Telemedicine Versus Traditional Treatment of Muscle Tension Dysphonia

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01419444
Recruitment Status : Completed
First Posted : August 18, 2011
Last Update Posted : December 18, 2013
Information provided by (Responsible Party):
University of Arkansas

August 16, 2011
August 18, 2011
December 18, 2013
August 2011
August 2013   (Final data collection date for primary outcome measure)
  • Mean Expiratory Airflow During Comfortable Phonation [ Time Frame: 6 weeks ]
    Measured pre- and post in liters/second using Phonatory Aerodynamic System.
  • Voicing Efficiency [ Time Frame: 6 weeks ]
    Mean Airflow during voicing efficiency task, pa-pa-pa, using Phonatory Aerodynamic System. Measured in liters/second.
Same as current
Complete list of historical versions of study NCT01419444 on Archive Site
  • Voice Handicap Index Questionnaire [ Time Frame: 6 weeks ]
    Patient's perceived ratings of Voice Handicap on standardized, validated questionnaire.
  • Consensus Auditory Perceptual Evaluation of Voice [ Time Frame: 6 weeks ]
    Overall perceptual rating of voice quality made by clinician on 100 point scale.
Same as current
Not Provided
Not Provided
Telemedicine Versus Traditional Treatment of Muscle Tension Dysphonia
Telemedicine Versus Traditional Treatment of Muscle Tension Dysphonia

The purpose of this research is to determine whether treatment of voice disorders can be provided just as effectively using telemedicine as it can using on-site, traditional therapy. An exercise protocol for improving airflow with voicing has been demonstrated to be effective in a prior UAMS investigation (Protocol 107454). These exercises are used as part of the normal clinic routine at UAMS working with individuals with voice problems. The three exercises used are: gargling with and without voicing; cup bubble blowing with and without voicing; and, stretch and flow exercises, which involves the use of a piece of tissue to provide visual biofeedback on the ability to use proper airflow with voicing. The purpose of the exercises is to increase airflow and breathiness in the voice and reduce muscle tension. In addition, patients will be taught to use a "confidential voice" or gentle voice during speaking.

The investigators voice patients come from all over the state and many cannot return for regular treatment. Developing a way to provide treatment to them closer to home could greatly improve quality of care and quality of life. Twenty participants will participate for 12 sessions each. All participants will be evaluated at UAMS before and after treatment as part of standard care and will, upon consent, be randomized to receive treatment via telemedicine at an AHEC site or at UAMS Medical Center. Homework will be provided along with log sheets. Results of airflow measures using an airflow-recording device (Viasys, KAY/PENTAX) pre- and post treatment will determine whether telemedicine results are equal to results of traditional, on-site treatment. The investigators hypothesize that results from treatment using telemedicine will be equivalent to results for onsite, traditional treatment.

Not Provided
Phase 1
Phase 2
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Muscle Tension Dysphonia
Behavioral: Airflow Exercises for Voicing
Gargling, Cup Bubble Blowing, and Stretch and Flow Exercises will be taught to reduce laryngeal closure and improve airflow through the glottis during voicing.
  • Active Comparator: Traditional, Onsite Treatment
    Onsite treatment using airflow exercises. Patients will receive face-to-face treatment with the research speech pathologist two times per week.
    Intervention: Behavioral: Airflow Exercises for Voicing
  • Experimental: Telemedicine Treatment
    Participants will receive treatment via telemedicine at select AHEC sites around the state of Arkansas. Treatments will occur twice per week with the research speech pathologist.
    Intervention: Behavioral: Airflow Exercises for Voicing
Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
August 2013
August 2013   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Primary or Secondary Muscle Tension Dysphonia

Exclusion Criteria:

  • Head and Neck Cancer
  • Spasmodic Dysphonia
  • Tremor
  • Respiratory Compromise
  • Dysphagia
Sexes Eligible for Study: All
21 Years and older   (Adult, Older Adult)
Contact information is only displayed when the study is recruiting subjects
United States
Not Provided
Not Provided
University of Arkansas
University of Arkansas
Not Provided
Not Provided
University of Arkansas
December 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP