Behavioral Treatment for Benign Vocal Fold Lesions in Children: A Systematic Review
| Autor: | Hagar Feinstein, Katherine Verdolini Abbott |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Linguistics and Language
medicine.medical_specialty MEDLINE Vocal Cords Audiology Laryngeal Diseases 030507 speech-language pathology & audiology 03 medical and health sciences Speech and Hearing Polyps 0302 clinical medicine Indirect Treatment Intervention (counseling) Developmental and Educational Psychology Humans Medicine Child 030223 otorhinolaryngology business.industry Behavioral treatment Cognition Voice therapy (transgender) Treatment Outcome Voice Training Otorhinolaryngology Voice 0305 other medical science business |
| Zdroj: | American Journal of Speech-Language Pathology. 30:772-788 |
| ISSN: | 1558-9110 1058-0360 |
| Popis: | Purpose This systematic review aims to identify, classify, and evaluate existing information regarding treatment for benign vocal fold lesions in children and to identify gaps and limitations that may limit effective pediatric voice treatment. Method A literature search was performed using electronic databases (PubMed and Google Scholar) as well as reference lists from previous reviews, studies, and books. Included in the present review are studies that described behavioral treatment for children with benign vocal fold lesions presumed to be phonotraumatic (vocal fold nodules and edema). Results Twenty-one studies were eligible for inclusion in the review. Eight different research designs were used, and three intervention types were identified: direct voice intervention (voice training), indirect treatment (vocal hygiene or counseling), and comparative studies that contrasted different treatment methods. The most commonly used treatment method was eclectic direct intervention, which focused on vocal exercises or voicing patterns. Postintervention improvement was reported in all studies. In general, findings suggested an advantage of direct over indirect intervention and of longer treatment duration over short-term approaches. Conclusions The findings suggest that behavioral voice therapy may be generally effective in treating children with vocal fold nodules. Several limitations emerged in the corpus of studies reviewed including heterogeneity of research methods, missing information about outcome measures, and inappropriate statistical analyses. Thus, a need exists for further well-designed controlled studies to enhance the body of knowledge about developmental factors affecting vocal treatment outcomes, in particular, vocal fold structure as well as cognitive and linguistic development. |
| Databáze: | OpenAIRE |
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