The COVID-19 pandemic has significantly impacted healthcare services, including voice therapy. With the virus transmitted through droplets, speech-language pathologists (SLPs) must adapt their practices to ensure safety while delivering effective care. The research article "Terapia de voz en el contexto de la pandemia covid-19; recomendaciones para la práctica clÃnica" offers critical insights and recommendations for clinicians.
Key Recommendations for Voice Therapy During COVID-19
Based on a consensus from 11 experts across five countries, the article provides 79 recommendations to manage voice disorders during the pandemic. Here are some key takeaways:
- Telepractice as a Viable Option: Telepractice is highlighted as a practical and effective method for delivering voice therapy. This approach minimizes the risk of COVID-19 transmission and allows for continuous care, even for patients who were in hospital rehabilitation.
- Personal Protective Equipment (PPE): Proper use of PPE is crucial. SLPs should use N95 masks, face shields, and disposable gloves during in-person sessions, especially for procedures that generate aerosols.
- Voice Therapy Techniques: Techniques such as semi-occluded vocal tract exercises (SOVTE) are recommended. These exercises help in reducing vocal fold inflammation and promoting efficient voice production without causing strain.
- Post-Intubation Care: For patients who have undergone invasive mechanical ventilation (IMV), early intervention is vital. SLPs should evaluate voice function using measures like Maximum Phonation Time (MPT) and implement low-intensity, short-duration exercises to aid recovery.
- Psychosocial Considerations: The pandemic's mental health impact cannot be ignored. Establishing a trusting clinician-patient relationship and addressing psychosocial factors are essential for successful therapy outcomes.
Implementing Telepractice
Telepractice offers a flexible and safe alternative for voice therapy. It includes synchronous methods (real-time interactions) and asynchronous methods (storing and accessing information). Clinicians should ensure a stable internet connection, clear audio, and a quiet environment for optimal sessions.
Conclusion
The guidelines provided in the research are a valuable resource for SLPs navigating the challenges posed by COVID-19. By incorporating these recommendations, clinicians can continue to deliver high-quality voice therapy while minimizing risks.
To read the original research paper, please follow this link: Terapia de voz en el contexto de la pandemia covid-19; recomendaciones para la práctica clÃnica
