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Enhancing Voice Therapy: Insights from Aerodynamic Testing in Psychogenic Voice Disorders

Enhancing Voice Therapy: Insights from Aerodynamic Testing in Psychogenic Voice Disorders

As speech pathologists, we continuously strive to refine our diagnostic and therapeutic approaches to voice disorders. The research paper titled "Aerodynamic Testing in Psychogenic Voice Disorders: Respiratory and Phonatory Studies" sheds light on the significant role of aerodynamic testing in diagnosing and treating psychogenic voice disorders. This article offers valuable insights that can help practitioners improve their skills and encourage further research in this area.

The study conducted aerodynamic tests on 47 patients with psychogenic voice disorders and found that 40% exhibited features characteristic of respiratory abnormalities in the absence of any respiratory symptoms. This highlights the importance of incorporating objective measures, such as aerodynamic testing, into the evaluation and treatment of voice disorders. Aerodynamic testing provides a more comprehensive understanding of the patient's vocal function, beyond what can be perceived through subjective estimations alone.

The research identified three key variables obtained during phonatory air flow data for a sustained /a/: phonation time ratio, phonation volume-vital capacity ratio, and mean flow rate. Pre and post-therapy data for these variables showed definite trends toward improvement following treatment in the majority of subjects. This demonstrates the potential of aerodynamic testing not only in diagnosing psychogenic voice disorders but also in monitoring the effectiveness of voice therapy interventions.

For speech pathologists, this research underscores the necessity of a multidimensional approach to voice therapy. By integrating aerodynamic testing into our practice, we can achieve a more accurate diagnosis of voice disorders, tailor our therapeutic interventions more effectively, and objectively assess the response to treatment. This not only enhances the quality of care we provide but also contributes to the body of knowledge in our field, paving the way for more advanced and effective treatment methodologies.

In light of these findings, I encourage my fellow speech pathologists to delve deeper into the utility of aerodynamic testing in voice therapy. Whether it's through further research or incorporating these practices into our clinical work, there's a clear opportunity to improve patient outcomes and advance our understanding of psychogenic voice disorders.

To read the original research paper, please follow this link: Aerodynamic Testing in Psychogenic Voice Disorders: Respiratory and Phonatory Studies.


Citation: Zipursky, M. A., Fishbein, B. M., Thompson, G., Ezerzer, F. E., & Epstein, S. W. (1983). Aerodynamic Testing in Psychogenic Voice Disorders: Respiratory and Phonatory Studies. Canadian Journal of Speech-Language Pathology and Audiology, 7(2), 65-144. Retrieved from https://cjslpa.ca/files/1983_HumComm_Vol_07/No_02_65-144/Zipursky_Fishbein_Thomspon_et_al_HumComm_1983.pdf

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