Evidence map›Paper›PMID 35754165›Full record

Observational studyThe Laryngoscope2023

Voice Therapy Improves Acoustic and Auditory-Perceptual Outcomes in Children.

Robert Brinton Fujiki, Maia Braden, Susan L Thibeault

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The Laryngoscope, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. The impact of remote voice training on patient compliance and treatment efficacy.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 · 2026
    Article
  3. [The impact of remote interactive voice therapy on patient adherence and treatment efficacy].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
    Article
  4. Voice Therapy for Puberphonia in the Adolescent Male: A Clinical Case Study.Perspectives of the ASHA special interest groups · 2026
    Article
  5. Instrumental Voice Evaluation in Children: What Are We Getting?American journal of speech-language pathology · 2025
    Observational
  6. Article
  7. Article
  8. The Pediatric Vocal Mechanism: Structure and Function.Journal of voice : official journal of the Voice Foundation · 2025
    Review
  9. Voiced-Voiceless Consonant Distinction in Children With Vocal Fold Nodules: A Preliminary Study.Journal of voice : official journal of the Voice Foundation · 2025
    Article
  10. Clinical Case Study: Pediatric Bilateral Benign Vocal Fold Lesions.Perspectives of the ASHA special interest groups · 2023
    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

3 authors at 1 institution in 1 country.

Robert Brinton FujikiDepartment of Surgery, University of Wisconsin Madison, Madison, Wisconsin, U.S.A.ORCID 0000-0002-9273-046X
Maia BradenDepartment of Communication Sciences and Disorders, University of Wisconsin Madison, Madison, Wisconsin, U.S.A.
Susan L ThibeaultDepartment of Surgery, University of Wisconsin Madison, Madison, Wisconsin, U.S.A.
University of Wisconsin–Madison · US

Funding

University of Wisconsin Voice Research Training Program (T32)T32DC009401 · NIDCD · UNIVERSITY OF WISCONSIN-MADISON · PI Susan Lynn Thibeault · 2009 to 2026
$6.3M
NIDCD NIH HHS T32 DC009401NIDCD NIH HHS T32-DC009401
6 · The paper itself

Abstract

purposeThis study employed acoustic measures as well as auditory-perceptual assessments to examine the effects of voice therapy in children presenting with benign vocal fold lesions.

methodsA retrospective, observational cohort design was employed. Sustained vowels produced by 129 children diagnosed with benign vocal fold lesions were analyzed, as well as connected speech samples produced by 47 children. Treatment outcome measures included Consensus of Auditory-Perceptual Evaluation of Voice (CAPE-V), jitter, shimmer, Noise-to-Harmonic Ratio (NHR), cepstral peak prominence (CPP), and Low-to-High Ratio (LHR) on sustained vowels, and CPP and LHR on connected speech.

resultsFollowing voice therapy, significant improvements in CAPE-V ratings (p < 0.001) were observed. Additionally, jitter (p = 0.041), NHR (p = 0.019), and CPP (p < 0.01) on sustained vowels, and CPP (p = 0.002), and LHR (p = 0.008) on connected speech significantly improved following voice therapy. CPP increased with age in males but did not change in females. CAPE-V ratings and perturbation measures indicated that dysphonia was more severe in younger children pre and post-therapy.

conclusionsAuditory-perceptual and acoustic measures demonstrated improved voice quality following voice therapy in children with dysphonia. CPP effectively quantified voice therapy gains and allowed for analysis of connected speech, in addition to sustained vowels. These findings demonstrate the value of CPP as a tool in assessing therapy outcomes and support the efficacy of voice therapy for children presenting with vocal fold lesions. LEVEL OF EVIDENCE: 4 Laryngoscope, 133:977-983, 2023.

Indexed as

DysphoniaVoiceAcousticsChildFemaleHumansMaleRetrospective StudiesSpeech AcousticsSpeech Production Measurementacousticscepstral peak prominencepediatric voice

Identifiers

PMID35754165
PMCPMC9790974
OpenAlexW4283585523

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.