Feasibility of Intensive Voice Therapy for Pediatric Vocal Fold Nodules Delivered via Telepractice: Pilot Study

The aim of this study is to assess the feasibility of an intensive voice therapy delivered via telepractice for pediatric vocal fold nodules (VFNs).

Ten children with VFNs (mean age = 6 years, range = 5-8 years) were recruited in this study. Assessments including stroboscopic ratings, acoustic parameters, aerodynamic and auditory perceptual measures, and parent-reported Pediatric Voice Handicap Index were administered pretreatment and within 1 week post treatment. Eight resonant voice therapy sessions were provided three times a week via a secure online platform, which were completed within 3 weeks. The assessments were conducted in a clinical face-to-face modality in China, whereas the therapy sessions were all conducted online, with the participants and their caregivers in China and the speech-language pathologist in Taiwan.

All participants completed the therapy sessions as scheduled, and there were no dropouts. Statistical analyses showed that significant improvements in acoustic and aerodynamic parameters, as well as stroboscopic and auditory-perceptual ratings.

This study provides positive preliminary results indicating intensive voice therapy delivered via telepractice may be feasible and effective for the pediatric VFN population. Service providers and families may consider this delivery modality for ease of access when voice therapy is recommended.