The Effects of Adding Expiratory Muscle Strength Training in Voice Therapy
Dysphonia, Unilateral Vocal Cord Paralysis
About this trial
This is an interventional treatment trial for Dysphonia
Eligibility Criteria
Inclusion Criteria:
- Individuals with glottic insufficiency.
- Adequate cognition evidenced by score of 24 or higher on the Mini-Mental State Examination (MMSE) survey to determine if the subject has the mental capacity to participate in therapy
- Completed voice combination evaluation with speech pathologists and otolaryngologist.
- Individuals 18 years of age or older
Exclusion Criteria:
- Adults unable to consent
- Non English or Spanish speakers
- Pregnant women
- Prisoners
- Individuals with significant uncontrolled chronic and progressive respiratory diseases including COPD, interstitial lung disease, and cystic fibrosis.
- Individuals with uncontrolled blood pressure.
- Individuals with significant GI disease and/or gastroesophageal surgery with the exception of well-controlled GERD.
- Individuals with a history of abdominal hernia.
- Individuals with difficulty complying due to neuropsychological dysfunction (e.g., severe depression, psychosis).
- Individuals with other neurological disorders and/or neuromuscular disease other than Parkinson's Disease
Sites / Locations
- University of Miami
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Unilateral vocal fold paralysis standard of care voice therapy
Unilateral paralysis standard of care voice therapy plus EMST
Parkinson's disease standard of care voice therapy plus EMST
The participants will receive the standard of voice therapy including improved breath coordination, sustained humming and vowels, vocal glides, resonant voice therapy, and relations techniques.
The participants will receive the standard of voice therapy including improved breath coordination, sustained humming and vowels, vocal glides, resonant voice therapy, and relations techniques. EMST consists of blowing into respiratory device at a measure threshold pressure. As strength improves threshold resistance will be increased.
The participants will receive the standard of voice therapy including improved breath coordination, sustained humming and vowels, vocal glides, resonant voice therapy, and relations techniques. EMST consists of blowing into respiratory device at a measure threshold pressure. As strength improves threshold resistance will be increased.