Efficacy of Voice Therapy in Improving Vocal Function in Adults Irradiated for Laryngeal Cancers: A Pilot Study.

Adult Humans Laryngeal Neoplasms / radiotherapy Larynx Pilot Projects Treatment Outcome Voice Disorders / diagnosis Voice Quality Voice Training
Radiation therapy Vocal Function Exercises Vocal hygiene Voice disorders Voice therapy

Journal

Journal of voice : official journal of the Voice Foundation
ISSN: 1873-4588
Titre abrégé: J Voice
Pays: United States
ID NLM: 8712262

Informations de publication

Date de publication:
Nov 2020
Historique:
received: 24 02 2019
revised: 14 05 2019
accepted: 15 05 2019
pubmed: 27 6 2019
medline: 29 7 2021
entrez: 26 6 2019
Statut: ppublish

Résumé

Radiation therapy (XRT) for laryngeal cancers causes acute and chronic vocal dysfunction. Although these deleterious effects of XRT are well-established, there is a dearth of research with respect to effective voice rehabilitation following XRT for laryngeal cancers. To obtain preliminary data on the efficacy of voice rehabilitation, using vocal function exercises (VFEs) in improving vocal function in adults irradiated for laryngeal cancer. The comparison treatment group (VH) received vocal hygiene counseling. Randomized clinical trial. Participants were randomized to the VFE + VH or VH group. Both interventions lasted 6 weeks. The primary outcome measure was improvement in VHI scores. Secondary outcome measures included auditory-perceptual assessments, acoustic and aerodynamic measures, and laryngeal imaging. Ten participants were recruited for the study. The VFE + VH (n = 6) group demonstrated a statistically significant improvement in the primary outcome measure (P = 0.03), as well as select parameters of all secondary outcome measures. The VH (n = 4) group did not demonstrate a statistically significant improvement in primary or secondary outcome measures. This study offers preliminary data for the utility of VFEs in the irradiated laryngeal cancer population. However, findings in the VFE + VH group lack generalizability, secondary to sample heterogeneity, and limited sample size.

Sections du résumé

BACKGROUND BACKGROUND
Radiation therapy (XRT) for laryngeal cancers causes acute and chronic vocal dysfunction. Although these deleterious effects of XRT are well-established, there is a dearth of research with respect to effective voice rehabilitation following XRT for laryngeal cancers.
OBJECTIVE OBJECTIVE
To obtain preliminary data on the efficacy of voice rehabilitation, using vocal function exercises (VFEs) in improving vocal function in adults irradiated for laryngeal cancer. The comparison treatment group (VH) received vocal hygiene counseling.
STUDY DESIGN METHODS
Randomized clinical trial.
METHODS METHODS
Participants were randomized to the VFE + VH or VH group. Both interventions lasted 6 weeks. The primary outcome measure was improvement in VHI scores. Secondary outcome measures included auditory-perceptual assessments, acoustic and aerodynamic measures, and laryngeal imaging.
RESULTS RESULTS
Ten participants were recruited for the study. The VFE + VH (n = 6) group demonstrated a statistically significant improvement in the primary outcome measure (P = 0.03), as well as select parameters of all secondary outcome measures. The VH (n = 4) group did not demonstrate a statistically significant improvement in primary or secondary outcome measures.
CONCLUSIONS CONCLUSIONS
This study offers preliminary data for the utility of VFEs in the irradiated laryngeal cancer population. However, findings in the VFE + VH group lack generalizability, secondary to sample heterogeneity, and limited sample size.

Identifiants

DOI: 10.1016/j.jvoice.2019.05.008 PMID: 31235195 PMC: PMC8075074
pubmed: 31235195
pii: S0892-1997(19)30093-1
doi: 10.1016/j.jvoice.2019.05.008
pmc: PMC8075074
mid: NIHMS1688564
pii:
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

962.e9-962.e18

Subventions

Organisme : NCI NIH HHS
ID : P30 CA012197
Pays : United States

Informations de copyright

Copyright © 2019 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

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Auteurs

Vrushali Angadi (V)

Division of Communication Sciences and Disorders, University of Kentucky, Lexington, Kentucky. Electronic address: vrushali.angadi@gmail.com.

Emily Dressler (E)

Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina.

Mahesh Kudrimoti (M)

Department of Radiation Medicine, University of Kentucky, Chandler Medical Center, Lexington, Kentucky.

Joseph Valentino (J)

Department of Otolaryngology-Head and Neck surgery, University of Kentucky, Lexington, Kentucky.

Rony Aouad (R)

Department of Otolaryngology-Head and Neck surgery, University of Kentucky, Lexington, Kentucky.

Thomas Gal (T)

Department of Otolaryngology-Head and Neck surgery, University of Kentucky, Lexington, Kentucky.

Joseph Stemple (J)

Division of Communication Sciences and Disorders, University of Kentucky, Lexington, Kentucky.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Efficacy of Voice Therapy in Improving Vocal...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Efficacy of Voice Therapy in Improving Vocal...
questionsmedicales.fr › Maladies oto-rhino-laryngologiques › Tumeurs oto-rhino-laryngologiques › Tumeurs du larynx › Efficacy of Voice Therapy in Improving Vocal...
questionsmedicales.fr › Appareil respiratoire › Larynx › Efficacy of Voice Therapy in Improving Vocal...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Projets pilotes › Efficacy of Voice Therapy in Improving Vocal...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Efficacy of Voice Therapy in Improving Vocal...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Troubles de la voix › Efficacy of Voice Therapy in Improving Vocal...
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques respiratoires › Voix › Qualité de la voix › Efficacy of Voice Therapy in Improving Vocal...
questionsmedicales.fr › Thérapeutique › Rééducation des troubles de la parole et du langage › Éducation de la voix › Efficacy of Voice Therapy in Improving Vocal...