Evidence map›Paper›PMID 40014398›Full record

ArticleJournal of speech, language, and hearing research : JSLHR2025

Comparing the Effects of Sensory Tricks on Voice Symptoms in Patients With Laryngeal Dystonia and Essential Vocal Tremor.

Kaitlyn Dwenger, Nelson Roy, Skyler G Jennings, Marshall E Smith, Pamela Mathy, Kristina Simonyan, Julie M Barkmeier-Kraemer

Abstract readComparative Study
In one paragraph

Article in Journal of speech, language, and hearing research : JSLHR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

7 authors.

Kaitlyn DwengerDepartment of Communication Sciences and Disorders, The University of Utah, Salt Lake City.ORCID 0000-0003-4225-8387
Nelson RoyDepartment of Communication Sciences and Disorders, The University of Utah, Salt Lake City.ORCID 0000-0001-8017-805X
Skyler G JenningsDepartment of Communication Sciences and Disorders, The University of Utah, Salt Lake City.
Marshall E SmithDepartment of Otolaryngology-Head and Neck Surgery, The University of Utah, Salt Lake City.
Pamela MathyDepartment of Communication Sciences and Disorders, The University of Utah, Salt Lake City.
Kristina SimonyanDepartment of Otolaryngology-Head and Neck Surgery, Harvard Medical School and Massachusetts Eye and Ear, Boston.
Julie M Barkmeier-KraemerDepartment of Communication Sciences and Disorders, The University of Utah, Salt Lake City.ORCID 0000-0002-5037-3070

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
Understanding disorder-specific neural pathophysiology in laryngeal dystonia and voice tremorP50DC019900 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Kristina Simonyan · 2021 to 2026
$11.9M
Physiologic Correlates of Vocal Tremor affecting those with Essential TremorR01DC016838 · NIDCD · UNIVERSITY OF UTAH · PI BARKMEIER-KRAEMER, JULIE M · 2019 to 2023
$3.0M
NCATS NIH HHS UL1 TR002538NCATS NIH HHS UM1 TR004409NIDCD NIH HHS P50 DC019900NIDCD NIH HHS R01 DC016838
6 · The paper itself

Abstract

purposeThis pilot study systematically compared voice symptomatology across varied sensory trick conditions in those with laryngeal dystonia (LD), those with essential vocal tremor (EVT), and vocally normal controls (NCs). Sensory tricks are considered signature characteristics of dystonia and were hypothesized to reduce voice symptoms in those with LD compared to EVT and NC groups.

methodFive participants from each group (LD, EVT, and NC) completed speech recordings under control and sensory trick conditions (delayed auditory feedback [DAF], vibrotactile stimulation [VTS], and nasoendoscopic recordings with and without topical anesthesia). Comparisons between groups and conditions were made using (a) a paired-comparison paradigm (control vs. sensory condition) listener ratings of voice quality, (b) participant-perceived vocal effort ratings, and (c) average smoothed cepstral peak prominence (CPPS).

resultsParticipants with EVT displayed significantly worse listener ratings under most sensory trick conditions, whereas participants with LD were rated significantly worse for DAF and VTS conditions only. However, participant vocal effort ratings were similar across all sensory trick conditions. Average CPPS values generally supported listener ratings across conditions and speakers except during DAF, wherein CPPS values increased (i.e., measurably improved voice quality), whereas listener ratings indicated worsened voice quality for both voice disorder groups.

conclusionsOutcomes of this study did not support the hypothesized influences of sensory trick conditions on LD voice symptoms, with both LD and EVT groups experiencing worsened symptoms under VTS and DAF conditions. These adverse effects on voice symptoms warrant further research to further evaluate neural pathways and associated sensorimotor response patterns that distinguish individuals with LD and EVT. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.28462292.

Indexed as

DystoniaEssential TremorFeedback, SensoryLaryngeal DiseasesVoice DisordersVoice QualityAdultAgedFemaleHumansMaleMiddle AgedPilot ProjectsVoice

Identifiers

PMID40014398
PMCPMC12381841

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.