ArticleInternational journal of speech-language pathology2012
Optimal dose-response relationships in voice therapy.
Article in International journal of speech-language pathology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Effectiveness of voice therapy in patients with vocal fold nodules: a systematic search and narrative review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2020Pooled it
- Vocal Function Exercises With and Without Maximally Sustained Phonation: A Randomized Controlled Trial of Individuals With Normal Voice.Journal of voice : official journal of the Voice Foundation · 2025Trial
- Comparative Study of Two Semi-Occluded Vocal Tract Protocols: A Randomized Clinical Trial.Journal of speech, language, and hearing research : JSLHR · 2024Trial
- Vocal function exercises for normal voice: With and without semi-occlusion.International journal of speech-language pathology · 2019Trial
- Vocal function exercises for normal voice: The effects of varying dosage.International journal of speech-language pathology · 2019Trial
- Practice Parameters That Influence Vocal Motor Adaptation in Altered Auditory Feedback Paradigms.Journal of speech, language, and hearing research : JSLHR · 2026Article
- The Lived Experience of Phonotrauma: Discussions on Identity and Stigma.American journal of speech-language pathology · 2026Article
- Art and science: impact of semioccluded vocal tract exercises and choral singing on quality of life in subjects with congenital GH deficiency.Archives of endocrinology and metabolism · 2022Article
- Active Ingredients of Voice Therapy for Muscle Tension Voice Disorders: A Retrospective Data Audit.Journal of clinical medicine · 2021Article
- Laryngeal Neuromuscular Response to Short- and Long-Term Vocalization Training in Young Male Rats.Journal of speech, language, and hearing research : JSLHR · 2019Article
- The Rehabilitation Treatment Specification System: Implications for Improvements in Research Design, Reporting, Replication, and Synthesis.Archives of physical medicine and rehabilitation · 2019Article
- Individualized Patient Vocal Priorities for Tailored Therapy.Journal of speech, language, and hearing research : JSLHR · 2018Article
- High-Performance Agent-Based Modeling Applied to Vocal Fold Inflammation and Repair.Frontiers in physiology · 2018Article
- A taxonomy of voice therapy.American journal of speech-language pathology · 2015Review
- Functional dysphonia: strategies to improve patient outcomes.Patient related outcome measures · 2015Review
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Like other areas of speech-language pathology, the behavioural management of voice disorders lacks precision regarding optimal dose-response relationships. In voice therapy, dosing can presumably vary from no measurable effect (i.e., no observable benefit or adverse effect), to ideal dose (maximum benefit with no adverse effects), to doses that produce toxic or harmful effects on voice production. Practicing specific vocal exercises will inevitably increase vocal load. At ideal doses, these exercises may be non-toxic and beneficial, while at intermediate or high doses, the same exercises may actually be toxic or damaging to vocal fold tissues. In pharmacology, toxicity is a critical concept, yet it is rarely considered in voice therapy, with little known regarding "effective" concentrations of specific voice therapies vs "toxic" concentrations. The potential for vocal fold tissue damage related to overdosing on specific vocal exercises has been under-studied. In this commentary, the issue of dosing will be explored within the context of voice therapy, with particular emphasis placed on possible "overdosing".
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.