Evidence map›Paper›PMID 40996902›Full record

ReviewLogopedics, phoniatrics, vocology2026

Embracing variability: toward proactive and precision-based voice science.

Eric J Hunter, Mark L Berardi

Abstract readReview
In one paragraph

Review in Logopedics, phoniatrics, vocology, 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
–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

1 citing paper in PubMed.

  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

2 authors.

Eric J HunterUniversity of Iowa, Iowa City, Iowa, USA.
Mark L BerardiUniversity of Iowa, Iowa City, Iowa, USA.

Funding

Protecting Teachers’ Voices: Investigating Risk Factors, Conducting Cost AnalysisR01DC012315 · NIDCD · UNIVERSITY OF UTAH · PI HUNTER, ERIC J · 2013 to 2025
$5.5M
NIDCD NIH HHS R01 DC012315
6 · The paper itself

Abstract

purposeWe propose that rigorous measurement practices combined with frameworks focused on functional capacity can transform physiological variability, traditionally dismissed as "noise," into diagnostic information for precision-based voice care. A conceptual framework integrating vocal capacity, demand response, reserve, and recovery enables individualized monitoring, predictive risk assessment, and proactive intervention, mirroring progress in cardiology and orthopedics where variability became diagnostic.

conclusionsVariability-informed models can establish individual baselines, track change trajectories, and identify functional thresholds before overt disorder emerges. Embracing physiological variability offers a path to align clinical strategies with functional sustainability, transforming uncertainty into actionable insight for research and clinical practice.

Indexed as

Precision MedicineVoice DisordersVoice QualityHumansPredictive Value of TestsRisk Assessmentindividualized assessmentLuís Jesusprecision medicineuncertaintyvariabilityvocal effortVoice science

Identifiers

PMID40996902
PMCPMC12884546

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.