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Laryngeal Vibro-tactile Stimulation as a Non-invasive Symptomatic Treatment for Spasmodic Dysphonia

Phase 2
Withdrawn
Conditions
Abductor Spastic Dysphonia
Laryngeal Dystonia
Adductor Spasmodic Dysphonia
Interventions
Device: vibro-tactile stimulation (VTS)
Registration Number
NCT05467228
Lead Sponsor
University of Minnesota
Brief Summary

The general aim of the research is to provide scientific evidence that vibro-tactile stimulation (VTS) represents a non-invasive form of neuromodulation that can induce measurable improvements in the speech of patients with laryngeal dystonia (LD) - also called spasmodic dysphonia (SD).

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
60
Inclusion Criteria
  • 18 years of age or older
  • Confirmed diagnosis of adductor or abductor LD for a minimum of 6 months.
Exclusion Criteria
  • Regular intake of benzodiazepines
  • Cognitive impairment: score < 27 on the Mini-mental State Examination (MMSE).
  • Identify with a neurological or musculoskeletal impairment affecting speech motor function. These impairments may include a form of: Dyskinesia, Dystonia other than LD, Essential Tremor, Huntington's Disease, Multiple System Atrophy, Muscle Tension Dysphonia, Parkinsonism, Progressive Supranuclear Palsy, Spasticity, Intracranial Neoplasm (brain tumor), Spinal Neoplasm, Cerebrovascular Accident (Stroke), Mild Traumatic Brain Injury, Intracranial Hemorrhage, Multiple Sclerosis.
  • Non-English speaker. We will not enroll people who cannot speak English, because the voice assessment procedures (Test sentences, CAPE_V clinical rating) have only been validated for English speakers at this point.
  • Pregnant people. We will not enroll pregnant people as the device used in this study is investigational.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Low dose / continuous VTSvibro-tactile stimulation (VTS)Low dose refers to receiving VTS 5 times/week for 20 minutes each; non-task-specific, constant stimulation during non-speech
High dose / speech activated VTSvibro-tactile stimulation (VTS)High dose refers to receiving VTS 7 times/week for 20 minutes each; VTS during connected speech
Low dose / speech activated VTSvibro-tactile stimulation (VTS)Low dose refers to receiving VTS 5 times/week for 20 minutes each; VTS during connected speech
High dose / continuous VTSvibro-tactile stimulation (VTS)High dose refers to receiving VTS 7 times/week for 20 minutes each; non-task-specific, constant stimulation during non-speech
Primary Outcome Measures
NameTimeMethod
Change in perceived speech effort (PSE)24 months

Speaker will assess effort themselves and assign an score (range: 0-10 with a score of '10' indicating most severe effort)

Change in speech quality vector (SQV) (%)24 months

A derived measure designed to understand if a participant's voice symptom improvement occurs across objective (CPPS) and subjective measures of speech (PSE). It is based on the relative change between two time points

Change in smoothed cepstral peak prominence (CPPS)24 months

CPPS provides a measure of the strength of the fundamental frequency within background aperiodicity (physical unit is dB)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Minnesota

🇺🇸

Minneapolis, Minnesota, United States

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