Document Detail


Voice rest versus exercise: a review of the literature.
MedLine Citation:
PMID:  19660903     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Keiko Ishikawa; Susan Thibeault
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Review     Date:  2009-08-05
Journal Detail:
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:
Created Date:  2010-07-15     Completed Date:  2010-10-22     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  8712262     Medline TA:  J Voice     Country:  United States    
Other Details:
Languages:  eng     Pagination:  379-87     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 The Voice Foundation. Published by Mosby, Inc. All rights reserved.
Affiliation:
Division of Otolaryngology, Head and Neck Surgery, University of Wisconsin-Madison, Wisconsin Institute of Medical Research, Madison, Wisconsin 53705-2275, USA.
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MeSH Terms
Descriptor/Qualifier:
Exercise*
Humans
Postoperative Care / methods
Rest*
Vocal Cords / physiology,  surgery*
Voice*
Voice Disorders / rehabilitation,  surgery*
Wound Healing
Grant Support
ID/Acronym/Agency:
R01 DC 004336/DC/NIDCD NIH HHS; R01 DC004336-10/DC/NIDCD NIH HHS
Comments/Corrections

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