Evidence map›Paper›PMID 36008185›Full record

ReviewJournal of voice : official journal of the Voice Foundation2025

Potential Biophysiological Mechanisms Underlying Vocal Demands and Vocal Fatigue.

Adrianna C Shembel, Chaya Nanjundeswaran

Abstract readReview
In one paragraph

Review in Journal of voice : official journal of the Voice Foundation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Patient Profiling: Determining the Effects of Patient Factors on Vocal Fatigue.Journal of voice : official journal of the Voice Foundation · 2025
    Article
  4. Review
  5. Bioenergetic Theory and Score Analyses: Preliminary Application to Four Soprano Solos.Journal of voice : official journal of the Voice Foundation · 2025
    Article
  6. Salient Voice Symptoms in Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2025
    Article
  7. Article
  8. 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

2 authors.

Adrianna C ShembelSchool of Behavioral and Brain Sciences, Department of Speech, Language, and Hearing, University of Texas at Dallas, Dallas, Texas; Department of Otolaryngology-Head and Neck, Voice Center, University of Texas Southwestern Medical Center, Dallas, Texas. Electronic address: adriannashembel@gmail.com.
Chaya NanjundeswaranDepartment of Audiology & Speech Language Pathology, East Tennessee State University, Johnson City, Tennessee.

Funding

Novel approaches to the study of laryngeal muscle in functional voice disordersR21DC019207 · NIDCD · UT SOUTHWESTERN MEDICAL CENTER · PI SHEMBEL, ADRIANNA · 2021 to 2023
$492k
NIDCD NIH HHS R21 DC019207
6 · The paper itself

Abstract

Patients with complaint of vocal fatigue have perceptual, acoustic, and aerodynamic outcomes that are heterogeneous in nature. One reason may be due to different underlying biophysiological mechanisms that lead to these heterogeneous clinical presentations. Five potential mechanisms are proposed: neuromuscular, metabolic, vocal tissue, afferent, and central neural. Analytical frameworks and study designs to study these mechanisms are also addressed. A better understanding of biophysiological mechanisms of vocal fatigue can improve precision of therapeutic approaches. It can also help shift management from symptom-based to etiology-focused approaches for vocal fatigue.

Indexed as

LarynxPhonationVocal CordsVoice DisordersVoice QualityHumansNeuromuscular— Metabolic— Vocal cover— Afferent— and Central nervous system

Identifiers

PMID36008185
PMCPMC9943805

What OpenQuestion holds

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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.