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Effectiveness of an Eclectic Voice Therapy Approach and Vocal Function Exercise (VFE)-Normative Range Cutoff Value
Shenbagavalli Mahalingam1, Prakash Boominathan2, Ravikumar Arunachalam3
1Oklahoma State University, Oklahoma.
The Comprehensive Voice Habilitation Program (CVHP) showed significant benefits for hyperfunctional voice disorders, leading to lesion recovery and improved vocal parameters. Vocal Function Exercise (VFE) also yielded positive results, though CVHP demonstrated greater efficacy in several key areas.
Area of Science:
- Speech-language pathology
- Otolaryngology
- Voice science
Background:
- Hyperfunctional voice disorders affect vocal fold function.
- Current treatments include Vocal Function Exercise (VFE) and Comprehensive Voice Habilitation Program (CVHP).
- Comparing multidimensional outcomes of these therapies is crucial for evidence-based practice.
Purpose of the Study:
- To compare the multidimensional outcomes of CVHP and VFE for hyperfunctional voice disorders.
- To assess treatment efficacy using normative range cutoff values.
- To evaluate improvements in acoustic, perceptual, and self-reported vocal measures.
Main Methods:
- Secondary analysis of a randomized controlled trial data.
- Sixty participants with hyperfunctional voice disorders were randomized into CVHP or VFE groups.
- Outcomes measured included videostroboscopy, acoustic analysis, perceptual ratings, and self-reported vocal symptoms over 6 weeks.
Main Results:
- Most participants in both groups achieved post-therapy normative values.
- CVHP group showed higher rates of complete lesion recovery.
- Significant improvements favoring CVHP were observed in cepstral measures, harmonics-to-noise ratio, dysphonia severity index, and self-reported vocal symptoms.
Conclusions:
- CVHP is an effective treatment for hyperfunctional voice disorders.
- Both CVHP and VFE demonstrate benefits, with CVHP showing advantages in specific vocal parameters.
- Further research on long-term outcomes of CVHP is warranted.
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