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Voice Therapy Expectations for Injured Singers
Lesley F Childs1, Alexandra D'Oto1, Amy Harris1
1Clinical Center for Voice Care, Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
Summary
Singers undergoing surgery for vocal fold injury typically had five or fewer voice therapy sessions. Most non-surgical singers improved within six months with 3-4 therapy sessions, offering clear expectations for voice therapy duration.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
Background:
- Voice therapy is a primary treatment for phonotrauma in singers.
- The typical duration of voice therapy for injured singers is not well-established.
Purpose of the Study:
- To determine the number of voice therapy sessions before surgery for phonotrauma.
- To ascertain the number of sessions and time to improvement for singers not undergoing surgery.
- To investigate if singer-specific factors influence therapy duration.
Main Methods:
- Retrospective review of medical records.
- Analysis of 243 singers with phonotraumatic vocal fold lesions over a 9-year period at a tertiary voice center.
Main Results:
- Sixty singers underwent surgery, with nearly 75% having had five or fewer therapy sessions prior.
- 183 singers did not undergo surgery, averaging 3-4 sessions for improvement.
- Over 60% of non-surgical singers improved within 3 months, and 84% by 6 months.
- No association was found between therapy length and lesion type, professional status, training, or coaching.
Conclusions:
- Voice therapy duration before surgical consideration in singers is often limited.
- Improvement in non-surgical singers typically occurs within a defined number of sessions and timeframe.
- These findings establish benchmarks for voice therapy expectations in singers with vocal fold injury.
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