Evidence map›Paper›PMID 23177745›Full record

Trial reportJournal of voice : official journal of the Voice Foundation2012

Vocal exercise may attenuate acute vocal fold inflammation.

Katherine Verdolini Abbott, Nicole Y K Li, Ryan C Branski, Clark A Rosen, Elizabeth Grillo, Kimberly Steinhauer, Patricia A Hebda

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of voice : official journal of the Voice Foundation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Psychometric and Acoustic Investigation of Identity and Phonotraumatic Vocal Hyperfunction.Journal of voice : official journal of the Voice Foundation · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Mechanotransduction in the Vocal Fold Microenvironment: A Narrative Review.Journal of speech, language, and hearing research : JSLHR · 2024
    Review
  11. Acoustic Effects of Vocal Warm-Up: A 7-Week Longitudinal Case Study.Journal of voice : official journal of the Voice Foundation · 2024
    Article
  12. Article
  13. Acoustic Description ofIndian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  14. Article
  15. Article
  16. Bioreactors for Vocal Fold Tissue Engineering.Tissue engineering. Part B, Reviews · 2022
    Review
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 1 country.

Katherine Verdolini AbbottDepartment of Communication Science and Disorders, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. kittie@csd.pitt.edu
Nicole Y K Li
Ryan C Branski
Clark A Rosen
Elizabeth Grillo
Kimberly Steinhauer
Patricia A Hebda
McGowan Institute for Regenerative Medicine · USNew York University · USUniversity of Pittsburgh · USUniversity of Wisconsin–Madison · USVA Pittsburgh Healthcare System · USWest Chester University · US

Funding

Hybrid Model of Vocal Inflammation and Tissue MobilizationR01DC008290 · NIDCD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VERDOLINI, KATHERINE · 2007 to 2011
$2.8M
Biophysiological Mechanisms of 'Heightened Speech'R01DC005643 · NIDCD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VERDOLINI, KATHERINE · 2003 to 2007
$1.8M
NIDCD NIH HHS R01 DC005643NIDCD NIH HHS R01 DC008290NIDCD NIH HHS R01 DC5643
6 · The paper itself

Abstract

objectives/hypothesesThe objective was to assess the utility of selected "resonant voice" (RV) exercises for the reduction of acute vocal fold inflammation. The hypothesis was that relatively large-amplitude, low-impact vocal fold exercises associated with RV would reduce inflammation more than spontaneous speech (SS) and possibly more than voice rest. STUDY

designThe study design was prospective, randomized, and double blind.

methodsNine vocally healthy adults underwent a 1-hour vocal loading procedure, followed by randomization to a SS condition, vocal rest condition, or RV exercise condition. Treatments were monitored in clinic for 4 hours and continued extraclinically until the next morning. At baseline (BL), immediately after loading, after the 4-hour in-clinic treatment, and 24 hours post-BL, secretions were suctioned from the vocal folds bilaterally and submitted to enzyme-linked immunosorbent assay to estimate concentrations of key markers of tissue injury and inflammation: interleukin (IL)-1β, IL-6, IL-8, tumor necrosis factor α, matrix metalloproteinase (MMP)-8, and IL-10.

resultsComplete data sets were obtained for three markers--IL-1β, IL-6, and MMP-8--for one subject in each treatment condition. For these markers, results were poorest at 24-hour follow-up in the SS condition, sharply improved in the voice rest condition, and was the best in the RV condition. Average results for all markers and responsive subjects with normal BL mediator concentrations revealed an almost identical pattern.

conclusionsSome forms of tissue mobilization may be useful to attenuate acute vocal fold inflammation.

Indexed as

PhonationVoice QualityVoice TrainingAdultBiomarkersDouble-Blind MethodEnzyme-Linked Immunosorbent AssayFemaleHumansInflammation MediatorsLaryngitisLaryngoscopyLinear ModelsMaleMiddle AgedPennsylvaniaBiomarkersInflammation Mediators

Identifiers

PMID23177745
PMCPMC3509805
OpenAlexW2036437543

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.