Evidence map›Paper›PMID 37716889›Full record

ArticleJournal of voice : official journal of the Voice Foundation2026

Auditory-Motor Function Pre- and Post-Therapy in Hyperfunctional Voice Disorders: A Case Series.

Defne Abur, Robert E Hillman, Cara E Stepp

Open access · hybridAbstract read
In one paragraph

Article in Journal of voice : official journal of the Voice Foundation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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 2 institutions in 2 countries.

Defne AburDepartment of Speech, Language, and Hearing Sciences, Boston University, Boston, MA; Department of Computational Linguistics, Center for Language and Cognition Groningen, University of Groningen, Groningen, the Netherlands; Research School of Behavioral and Cognitive Neurosciences, University of Groningen, Groningen, the Netherlands. Electronic address: d.abur@rug.nl.
Robert E HillmanCenter for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston, MA; Department of Surgery, Harvard Medical School, Boston, MA; MGH Institute of Health Professions, Boston, MA.
Cara E SteppDepartment of Speech, Language, and Hearing Sciences, Boston University, Boston, MA; Department of Biomedical Engineering, Boston University, Boston, MA; Department of Otolaryngology - Head and Neck Surgery, Boston University School of Medicine, Boston, MA.
Boston University · USHarvard University · US

Funding

Use of ambulatory biofeedback to improve behavioral treatment of vocal hyperfunctionP50DC015446 · NIDCD · MASSACHUSETTS GENERAL HOSPITAL · PI Jarrad Van Stan · 2017 to 2026
$25.5M
Advanced Research Training in Communication Sciences and DisordersT32DC013017 · NIDCD · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI Cara E. Stepp · 2016 to 2026
$4.9M
Longitudinal Changes to Speech in Parkinson's Disease PhenotypesF31DC019032 · NIDCD · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI ABUR, DEFNE · 2020 to 2021
$69k
NIDCD NIH HHS F31 DC019032NIDCD NIH HHS P50 DC015446NIDCD NIH HHS T32 DC013017
6 · The paper itself

Abstract

objective/hypothesisBehavioral voice therapy is the most common treatment for hyperfunctional voice disorders (HVDs) but has limited long-term effectiveness since the comprehensive mechanisms underlying HVDs remain unclear. Recent work has implicated disordered sensorimotor integration during speech in some speakers with HVDs and suggests that auditory processing is a key factor to consider in HVD assessment and therapy. The purpose of this case-series study was to assess whether current voice therapy approaches for HVDs resulted in improvements to auditory-motor function. STUDY

designLongitudinal (pre-post) study.

methodPre and postvoice therapy for HVDs, 11 speakers underwent an assessment of auditory-motor function via auditory discrimination of vocal pitch, responses to unanticipated auditory perturbations, and responses to predictable auditory perturbations of vocal pitch.

resultsAt the post-therapy session, 10 out of 11 participants demonstrated voice therapy success (via self-reported voice problems and/or auditory-perceptual judgements of voice by a clinician) and eight of the 11 participants demonstrated improvements in at least one measure of auditory discrimination and/or auditory-motor control. Specifically, three speakers demonstrated improvements in auditory discrimination, five speakers demonstrated improved (within typical cutoffs) responses to predictable perturbations, and two speakers demonstrated improvements in both auditory discrimination and auditory-motor measures.

conclusionsTogether, these findings support that voice therapy in individuals with HVDs may impact auditory-motor control and highlight the potential benefit of systematically addressing auditory function in voice therapy and assessment for HVDs.

Indexed as

Auditory PerceptionPitch DiscriminationSpeech AcousticsSpeech PerceptionVoice DisordersVoice QualityVoice TrainingAdultAgedFemaleHumansJudgmentLongitudinal StudiesMaleMiddle AgedRecovery of FunctionAuditory-motor controlAuditory perturbationsAuditory processingHyperfunctional voice disordersVocal nodulesVoice therapy

Identifiers

PMID37716889
PMCPMC12912810
OpenAlexW4386784571

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.