Reverse phonation--physiologic and clinical aspects of this speech voice therapy modality

Braz J Otorhinolaryngol. 2007 Mar-Apr;73(2):271-7. doi: 10.1016/s1808-8694(15)31077-6.

Abstract

Reverse phonation is the voice production during inspiration, accomplished spontaneously in situations such as when a person sighs.

Aim: to do a literature review, describing discoveries related to the use of the reverse phonation in the clinical practice, the anatomy and physiology of its production and its effects in vocal treatments; and moreover, indications and problems of the technique for speech disorders treatment and voice enhancement.

Results: there were reports of significant changes in vocal treatment during with the use of reverse phonation: ventricular distention, ventricular folds separation, increase in the fundamental frequency, mucous wave inverse movement; and it also facilitates the dynamic study of the larynx when associated with endoscopy, making it possible to have a better definition of lesion localization in vocal folds superficial lamina propria layers.

Conclusion: There are few studies describing larynx behavior during reverse phonation and, for this technique to be used in a more precise and objective way, more studies are necessary in order to prove its effectiveness in practical matters.

Publication types

  • Review

MeSH terms

  • Humans
  • Phonation / physiology*
  • Speech Therapy / methods*
  • Voice Disorders / therapy*
  • Voice Quality
  • Voice Training*