Telepractice Versus In-Person Delivery of Voice Therapy for Primary Muscle Tension Dysphonia Purpose The purpose of this study was to investigate the utility of telepractice for delivering flow phonation exercises to persons with primary muscle tension dysphonia (MTD). Method Fourteen participants with a diagnosis of primary MTD participated, 7 on site and 7 at remote locations. Each participant received 12 ... Research Article
Research Article  |   August 01, 2015
Telepractice Versus In-Person Delivery of Voice Therapy for Primary Muscle Tension Dysphonia
 
Author Affiliations & Notes
  • Balaji Rangarathnam
    East Carolina University, Greenville, NC
  • Gary H. McCullough
    Appalachian State University, Boone, NC
  • Hylan Pickett
    University of Arkansas for Medical Sciences Medical Center, Little Rock
  • Richard I. Zraick
    University of Central Florida, Orlando
  • Ozlem Tulunay-Ugur
    University of Arkansas for Medical Sciences, Little Rock
  • Kimberly C. McCullough
    Appalachian State University, Boone, NC
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Balaji Rangarathnam: rangarathnamb@ecu.edu
  • Editor: Krista Wilkinson
    Editor: Krista Wilkinson×
  • Associate Editor: Katherine Verdolini Abbott
    Associate Editor: Katherine Verdolini Abbott×
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Telepractice & Computer-Based Approaches / Speech, Voice & Prosody / Research Articles
Research Article   |   August 01, 2015
Telepractice Versus In-Person Delivery of Voice Therapy for Primary Muscle Tension Dysphonia
American Journal of Speech-Language Pathology, August 2015, Vol. 24, 386-399. doi:10.1044/2015_AJSLP-14-0017
History: Received January 28, 2014 , Revised June 13, 2014 , Accepted March 25, 2015
 
American Journal of Speech-Language Pathology, August 2015, Vol. 24, 386-399. doi:10.1044/2015_AJSLP-14-0017
History: Received January 28, 2014; Revised June 13, 2014; Accepted March 25, 2015
Web of Science® Times Cited: 3

Purpose The purpose of this study was to investigate the utility of telepractice for delivering flow phonation exercises to persons with primary muscle tension dysphonia (MTD).

Method Fourteen participants with a diagnosis of primary MTD participated, 7 on site and 7 at remote locations. Each participant received 12 treatment sessions across 6 weeks. Treatment consisted of flow phonation voice therapy exercises. Auditory–perceptual, acoustic, aerodynamic, and quality-of-life measures were taken before and after treatment.

Results Perceptual and quality-of-life measures were significantly better posttreatment and were statistically equivalent across groups. Acoustic and aerodynamic measures improved in both groups, but changes did not reach statistical significance. Results for the 2 service delivery groups were comparable, with no significant differences observed for perceptual and quality-of-life measures.

Conclusions Although the American Speech-Language-Hearing Association supports the use of telepractice for speech-language pathology services, evidence for the use of telepractice for providing behavioral treatment to patients with MTD has been lacking. The results of this study indicate that flow phonation exercises can be successfully used for patients with MTD using telepractice.

Acknowledgments
This study was funded by the Center for Distance Health, University of Arkansas for Medical Sciences, Little Rock. We thank Amanda Davis for her help with the perceptual voice analysis.
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