Vol 35 No 1 (2016)
Perspective Articles
How to Cite
Prakash Boominathan. (1). Expanding Frontiers in Voice Health & Care - Applications for India. Journal of All India Institute of Speech and Hearing, 35(1), 9-13. Retrieved from http://203.129.241.91/jaiish/index.php/aiish/article/view/917
Abstract
Speech and hearing as a profession has existed over the last ve decades in India. Speech pathologists have made considerable and consistent dierence to their practice in line with the growing trends in knowledge base and technological advances in the eld. These have provided scope to apply rened assessment and management strategies to communication disorders. It would not be an overstatement to claim that `voice health and care' has potential to emerge as a sub-speciality in the practice of speech pathologists in India (Boominathan & Desai, 2012). Voice care provided by speech pathologists has undergone several transformations recently to establish itself from a modest ancillary support (if and when available) to ENT specialists to a sophisticated (more rened and precise) and an essential aspect of patient care. This article highlights a few changing trends in the eld, identies gaps in clinical practice and suggests potential research ideas that could be explored to improve patient care and service.
References
American Speech and Hearing Association: Position statement
on Telepractice: Key issues. From http://www.asha.
org/PRPSpecificTopic.aspx?folderid=8589934956§ion=
Key Issues Retrieved on 01st January, 2017.
Barkmeier-Kraemer, J. M., & Patel, R. R. (2016). The next
10 years in voice evaluation and treatment. Seminars in
speech and language, 37(3), 158-165.
Boominathan, P. (2010). Voice therapy for singers and
teachers - Instructional DVD. Swathi Soft Solutions,
Chennai.
Boominathan, P., & Desai, V. (2012). Synergy between
speech language pathologists and ENT surgeons to promote
patent care. Journal of Laryngology and Voice,
2(2), 51-52.
Boominathan, P., Rajendran, A., Nagarajan, R., Seethapathy,
J., & Gnanasekar, M. (2008). Vocal abuse and vocal
hygiene practices among di erent level professional voice
users in India: A survey. Asia Paci c Journal of Speech,
Language, and Hearing, 11(1), 47-53.
Boominathan, P., Samuel, J., Arunachalam, R., Nagarajan,
R., & Mahalingam, S. (2014). Multiparametric voice assessment
- Sri Ramachandra University protocol. Indian
Journal of Otolaryngology - Head and Neck Surgery,
66(1), 246-251.
Boone, D. R., McFarlane, S. C., Von Berg, S. L., & Zraick,
R. I. (2013). The voice and voice therapy (9th Ed.).
Boston, MA: Allyn & Bacon publishers.
Chauhan, V. (2015). Translation and validation of voice
disorder outcome pro le (V-DOP) Hindi language. Unpublished
Masters' dissertation, Sri Ramachandra University,
Chennai.
Cohen, S. M., Kim, J., Roy, N., Asche, C., & Courey, M.
(2012). Direct health care costs of laryngeal diseases and
disorders. The Laryngoscope, 122(7),1582-1588.
De Jong, F. I. C. R. S., Kooijman, P. G. C., Thomas, G.,
Huinck, W. J., Graamans, K., & Schutte, H. K. (2006).
Epidemiology of voice problems in Dutch teachers. Folia
phoniatrica et logopaedica, 58(3), 186-198.
Dejonckere, P. H., Bradley, P., Clemente, P., Cornut, G.,
Crevier-Buchman, L., Friedrich, G., et al. (2001). A
basic protocol for functional assessment of voice pathology,
especially for investigating the ecacy of (phonosurgical)
treatments and evaluating new assessment techniques.
European Archives of Oto-rhino-laryngology,
258(2), 77-82.
Denizoglu, I., & Sihvo, M. (2010). Lax Vox voice therapy
technique. Current Practice in Otorhinolaryngology, 6,
285-295.
Enderby, P. (1997). Therapy outcome measures: Speech-
language pathology. SanDiego, CA: Singular Publishing
Group.
Erath, B. D., Peterson, S. D., Zan~nartu, M., Wodicka, G. R.,
& Plesniak, M. W. (2011). A theoretical model of the
pressure eld arising from asymmetric intraglottal
ows
applied to a two-mass model of the vocal folds. Jour-
nal of the Acoustical Society of America, 30(1), 389-
403.
Gliklich, R, E., Glovsky, R, M., & Montgomery, W. W.
(1999). Validation of a voice outcome survey for unilateral
vocal cord paralysis. Otolaryngology{Head and
Neck Surgery, 120(2), 153-158.
Hogikyan, N. D., & Sethuraman, G. (1999). Validation of
an instrument to measure Voice-Related Quality of Life
(V-RQOL). Journal of Voice, 13, 557-569.
Jacobson, B. H., Johnson, A., Grywalski, C., Silbergleit,
A., Jacobson, G., Benninger, M. S. & Newman, C.
W. (1997). The Voice Handicap Index: Development
and validation. American Journal of Speech Language
Pathology, 6, 66-70.
Khosla, S., Oren, L., & Gutmark, E. (2014). An example of
the role of basic science research to inform the treatment
of unilateral vocal fold paralysis. SIG 3 Perspectives on
Voice and Voice Disorders, 24, 37-50.
Konnai, R. M., Jayaram, M., & Scherer, R. C. (2010). Development
and validation of a Voice Disorder Outcome
Pro le (V-DOP) for an Indian population. Journal of
Voice, 24(2), 206-220.
Koschkee, D. C. (1993). Voice disability index. Madison:
University of Wiscosin Hospital and Clinics.
Kotby, M. N. (1995). The accent method of voice therapy
(Vol. 1). Singular Pub Group.
Lester, R. A., Barkmeier-Kraemer, J., & Story, B. H.
(2013). Physiologic and acoustic patterns of essential
vocal tremor. Journal of Voice, 27(4), 422-432.
Li, N. Y., Vodovotz, Y., Kim, K. H., Mi, Q., Hebda, P.
A., & Abbott, K. V. (2011). Biosimulation of acute
phonotrauma: An extended model. The Laryngoscope,
121(11), 2418-2428
Ma, E. P. -M., & Yiu, E. M. -L. (2001). Voice activity and
participation pro le: Assessing the impact of voice disorders
on daily activities. Journal of Speech, Language
and Hearing Research, 44, 511-524.
Mahalingam, S., Boominathan, P., & Balasubramanian, S.
(2014). Voice disorder outcome pro le (V-DOP): Translation
and validation in Tamil language. Journal of
Voice, 28(6), 841e21-32.
Mashima, P. A., Birkmire-Peters, D. P., Syms, M. J., Holtel,
M. R., Burgess, L. P., & Peters, L. J. (2003). Telehealth:
Voice therapy using telecommunications technology.
American Journal of Speech-Language Pathology,
12, 432-439. doi: 10.1044/1058-0360(2003/089)
Mehta, D. D., Deliyski, D. D., Zeitels, S. M., Quatieri, T.
F., & Hillman, R. E. (2010). Voice production mechanisms
following phonosurgical treatment of early glottic
cancer. Annals of Otology Rhinology Laryngology,
119(1),1-9.
National Data Sharing and Accessibility Policy (NDSAP),
Ministry of Human Resource Develpment, Government
of India. (2012). Retrieved on 31st
Dec, 2015 from http://www.dst.gov.in/national-data-sharingand-
accessibility-policy-0.
Oltho , A., Woywod, C., & Kruse, E. (2007). Stroboscopy
versus high-speed glottography: A comparative study.
The Laryngoscope,117 (6),1123-1126.
Patel, R. R., Bless, D. M., & Thibeault, S. L. (2011).
Boot camp: A novel intensive approach to voice therapy.
Journal of Voice, 25, 562-569.
Patel, R. R., Donohue, K. D., Unnikrishnan, H, & Kryscio,
R. J. (2015). Kinematic measurements of the vocalfold
displacement waveform in typical children and adult
populations: quanti cation of high-speed endoscopic
videos. Journal of Speech Language and Hearing Re-
search, 58(2), 227-240.
Patel, R. R., Dubrovskiy, D., & Dollinger, M. (2014). Measurement
of glottal cycle characteristics between children
and adults: physiological variations. Journal of Voice,
28(4), 476-486.
Patel, R. R., Liu, L., Galatsanos, N., & Bless, D. M. (2011).
Di erential vibratory characteristics of adductor spasmodic
dysphonia and muscle tension dysphonia on highspeed
digital imaging. Annals of Otology Rhinology
Laryngology, 120(1), 21-32.
Patel, R. R., Pickering, J., Stemple, J., & Donohue, K. D.
(2012). A case report in changes in phonatory physiology
following voice therapy: Application of high-speed
imaging. Journal of Voice, 26(6), 734-741.
Patel, R. R., Walker, R., & Sivasankar, P. M. (2015). Spatiotemporal
quanti cation of vocal fold vibration following
exposure to super cial laryngeal dehydration:
A preliminary study. Journal of Voice, 30(4), 427-
433.
Ramig, L., Bonitati, C., Lemke, J., & Horii, Y. (1994). Voice
treatment for patients with Parkinson Disease: Development
of an approach and preliminary ecacy data.
Journal of Medical Speech-Language Pathology, 2, 191-
209.
Roy, N., Merrill, R. M., Thibeault, S., Gray, S. D., & Smith,
E. M. (2004). Voice disorders in teachers and the general
population: E ects on work performance, attendance,
and future career choices. Journal of Speech Language
Hearing Research, 47(3), 542-551.
Roy, N., Merrill, R. M., Thibeault, S., Parsa, R. A., Gray,
S. D., & Smith, E. M. (2004). Prevalence of voice disorders
in teachers and the general population. Journal
of Speech, Language, and Hearing Research, 47(2), 281-
293.
Russell, A., Oates, J., & Greenwood, K. M. (1998). Prevalence
of voice problems in teachers. Journal of voice,
12(4), 467-479.
Ryan, M., & Kenny, D. T. (2009). Perceived e ects of the
menstrual cycle on young female singers in the Western
classical tradition. Journal of Voice, 23(1), 99-
108.
Schneider, S. L., & Satalo , R. T. (2007). Voice therapy for
the professional voice. Otolaryngologic Clinics of North
America, 40, 1133-1149.
Simberg, S., Sala, E., & Ronnemaa, A. M. (2004). A
comparison of the prevalence of vocal symptoms among
teacher students and other university students. Journal
of Voice, 18(3), 363-368.
Smith, E., Lemke, J., Taylor, M., Kirchner, H. L., & Ho -
man, H. (1998). Frequency of voice problems among
teachers and other occupations. Journal of voice, 12(4),
480-488.
Smith, E., Verdolini, K., Gray, S., Nichols, S., Lemke, J.,
Barkmeier-Kraemer, J. M., et al. (1996). E ect of voice
disorders on quality of life. Journal of Medical Speech-
Language Pathology, 4(4), 223-244.
Stemple, J. (1995). Clinical voice pathology: Theory
and management (2nd ed.). San Diego, CA: Singular.
Titze, I. R. (1990). Vocology. National Association of
Teachers of Singing Journal, 46(3), 21-22.
Titze, I. R. (1992). Rationale and structure of a curriculum
in vocology. Journal of Voice, 6(1), 1-9.
Titze, I. R. (1994). Principles of voice production. Utah:
National Center for Voice and Speech.
Titze, I. R. (2000). Principles of voice production. Utah:
National Center for Voice and Speech.
Titze, I. R. (2006). Voice training and therapy with a semioccluded
vocal tract: Rationale and scienti c underpinnings.
Journal of Speech, Language, and Hearing Re-
search, 49, 448-459.
Titze, I. R., & Verdolini, K. (2012). Vocology: The science
and practice of voice habilitation. Utah: National Center
for Voice and Speech.
Titze, I. R., Hunter, E. J., & Svec, J. G. (2007). Voicing and
silence periods in daily and weekly vocalizations of teachers.
The Journal of the Acoustical Society of America,
121(1), 469-478.
van Leer, E., & Connor, N. P. (2012). Use of portable
digital media players increases patient motivation and
practice in voice therapy. Journal of Voice, 26(4), 447-
453.
Verdolini, K. (1998). A Guide to vocology. Denver, CO:
National Center for Voice and Speech.
Verdolini, K. (2000). Resonant voice therapy. In J. Stemple
(Ed.), Voice therapy: Clinical studies (pp. 46-61). San
Diego, CA: Singular.
Verdolini, K., & Ramig, L. O. (2001). Review: Occupational
risks for voice problems. Logopedics Phoniatrics
Vocology, 26(1), 37-46.
World Health Organization. (2001). International Clas-
si cation of Functioning, Disability and Health: ICF.
World Health Organization.
on Telepractice: Key issues. From http://www.asha.
org/PRPSpecificTopic.aspx?folderid=8589934956§ion=
Key Issues Retrieved on 01st January, 2017.
Barkmeier-Kraemer, J. M., & Patel, R. R. (2016). The next
10 years in voice evaluation and treatment. Seminars in
speech and language, 37(3), 158-165.
Boominathan, P. (2010). Voice therapy for singers and
teachers - Instructional DVD. Swathi Soft Solutions,
Chennai.
Boominathan, P., & Desai, V. (2012). Synergy between
speech language pathologists and ENT surgeons to promote
patent care. Journal of Laryngology and Voice,
2(2), 51-52.
Boominathan, P., Rajendran, A., Nagarajan, R., Seethapathy,
J., & Gnanasekar, M. (2008). Vocal abuse and vocal
hygiene practices among di erent level professional voice
users in India: A survey. Asia Paci c Journal of Speech,
Language, and Hearing, 11(1), 47-53.
Boominathan, P., Samuel, J., Arunachalam, R., Nagarajan,
R., & Mahalingam, S. (2014). Multiparametric voice assessment
- Sri Ramachandra University protocol. Indian
Journal of Otolaryngology - Head and Neck Surgery,
66(1), 246-251.
Boone, D. R., McFarlane, S. C., Von Berg, S. L., & Zraick,
R. I. (2013). The voice and voice therapy (9th Ed.).
Boston, MA: Allyn & Bacon publishers.
Chauhan, V. (2015). Translation and validation of voice
disorder outcome pro le (V-DOP) Hindi language. Unpublished
Masters' dissertation, Sri Ramachandra University,
Chennai.
Cohen, S. M., Kim, J., Roy, N., Asche, C., & Courey, M.
(2012). Direct health care costs of laryngeal diseases and
disorders. The Laryngoscope, 122(7),1582-1588.
De Jong, F. I. C. R. S., Kooijman, P. G. C., Thomas, G.,
Huinck, W. J., Graamans, K., & Schutte, H. K. (2006).
Epidemiology of voice problems in Dutch teachers. Folia
phoniatrica et logopaedica, 58(3), 186-198.
Dejonckere, P. H., Bradley, P., Clemente, P., Cornut, G.,
Crevier-Buchman, L., Friedrich, G., et al. (2001). A
basic protocol for functional assessment of voice pathology,
especially for investigating the ecacy of (phonosurgical)
treatments and evaluating new assessment techniques.
European Archives of Oto-rhino-laryngology,
258(2), 77-82.
Denizoglu, I., & Sihvo, M. (2010). Lax Vox voice therapy
technique. Current Practice in Otorhinolaryngology, 6,
285-295.
Enderby, P. (1997). Therapy outcome measures: Speech-
language pathology. SanDiego, CA: Singular Publishing
Group.
Erath, B. D., Peterson, S. D., Zan~nartu, M., Wodicka, G. R.,
& Plesniak, M. W. (2011). A theoretical model of the
pressure eld arising from asymmetric intraglottal
ows
applied to a two-mass model of the vocal folds. Jour-
nal of the Acoustical Society of America, 30(1), 389-
403.
Gliklich, R, E., Glovsky, R, M., & Montgomery, W. W.
(1999). Validation of a voice outcome survey for unilateral
vocal cord paralysis. Otolaryngology{Head and
Neck Surgery, 120(2), 153-158.
Hogikyan, N. D., & Sethuraman, G. (1999). Validation of
an instrument to measure Voice-Related Quality of Life
(V-RQOL). Journal of Voice, 13, 557-569.
Jacobson, B. H., Johnson, A., Grywalski, C., Silbergleit,
A., Jacobson, G., Benninger, M. S. & Newman, C.
W. (1997). The Voice Handicap Index: Development
and validation. American Journal of Speech Language
Pathology, 6, 66-70.
Khosla, S., Oren, L., & Gutmark, E. (2014). An example of
the role of basic science research to inform the treatment
of unilateral vocal fold paralysis. SIG 3 Perspectives on
Voice and Voice Disorders, 24, 37-50.
Konnai, R. M., Jayaram, M., & Scherer, R. C. (2010). Development
and validation of a Voice Disorder Outcome
Pro le (V-DOP) for an Indian population. Journal of
Voice, 24(2), 206-220.
Koschkee, D. C. (1993). Voice disability index. Madison:
University of Wiscosin Hospital and Clinics.
Kotby, M. N. (1995). The accent method of voice therapy
(Vol. 1). Singular Pub Group.
Lester, R. A., Barkmeier-Kraemer, J., & Story, B. H.
(2013). Physiologic and acoustic patterns of essential
vocal tremor. Journal of Voice, 27(4), 422-432.
Li, N. Y., Vodovotz, Y., Kim, K. H., Mi, Q., Hebda, P.
A., & Abbott, K. V. (2011). Biosimulation of acute
phonotrauma: An extended model. The Laryngoscope,
121(11), 2418-2428
Ma, E. P. -M., & Yiu, E. M. -L. (2001). Voice activity and
participation pro le: Assessing the impact of voice disorders
on daily activities. Journal of Speech, Language
and Hearing Research, 44, 511-524.
Mahalingam, S., Boominathan, P., & Balasubramanian, S.
(2014). Voice disorder outcome pro le (V-DOP): Translation
and validation in Tamil language. Journal of
Voice, 28(6), 841e21-32.
Mashima, P. A., Birkmire-Peters, D. P., Syms, M. J., Holtel,
M. R., Burgess, L. P., & Peters, L. J. (2003). Telehealth:
Voice therapy using telecommunications technology.
American Journal of Speech-Language Pathology,
12, 432-439. doi: 10.1044/1058-0360(2003/089)
Mehta, D. D., Deliyski, D. D., Zeitels, S. M., Quatieri, T.
F., & Hillman, R. E. (2010). Voice production mechanisms
following phonosurgical treatment of early glottic
cancer. Annals of Otology Rhinology Laryngology,
119(1),1-9.
National Data Sharing and Accessibility Policy (NDSAP),
Ministry of Human Resource Develpment, Government
of India. (2012). Retrieved on 31st
Dec, 2015 from http://www.dst.gov.in/national-data-sharingand-
accessibility-policy-0.
Oltho , A., Woywod, C., & Kruse, E. (2007). Stroboscopy
versus high-speed glottography: A comparative study.
The Laryngoscope,117 (6),1123-1126.
Patel, R. R., Bless, D. M., & Thibeault, S. L. (2011).
Boot camp: A novel intensive approach to voice therapy.
Journal of Voice, 25, 562-569.
Patel, R. R., Donohue, K. D., Unnikrishnan, H, & Kryscio,
R. J. (2015). Kinematic measurements of the vocalfold
displacement waveform in typical children and adult
populations: quanti cation of high-speed endoscopic
videos. Journal of Speech Language and Hearing Re-
search, 58(2), 227-240.
Patel, R. R., Dubrovskiy, D., & Dollinger, M. (2014). Measurement
of glottal cycle characteristics between children
and adults: physiological variations. Journal of Voice,
28(4), 476-486.
Patel, R. R., Liu, L., Galatsanos, N., & Bless, D. M. (2011).
Di erential vibratory characteristics of adductor spasmodic
dysphonia and muscle tension dysphonia on highspeed
digital imaging. Annals of Otology Rhinology
Laryngology, 120(1), 21-32.
Patel, R. R., Pickering, J., Stemple, J., & Donohue, K. D.
(2012). A case report in changes in phonatory physiology
following voice therapy: Application of high-speed
imaging. Journal of Voice, 26(6), 734-741.
Patel, R. R., Walker, R., & Sivasankar, P. M. (2015). Spatiotemporal
quanti cation of vocal fold vibration following
exposure to super cial laryngeal dehydration:
A preliminary study. Journal of Voice, 30(4), 427-
433.
Ramig, L., Bonitati, C., Lemke, J., & Horii, Y. (1994). Voice
treatment for patients with Parkinson Disease: Development
of an approach and preliminary ecacy data.
Journal of Medical Speech-Language Pathology, 2, 191-
209.
Roy, N., Merrill, R. M., Thibeault, S., Gray, S. D., & Smith,
E. M. (2004). Voice disorders in teachers and the general
population: E ects on work performance, attendance,
and future career choices. Journal of Speech Language
Hearing Research, 47(3), 542-551.
Roy, N., Merrill, R. M., Thibeault, S., Parsa, R. A., Gray,
S. D., & Smith, E. M. (2004). Prevalence of voice disorders
in teachers and the general population. Journal
of Speech, Language, and Hearing Research, 47(2), 281-
293.
Russell, A., Oates, J., & Greenwood, K. M. (1998). Prevalence
of voice problems in teachers. Journal of voice,
12(4), 467-479.
Ryan, M., & Kenny, D. T. (2009). Perceived e ects of the
menstrual cycle on young female singers in the Western
classical tradition. Journal of Voice, 23(1), 99-
108.
Schneider, S. L., & Satalo , R. T. (2007). Voice therapy for
the professional voice. Otolaryngologic Clinics of North
America, 40, 1133-1149.
Simberg, S., Sala, E., & Ronnemaa, A. M. (2004). A
comparison of the prevalence of vocal symptoms among
teacher students and other university students. Journal
of Voice, 18(3), 363-368.
Smith, E., Lemke, J., Taylor, M., Kirchner, H. L., & Ho -
man, H. (1998). Frequency of voice problems among
teachers and other occupations. Journal of voice, 12(4),
480-488.
Smith, E., Verdolini, K., Gray, S., Nichols, S., Lemke, J.,
Barkmeier-Kraemer, J. M., et al. (1996). E ect of voice
disorders on quality of life. Journal of Medical Speech-
Language Pathology, 4(4), 223-244.
Stemple, J. (1995). Clinical voice pathology: Theory
and management (2nd ed.). San Diego, CA: Singular.
Titze, I. R. (1990). Vocology. National Association of
Teachers of Singing Journal, 46(3), 21-22.
Titze, I. R. (1992). Rationale and structure of a curriculum
in vocology. Journal of Voice, 6(1), 1-9.
Titze, I. R. (1994). Principles of voice production. Utah:
National Center for Voice and Speech.
Titze, I. R. (2000). Principles of voice production. Utah:
National Center for Voice and Speech.
Titze, I. R. (2006). Voice training and therapy with a semioccluded
vocal tract: Rationale and scienti c underpinnings.
Journal of Speech, Language, and Hearing Re-
search, 49, 448-459.
Titze, I. R., & Verdolini, K. (2012). Vocology: The science
and practice of voice habilitation. Utah: National Center
for Voice and Speech.
Titze, I. R., Hunter, E. J., & Svec, J. G. (2007). Voicing and
silence periods in daily and weekly vocalizations of teachers.
The Journal of the Acoustical Society of America,
121(1), 469-478.
van Leer, E., & Connor, N. P. (2012). Use of portable
digital media players increases patient motivation and
practice in voice therapy. Journal of Voice, 26(4), 447-
453.
Verdolini, K. (1998). A Guide to vocology. Denver, CO:
National Center for Voice and Speech.
Verdolini, K. (2000). Resonant voice therapy. In J. Stemple
(Ed.), Voice therapy: Clinical studies (pp. 46-61). San
Diego, CA: Singular.
Verdolini, K., & Ramig, L. O. (2001). Review: Occupational
risks for voice problems. Logopedics Phoniatrics
Vocology, 26(1), 37-46.
World Health Organization. (2001). International Clas-
si cation of Functioning, Disability and Health: ICF.
World Health Organization.