Intensive Versus Traditional Voice Therapy

University of Wisconsin (UW)

Status: Completed

Conditions: Dysphonia

Treatments: Behavioral: Intensive Voice Therapy; Behavioral: Weekly Voice Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT03129880

Protocol Version 12/2/2020 (Other Identifier)

SMPH/SURGERY/SPEECH (Other Identifier)

2015-0763

A539772 (Other Identifier)

Details and patient eligibility

About

The purpose of this study is to determine if there are differences in treatment outcomes between traditional voice therapy, performed weekly for a maximum of 6 weeks versus intensive voice therapy, consisting of 4-6 therapy sessions performed within one day.

Full description

The goal of voice therapy is optimal long-term vocal quality and communication function with minimal recurrence. Traditional voice therapy for dysphonia typically consists of one to two therapy sessions each week with a single clinician for about 8 weeks. Another approach of voice therapy is intensive short-term therapy also known as "boot camp." This approach, borrows from the disciplines of neurobiology, exercise physiology, motor learning, and psychotherapy which describe desirable learning and behavior changes influenced by practice that involves high-intensity overload, variability, and specificity of training. A few studies have showed that "Boot Camp" model of intensive therapy resulted in comparable gains in voice quality and vibratory mechanics and may promote better patient satisfaction and attendance.

While such findings support the notion that intensive voice therapy may enhance voice therapy outcomes, no study to date has examined patient response to the "Boot Camp" approach to voice therapy. The investigators will compare the outcomes of traditional, weekly voice therapy and intensive voice therapy with multiple sessions in one day.

Enrollment: 15 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed with a Voice disorder
• Diagnosed with benign vocal fold lesions and/or hyper-function
• First/primary propose treatment modality is voice therapy
• Patients who are appropriate for either standard of care treatment modality (traditional or intensive voice therapy)
• Willingness to participate in either standard of care treatment modality
• All races
• Males and females
• English speaking

Exclusion criteria

• Younger than 18
• Inability or unwillingness to participate in one of the standard of care treatment modalities
• Laryngeal Surgery or procedures during course of study
• Prisoners

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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15 participants in 2 patient groups, including a placebo group

Weekly Voice Therapy

Placebo Comparator group

Description:

Participants are randomized to receiving weekly voice therapy sessions

Treatment:

Behavioral: Weekly Voice Therapy

Intensive Voice Therapy

Active Comparator group

Description:

Participants are randomized to receiving multiple sessions of voice therapy in one day

Treatment:

Behavioral: Intensive Voice Therapy