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Remote Voice Therapy With an Oscillatory Positive Expiratory Pressure Device in Subjects With Vocal Fatigue: A
Karol Acevedo1, Marco Guzman2, Andrés Ortega3
1Escuela de Fonoaudiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile.
Journal of Speech, Language, and Hearing Research : JSLHR
|November 16, 2023
Summary
Remote voice therapy using the Shaker Medic Plus device and water resistance therapy effectively improved vocal fatigue symptoms. Both methods showed similar positive outcomes for patients, reducing voice-related discomfort and impact.
Area of Science:
- Speech and Hearing Sciences
- Otorhinolaryngology
- Rehabilitation Medicine
Background:
- Vocal fatigue is a common condition affecting voice quality and function.
- Remote voice therapy offers a convenient alternative to in-person treatment.
- The Shaker Medic Plus device is a tool used in voice rehabilitation.
Purpose of the Study:
- To assess the efficacy of remote voice therapy using the Shaker Medic Plus device for vocal fatigue.
- To compare the Shaker Medic Plus device with water resistance therapy (WRT) in treating vocal fatigue.
- To evaluate the impact of these therapies on self-reported and instrumental voice measures.
Main Methods:
- A randomized controlled trial involving 24 participants with vocal fatigue.
- Two groups: Shaker Medic Plus device + vocal hygiene vs. WRT + vocal hygiene.
- Pre- and post-therapy assessments included self-reports (Vocal Fatigue Index, Vocal Tract Discomfort Scale) and instrumental measures (aerodynamic, acoustic, electroglottographic).
Main Results:
- Both treatment groups showed significant improvements in self-reported voice variables.
- No significant differences were found between the Shaker Medic Plus group and the WRT group.
- Instrumental voice measures did not reveal significant differences or interactions between groups.
Conclusions:
- Remote voice therapy with the Shaker Medic Plus device and WRT are equally effective for improving voice in individuals with vocal fatigue.
- Both therapeutic protocols effectively reduce voice tiredness, avoidance, and discomfort.
- These findings suggest no expected differences between these protocols when treating patients with vocal fatigue.
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