Direct, indirect voice Tx both aid children with vocal fold nodules

January 3, 2018

(HealthDay)—For children with vocal fold nodules, both direct and indirect voice therapy approaches improve voice-related quality of life, according to a study published online Dec. 28 in JAMA Otolaryngology-Head & Neck Surgery.

Christopher Hartnick, M.D., from Massachusetts Eye and Ear in Boston, and colleagues examined the impact of voice therapy in with vocal fold nodules according to pre- and post-therapy scores on the Pediatric Voice-Related Quality of Life (PVRQOL) survey. One hundred fourteen children aged 6 to 10 years with vocal fold nodules, PVRQOL scores <87.5, and dysphonia for >12 weeks were recruited. Participants received indirect or direct therapy for eight to 12 weeks; indirect therapy focused on education and discussion of voice principles, while the stimulus, response, antecedent paradigm was used in direct therapy.

The researchers observed significant differences in PVRQOL scores from pre-therapy to post-therapy for both approaches. The mean increase in PVRQOL score was 19.2 and 14.7 for direct and indirect therapy, respectively (difference, 4.5; 95.3 percent confidence interval, −10.8 to 19.8). Clinically meaningful improvement in PVRQOL occurred in 61 and 53 percent of those in the direct and indirect therapy groups, respectively (difference, 8 percent; 95 percent confidence interval, −12 to 28 percent).

"Both direct and indirect voice improved voice-related quality of life in children with vocal fold nodules, although there was no between approaches," the authors write.

Explore further: Cordotomy by coblation viable for bilateral vocal fold immobility

More information: Abstract/Full Text

Related Stories

Cordotomy by coblation viable for bilateral vocal fold immobility

December 15, 2017
(HealthDay)—Cordotomy by coblation is safe and efficient for treating bilateral vocal fold immobility (BVFI), according to a study published online Dec. 14 in JAMA Otolaryngology-Head & Neck Surgery.

Completion likely with self-administration of TB treatment

November 7, 2017
(HealthDay)—Most people complete treatment for latent tuberculosis (TB) without direct observation, according to a study published online Nov. 6 in the Annals of Internal Medicine.

PPI-gastric cancer link remains after H. pylori eradication

November 2, 2017
(HealthDay)—Long-term proton pump inhibitor (PPI) use is associated with increased risk of gastric cancer (GC) even after Helicobacter pylori (HP) eradication therapy, according to a study published online Oct. 31 in Gut.

Voice therapy needed to counter the "Marilyn Monroe" effect

February 10, 2015
Routine voice therapy is needed for children who were intubated when they were born very preterm to reduce their risk of developing speaking difficulties, according to recent research.

Radioiodine therapy for thyroid cancer doesn't up stroke risk

August 21, 2017
(HealthDay)—Radioiodine (I-131) therapy for thyroid cancer is not associated with increased risk of stroke, according to a study published online Aug. 16 in Head & Neck.

Minimal important difference ID'd in voice handicap index-10

September 29, 2017
(HealthDay)—A difference of 6 on the Voice Handicap Index-10 (VHI-10) total score may represent a minimal important difference (MID) for patients with voice disorders, according to a study published online Sept. 28 in JAMA ...

Recommended for you

A nanoparticle inhalant for treating heart disease

January 18, 2018
A team of researchers from Italy and Germany has developed a nanoparticle inhalant for treating people suffering from heart disease. In their paper published in the journal Science Translational Medicine, the group describes ...

Starting periods before age of 12 linked to heightened risk of heart disease and stroke

January 15, 2018
Starting periods early—before the age of 12—is linked to a heightened risk of heart disease and stroke in later life, suggests an analysis of data from the UK Biobank study, published online in the journal Heart.

'Decorated' stem cells could offer targeted heart repair

January 10, 2018
Although cardiac stem cell therapy is a promising treatment for heart attack patients, directing the cells to the site of an injury - and getting them to stay there - remains challenging. In a new pilot study using an animal ...

Two simple tests could help to pinpoint cause of stroke

January 10, 2018
Detecting the cause of the deadliest form of stroke could be improved by a simple blood test added alongside a routine brain scan, research suggests.

Exercise is good for the heart, high blood pressure is bad—researchers find out why

January 10, 2018
When the heart is put under stress during exercise, it is considered healthy. Yet stress due to high blood pressure is bad for the heart. Why? And is this always the case? Researchers of the German Centre for Cardiovascular ...

Heart-muscle patches made with human cells improve heart attack recovery

January 10, 2018
Large, human cardiac-muscle patches created in the lab have been tested, for the first time, on large animals in a heart attack model. This clinically relevant approach showed that the patches significantly improved recovery ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.