| Voice rest versus exercise: a review of the literature. | |
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MedLine Citation:
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PMID: 19660903 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Voice rest is commonly prescribed after vocal fold surgery to promote wound healing of the vocal fold. Currently, there is no standard protocol that is established based on biological evidence. In orthopedic rehabilitation, long-term rest is found to be less effective for connective tissue healing than exercise. Connective tissue healing is also an important factor for successful voice rehabilitation; however, whether this concept can be extrapolated to voice rehabilitation is unknown. The purpose of this article is to review current clinical and basic science literature to examine the effect of voice rest in postsurgical rehabilitation. First, we present a summary of clinical literature that pertains to voice rest. Second, we present description of connective tissues that are involved in orthopedic and voice rehabilitation, specifically, ligament and lamina propria, respectively, and their wound healing process. Third, a summary of the literature from orthopedic research on the effect of rest versus exercise is presented. Lastly, it summarizes in vitro and in vivo studies that examined the effect of mechanical stress on vocal fold tissue. Current literature suggests that there is a lack of clinical evidence that supports a specific type and duration of voice rest, and extrapolation of the findings from orthopedic research may be unreasonable due to the morphological and biochemical difference between the tissues. To determine the effect of voice rest, further elucidation of vocal fold wound healing process and the effect of mechanical stress on vocal fold tissue remodeling are needed. |
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Authors:
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Keiko Ishikawa; Susan Thibeault |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Review Date: 2009-08-05 |
Journal Detail:
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Title: Journal of voice : official journal of the Voice Foundation Volume: 24 ISSN: 1873-4588 ISO Abbreviation: J Voice Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-15 Completed Date: 2010-10-22 Revised Date: 2013-05-02 |
Medline Journal Info:
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Nlm Unique ID: 8712262 Medline TA: J Voice Country: United States |
Other Details:
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Languages: eng Pagination: 379-87 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2010 The Voice Foundation. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Division of Otolaryngology, Head and Neck Surgery, University of Wisconsin-Madison, Wisconsin Institute of Medical Research, Madison, Wisconsin 53705-2275, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Exercise* Humans Postoperative Care / methods Rest* Vocal Cords / physiology, surgery* Voice* Voice Disorders / rehabilitation, surgery* Wound Healing |
| Grant Support | |
ID/Acronym/Agency:
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R01 DC 004336/DC/NIDCD NIH HHS; R01 DC004336-10/DC/NIDCD NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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