MedPath

Bruni® Training in OPHL Patients

Not Applicable
Not yet recruiting
Conditions
Substitution Voice
Interventions
Behavioral: Bruni® training
Registration Number
NCT06058273
Lead Sponsor
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Brief Summary

Surgically treated patients with type II OPHL being treated at the Phoniatrics Unit of the Fondazione Policlinico Universitario A. Gemelli-IRCCS, but not satisfied with their voice after the first cycle of therapy with a standard rehabilitation approach, will be recruited. To interested patients, a specific vocal rehabilitation program based on Bruni training will be proposed in order to compare the results obtained using this method with those following the previous treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Age over 18;
  • Italian mother tongue;
  • ability to produce the replacement voice;
  • ability to provide written informed consent
Exclusion Criteria
  • < 1 year from the end of both surgical and radiotherapy treatment;
  • presence of disease recurrence;
  • sensory, neurological deficits
  • Learning disabilities

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
OPHL patientsBruni® training-
Primary Outcome Measures
NameTimeMethod
Maximum phonation time3 months

emit a sustained /a/ for as long as possible with a single air intake. The test will be repeated three times and the longest of the three attempts will be calculated as MPT

type of spectrogram3 months

A sustained /a/ will be recorded, subsequently analyzed with the PRAAT software.

foundamental frequency3 months

A sustained /a/ will be recorded, subsequently analyzed with the PRAAT software

Formantic peaks3 months

The dysillabic word /papà/ will be recorded, subsequently analyzed with the PRAAT software

perceptual evaluation3 months

Voices will be perceptually rated by expert clinicians using the INFVo scale which includes overall impression (I), amount of unintentional additive noise (N), fluency (F) and voice quality (Vo). For each parameter the score can vary from 0 to 10. The higher the score, the better the perceived voice quality.

self evaluation of voice3 months

Patients will be administered the self-evaluation questionnaire "Self-evaluation of Communicative Experience after Laryngeal cancer" which measures adaptation to the replacement voice through 35 items in three subscales (General, Environment, Attitude). Patients should rate each statement on a 4-point categorical scale. You can get a total score from 0 to 102 and three subscores. A score ≥60 suggests the need for specific psychological intervention for acceptance of the new voice.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Fondazione Policlinico Universitario A. Gemelli - IRCCS

🇮🇹

Roma, Italy

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