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Voice Therapy -Procedures, Side effects, Recovery time, Costs and alternatives

What is the treatment of Voice Therapy? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effect s? What are the post-treatment guidelines? How long doesit take to recover? What is the treatment price in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment of Voice Therapy?

The objective of voice therapy is to either improve or get rid of the problems associated with the ‎vocal sound creation in the larynx of an individual.‎After the voice therapy gets completed the ‎voice is expected to sound like before as it used to and be stronger. In the voice therapy there are ‎several exercising techniques which have been tailored to solve all the problems associated with ‎voice. For the majority of the vocal disorders, voice therapy is the best and most suitable option ‎for treatment. The voice of an individual may sound rough and harsh; it might also sound like ‎husky or strained. An example for a person suffering from a voice disorder can be if an ‎individual is not able to hold a key as it was done by that individual previously. Another instance ‎of a voice disorder is a singer not being able to sing songs having low or high notes. It has also ‎been observed that the voice of the person may vanish in some cases.‎

There are different types of voice disorders which require treatment through voice therapy. The ‎disorders of the voice are grouped as follows Organic voice disorder: this is a type of disorder which is caused when the larynx is affected by ‎the change. The physical changes observed in the voice may also result from a functional ‎disorder. The vocal cords of an individual getting paralyze after undergoing thyroid surgery ‎come under organic voice therapy.‎

Psychogenic voice disorder: in this type of disorder the voice may become hoarse. After the ‎occurrence of a distressing event, an individual may completely lose his/her voice.‎ Functional voice disorder: this kind of disorder arises in people that have a habit of speaking ‎loudly and frequently. Some people might speak in a register which is not suitable for them.‎ Thus, it would not be wrong to say that voice therapy involves changing the biomechanics of the ‎production of voice.‎

How is the treatment done?

There are numerous voice therapy techniques that are available and which can be applied for the ‎treatment of the voice disorder. However, the approach taken for voice therapy varies for distinct ‎individuals. There is no specific voice therapy treatment that can be given to all the patients. ‎Before starting the treatment with any of voice therapy techniques it is essential that a voice ‎therapist first assess the symptoms being exhibited by a patient and then decide which single or ‎combination of techniques would be best suited for the treatment.‎

Some of the voice therapy approaches which are applied for treatment are given below

Symptomatic voice therapy: in this methodology of the voice therapy the symptoms which are ‎causing the voice disorders are either directly or indirectly modified. This therapy modifies the ‎loudness, rate, laryngeal muscle tension, resonance, phonation, and respiration. One of the most ‎widely used techniques in symptomatic voice treatment methodology is chant-talk technique. ‎This therapy is useful in the reduction of the phonatory effect. The objective of this technique to ‎decrease the effort required for talking. Initially, a patient is made to hear a few recordings and is ‎then told to imitate them in different patterns of voice. Another technique belonging to the ‎symptomatic voice therapy treatment is resonant voice therapy. This technique is often taught to ‎the singers and actors for enhancing their production of voice. In this technique, the force of the ‎vibration of vocal cords against each other is reduced.‎

Physiologic voice therapy: a treatment thought this methodology is adopted when the vocal ‎mechanism is disturbed by a voice disorder. In this therapy, the physiologic activities are ‎modified that are having an effect on the resonance, phonation, and respiration. The objective of ‎this therapy is to strike a balance among several subsystems. The most common technique used ‎for voice therapy in this methodology is accent method. This technique finds its use in the ‎treatment of dysphonia, dysprosody, and stuttering. The main objectives of this technique are a ‎reduction of the glottis waste, increasing the pulmonary output, stabilizing the vibration pattern, ‎and reduction in the muscle tension. This procedure is divided into two parts which are ‎diaphragmatic breathing and rhythmic vowel play.‎ If a patient has undergone laryngectomy for the treatment of some disorder then voice prosthesis ‎is used to help the patient in speaking. In such a patient voice therapy is used for regaining the ‎ability to speak.‎

Who is eligible for the treatment? (When is the treatment done?)

Any individual that is suffering from the disorder of the voice is eligible for the treatment using ‎voice therapy. A patient suffering from the following problems associated with the voice is ‎eligible for treatment

  • Neurological disorders
  • Viruses
  • Bacterial infections
  • Allergies
  • Surgery of the vocal fold
  • Misusing the voice like raising the voice and screaming.‎
  • A patient suffering from the laryngitis is eligible for the treatment as it can lead to loss of voice ‎quality. A patient suffering from the swelling of the vocal cords is a candidate for the treatment. ‎A patient suffering from a neuromuscular disorder like strokes, Parkinson’s disease, and laryngeal ‎cancer is an eligible candidate for treatment as these disorders affect the voice quality.‎

Who is not eligible for the treatment?

Whether a person is eligible for treatment through voice therapy or not is decided by the doctor ‎based on the voice quality and the condition a patient is suffering from. A patient having a ‎problem of sore throat is not an eligible candidate for treatment with voice therapy as this ‎condition usually goes away after some time. A person who is not suffering from any voice ‎disorders is not eligible for treatment with voice therapy.‎

Are there any side effect s?

Any treatment involving medicines, surgeries, and injectable have some or the other side effect ‎associated with them. The side effects range from being mild to severe. The occurrence of a mild ‎or a severe side effect varies from patient to patient. A patient experiencing a mild side effect ‎does not need to worry as they usually go away after a brief period of time. However, in case a ‎serious side effect is experienced then the doctor must be informed promptly by the patient. ‎

A patient undergoing treatment using voice therapy does not experience any potential side ‎effects of the treatment. Since the treatment through voice therapy involves exercises of the ‎vocal muscles hence no side effect is observed. However, in the initial stages of the therapy, a ‎patient may experience some pain and difficulty.

What are the post-treatment guidelines?

The post-treatment guidelines help a patient in recovery after the completion of treatment. These ‎are a set of activities that are required to be followed by the patient after the completion of the ‎treatment. The post-treatment guidelines are made by the doctor based on the condition for ‎which the patient has undergone treatment so that the condition may not reoccur in the future. ‎The post-treatment guidelines that are required to be followed after voice therapy treatment are

  • The exercises related to the relaxation of the muscle tension of the vocal cords must be ‎continued and not abruptly ended.‎
  • The breathing exercise for coordinating the breathing while speaking must be continued.‎
  • The phono-traumatic behaviors like screaming, yelling, excessive crying, throat clearing, ‎and raising voice must be avoided.‎
  • The upper respiratory tract must be humidified with increased intake of water.‎
  • Drinks like alcohol and caffeine must be completely eliminated.‎

How long doesit take to recover?

In the majority of the patients that have been advised treatment with voice therapy, the voice ‎grows stronger only after two to three weeks of therapy. During this duration, a doctor may ‎examine the vocal cords to check whether a recovery has started or not. A complete recovery of a ‎patient depends upon the condition for which the voice therapy treatment is being undertaken. In ‎minor cases may only take a couple of weeks while in a severe condition it may take months to ‎completely recover from the voice disorder.‎

What is the treatment price in India?

The cost of voice therapy in India varies for different cities. In small cities, the fees of the voice ‎therapist range from 300 to 700 rupees per session based on the experience of the therapist. In ‎metro cities, the fees of voice therapist range from 1000 to 2000 rupees per based on the ‎experience of the voice therapist.‎

Are the results of the treatment permanent?

In the majority of the cases the results of the treatment of voice therapy are permanent. But as ‎they say future is uncertain thus there is always a possibility that a voice disorder may reoccur in ‎the future unless prevented by some effective post-treatment measures.‎

What are the alternatives to the treatment?

The alternatives to the treatment of voice therapy include the surgical procedure of the vocal ‎cords or use of a vocal prosthesis. The surgical procedures may include cricothyroid ‎approximation, laryngoplasty, and laser-assisted voice adjustment. In the voice prosthesis, an ‎artificial device made of silicon helps the patient in speaking. However, these techniques are only ‎useful if they are used in conjunction with voice therapy. ‎

Popular Questions & Answers

How to improve and clear my voice? Whenever I talk to anyone either on phone or in any meet up I have to say a single line repeatedly as first time he/she can't understand what I am saying. It is not I am speaking other language. We are talking the same language but still they can't immediately understand my words. Today a person said me that whenever I speak, he has to make idea to understand what I am saying, and interestingly two person around us were agree with him. Now I feel I actually not speak clearly. So please guide me that how can I improve my voice quality, clarity? Also in childhood I had a problem of stammering which is still now but lesser than earlier. Thanks.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Hello and welcome to Lybrate. I have reviewed your query and here is my advice. Improving voice can be easily done with the help of a speech therapist. I suggest telephonic counseling and online psychotherapy for you. you can contact me for furthe...
2 people found this helpful

HI, My voice is very low, I can't speak louder and I have female type of voice. This problem is occurring before 3 years.

Ali Yavar Jung National Institute Of Speech And Hearing Disabilities Kolkata, PhD - Public Health
Audiologist, Delhi
This issue is called Puberphonia: Male having female voice. Please consult a qualified voice therapist/ Speech therapist There is a good prognosis if you are in right hands. Consult a qualified Speech therapist. Good luck.
1 person found this helpful

I am a male but my voice like a female while speaking with some one .I'm facing this problem. Tell me how to clear this.

Master of Science In Audiology, Bachalor In Audiology & Speech
Speech Therapist, Delhi
Hello Male having female voice is termed as puberphonia. As the name indicates during puberty our voice should change but if does not change you need to speech therapist who will help out to correct your pitch. It is very easily treatable. There a...
3 people found this helpful

Hello, my voice is very low that Every time I talk to someone, I have to repeat my words twice or thrice, what should​ I should I've to do to get loud and clear voice.

Master of Science In Audiology, Bachalor In Audiology & Speech
Speech Therapist, Delhi
Hello Mr. lybrate-user, first it should be diagnosed. There are many reasons to get reduced loudness. Generally our voice loudness and voice depends on length ,mass and tension of vocal cord which is situated in throat. Another thing you have ment...

I am 20 year old male I have puberphonia. My voice is very childish or feminine type, and its very embracing. Please give some remedies and suggestions to get rid of it. Thank you!

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
Dear lybrate-user. Puberphonia can be treated by speech training. Some time change in hormonal level can cause this problem. Nothing to worry. It can be treated by combination therapy. Please consult psychiatrist. All d best!

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