Effect of Vocal Exercises With Straw on Aerodynamic Parameters of Voice (Pressure, Flow) in Dysodic Singers With Nodules

NCT04107337 | Unknown

• 1 other identifier: RECHMPL19_0262
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Singers are over-represented in phoniatric consultations; they present increased risk of developing voice disorders. The most common lesion found in singers is nodule. It comes from vocal straining characterized by the use of a pressed phonation mode, resulting in an increase subglottal pressure and a decrease flow rate. Voice therapy aims to restore a more relaxed phonation. There is a growing interest in semi-occluded vocal tract exercises with a straw in therapy; they have positive effects, particularly in terms of aerodynamic parameters such as subglottal pressure and oral airflow. After these exercises, subglottal pressure decreases and oral airflow increases. In other words, patient adopts a more relaxed phonation mode. Several studies have investigated the effect of these straw exercises on dysphonic patients i.e. on speaking voice; no study to date has explored the effect of these exercises on dysodic subjects i.e. on singing voice. The aim of this study is to evaluate the impact of straw exercises compared to open-mouth exercises on aerodynamic parameters in dysodic women singers with nodules.

Conditions

Dysodia; Vocal Disorders

Keywords

Dysodia; Singers; Straw; Estimated subglottal pressure; Aerodynamic measurements; Oral airflow

Outcome Measures

Primary Outcomes (2)

• Aerodynamic data : estimated subglottal pressure

  Estimated subglottal pressure (values in hPa)

  before vocal exercices

• Aerodynamic data : estimated subglottal pressure

  Estimated subglottal pressure (values in hPa)

  after vocal exercices

Secondary Outcomes (4)

• Aerodynamic data : phonation pressure threshold

  before vocal exercices

• Aerodynamic data : phonation pressure threshold

  after vocal exercices

• Aerodynamic data : oral airflow rate

  before vocal exercices

• Aerodynamic data : oral airflow rate

  after vocal exercices

Study Arms (2)

Experimental group

EXPERIMENTAL

Experimental group (N=10): this group will conduct a vocal work session based on semi-occluded vocal-tract exercises with a straw.

Other: Vocal work session with straw exercises

Control group

OTHER

Control group (N=10): the second group acting as control group will perform a vocal work session based on open mouth exercices (vocalizations).

Other: Vocal work session with open mouth exercises

Interventions

Vocal work session with straw exercises OTHER

* Voice assessment: A questionnaire on the subject's voice biography will be sent to the subject at the moment of inclusion. * Vocal exercises during 10 minutes : (1 minute) Checking the posture ; (1 minute) Control of the management of breath in the straw ; (1 minute) Phonation in the straw ; (2 minutes) Make a siren in the straw ; (4 minutes) Vocalizations in the straw on the arpeggio of Rossini. This working session will be preceded and followed by the same 10-minutes voice assessment focusing on aerodynamic parameters.

Experimental group

Vocal work session with open mouth exercises OTHER

* Voice assessment: A questionnaire on the subject's voice biography will be sent to the subject at the moment of inclusion. * Vocal exercises during 10 minutes : (1 minute) Checking the posture ; (1 minute) Control of the management of breath on a \[f\] with open mouth ; (1 minute) Phonation on the vowel \[a\] with open mouth ; (2 minutes) Make a siren on the vowel \[a\] with open mouth ; (4 minutes) Vocalizations on the vowel \[a\] on the arpeggio of Rossini with open mouth. This working session will be preceded and followed by the same 10-minutes voice assessment focusing on aerodynamic parameters.

Control group

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• be a singer
• being female
• be over 18
• have a diagnosis of dysodia associated with vocal compelling behavior. This diagnosis is made by the investigative phoniatrist coordinator of the study during the phoniatric consultation.
• have signed the written informed consent.
• be affiliated or beneficiary of a social security scheme.

You may not qualify if:

• have hearing problems
• Persons deprived of their liberty, protected adults or vulnerable persons
• Pregnant and / or lactating woman

Sponsors & Collaborators

• University Hospital, Montpellier: lead

Study Sites (1)

Gui de Chauliac Hospital

Montpellier, Herault, 34295, France

Location

MeSH Terms

Conditions

Dysphonia

Condition Hierarchy (Ancestors)

Voice Disorders; Laryngeal Diseases; Respiratory Tract Diseases; Otorhinolaryngologic Diseases; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: 1. Experimental group (N=10): vocal work session based on semi-occluded vocal-tract exercises with a straw. 2. Control group (N=10): the second group acting as control group will perform a vocal work session based on open mouth exercices (vocalizations).

Study Record Dates

• First Submitted: August 1, 2019
• First Posted: September 27, 2019
• Study Start: September 1, 2020
• Primary Completion: December 25, 2022
• Study Completion: December 25, 2023
• Last Updated: January 20, 2021

Record last verified: 2020-09

Locations

FR (1)