Evidence map›Paper›PMID 37931092›Full record

ArticleAmerican journal of speech-language pathology2024

Acoustic and Physiologic Correlates of Vocal Effort in Individuals With and Without Primary Muscle Tension Dysphonia.

Laura E Toles, Adrianna C Shembel

Open access · greenAbstract read
In one paragraph

Article in American journal of speech-language pathology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Vocal Fold Vibratory Kinematics and Acoustic Correlates in Pressed and Breathy Phonation.Journal of speech, language, and hearing research : JSLHR · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Discriminating hypofunctional and hyperfunctional voice disorders through specific acoustic measures.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
  6. Article
  7. Relationships Between Aerodynamics and Voice Symptoms in Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2025
    Article
  8. Estimating Pressed and Breathy Phonation From Cepstral and Spectral Measures.Journal of voice : official journal of the Voice Foundation · 2025
    Article
  9. Salient Voice Symptoms in Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2025
    Article
  10. Characterization of upper esophageal sphincter pressures relative to vocal acoustics.Journal of applied physiology (Bethesda, Md. : 1985) · 2025
    Article
  11. Article
  12. Laryngeal and Global Somatosensation in Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2024
    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 at 1 institution in 1 country.

Laura E TolesDepartment of Otolaryngology-Head and Neck Surgery, The University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-2665-3283
Adrianna C ShembelDepartment of Otolaryngology-Head and Neck Surgery, The University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-8874-9360
Google (United States) · US

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

objectivesThe aims of this study were to determine relationships between vocal effort and (a) acoustic correlates of vocal output and (b) supraglottic compression in individuals with primary muscle tension dysphonia (pMTD) and without voice disorders (controls) in the context of a vocal load challenge.

methodTwenty-six individuals with pMTD and 35 vocally healthy controls participated in a 30-min vocal load challenge. The pre- and postload relationships among self-ratings of vocal effort, various acoustic voice measures, and supraglottic compression (mediolateral and anteroposterior) were tested with multiple regression models and post hoc Pearson's correlations. Acoustic measures included cepstral peak prominence (CPP), low-to-high spectral ratio, difference in intensity between the first two harmonics, fundamental frequency, and sound pressure level (dB SPL).

resultsRegression models for CPP and mediolateral compression were statistically significant. Vocal effort, diagnosis of pMTD, and vocal demand were each significant variables influencing CPP measures. CPP was lower in the pMTD group across stages. There was no statistical change in CPP following the vocal load challenge within either group, but both groups had an increase in vocal effort postload. Vocal effort and diagnosis influenced the mediolateral compression model. Mediolateral compression was higher in the pMTD group across stages and had a negative relationship with vocal effort, but it did not differ after vocal loading.

conclusionsCPP and mediolateral supraglottic compression were influenced by vocal effort and diagnosis of pMTD. Increased vocal effort was associated with lower CPP, particularly after vocal load, and decreased mediolateral supraglottic compression in the pMTD group.

Indexed as

DysphoniaVoiceAcousticsHumansMuscle TonusSpeech Acoustics

Identifiers

PMID37931092
PMCPMC11000796
OpenAlexW4388407019

What OpenQuestion holds

Textmetadata
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.