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Effect of a short-term intensive voice therapy (Meerschman et al., 2019)

posted on 2019-03-13, 17:10 authored by Iris Meerschman, Sofie Claeys, Kim Bettens, Laura Bruneel, Evelien D’haeseleer, Kristiane Van Lierde
Purpose: The aim of this study was to compare the effectof a short-term intensive voice therapy (IVT) with a long-term traditional voice therapy (TVT) on the vocal quality, vocal capacities, psychosocial impact, vocal tract discomfort, laryngological anatomy/physiology, and session attendance of patients with dysphonia. An additional comparison was made between an individual IVT (IVT-I) and a group IVT (IVT-G).
Method: A longitudinal, prospective controlled trial was used. Forty-six adults diagnosed with dysphonia were assigned to 1 of the 3 treatment groups. The IVT groups practiced with a frequency of 1 hr 20 min a day and a duration of 2 weeks. The TVT group practiced with a frequency of two 30-min sessions a week and a duration of 6 months. Both therapy programs were content-identical and guided by the same voice therapist. A multidimensional voice assessment consisting of both objective (maximum performance task, aerodynamic measurements, voice range profile, acoustic analysis, multiparametric voice quality indices) and subjective (subject’s self-report, auditory-perceptual evaluation, flexible videolaryngostroboscopy) outcomes was used to evaluate the participants’ voice.
Results: IVT made an equal progress in only 2 weeks and 12 hr of therapy compared with TVT that needed 6 months and 24 hr of therapy. IVT-I and IVT-G showed comparable results. Session attendance was clearly higher in IVT compared with TVT. Long-term follow-up results (1 year) were positive for the 3 groups, except for the self-reported psychosocial impact that increased in the IVT-I group.
Conclusions: Short-term IVT is at least equally effective in treating patients with dysphonia as long-term TVT. Group treatment seemed as effective as individual treatment. Attendance and cost-effectiveness are important advantages of IVT. A potential drawback might be an insufficient psychosocial progress. The golden mean between intensive and traditional treatment might therefore be an achievable, effective, and efficient solution for everyday clinical practice.

Supplemental Material S1. Baseline voice-related symptoms, risk factors, vocal abuse, vocal load and lifestyle habits in the IVT-I, IVT-G, and TVT groups.
Supplemental Material S2. Evolution of the secondary outcome parameters pre- to post-therapy in the IVT-I, IVT-G, and TVT groups.

Meerschman, I., Claeys, S., Bettens, K., Bruneel, L., D'haeseleer, E., Van Lierde, K. (2019). Massed versus spaced practice in vocology: Effect of a short-term intensive voice therapy versus a long-term traditional voice therapy. Journal of Speech, Language, and Hearing Research. Advance online publication.