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Auditory-Motor Function Pre- and Post-Therapy in Hyperfunctional Voice Disorders: A Case Series.

Defne Abur1, Robert E Hillman2, Cara E Stepp3

  • 1Department of Speech, Language, and Hearing Sciences, Boston University, Boston, MA; Department of Computational Linguistics, Center for Language and Cognition Groningen, University of Groningen, Groningen, the Netherlands; Research School of Behavioral and Cognitive Neurosciences, University of Groningen, Groningen, the Netherlands.

Journal of Voice : Official Journal of the Voice Foundation
|September 16, 2023
PubMed
Summary

Voice therapy for hyperfunctional voice disorders (HVDs) improved auditory-motor function in most participants. This suggests incorporating auditory elements into HVD therapy and assessment may enhance treatment outcomes.

Keywords:
Auditory perturbationsAuditory processingAuditory-motor controlHyperfunctional voice disordersVocal nodulesVoice therapy

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Area of Science:

  • Speech-language pathology
  • Auditory neuroscience
  • Voice disorders research

Background:

  • Behavioral voice therapy is standard for hyperfunctional voice disorders (HVDs) but has limited long-term efficacy.
  • Underlying mechanisms of HVDs are not fully understood.
  • Disordered sensorimotor integration and auditory processing are implicated in HVDs.

Purpose of the Study:

  • To evaluate if current voice therapy for HVDs improves auditory-motor function.
  • To investigate the impact of voice therapy on auditory discrimination and control.

Main Methods:

  • A longitudinal case-series study design was employed.
  • 11 speakers with HVDs were assessed pre- and post-voice therapy.
  • Auditory-motor function was measured using auditory discrimination of vocal pitch, and responses to predictable and unpredictable auditory pitch perturbations.

Main Results:

  • 10 out of 11 participants showed voice therapy success.
  • Eight participants improved in at least one measure of auditory discrimination or auditory-motor control.
  • Specific improvements included auditory discrimination (3 participants), responses to predictable perturbations (5 participants), and both (2 participants).

Conclusions:

  • Voice therapy may positively impact auditory-motor control in individuals with HVDs.
  • Systematically addressing auditory function in voice therapy and assessment for HVDs shows potential benefit.
  • Findings support a link between voice therapy and improved auditory-motor integration in HVDs.