%) had learned about the risk of postoperative vocal dysfunction before their hospitalization, 224 (88.5%) were informed of the risk of postoperative vocal dysfunction during their hospitalization, 130 (51.4%) believed that intraoperative iatrogenic injury to phonatory nerves was one of the causes of postoperative vocal dysfunction, and 75 (29.6%) were aware of the correlation between surgery location and vocal dysfunction. More than half of the participants (n = 144, 56.9%) acquired knowledge about postoperative vocal dysfunction during preoperative discussion with surgeons, and 219 (86.6%) participants were willing to receive relevant knowledge. While only a few participants had heard about videolaryngoscopy (n = 82, 32.4%), many participants held positive (n = 71, 28.1%) or neutral attitudes (n = 100, 39.5%) about laryngoscopy before pulmonary surgery. When asked whether they would seek medical help promptly if they experienced vocal dysfunction after pulmonary surgery, 216 (85.4%) participants chose \"Yes,\" and most of them would prefer conservative treatment rather than surgical treatment. The most frequently mentioned reason among 37 participants who would not seek medical help was \"Vocal dysfunction may gradually improve without medical intervention\" (n = 16, 6.3%).</p><p><strong>Conclusions: </strong>Patients with pulmonary diseases demonstrated limited awareness of postoperative vocal dysfunction despite receiving standard instructions during hospitalization. Implementing online patient education programs, preoperative risk counseling in outpatient settings, and multidisciplinary care pathways could improve the diagnosis and management of this complication.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139117","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":"The Association Between Salivary Function and Laryngopharyngeal Reflux Measured Objectively.","authors":"So Young Jeon, Hwa Sung Rim, Yeonseo Lee, Jung Min Park, Min Kyeong Lee, Su Il Kim, Young Chan Lee, Young-Gyu Eun","doi":"10.1016/j.jvoice.2025.09.003","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.09.003","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association between salivary function measured by salivary flow rate (SFR) and laryngopharyngeal reflux (LPR) in patients with symptoms completed 24-hour hypopharyngeal-esophageal multichannel intraluminal impedance-pH (24-h-HEMII-pH) monitoring.</p><p><strong>Methods: </strong>Patients with LPR symptoms underwent the 24-h-HEMII-pH monitoring and SFR was measured. We compared the SFR differences between LPR and non-LPR groups.</p><p><strong>Results: </strong>Sixty-seven of 80 (84%) patients were diagnosed with LPR. The mean unstimulated SFR of the LPR and non-LPR groups was 0.48 and 0.52 mL/min (P = 0.735). The mean stimulated SFR of the LPR and non-LPR groups was 2.5 and 2.3 mL/min (P = 0.610). In the LPR group and non-LPR group, the reflux symptom index (RSI) of the normal and abnormal SFR groups was not significantly differnt (P = 0.27 and P = 0.454).</p><p><strong>Conclusions: </strong>There was no significant difference in salivary function between patients with LPR and non-LPR.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132351","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":"Acoustic Biomarkers Derived From Computerized Voice Analysis for Predicting Anterior Commissure Involvement and Survival in Laryngeal Carcinoma.","authors":"Chendi Lu, Yanuo Zhou, Simin Zhu, Yuqi Yuan, Demin Kong, Zitong Wang, Xinru Lv, Rui Lu, Yushan Xie, Xiaoxin Niu, Yonglong Su, Zihan Xia, Haiqin Liu, Yewen Shi, Xiaoyong Ren, Jin Hou","doi":"10.1016/j.jvoice.2025.09.004","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.09.004","url":null,"abstract":"<p><strong>Objectives: </strong>Laryngeal cancer is a common head and neck malignancy, with anterior commissure (AC) involvement pivotal for treatment and prognosis. Conventional diagnostic methods, especially imaging, lack accuracy and often require invasiveness. This study aimed to explore correlations among stroboscopic features, acoustic parameters, and AC involvement, seeking a noninvasive diagnostic protocol.</p><p><strong>Methods: </strong>A retrospective analysis included 234 laryngeal cancer patients from Xi'an Jiaotong University's Second Affiliated Hospital (2017-2024). Voice assessment combined GRBAS scoring, acoustic analysis, stroboscopic evaluation, and subjective tools. Patients were stratified by AC status and divided into training (70%) and validation (30%) sets. Key predictors were identified via parameter analysis. A nomogram model for AC involvement was developed and validated using receiver operating characteristic (ROC), calibration, and decision curves. Cox regression analyzed AC's prognostic impact.</p><p><strong>Results: </strong>Significant differences in Dysphonia Severity Index (DSI), fundamental frequency, sound pressures, and Reflux Symptom Index (RSI) emerged between AC-involved and noninvolved groups (all P < 0.05). Multivariate logistic regression revealed RSI, maximum phonation time (MPT), and minimum sound pressure as independent risk factors. The nomogram model achieved an AUC of 0.791, demonstrating good performance. Cox regression showed AC involvement influenced early-stage survival.</p><p><strong>Conclusions: </strong>In conclusion, computerized voice analysis aids diagnosing AC involvement in laryngeal cancer. The nomogram model offers a reliable noninvasive alternative, highlighting AC evaluation's clinical value. However, AC involvement as a risk factor shows insufficient predictive efficacy for poor prognosis in early-stage patients, indicating the necessity for more aggressive treatment strategies.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115011","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":"Vibrato Synchronicity in Sustained Notes From Female Singers Blending to a Prerecorded Singer.","authors":"Gerardo Acosta Martínez, Helena Daffern","doi":"10.1016/j.jvoice.2025.09.006","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.09.006","url":null,"abstract":"<p><strong>Introduction: </strong>Vibrato in the singing voice can be defined as a modulation in pitch, intensity, and timbre. It has been speculated and reported that vibrato affects blend in choral singing, with evidence that the interactions occurring during choral singing can lead to a coupling and entrainment of vibrato.</p><p><strong>Objectives: </strong>The aim of this study was to assess the vibrato modifications and vibrato interactions that can arise in blended group singing as compared to solo singing. We tested the hypothesis that when singers blend to another singer with vibrato, a degree of synchronization will occur in order to aid blend.</p><p><strong>Methods: </strong>Individual female singers with vocal ranges from alto to soprano were recruited and asked to (1) sing with vibrato in a solo condition, and (2) blend with a prerecorded reference singer under different blending conditions. Isolated notes were held for approximately 5 to 7 seconds on the vowel /i/ and /a/ on pitches of an E major triad from E₄ to E₅. We calculated rate and extent; jitter and shimmer, to study the regularity associated to rate and extent; and recurrence quantification analysis (RQA), to detect phase synchronization.</p><p><strong>Results: </strong>Results show that singers modified their vibrato parameters of rate, extent, jitter, and shimmer in the blending condition. Additionally, participants were able to reach high levels of vibrato synchronization, which was negatively correlated with the vibrato regularity of rate during their baseline singing.</p><p><strong>Conclusion: </strong>Whether synchronization of multiple vibratos is a conscious or unconscious strategy to blend is still unknown to singing research; however, we have presented further evidence of the presence of this phenomenon. This research is relevant for pedagogical practices across both solo singing and group singing and supports a need for future research to understand levels of entrainment that take place in group singing activities.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114990","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":"Comment on \"Quasi-static Ultrasound Elastography of Ex-vivo Porcine Vocal Folds During Passive Elongation and Adduction\".","authors":"Prajnasini Satapathy, Rachana Mehta, Ranjana Sah","doi":"10.1016/j.jvoice.2025.08.034","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.08.034","url":null,"abstract":"","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102728","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":"Translation, Cross-Cultural Adaptation, and Psychometric Evaluation of the Persian Version of the Newcastle Laryngeal Hypersensitivity Questionnaire.","authors":"Banafshe Mansuri, Hadi Azimi, Anne Vertigan, Azin Kohansal, Mozhgan Asadi, Seyed Abolfazl Tohidast","doi":"10.1016/j.jvoice.2025.07.050","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.07.050","url":null,"abstract":"<p><strong>Objectives: </strong>The present study was conducted to translate, cross-culturally adapt, and perform psychometric evaluation of the Persian version of the Newcastle Laryngeal Hypersensitivity Questionnaire (P-LHQ).</p><p><strong>Methods: </strong>The study was conducted in two stages: translation and cross-cultural adaptation, and psychometric evaluation of the P-LHQ. The first stage included five phases: forward translation, synthesis of the forward translations, backward translation, expert panel review, and pretesting of the P-LHQ on 10 participants. Stage two included determination of convergent validity, internal consistency using Cronbach's alpha, test-retest reliability, and responsiveness to change of the P-LHQ. Sixty-five participants with laryngeal hypersensitivity syndromes, including muscle tension dysphonia, chronic refractory cough, and globus pharyngeus, completed the P-LHQ.</p><p><strong>Results: </strong>The first stage of the study resulted in a questionnaire named as the Persian Laryngeal Hypersensitivity Questionnaire (P-LHQ). Convergent validity was confirmed via a significant negative correlation with the Cough Severity Index (r = -0.688, P < 0.001). The P-LHQ demonstrated good internal consistency (Cronbach's α = 0.827) and excellent test-retest reliability (intraclass correlation coefficient [ICC] = 0.92), with item-level ICCs ranging from 0.78-0.96. The instrument showed responsiveness to clinical improvement following a voice therapy program in patients with muscle tension dysphonia.</p><p><strong>Conclusion: </strong>The P-LHQ is a valid, reliable, and culturally appropriate instrument for assessing laryngeal hypersensitivity symptoms in Persian-speaking populations. Its psychometric robustness and sensitivity to therapeutic change support its application in clinical evaluation and longitudinal research.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102802","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}