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The Effectiveness of Low-Level Light Therapy in Attenuating Vocal Fatigue.

Journal of voice : official journal of the Voice Foundation
May 1, 2017
Loraine Sydney Kagan et al. (2 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to investigate the effectiveness of low-level light therapy (LLLT) in reducing symptoms of vocal fatigue induced by a vocal loading task, using acoustic, aerodynamic, and self-reported measures.

Results Summary

Vocal loading increased phonation threshold pressure (PTP) and self-perceived vocal effort (IPSV) while decreasing relative fundamental frequency (RFF). Red light LLLT (628 nm) significantly normalized these measures compared to other treatments, suggesting a potential therapeutic effect on vocal fatigue.

Population

16 vocally healthy adults divided into four treatment groups.

Effective Dosage

Infrared wavelength (828 nm) and red wavelength (628 nm) LLLT applied to the laryngeal region.

Duration

Treatment was administered immediately after a 1-hour vocal loading task, with follow-up measurements taken 1 hour post-treatment.

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Low-level light therapy (LLLT)
decrease
inflammation
-
-
is effective in reducing
#1
Low-level light therapy (LLLT)
increase
wound healing
-
-
promoting
#2
Low-level light therapy (LLLT)
decrease
tissue damage
-
-
preventing
#3
Vocal loading
increase
Phonation threshold pressure (PTP)
vocally healthy adults
-
significantly increased
#4
Vocal loading
increase
inability to produce soft voice (IPSV) self-perceptual rating scale
vocally healthy adults
-
significantly increased
#5
Vocal loading
decrease
onset relative fundamental frequency (RFF)
vocally healthy adults
-
decreased
#6
Vocal loading
decrease
offset relative fundamental frequency (RFF)
vocally healthy adults
-
decreased
#7
Red wavelength LLLT (628 nm)
no change
the combination of PTP, IPSV, and RFF measures
vocally healthy adults
-
significantly normalized
#8
Red LLLT
no change
objective and subjective measures of vocal fatigue
-
-
may have a normalizing effect on
#9
Abstract

OBJECTIVES: Low-level light therapy (LLLT) is effective in reducing inflammation, promoting wound healing, and preventing tissue damage, but has not yet been studied in the treatment of voice disorders. The objective of this study was to investigate the possible effectiveness of LLLT in attenuating symptoms of vocal fatigue created by a vocal loading task as measured by acoustic, aerodynamic, and self-reported vocal effort. METHODS: In a randomized, prospective study, 16 vocally healthy adults divided into four groups underwent a 1-hour vocal loading procedure, followed by infrared wavelength LLLT (828 nm), red wavelength LLLT (628 nm), heat, or no heat-light (control) treatment targeting the laryngeal region of the ventral neck surface. Phonation threshold pressure (PTP), relative fundamental frequency (RFF), and the inability to produce soft voice (IPSV) self-perceptual rating scale were recorded (1) at baseline, (2) immediately after vocal loading, (3) after treatment, and (4) 1 hour after treatment. RESULTS: Vocal loading significantly increased PTP and IPSV and decreased onset and offset RFFs, consistent with a shift toward vocal dysfunction. Red light significantly normalized the combination of PTP, IPSV, and RFF measures compared to other conditions. CONCLUSIONS: RFF is sensitive to a vocal loading task in conjunction with PTP and IPSV, and red LLLT may have a normalizing effect on objective and subjective measures of vocal fatigue. The results of this study lay the groundwork and rationale for future research to optimize LLLT wavelength combinations and overall dose.

Medical Subject Headings (MeSH)
AcousticsAdultBostonFemaleHumansLarynxLow-Level Light TherapyMaleProspective StudiesRecovery of FunctionSelf ReportSignal Processing, Computer-AssistedSpeech AcousticsSpeech PerceptionSpeech Production MeasurementTime FactorsTreatment OutcomeVoice DisordersVoice QualityYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations18
Citations/Year2.3
Relative Citation Ratio2.04
NIH Percentile75.1%
Research Impact Scores
APT Score0.50
Weight Score1.97
Normalized Score0.66
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