Delivery of Intensive Voice Therapy for Vocal Fold Nodules Via Telepractice: A Pilot Feasibility and Efficacy Study

Journal of Voice : Official Journal of the Voice Foundation
Sherry FuElizabeth C Ward

Abstract

This pilot study examined voice outcomes and patient perceptions after intensive voice therapy for vocal fold nodules via telepractice. Pilot, within-subjects experimental trial. Participants included 10 women diagnosed with bilateral vocal fold nodules who received intensive voice treatment via a free videoconferencing platform Skype, (Microsoft Corp., Redmond, WA). All participants completed one vocal hygiene session in person, followed by eight sessions of therapy via telepractice over 3 weeks. Before and immediately after treatment, patients attended a clinic in person to complete perceptual, stroboscopic, acoustic, and physiological assessments of vocal function. Analyses were performed by a speech-language pathologist and an otolaryngologist independent to and blinded to the study. Participants also completed the Voice Handicap Index and a telepractice satisfaction questionnaire, or an anticipated satisfaction questionnaire, before and after the treatment. Significant improvements were found in perceptual, vocal fold function, acoustic, and physiological parameters as well as nodule sizes and patient perceptions of voice-related quality of life post-treatment. Participants were highly positive about their first experience...Continue Reading

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Citations

Mar 21, 2017·Current Opinion in Otolaryngology & Head and Neck Surgery·Elizabeth C WardAnne J Hill
Oct 31, 2017·Journal of Telemedicine and Telecare·Annette CollinsDaniel Best
Mar 6, 2019·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Martin A Birchall, Paul Carding
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Jul 19, 2018·Journal of Voice : Official Journal of the Voice Foundation·Ziya SaltürkYavuz Uyar
Jan 16, 2021·Journal of Voice : Official Journal of the Voice Foundation·Débora Bonesso AndriolloCarla Aparecida Cielo
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Nov 5, 2019·Journal of Voice : Official Journal of the Voice Foundation·Mara Keli ChristmannCarla Aparecida Cielo
Jul 15, 2020·Journal of Voice : Official Journal of the Voice Foundation·Giovanna CantarellaLorenzo Pignataro
Jun 23, 2021·Journal of Speech, Language, and Hearing Research : JSLHR·Hasini R WeerathungeCara E Stepp
Aug 10, 2021·Journal of Voice : Official Journal of the Voice Foundation·Sarah L SchneiderClark A Rosen
Sep 3, 2021·American Journal of Speech-language Pathology·Kimberly L DahlCara E Stepp
Sep 4, 2020·Journal of Voice : Official Journal of the Voice Foundation·Adrián Castillo-AllendesMara Behlau
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Sep 13, 2020·Journal of Voice : Official Journal of the Voice Foundation·Adrián Castillo-AllendesMara Behlau

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