A Comparison of the Effects of Phonation into a Positive Expiratory Pressure Device and Silicone Tube in Water on the Vocal Mechanism
Objectives: Positive expiratory pressure (PEP) devices have become an additional therapeutic approach for treating voice disorders. Similar to water resistance therapy (WRT), phonation in a PEP device introduces a secondary source of vibration within the vocal tract. This investigation aimed to com...
| Main Authors: | , , , |
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| Format: | Journal Article |
| Published: |
Elsevier
2023
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| Online Access: | http://hdl.handle.net/20.500.11937/93755 |
| _version_ | 1848765780424916992 |
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| author | Amarante Andrade, Pedro Fric, Marek Saccente-Kennedy, Brian Hruska, Viktor |
| author_facet | Amarante Andrade, Pedro Fric, Marek Saccente-Kennedy, Brian Hruska, Viktor |
| author_sort | Amarante Andrade, Pedro |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objectives:
Positive expiratory pressure (PEP) devices have become an additional therapeutic approach for treating voice disorders. Similar to water resistance therapy (WRT), phonation in a PEP device introduces a secondary source of vibration within the vocal tract. This investigation aimed to compare the effects of phonation using a PEP device and silicone tube phonation (STP) commonly used in WRT on the vocal mechanism during phonation.
Methods:
Three normophonic subjects participated in the study. High-speed videoendoscopy, pressure, airflow, electroglottography, and acoustic recordings were collected.
Results:
The results demonstrated that phonation using both the PEP device and silicone tube induced alterations in glottal behavior. The PEP device produced more pronounced and consistent pressure oscillations, impacting the glottal cycle and influencing parameters including contact quotient (CQ), fundamental frequency, glottal area, pressure, and airflow. The regular vibratory mechanism of the PEP device systematically modified the glottal cycle. In STP, regular bubbling at lower depths of submersion produced higher CQ values, supporting the efficacy of deep bubbling exercises for inducing glottal adduction.
Conclusions:
The findings suggest that phonation using PEP devices has a more pronounced impact on the vocal tract and glottis. It also provides a stronger massage effect that directly affects the glottal source. Phonation with a silicone tube produces similar results, although to a lesser extent and with lower regularity. These findings offer guidance in the selection of voice therapy devices. |
| first_indexed | 2025-11-14T11:40:41Z |
| format | Journal Article |
| id | curtin-20.500.11937-93755 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T11:40:41Z |
| publishDate | 2023 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-937552024-01-11T02:15:10Z A Comparison of the Effects of Phonation into a Positive Expiratory Pressure Device and Silicone Tube in Water on the Vocal Mechanism Amarante Andrade, Pedro Fric, Marek Saccente-Kennedy, Brian Hruska, Viktor Objectives: Positive expiratory pressure (PEP) devices have become an additional therapeutic approach for treating voice disorders. Similar to water resistance therapy (WRT), phonation in a PEP device introduces a secondary source of vibration within the vocal tract. This investigation aimed to compare the effects of phonation using a PEP device and silicone tube phonation (STP) commonly used in WRT on the vocal mechanism during phonation. Methods: Three normophonic subjects participated in the study. High-speed videoendoscopy, pressure, airflow, electroglottography, and acoustic recordings were collected. Results: The results demonstrated that phonation using both the PEP device and silicone tube induced alterations in glottal behavior. The PEP device produced more pronounced and consistent pressure oscillations, impacting the glottal cycle and influencing parameters including contact quotient (CQ), fundamental frequency, glottal area, pressure, and airflow. The regular vibratory mechanism of the PEP device systematically modified the glottal cycle. In STP, regular bubbling at lower depths of submersion produced higher CQ values, supporting the efficacy of deep bubbling exercises for inducing glottal adduction. Conclusions: The findings suggest that phonation using PEP devices has a more pronounced impact on the vocal tract and glottis. It also provides a stronger massage effect that directly affects the glottal source. Phonation with a silicone tube produces similar results, although to a lesser extent and with lower regularity. These findings offer guidance in the selection of voice therapy devices. 2023 Journal Article http://hdl.handle.net/20.500.11937/93755 10.1016/j.jvoice.2023.10.022 http://creativecommons.org/licenses/by-nc-nd/4.0/ Elsevier fulltext |
| spellingShingle | Amarante Andrade, Pedro Fric, Marek Saccente-Kennedy, Brian Hruska, Viktor A Comparison of the Effects of Phonation into a Positive Expiratory Pressure Device and Silicone Tube in Water on the Vocal Mechanism |
| title | A Comparison of the Effects of Phonation into a Positive Expiratory Pressure Device and Silicone Tube in Water on the Vocal Mechanism |
| title_full | A Comparison of the Effects of Phonation into a Positive Expiratory Pressure Device and Silicone Tube in Water on the Vocal Mechanism |
| title_fullStr | A Comparison of the Effects of Phonation into a Positive Expiratory Pressure Device and Silicone Tube in Water on the Vocal Mechanism |
| title_full_unstemmed | A Comparison of the Effects of Phonation into a Positive Expiratory Pressure Device and Silicone Tube in Water on the Vocal Mechanism |
| title_short | A Comparison of the Effects of Phonation into a Positive Expiratory Pressure Device and Silicone Tube in Water on the Vocal Mechanism |
| title_sort | comparison of the effects of phonation into a positive expiratory pressure device and silicone tube in water on the vocal mechanism |
| url | http://hdl.handle.net/20.500.11937/93755 |