Do Different Semi-Occluded Voice Exercises Affect Vocal Fold Adduction Differently in Subjects Diagnosed with Hyperfunctional Dysphonia?

Objective: To observe the possible differential effects of 8 different semi-occluded vocal tract exercises on glottal contact quotient (CQ) as a measure of vocal fold impact stress. Patients and Methods: Eighty participants were divided into two groups: an experimental group with hyperfunctional dys...

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Bibliographic Details
Authors: Guzman, Marco, Romero, Luis, Muñoz, Daniel, Olavarria, Christian, Madrid, Sofia, Leiva, Miguel, Bortnem, Cori, Pino, J, Calvache-Mora, Carlos-Alberto
Format: article
Status:Published version
Publication Date:2015
Country:Colombia
Institution:Universidad del Rosario
Repository:Repositorio EdocUR - U. Rosario
Language:English
OAI Identifier:oai:repository.urosario.edu.co:10336/24069
Online Access:https://doi.org/10.1159/000437353
https://repository.urosario.edu.co/handle/10336/24069
Access Level:Open access
Keyword:Dysphonia
Human
Pathophysiology
Reference value
Vocal cord
Voice
Voice training
Humans
Reference values
Vocal cords
Voice quality
Contact quotient
Electroglottography
Semi-occluded vocal tract exercises
Tube phonation
Vocal fold adduction
Voice therapy
Description
Summary:Objective: To observe the possible differential effects of 8 different semi-occluded vocal tract exercises on glottal contact quotient (CQ) as a measure of vocal fold impact stress. Patients and Methods: Eighty participants were divided into two groups: an experimental group with hyperfunctional dysphonia and a control group of vocally healthy subjects. The participants were recorded before, during and after the exercises. Electroglottographic samples were analyzed to obtain CQ. Results: For the experimental group, all exercises, except lip trills and tongue trills, had an overall significant effect when conditions before, during and after the exercises were compared. The CQ presented differently across the 8 semi-occluded postures during exercise for both groups. For the experimental group, most exercises increased the CQ during practice. Only lip and tongue trills demonstrated lower CQ during exercise. Conclusions: Different semi-occluded exercises differentially affect vocal fold adduction. Lip and tongue trills produced the lowest CQ. Therefore, they may be recommended for decreasing glottal adduction. A straw submerged 10 cm below the water surface presented the greatest CQ. A shallower depth led to a lower CQ, while deeper submersion produced a higher CQ. © 2015 S. Karger AG.