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Telemedicine Versus Traditional Treatment of Muscle Tension Dysphonia

NCT ID: NCT01419444

Last Updated: 2013-12-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2013-08-31

Brief Summary

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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.

Detailed Description

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Conditions

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Muscle Tension Dysphonia

Keywords

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Voice Muscle Tension Dysphonia Hyperfunction Treatment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Traditional, Onsite Treatment

Onsite treatment using airflow exercises. Patients will receive face-to-face treatment with the research speech pathologist two times per week.

Group Type ACTIVE_COMPARATOR

Airflow Exercises for Voicing

Intervention Type BEHAVIORAL

Gargling, Cup Bubble Blowing, and Stretch and Flow Exercises will be taught to reduce laryngeal closure and improve airflow through the glottis during voicing.

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.

Group Type EXPERIMENTAL

Airflow Exercises for Voicing

Intervention Type BEHAVIORAL

Gargling, Cup Bubble Blowing, and Stretch and Flow Exercises will be taught to reduce laryngeal closure and improve airflow through the glottis during voicing.

Interventions

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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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Primary or Secondary Muscle Tension Dysphonia

Exclusion Criteria

* Head and Neck Cancer
* Spasmodic Dysphonia
* Tremor
* Respiratory Compromise
* Dysphagia
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Arkansas

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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UAMS Medical Center Voice and Swallowing Clinic

Little Rock, Arkansas, United States

Site Status

Countries

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United States

Other Identifiers

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CDHMTD2011

Identifier Type: -

Identifier Source: org_study_id