The Effectiveness of the Comprehensive Voice Rehabilitation Program Compared With the Vocal Function Exercises Method in Behavioral Dysphonia: A Randomized Clinical Trial

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dc.citation.issue3
dc.citation.volume30
dc.contributor.authorPedrosa, Vanessa [UNIFESP]
dc.contributor.authorPontes, Antonio [UNIFESP]
dc.contributor.authorPontes, Paulo [UNIFESP]
dc.contributor.authorBehlau, Mara [UNIFESP]
dc.contributor.authorPeccin, Maria Stella [UNIFESP]
dc.coverageNew York
dc.date.accessioned2020-07-22T13:22:58Z
dc.date.available2020-07-22T13:22:58Z
dc.date.issued2016
dc.description.abstractObjective. To evaluate the effectiveness of the Comprehensive Voice Rehabilitation Program (CVRP) compared with Vocal Function Exercises (VFEs) to treat functional dysphonia. Study Design. This is a randomized blinded clinical trial. Methods. Eighty voice professionals presented with voice complaints for more than 6 months with a functional dysphonia diagnosis. Subjects were randomized into two voice treatment groups: CVRP and VFE. The rehabilitation program consisted of six voice treatment sessions and three assessment sessions performed before, immediately after, and 1 month after treatment. The outcome measures were self-assessment protocols (Voice-Related Quality of Life [V-RQOL] and Voice Handicap Index [VHI]), perceptual evaluation of vocal quality, and a visual examination of the larynx, both blinded. Results. The randomization process produced comparable groups in terms of age, gender, signs, and symptoms. Both groups had positive outcome measures. The CVRP effect size was 1.09 for the V-RQOL, 1.17 for the VHI, 0.79 for vocal perceptual evaluation, and 1.01 for larynx visual examination. The VFE effect size was 0.86 for the V-RQOL, 0.62 for the VHI, 0.48 for the vocal perceptual evaluation, and 0.51 for larynx visual examination. Only 10% of the patients were lost over the study. Conclusions. Both treatment programs were effective. The probability of a patient improving because of the CVRP treatment was similar to that of the VFE treatment.en
dc.description.affiliationUniv Fed Sao Paulo, Dept Med, Sao Paulo, Brazil
dc.description.affiliationCtr Estudos Voz, Dept Med, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Med, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipSao Paulo Research Foundation (FAPESP)
dc.description.sponsorshipIDFAPESP: 2010/15166-3
dc.format.extent-
dc.identifierhttp://dx.doi.org/10.1016/j.jvoice.2015.03.013
dc.identifier.citationJournal Of Voice. New York, v. 30, n. 3, p. -, 2016.
dc.identifier.doi10.1016/j.jvoice.2015.03.013
dc.identifier.issn0892-1997
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/55963
dc.identifier.wosWOS:000376232400019
dc.language.isoeng
dc.publisherMosby-Elsevier
dc.relation.ispartofJournal Of Voice
dc.rightsAcesso restrito
dc.subjectRandomized clinical trialen
dc.subjectVoice treatmenten
dc.subjectVoice qualityen
dc.subjectVocal qualityen
dc.subjectVoiceen
dc.subjectSpeech therapyen
dc.subjectVoice disordersen
dc.titleThe Effectiveness of the Comprehensive Voice Rehabilitation Program Compared With the Vocal Function Exercises Method in Behavioral Dysphonia: A Randomized Clinical Trialen
dc.typeArtigo
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