ReviewJournal of speech, language, and hearing research : JSLHR2020
Toward a Consensus Description of Vocal Effort, Vocal Load, Vocal Loading, and Vocal Fatigue.
Review in Journal of speech, language, and hearing research : JSLHR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
76 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic Review of Literature on Vocal Demand Response: Understanding Physiology, Measurements, and Associated Factors.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2024Pooled it
- The impact and application exercises on vocal fatigue.Scientific reports · 2026Trial
- Effects of warm-up exercises on self-assessed vocal effort.Logopedics, phoniatrics, vocology · 2023Trial
- Effects of Back Pressure on the Feasibility and Tolerability of Laryngeal Diadochokinetic Exercise: A Pilot Study.Journal of voice : official journal of the Voice Foundation · 2026Article
- Visual-Spatial Influences on Vocal Intensity: Effects of Speaker-to-Listener Distance and Room Size in Immersive Virtual Reality.Journal of speech, language, and hearing research : JSLHR · 2026Article
- Evaluating Components of Vocal Effort in Transgender Women.Laryngoscope investigative otolaryngology · 2026Article
- Aerodynamic Demand Responses to the Fluid Interval Test for Voice: A Laryngeal Diadochokinetic Vocal Loading Task.Journal of speech, language, and hearing research : JSLHR · 2026Article
- Embracing variability: toward proactive and precision-based voice science.Logopedics, phoniatrics, vocology · 2026Review
- Mapping vocal health risk for active vocal users across European urban soundscapes: a computational framework with exploratory empirical evaluation.Frontiers in public health · 2026Article
- Article
- Content-based validity evidence of the Acute Voice Fatigue Self-Perception Scale (AFA-Voz Scale).CoDAS · 2026Article
- Observational
- Cross-cultural adaptation of the Escala De Fatigabilidad Vocal en Docentes (EFV-D) to brazilian portuguese.CoDAS · 2026Article
- Patient Profiling: Determining the Effects of Patient Factors on Vocal Fatigue.Journal of voice : official journal of the Voice Foundation · 2025Article
- Teachers' Voice-Related Quality of Life in Relation to Environmental Noise in Schools: A Multidimensional Study Using VHI Test and Listen Responsibly App.Audiology research · 2025Article
- Voice fatigue subtyping through individual modeling of vocal demand reponses.Scientific reports · 2025Article
- Qualitative Analysis of Speech-Language Pathologists' Voice Evaluation Practices and Perspectives.American journal of speech-language pathology · 2025Article
- Bioenergetic Theory and Score Analyses: Preliminary Application to Four Soprano Solos.Journal of voice : official journal of the Voice Foundation · 2025Article
- Relationships Between Aerodynamics and Voice Symptoms in Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2025Article
- Acoustic and Psychoacoustic Analyses of Predominant Strain Elicited via Modulated Vocal Effort.Journal of voice : official journal of the Voice Foundation · 2025Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
Purpose The purpose of this document is threefold: (a) review the uses of the terms "vocal fatigue," "vocal effort," "vocal load," and "vocal loading" (as found in the literature) in order to track the occurrence and the related evolution of research; (b) present a "linguistically modeled" definition of the same from the review of literature on the terms; and (c) propose conceptualized definitions of the concepts. Method A comprehensive literature search was conducted using PubMed/MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Scientific Electronic Library Online. Four terms ("vocal fatigue," "vocal effort," "vocal load," and "vocal loading"), as well as possible variants, were included in the search, and their usages were compiled into conceptual definitions. Finally, a focus group of eight experts in the field (current authors) worked together to make conceptual connections and proposed consensus definitions. Results The occurrence and frequency of "vocal load," "vocal loading," "vocal effort," and "vocal fatigue" in the literature are presented, and summary definitions are developed. The results indicate that these terms appear to be often interchanged with blurred distinctions. Therefore, the focus group proposes the use of two new terms, "vocal demand" and "vocal demand response," in place of the terms "vocal load" and "vocal loading." We also propose standardized definitions for all four concepts. Conclusion Through a comprehensive literature search, the terms "vocal fatigue," "vocal effort," "vocal load," and "vocal loading" were explored, new terms were proposed, and standardized definitions were presented. Future work should refine these proposed definitions as research continues to address vocal health concerns.
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What OpenQuestion holds
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.