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Volitional and Non-volitional Devices Used in Voice Therapy and Training: A Scoping Review—Part A

Journal of Voice 2024年

作者： Batista, Denis de Jesus Duarte, João M. da Trindade Siqueira, Larissa T.D. Almeida, Anna A. Lopes, Leonardo W. Ribeiro, Vanessa V. Center for Exact and Natural Sciences Postgraduate program in Decision Models and Health of Universidade Federal da Paraíba Paraíba João Pessoa Brazil Health Sciences Center Associated Postgraduate Program in Speech-Language Pathology and Audiology at the Universidade Federal da Paraíba Universidade Federal do Rio Grande do Norte and Universidade Estadual de Ciências da Saúde de Alagoas Paraíba João Pessoa Brazil Center for Human Sciences Letters and Arts Postgraduate program in Linguistics of Universidade Federal da Paraíba Paraíba João Pessoa Brazil Department of Speech-Language Pathology and Audiology of the Universidade Federal do Rio Grande do Norte Rio Grande do Norte Natal Brazil Department of Speech-Language Pathology and Audiology Graduate Program in Linguistics and Graduate Program in Decision Models and Health of the Universidade Federal da Paraíba Paraíba João Pessoa Brazil Faculty of Medicine Speech-Language Pathology and Audiology course and the Postgraduate Program in Medical Sciences of the Universidade de Brasília Distrito Federal Brasília Brazil

Objective: To map the volitional and non-volitional devices used by speech and language pathologists (SLPs) in voice training and therapy and characterize their use in research on voice interventions. Methods: This scoping review is the first part of a larger study. The electronic search was carried out by mapping the references in PubMed/Medline, LILACS/BVS, Scopus, Web of Science, EMBASE, and the Cochrane Library, and the manual search was carried out in the grey literature. Two blind independent reviewers selected and extracted data;divergences were solved by consensus. The data extracted in this part of the study were the authorship and year of publication, country, study design, sample characteristics, intervention modality, ingredient, target, mechanism of action, dosage, and outcome measures. They were addressed with descriptive analysis. Results: Publications that use devices as ingredients are mostly from the last two decades, mainly carried out in the United States of America and Brazil, in adults of both sexes with behavioral dysphonia. Forty-two types of devices were used, many of them with similar approaches but different nomenclatures. Most devices were used voluntarily, focusing on vocal function, and aiming to increase source and filter interaction. Most studies used silicone tubes. The most reported technical specification to apply the ingredient was surface electrodes on the neck. Device dosage was time-controlled, and the most used outcomes were self-assessment and acoustic analysis. Conclusion: Devices are currently used as ingredients in vocal interventions, with a greater focus on increasing the source and filter interaction, associated with silicone tubes (the most used devices in these studies), which have been dosed with performance time. Outcomes were measured with self-assessment instruments. © 2023 The Voice Foundation

关键词： language and hearing sciences speech speech therapy Voice Voice disorders Voice training

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Can We Use the Maximum Phonation Time as a Screening of Pulmonary Forced Vital Capacity in Post-COVID-19 Syndrome Patients?

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Journal of Voice 2024年

作者： Souza, Juliana Alves Pasqualoto, Adriane Schmidt Cielo, Carla Aparecida Andriollo, Débora Bonesso Moraes, Denis Altieri Oliveira Department of Speech Hearing and Language Sciences and Postgraduate Program in Human Communication Disorders Voice Laboratory of he Universidade Federal de Santa Maria (UFSM) Santa Maria Brazil Department of Physiotherapy and Postgraduate Program in Human Communication Disorders at Universidade Federal de Santa Maria (UFSM) Santa Maria Brazil Departament of Statistics and Postgraduate Program in Human Communication Disorders at Universidade Federal de Santa Maria (UFSM) Santa Maria Brazil

Objective: To verify the accuracy of the maximum phonation time of the vowel /a/ (MPT/a/), fricative /s/ (MPT/s/), number counting (MPTC), and number reached in this count (CN) to estimate forced vital capacity (FVC) in patients with post-COVID-19 syndrome. Method: Cross-sectional study involving adult patients, who were admitted to the intensive care unit and referred to the Post-COVID-19 Rehabilitation Outpatient Clinic. Voice function was assessed using a Vocal Handicap Index (VHI) self-assessment questionnaire and MPT tests. To perform the phonatory tests, the patients remained in a standing posture and were instructed to inhale as much air as possible and, during a single exhalation, at usual pitch and loudness, sustain the emission of /a/ and /s/;and in another breath, to perform the ascending numerical count, starting from the number one up to the highest number they could reach. Pulmonary function was assessed by spirometry. The receiver operating characteristic (ROC) curve was plotted, and FVC values lower than the normal limit by Z-score (fifth percentile) were classified as impaired lung function. The predictive values and likelihood ratios were calculated. Results: A total of 70 patients participated, with 20–30% having a high VHI. Approximately 24% had an FVC impairment and significantly low values of MPT/a/, MPT/s/, MPTC, and CN. The test results showed overall accuracy of 70% and the cutoff points of 9.69, 6.78, 10.60, and 13, respectively, with high sensitivity, predictive negative value and low specificity, predictive positive value, and positive likelihood ratio. Conclusions: Our results suggest that the MPT has moderate discriminatory power for FVC impairment, indicating that it is not a reliable indicator of pulmonary function in the population studied. Therefore, in patients with an MPT of less than 10.60 seconds, or a CN lower than 13, other criteria should be added to improve the diagnostic accuracy and support the decision to perform more com

关键词： Accuracy COVID-19 Intensive care unit Phonation Respiratory function tests

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Assessing sensitivity to semantic and syntactic information in deaf readers: An ERP study

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Neuropsychologia 2025年 215卷 109171页

作者： Emmorey, Karen Akers, Emily M. Martinez, Priscilla M. Midgley, Katherine J. Holcomb, Phillip J. School of Speech Language and Hearing Sciences SDSU United States Joint Doctoral Program in Language and Communication Disorders SDSU and UCSD United States Department of Psychology SDSU United States

An ERP study by Mehravari et al. (2017) found deaf and hearing readers had similar N400 effects to semantic violations, but only hearing readers showed a P600 effect to verb agreement violations. To assess whether lack of sensitivity to agreement was due to early language deprivation, we presented the same stimuli (and a phrase structure violation condition) to deaf readers with early ASL exposure and a reading-matched hearing group. We also examined N400 “wrap up” effects for sentence final words. Both groups exhibited an N400 effect for semantic violations (larger negativities for errors), although the effect was unexpectedly weak for hearing readers. At the violation, only hearing readers exhibited a P600 for verb agreement violations (larger positivities for errors), indicating that the previous findings are not explained by language deprivation. Crucially, both groups exhibited an N400 effect on the sentence-final word for agreement violations – despite poor performance on the acceptability judgment task. Both deaf and hearing readers showed a robust P600 to phrase structure violations. We interpret this overall pattern as indicating that deaf readers engage in monitoring strategies whereby English phrase structure, but not verb morphology, is anticipated during reading, and that both groups exhibit neural sensitivity to grammatical errors during sentence final integration processes. The amplitude of the P600 for grammatical violations was correlated with reading skill only for hearing readers. We conclude that reading strategies for skilled deaf readers who are bilingual in ASL differ from hearing monolingual readers with similar reading skills. © 2025 The Authors

关键词： Deaf readers ERPs N400 P600 Phrase structure violations Semantic violations Verb agreement

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Prospective Teacher's Voice Questionnaire (PTVQ): Development of a Questionnaire to Assess Training-Related Voice Symptoms Among Prospective Teachers

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Journal of Voice 2024年

作者： Cantor-Cutiva, Lady Catherine Malebrán, Celina de Oliveira, Iára Bittante Cerda, Felipe Dalmasso, Maria del Carmen Díaz, Adriana Manzano, Carlos Morales, Alejandro Piccolotto Ferreira, Léslie Ramonda, Jessica Vaz Masson, Maria Lúcia Department of Communication Sciences and Disorders The University of Iowa Iowa City IA United States School of Speech-Language Pathology College of Dentistry and Rehabilitation Sciences Universidad San Sebastián Santiago Chile Pontifícia Universidade Católica de Campinas Faculdade de Fonoaudiologia SP São Paulo Brazil Department of Speech-Language and Pathology College of Medicine Pontificia Universidad Católica de Chile Santiago Chile Universidad Nacional de La Matanza Buenos Aires Argentina National Division of Health for the Police Department (Hospital Policial) Montevideo Uruguay Hospital Médica Sur/Centro Médico ABC Mexico City Mexico Program of Speech and Language Pathology and Audiology Manuela Beltran University Bogota Colombia Department of Theories and Methods in Speech Therapy and Physiotherapy Pontifical Catholic University of São Paulo SP São Paulo Brazil Instituto Superior de ORL y Fonoaudiología Cordoba Argentina Speech-Language-Pathology-Hearing Sciences Department Multidisciplinary Institute of Rehabilitation and Health Federal University of Bahia Bahia Brazil

Aim: To develop and validate a self-administered population-specific survey, available in Spanish, Portuguese, and English, which investigates the prevalence of voice symptoms and perceptions of risk factors associated with training among prospective teachers. Methods: The present study had three stages: the first stage included a literature review and content validation by experts that supported the survey development. From this phase, we defined five aspects of the Prospective Teacher's Voice Questionnaire (PTVQ): (1) target population, (2) research objectives, (3) questions to be included, (4) scales for the answers, and (5) relevance, comprehensiveness, clarityclarity, and understandability of the questions. This process was performed in parallel for the three languages (Spanish, Portuguese, and English). The second stage included pilot testing. This involved administering the first draft of the survey to a group of 120 students to evaluate the feasibility and effectiveness of the survey instrument, identify any potential problems with the survey, and refine the instrument based on feedback from the pilot participants. The third stage includes the restructuring of the questionnaire's voice quality section to eliminate redundant questions. Through Principal Component Analysis, multicollinear variables were condensed, facilitating the removal of redundant items, and ensuring that the final questionnaire comprised only the most relevant and discriminative questions. Results and discussion: The final version of the survey, available in Spanish, Portuguese, and English, consists of four sections with a total of 57 questions. The development of the PTVQ represents a significant step toward better understanding and addressing voice disorders among prospective teachers. Future research could further refine the questionnaire and explore its predictive validity in identifying individuals at risk of voice disorders early in their teaching careers. Additionally, interventio

关键词： Prospective teachers Survey Training conditions Voice

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Event visibility in sign language motion: Evidence from Austrian Sign language 43

Event visibility in sign language motion: Evidence from Aust...

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43rd Annual Meeting of the Cognitive Science Society: Comparative Cognition: Animal Minds, CogSci 2021

作者： Krebs, Julia Strutzenberger, Gerda Schwameder, Hermann Wilbur, Ronnie B. Malaia, Evie Roehm, Dietmar Research group Neurobiology of Language Department of Linguistics University of Salzburg Salzburg Austria University of Salzburg Salzburg Austria Department of Sport Science and Kinesiology University of Salzburg Salzburg Austria Department of Speech Language and Hearing Sciences Purdue University West LafayetteIN United States Linguistics Program Purdue University West LafayetteIN United States Department of Communicative Disorders University of Alabama TuscaloosaAL United States

This is the first kinematic investigation of articulator motion in Austrian Sign language, which connects kinesiology of sign production and linguistic markers of Aktionsart in the native language of the Deaf1 community in Austria. Our work used a 3D motion capture approach to sign language analysis to investigate the relationship between the semantics (event structure) of signed verbs, and kinematics of hand articulator movement. The data indicates that the underlying semantics of events in verb signs is reflected in sign duration and acceleration of the dominant hand during sign production. The finding that articulator dynamics (acceleration and deceleration of hand motion) characterizes the event structure in verb signs has significance for linguistic theory of visual communication, and understanding of the relationship between iconicity in sign language, and perceptual biases in meaning construction based on visual input. © Cognitive Science Society: Comparative Cognition: Animal Minds, CogSci *** rights reserved.

关键词： Kinematics

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Effectiveness of Telerehabilitation Exercise programme on Disability and Pain in Patients With Chronic Non-Specific Neck Pain: Randomised Controlled Trial Assessor-Blinded

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Musculoskeletal Care 2025年第2期23卷 e70119页

作者： Barbosa, Juliene Corrêa da Luz, Bruna Vale da Silva, Breno Felipe Portal Marques, Amelia Pasqual Saragiotto, Bruno Tirotti Comachio, Josielli Magalhaes, Mauricio Oliveira Master's Program in Human Movement Sciences Federal University of Pará Belém-Pará Brazil Faculty of Physiotherapy and Occupational Therapy Federal University of Pará Belém-Pará Brazil Department of Physiotherapy Rehabilitation Sciences Program Speech-Language Pathology and Audiology and Occupational Therapy Faculty of Medicine University of São Paulo São Paulo Brazil Master's Programs in Physical Therapy Universidade Cidade de São Paulo São Paulo Brazil Sydney Musculoskeletal Health School of Health Sciences Charles Perkins Centre Faculty of Medicine and Health University of Sydney Sydney Australia

Introduction: Chronic neck pain is an important public health problem. Telerehabilitation has emerged as an important tool for individuals with musculoskeletal conditions. Objectives: The study aims to identify the effectiveness of a telerehabilitation exercise programme compared with a digital self-care booklet on non-specific neck pain. Methods: A randomised controlled trial assessor-blinded, 3 months follow-up. 70 patients were randomised into two groups of 35. The telerehabilitation group received 6 weeks of individualised training through vídeo calls and an online booklet. The control group received an online booklet. The primary outcome was functional disability. Secondary outcomes included pain intensity, global perceived effect, self-efficacy, quality of life, and kinesiophobia. All outcomes were assessed at baseline, 6 weeks, and a 3-month follow-up. Results: There was a significant difference between groups for functional disability (Mean 10.3, CI 95% 4.8–15.7), pain intensity (Mean 2.8, CI 95% 1.4–4.1), global perceived effect (Mean −2.3, CI 95% −3.7 to −0.9), and self-efficacy (Mean −24.7, CI 95% −41.0 to −8.4) at the 6-week. At the 3-month follow-up, statistically significant differences were observed for perceived overall effect (Mean −2.0, CI 95% −3.4 to −0.6) and self-efficacy (Mean −26.3, CI 95% −42.8 to −9.8). Conclusions: Telerehabilitation is effective in improving disability and pain intensity compared with self-care booklets only in individuals with non-specific chronic neck pain. Trial registration: This trial is registered at https://***/rg/RBR-10h7khvk under the registration number RBR10h7khvk at 09/16/2022. © 2025 The Author(s). Musculoskeletal Care published by John Wiley & Sons Ltd.

关键词： chronic pain exercise therapy neck pain telehealth telerehabilitation

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Optimal Brain Targets for Enhancing Vocal Performance With Transcranial Direct Current Stimulation

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Journal of Voice 2024年

作者： Oliveira, Kelly Sukar Cavalcanti Gomes, Adriana de Oliveira Camargo Brito, Rodrigo Albuquerque, Rhayssa Muniz de Moura, Silvio Ricardo Couto Monte-Silva, Kátia Applied Neuroscience Laboratory Department of Physical Therapy Universidade Federal de Pernambuco Jornalista Aníbal Fernandes Avenue Pernambuco Recife 50740–560 Brazil From the Graduate Program in Human Communication Health the Universidade Federal de Pernambuco Health Sciences Center Speech-Language Pathology and Audiology Department Pernambuco Recife Brazil NAPeN Network (Núcleo de Assistência e Pesquisa em Neuromodulação) Pernambuco Palmares Brazil

Transcranial direct current stimulation (tDCS) can be used to temporarily and reversibly modulate brain functions and is an increasingly utilized tool to investigate the relationships between brain and behavior. This study aimed to identify the brain area where tDCS has the greatest effect on vocal quality, vocal range, neuromotor functioning of the larynx, and self-reported vocal effort in vocally healthy individuals. Sixteen adults, non-singers, with a mean age of 22.5 (±1.9) years and no vocal symptoms or brain dysfunction, participated in this double-blinded randomized crossover clinical trial. The participants underwent four anodal tDCS session (20 minutes;2 mA) in targeting different areas—cerebellum, primary motor cortex (M1), primary somatosensory cortex (S1), and dorsolateral prefrontal cortex (DLPFC)—with a 7-day washout period between sessions. Volunteers were evaluated for vocal performance before and after each tDCS session. Voice recordings were taken to assess the following vocal parameters: vocal range profile (VRP) at weak and strong intensities;vocal quality (jitter, shimmer, irregularity, glottal-to-noise excitation ratio, and dysphonia acoustic index) at weak, habitual, and strong intensities;laryngeal diadochokinesis, and self-reported vocal effort using the adapted Borg CR10 scale. M1 stimulation enhanced the VRP by increasing maximum intensity and improving vocal quality, particularly at habitual and strong intensities. Similarly, S1 stimulation improved vocal quality at strong intensities but reduced the VRP by lowering the maximum fundamental frequency. Cerebellum stimulation enhanced neuromuscular control and coordination of the larynx without affecting vocal quality. Additionally, self-reported vocal effort decreased across all stimulated areas following tDCS. Our findings indicate that tDCS applied to different brain areas produces varying effects on vocal parameters. © 2024 The Voice Foundation

关键词： Voice—Voice quality—Transcranial direct current stimulation—Brain stimulation

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A Canadian version of the digit triplets test 26

A Canadian version of the digit triplets test

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26th International Congress on Sound and Vibration, ICSV 2019

作者： Lagacé, Josée Giguère, Christian Kathleen Pichora-Fuller, M. Audiology and Speech-Language Pathology Program Faculty of Health Sciences University of Ottawa OttawaON Canada Department of Psychology University of Toronto MississaugaON Canada

ISBN: (纸本)9781999181000

Of all the stimuli used for speech-in-noise tests, digits have received a particular attention as stimuli because they are highly familiar words to all age groups, including populations learning a new language. The Digit Triplets Test (DTT;Smits et al., 2004) was originally developed in the Dutch language as an automatic self-screening test. The test uses an adaptive procedure to find the speech recognition threshold (SRT) in noise, which corresponds to the signal-to-noise ratio at which the digit triplets are correctly identified 50% of the time. The DTT has been adapted in different languages and can be administered over the phone, the internet, or smartphones. Digits triplets (e.g., 4-1-8) are presented in a background noise and the listener enters the digits heard on a keypad. A Canadian French and English version of the DTT has been developed in a collaborative effort between the University of Ottawa and the University of Toronto (CDTT). The digits were recorded in both languages from two fluently bilingual adult talkers (one male, one female). The recordings were then processed and optimized, according to the ICRA recommendations (2015) and ISO standard on speech audiometry (ISO 8253-3:2012). A speech-shaped noise was developed for each language-talker combination. This presentation will describe the development stages of the CDTT. Data obtained with normal hearing adults and school-aged children using the CDTT software will be presented, as well as some metrics and characteristics of the test (e.g., test-retest reliability, etc.). Some details about the required hardware will also be presented for laptop implementation. The CDTT requires little practice and can be quickly administered, making it ideal for measuring speech-in-noise performance with many populations, including in children or non-native speakers of French or English © Proceedings of the 26th International Congress on Sound and Vibration, ICSV 2019. All rights reserved.

关键词： Signal to noise ratio

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The global leadership initiative on malnutrition criteria in adults and older patients with oropharyngeal dysphagia

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Clinical Nutrition ESPEN 2024年 63卷 1099-1099页

作者： Lyra, E. Machado, M. Addison Machado Moreira, E. de Lima Oliveira, D. Brusco de Freita, M. Salvan da Rosa, J. Furkim, A.M. Franco Moreno, Y.M. Silvia Fröde, T. Barbieri Hauschild, D. Postgraduate Program in Nutrition Department of Speech Language Pathology and Audiology Federal University of Santa Catarina Florianopolis Brazil Center for Molecular Prediction of Inflammatory Bowel Disease PREDICT Department of Clinical Medicine Aalborg University Copenhagen Denmark Postgraduate Program in Pharmacy Federal University of Santa Catarina Florianopolis Postgraduate Program in Nutrition Federal University of Santa Catarina Copenhagen Postgraduate Program in Medical Sciences Federal University of Santa Catarina Florianopolis Brazil

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Neural alpha oscillations index context-driven perception of ambiguous vowel sequences

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iScience 2023年第12期26卷 108457页

作者： Alain, Claude Göke, Katharina Shen, Dawei Bidelman, Gavin M. Bernstein, Lori J. Snyder, Joel S. Rotman Research Institute Toronto M6A 2E1 ON Canada Department of Psychology University of Toronto Toronto M5S 3G3 ON Canada Department of Speech Language and Hearing Sciences and Program in Neuroscience Indiana University Bloomington 47408 IN United States Department of Psychiatry University of Toronto and University Health Network Toronto M5G 2C4 ON Canada Department of Psychology University of Nevada Las Vegas 89154 NV United States

Perception of bistable stimuli is influenced by prior context. In some cases, the interpretation matches with how the preceding stimulus was perceived;in others, it tends to be the opposite of the previous stimulus percept. We measured high-density electroencephalography (EEG) while participants were presented with a sequence of vowels that varied in formant transition, promoting the perception of one or two auditory streams followed by an ambiguous bistable sequence. For the bistable sequence, participants were more likely to report hearing the opposite percept of the one heard immediately before. This auditory contrast effect coincided with changes in alpha power localized in the left angular gyrus and left sensorimotor and right sensorimotor/supramarginal areas. The latter correlated with participants’ perception. These results suggest that the contrast effect for a bistable sequence of vowels may be related to neural adaptation in posterior auditory areas, which influences participants’ perceptual construal level of ambiguous stimuli. © 2023 The Author(s)

关键词： audiology Behavioral neuroscience Linguistics Sensory neuroscience

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