Effectiveness of Voice Therapy in Patients With Vocal Fold Nodules: A Systematic Search and Narrative Review
European Archives of Otolaryngology
Alegria, R., Vaz Freitas, S., et al. (2020).
European Archives of Otolaryngology, 277, 2951-2966.
This systematic review investigates the efficacy of voice therapy in adults with bilateral vocal fold nodules.
No funding received
January 1995 to May 2019
Retrospective and prospective cohort studies; case-control studies; cross-sectional comparative studies
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<div>SLP-delivered direct voice therapy with or without indirect components improved several aspects of voice quality in adults with bilateral vocal fold nodules. Additional findings included:</div>
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<ul>
<li>Two studies reported sustained improvements in visual-perceptual outcomes at 2-week or 6-month follow-up.</li>
<li>Two studies reported comparable results between telepractice and face-to-face modalities of treatment. </li>
<li>Due to heterogeneity between studies, no clear conclusions could be made regarding the impact of treatment intensity. </li>
</ul>
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<div>Additional research is indicated due to limited research, small sample sizes, low quality of evidence, and heterogeneity between studies regarding types of interventions utilized.</div>
