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Gamification of Tube Phonation: A Feasibility Study for Voice Therapy Practice
Taketo Murai1, Tatsuya Kitamura2, Naoko Kawamura3
1Graduate School of Natural Science, Konan University, 8-9-1, Okamoto, Higashinada, Kobe, Hyogo 658-8501, Japan.
Journal of Voice : Official Journal of the Voice Foundation
|September 27, 2025
Summary
A new gamified slot machine app improved adherence to home vocal exercises for tube phonation in older adults. This serious game encourages consistent practice, showing promise for voice rehabilitation.
Area of Science:
- Speech-language pathology
- Human-computer interaction
- Gerontology
Background:
- Voice disorders affect a significant portion of the population, necessitating effective home-based rehabilitation strategies.
- Adherence to prescribed vocal exercises is often a challenge for patients, impacting treatment outcomes.
- Gamification offers a potential solution to enhance engagement and motivation in therapeutic exercises.
Purpose of the Study:
- To develop and evaluate a serious game for tube phonation to increase adherence to home vocal exercises.
- To assess the effectiveness of gamification in promoting consistent daily vocal practice in healthy older adults.
Main Methods:
- A serious game, integrated with an Internet of Things (IoT) device and accelerometer, was developed for tube phonation.
- Sixteen healthy older adults were divided into an experimental (game) and control group for a 1-week home practice period.
- Phonation durations were objectively recorded using the IoT device, followed by a post-experiment questionnaire.
Main Results:
- The experimental group consistently maintained tube phonation durations exceeding 5 seconds, unlike the control group.
- Participants in the experimental group reported a more positive attitude towards long-term home vocal exercises.
- Objective data indicated improved adherence in the gamified group, despite both groups' self-reported compliance.
Conclusions:
- The developed serious game effectively promotes correct and consistent daily vocal exercises.
- Gamification is a valuable approach for enhancing adherence and engagement in voice rehabilitation.
- This technology shows promise for improving patient outcomes in voice therapy.

