Evidence map›Paper›PMID 34750034›Full record

ArticleJournal of voice : official journal of the Voice Foundation2024

Cognitive Mechanisms in Pediatric Voice Therapy - An Initial Examination.

Hagar Feinstein, Ümit Daşdöğen, Melissa E Libertus, Shaheen N Awan, Rhona I Galera, Joseph E Dohar, Katherine Verdolini Abbott

Abstract read
In one paragraph

Article in Journal of voice : official journal of the Voice Foundation, 2024. 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
0.6field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Comparison of Voice Stimulability Testing in Telehealth and In-Person Formats.Journal of voice : official journal of the Voice Foundation · 2025
    Article
  2. The Pediatric Vocal Mechanism: Structure and Function.Journal of voice : official journal of the Voice Foundation · 2025
    Review
  3. 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 4 institutions in 1 country.

Hagar FeinsteinDepartment of Communication Sciences and Disorders, University of Delaware, Newark, Delaware, USA. Electronic address: hagarfe@udel.edu.
Ümit DaşdöğenDepartment of Communication Sciences and Disorders, University of Delaware, Newark, Delaware, USA.
Melissa E LibertusDepartment of Psychology and Learning Research and Development Center, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Shaheen N AwanDepartment of Communication Sciences and Disorders, University of South Florida, Tampa, Florida, USA.
Rhona I GaleraDepartment of Rehabilitation Services, Lucile Packard Children's Hospital Stanford University, Palo Alto, California, USA.
Joseph E DoharDivision of Pediatric Otolaryngology, Children's Hospital of Pittsburgh - UPMC, Pittsburgh, Pennsylvania, USA; Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; Department of Communication Science and Disorders, University of Pittsburgh School of Health and Rehabilitation, Pittsburgh, Pennsylvania, USA.
Katherine Verdolini AbbottDepartment of Communication Sciences and Disorders, University of Delaware, Newark, Delaware, USA.
University of Delaware · USUniversity of Pittsburgh · USLucile Packard Children's Hospital · USUniversity of South Florida · US

Funding

Cognitive and Biological Mechanisms in Pediatric Voice TherapyR01DC017923 · NIDCD · UNIVERSITY OF DELAWARE · PI VERDOLINI, KATHERINE · 2019 to 2023
$3.1M
NIDCD NIH HHS R01 DC017923
6 · The paper itself

Abstract

introductionVoice disorders are a common communication disorder in children. Behavioral voice therapy is recommended by both Otolaryngologists and Speech-Language Pathologists as a first-line approach for treatment of benign vocal fold lesions that affect children in large numbers. However, the role of cognitive mechanisms critical to voice therapy have not yet been explored.

objectiveThis proof-of-concept study aims to provide preliminary data on the potential relation between cognitive abilities and behavioral results of voice therapy for children with benign phonotraumatic vocal fold lesions.

methodsSix children (4;05 -9;02 years) diagnosed with vocal fold nodules completed a battery of cognitive tests from the NEuroPSYchological (NEPSY-II) Assessment and a standard course of "Adventures in Voice" therapy. Recordings pre and post intervention were analyzed acoustically using the Cepstral Spectral Index of Dysphonia (CSID) and perceptually using visual analog scales (VAS) for severity and resonance separately. Raw and age-corrected scaled scores from the NEPSY-II were then examined for their possible relation to voice outcomes.

resultsMultiple cognitive functions correlated with voice outcomes. Raw score measures for Design Fluency, Inhibition, Fingertip Tapping, and Narrative Memory correlated favorably with all voice outcome measures. Age correlated with all NEPSY-II raw scores and perceptual voice outcome measures. Scaled scores for Auditory Attention, Design Fluency, Fingertip Tapping (Dominant hand), and Narrative Memory correlated with all voice outcome measures.

conclusionResults suggest that there is merit to further investigation of the relation between cognitive skills and their development and voice treatment outcomes in children with benign phonotraumatic lesions. Future studies with larger samples will build on present findings.

Indexed as

DysphoniaVoiceChildCognitionHumansSeverity of Illness IndexVoice QualityAdventures in VoiceCepstral Spectral Index of Dysphonia (CSID)Cognitive developmentPediatric voiceVocal fold nodulesVoice therapy

Identifiers

PMID34750034
PMCPMC9068827
OpenAlexW3214694210

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.