Evidence map›Paper›PMID 31414223›Full record

ArticleEuropean 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 Surgery2019

Exploring stimulation patterns for electrical stimulation of the larynx using surface electrodes.

Marlies Feiner, C Gerstenberger, W Mayr, D Hortobagyi, M Gugatschka

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Article in 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, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Marlies FeinerDivision of Phoniatrics, Medical University Graz, Auenbruggerplatz 26, 8036, Graz, Austria. marlies.feiner@klinikum-graz.at.ORCID http://orcid.org/0000-0001-6641-2081
C GerstenbergerDivision of Phoniatrics, Medical University Graz, Auenbruggerplatz 26, 8036, Graz, Austria.
W MayrCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Graz, Austria.
D HortobagyiDivision of Phoniatrics, Medical University Graz, Auenbruggerplatz 26, 8036, Graz, Austria.
M GugatschkaDivision of Phoniatrics, Medical University Graz, Auenbruggerplatz 26, 8036, Graz, Austria.

Funding

Österreichische Forschungsförderungsgesellschaft 848458
6 · The paper itself

Abstract

purposeFunctional electrical stimulation (FES) is considered an upcoming treatment modality for a number of laryngeal diseases. However, sound data are scarce when it comes to surface FES to treat voice disorders. Aim of the present study was to identify and differentiate suitable surface FES patterns to activate internal laryngeal muscles.

methodsNon-invasive FES was performed in a cohort of 17 elderly woman. Our user-customized electrical stimulation setup allowed us to deliver ten different stimulation patterns (rectangular and sawtooth shaped) with variation of frequency and amplitude. Stimulation outcome, i.e., vocal fold (VF) reaction, was continuously verified by transnasal endoscopy.

resultsResponses to FES using ten different stimulation patterns varied inter-individually. None of the stimulation parameter sets could elicit a VF reaction in all participants.

conclusionBased on our findings we conclude that individual fitting is necessary when defining surface stimulation parameters. To overcome limitations of previous studies, devices with freely programmable patterns are required as shown here. Endoscopic control of VF reaction is absolutely essential to ensure effectiveness of the delivered patterns.

Indexed as

Electric Stimulation TherapyVoice DisordersAgedElectric StimulationElectrodesFemaleHumansLaryngeal MusclesLaryngoscopyTreatment OutcomeVocal CordsVoice QualityDysphoniaLaryngeal functional electrical stimulationPresbyphoniaTranscutaneous electrical stimulationVoice rehabilitation

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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.