Evidence map›Paper›PMID 38420719›Full record

Trial reportActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2024

Is there a role for voice therapy in the treatment of laryngopharyngeal reflux? A pilot study.

Maria Rosaria Barillari, Andrea Nacci, Luca Bastiani, Giuseppina Mirra, Giuseppe Costa, Antonino Maniaci, Ludovico Docimo, Salvatore Tolone, Federica Giumello, Fabrizio Minichilli and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 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
3.2field-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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Effect of respiratory physiotherapy on symptom severity in clinical laryngopharyngeal reflux disease: A controlled study.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 · 2025
    Article
  2. Article
  3. Laryngopharyngeal reflux and psychological distress: a vicious cycle worth investigating.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 · 2025
    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

13 authors at 8 institutions in 5 countries.

Maria Rosaria BarillariDivision of Phoniatrics and Audiology, Department of Mental and Physical Health and Preventive Medicine, "L. Vanvitelli" University, Naples, Italy.
Andrea NacciENT Audiology and Phoniatric Unit, University of Pisa, Pisa, Italy.
Luca BastianiClinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), Pisa, Italy.
Giuseppina MirraDivision of Phoniatrics and Audiology, Department of Mental and Physical Health and Preventive Medicine, "L. Vanvitelli" University, Naples, Italy.
Giuseppe CostaDivision of Phoniatrics and Audiology, Department of Mental and Physical Health and Preventive Medicine, "L. Vanvitelli" University, Naples, Italy.
Antonino ManiaciLaryngology Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS).
Ludovico DocimoDivision of General, Mininvasive and Bariatric Surgery, "L. Vanvitelli" University, Naples, Italy.
Salvatore ToloneDivision of General, Mininvasive and Bariatric Surgery, "L. Vanvitelli" University, Naples, Italy.
Federica GiumelloDivision of Phoniatrics and Audiology, Department of Mental and Physical Health and Preventive Medicine, "L. Vanvitelli" University, Naples, Italy.
Fabrizio MinichilliClinical Physiology Institute, Consiglio Nazionale delle Ricerche Area della Ricerca di Pisa (CNR), Pisa, Italy.
Carlos M Chiesa EstombaLaryngology Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS).
Jerome R LechienLaryngology Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS).
Thomas L CarrollDepartment of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.
University of Campania "Luigi Vanvitelli" · ITBiogipuzkoa Health Research Institute · ESHarvard University · USIstituto di Fisiologia Clinica · ITNational Research Council · ITUniversity of Catania · ITUniversity of Mons · BEUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The aim of this study was to compare the efficacy of voice therapy combined with standard anti-reflux therapy in reducing symptoms and signs of laryngopharyngeal reflux (LPR). Methods: A randomised clinical trial was conducted. Fifty-two patients with LPR diagnosed by 24 h multichannel intraluminal impedance-pH monitoring were randomly allocated in two groups: medical treatment (MT) and medical plus voice therapy (VT). Clinical symptoms and laryngeal signs were assessed at baseline and after 3 months of treatment with the Reflux Symptom Index (RSI), Reflux Finding Score (RFS), Voice Handicap Index (VHI) and GRBAS scales. Results: Groups had similar scores at baseline. At 3-month follow-up, a significant decrease in RSI and RFS total scores were found in both groups although it appeared to be more robust in the VT group. G and R scores of the GRBAS scale significantly improved after treatment in both groups, with better results in the VT group. The VHI total score at 3 months improved more in the VT group (VHI delta 9.54) than in the MT group (VHI delta 5.38) (p < 0.001). Conclusions: The addition of voice therapy to medications and diet appears to be more effective in improving treatment outcomes in subjects with LPR. Voice therapy warrants consideration in addition to medication and diet when treating patients with LPR.

Indexed as

Laryngopharyngeal RefluxVoiceHumansPilot ProjectsProton Pump InhibitorsVoice QualityProton Pump Inhibitorslaryngopharyngeal refluxmultichannel intraluminal impedance-pH monitoringtreatmentvoice therapy

Identifiers

PMID38420719
PMCPMC10914355
OpenAlexW4392246257

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.