PMID- 27542775
DCOM- 20170919
LR  - 20170919
IS  - 1873-4588 (Electronic)
IS  - 0892-1997 (Linking)
VI  - 31
IP  - 2
DP  - 2017 Mar
TI  - Lax Vox as a Voice Training Program for Teachers: A Pilot Study.
PG  - 262.e13-262.e22
LID - S0892-1997(16)30047-9 [pii]
LID - 10.1016/j.jvoice.2016.04.011 [doi]
AB  - OBJECTIVES: The objective of this study was to explore the effectiveness of a
      3-week training program with the voice therapy "Lax Vox" for teachers. METHODS:
      Four healthy female teachers participated as volunteers for the study. Several
      voice measurements of perception, acoustics, aerodynamics, and self-evaluation
      were investigated. Furthermore, a survey to rate the applicability of Lax Vox was
      also part of the study. To assess the treatment effects of the Lax Vox training, 
      an effect size analysis (dunb) was conducted. RESULTS: After 3 weeks of training,
      medium and large improvements were found in some parameters of perceptual and
      acoustic voice quality assessments (dunb >0.50 and dunb >0.80, respectively).
      Furthermore, medium improvements were revealed in some parameters of
      self-evaluation (ie, physical and total scale of the Voice Handicap Index) and
      aerodynamic (ie, maximum phonation time) assessments (all dunb >0.50).
      Additionally, acoustic measures of vocal function showed an expansion in the
      upper contour of voice range profiles after training. Particularly, the main
      improvements in the voice range profile was found in the modal and the beginning 
      of the falsetto voice registers. There was an increase of the intensity levels of
      about 4.6 dB. No changes were revealed in some acoustic measures of the voice
      range profile, self-evaluation measurements, and the perception of breathy voice 
      quality (all dunb <0.20). Finally, the applicability of Lax Vox perceptually
      showed clear support in training success, learning process, and transfer to the
      daily routine. CONCLUSIONS: Lax Vox training for teachers appears to improve
      select measures of voice quality, maximum phonation time, vocal function,
      self-evaluation, and perceived applicability.
CI  - Copyright (c) 2017 The Voice Foundation. Published by Elsevier Inc. All rights
FAU - Mailander, Eva
AU  - Mailander E
AD  - Logopadie Harburg, Hamburg, Germany.
FAU - Muhre, Lea
AU  - Muhre L
AD  - Praxis fur Logopadie Stefan Witt, Hamburg, Germany.
FAU - Barsties, Ben
AU  - Barsties B
AD  - Faculty of Medicine and Health Sciences, University of Antwerp, Belgium; Medical 
      School, Hochschule Fresenius University of Applied Sciences, Hamburg, Germany.
      Electronic address:
LA  - eng
PT  - Journal Article
DEP - 20160816
PL  - United States
TA  - J Voice
JT  - Journal of voice : official journal of the Voice Foundation
JID - 8712262
SB  - IM
MH  - Acoustics
MH  - Adult
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - Judgment
MH  - *Occupational Health
MH  - Phonation
MH  - Pilot Projects
MH  - Predictive Value of Tests
MH  - Reproducibility of Results
MH  - Risk Factors
MH  - *School Teachers
MH  - Severity of Illness Index
MH  - Speech Acoustics
MH  - Speech Perception
MH  - Speech Production Measurement
MH  - Time Factors
MH  - Voice Disorders/diagnosis/etiology/physiopathology/*prevention & control
MH  - *Voice Quality
MH  - *Voice Training
OT  - dysphonia
OT  - lax vox
OT  - preventive voice training
OT  - teacher
OT  - voice therapy
EDAT- 2016/08/21 06:00
MHDA- 2017/09/20 06:00
CRDT- 2016/08/21 06:00
PHST- 2016/02/17 00:00 [received]
PHST- 2016/04/22 00:00 [revised]
PHST- 2016/04/25 00:00 [accepted]
PHST- 2016/08/21 06:00 [pubmed]
PHST- 2017/09/20 06:00 [medline]
PHST- 2016/08/21 06:00 [entrez]
AID - S0892-1997(16)30047-9 [pii]
AID - 10.1016/j.jvoice.2016.04.011 [doi]
PST - ppublish
SO  - J Voice. 2017 Mar;31(2):262.e13-262.e22. doi: 10.1016/j.jvoice.2016.04.011. Epub 
      2016 Aug 16.