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The role of early voice therapy in the incidence of motility recovery in unilateral vocal fold paralysis.
Logoped Phoniatr Vocol. 2011 Apr; 36(1):40-7.LP

Abstract

OBJECTIVES. Vocal fold paralysis can have a significant impact on a patient's quality of life. The aim of this study was to analyze, in terms of vocal improvement and motility recovery, the post-vocal treatment results of patients with unilateral vocal fold paralysis (UVFP) who underwent early voice therapy. Study design. A 7 years prospective study of patients with an UVFP who underwent our multidimensional diagnostic-therapeutic assessment. MATERIAL AND METHODS. Seventy-four patients with UVFP were included in the study. All patients underwent a voice therapy based on forcible exercises supplemented by manipulations and maneuvers. A pre and post-treatment objective voice evaluation and self-assessment was made.

RESULTS

Out of 74 patients with UVFP, 51 (68.9%) recovered vocal fold motility. In 23 (31.1%), UVFP persisted after voice therapy. In this group of patients, a complete glottal closure was seen in 5 before voice therapy and in 13 after; An important and significant (p <0.0001) reduction in fundamental frequency (F(o)) was found; a manifest improvement was seen for the mean values of Jitter (Jitt%; p = 0.001), Shimmer (Shim%; p <0.0001) and noise-to-harmonic ratio (NHR) (p <0.0001). The same statistical comparisons calculated for male patients alone was not significant for Jitt% (0.102), Shim% (0.112) and NHR (0.155), as a result of the reduced number of patients in this group. Voice Handicap Index (VHI) values showed a clear and significant improvement and mean maximum phonation time (MPT) increased significantly. CONCLUSION. Early voice therapy based on an energetic approach, combined with patient co-operation, motivation and understanding through educated participation in the voice restoration process, strengthen the idea that patients with UVFP have a good chance of recovering vocal fold motility or improving their voice quality.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, Azienda Ospedaliero-Universitaria Policlinico di Modena, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21299399

Citation

Mattioli, Francesco, et al. "The Role of Early Voice Therapy in the Incidence of Motility Recovery in Unilateral Vocal Fold Paralysis." Logopedics, Phoniatrics, Vocology, vol. 36, no. 1, 2011, pp. 40-7.
Mattioli F, Bergamini G, Alicandri-Ciufelli M, et al. The role of early voice therapy in the incidence of motility recovery in unilateral vocal fold paralysis. Logoped Phoniatr Vocol. 2011;36(1):40-7.
Mattioli, F., Bergamini, G., Alicandri-Ciufelli, M., Molteni, G., Luppi, M. P., Nizzoli, F., Grammatica, A., & Presutti, L. (2011). The role of early voice therapy in the incidence of motility recovery in unilateral vocal fold paralysis. Logopedics, Phoniatrics, Vocology, 36(1), 40-7. https://doi.org/10.3109/14015439.2011.554433
Mattioli F, et al. The Role of Early Voice Therapy in the Incidence of Motility Recovery in Unilateral Vocal Fold Paralysis. Logoped Phoniatr Vocol. 2011;36(1):40-7. PubMed PMID: 21299399.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of early voice therapy in the incidence of motility recovery in unilateral vocal fold paralysis. AU - Mattioli,Francesco, AU - Bergamini,Giuseppe, AU - Alicandri-Ciufelli,Matteo, AU - Molteni,Gabriele, AU - Luppi,Maria P, AU - Nizzoli,Federica, AU - Grammatica,Alberto, AU - Presutti,Livio, Y1 - 2011/02/07/ PY - 2011/2/9/entrez PY - 2011/2/9/pubmed PY - 2011/9/7/medline SP - 40 EP - 7 JF - Logopedics, phoniatrics, vocology JO - Logoped Phoniatr Vocol VL - 36 IS - 1 N2 - UNLABELLED: OBJECTIVES. Vocal fold paralysis can have a significant impact on a patient's quality of life. The aim of this study was to analyze, in terms of vocal improvement and motility recovery, the post-vocal treatment results of patients with unilateral vocal fold paralysis (UVFP) who underwent early voice therapy. Study design. A 7 years prospective study of patients with an UVFP who underwent our multidimensional diagnostic-therapeutic assessment. MATERIAL AND METHODS. Seventy-four patients with UVFP were included in the study. All patients underwent a voice therapy based on forcible exercises supplemented by manipulations and maneuvers. A pre and post-treatment objective voice evaluation and self-assessment was made. RESULTS: Out of 74 patients with UVFP, 51 (68.9%) recovered vocal fold motility. In 23 (31.1%), UVFP persisted after voice therapy. In this group of patients, a complete glottal closure was seen in 5 before voice therapy and in 13 after; An important and significant (p <0.0001) reduction in fundamental frequency (F(o)) was found; a manifest improvement was seen for the mean values of Jitter (Jitt%; p = 0.001), Shimmer (Shim%; p <0.0001) and noise-to-harmonic ratio (NHR) (p <0.0001). The same statistical comparisons calculated for male patients alone was not significant for Jitt% (0.102), Shim% (0.112) and NHR (0.155), as a result of the reduced number of patients in this group. Voice Handicap Index (VHI) values showed a clear and significant improvement and mean maximum phonation time (MPT) increased significantly. CONCLUSION. Early voice therapy based on an energetic approach, combined with patient co-operation, motivation and understanding through educated participation in the voice restoration process, strengthen the idea that patients with UVFP have a good chance of recovering vocal fold motility or improving their voice quality. SN - 1651-2022 UR - https://www.unboundmedicine.com/medline/citation/21299399/The_role_of_early_voice_therapy_in_the_incidence_of_motility_recovery_in_unilateral_vocal_fold_paralysis_ L2 - https://www.tandfonline.com/doi/full/10.3109/14015439.2011.554433 DB - PRIME DP - Unbound Medicine ER -