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Research Article|Articles in Press

Voice Outcomes of Straw Phonation Exercises for Telephone Customer Service Staff

  • Yi-Hsuan Yu
    Affiliations
    Department of Otolaryngology Head and Neck Surgery, Mackay Memorial Hospital, Taipei, Taiwan

    Department of Audiology and Speech Language Pathology, Mackay Medical College, New Taipei City, Taiwan
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  • Sherry Fu
    Affiliations
    Department of Audiology and Speech Language Pathology, Mackay Medical College, New Taipei City, Taiwan

    Lower School, Taipei American School, Taipei, Taiwan
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  • Chin-Wen Chang
    Affiliations
    Department of Otolaryngology Head and Neck Surgery, Mackay Memorial Hospital, Taipei, Taiwan
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  • Li-Chun Hsieh
    Correspondence
    Address correspondence and reprint requests to Li-Chun Hsieh, Department of Otolaryngology Head and Neck Surgery, Mackay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd., Taipei City 10449, Taiwan.
    Affiliations
    Department of Otolaryngology Head and Neck Surgery, Mackay Memorial Hospital, Taipei, Taiwan

    Department of Audiology and Speech Language Pathology, Mackay Medical College, New Taipei City, Taiwan
    Search for articles by this author

      Summary

      Objective

      This study aimed to investigate the effectiveness of a straw phonation exercise program in preventing voice problems in telephone customer service staff.

      Study Design

      Prospective study.

      Methods

      Twenty-eight participants with no obvious voice problems were placed into two groups: the experimental (n = 13) and control (n = 15) groups. The experimental group received voice hygiene instructions and participated in a 3-week straw phonation exercise program, while the control group only received voice hygiene instructions. The acoustic parameters and Mandarin Chinese version of the Vocal Fatigue Index (CVFI) scores were statistically analyzed before training, immediately after training, followed up one and 3 months after training.

      Results

      The results showed that speaking fundamental frequency (SF0), shimmer, and cepstral peak prominence (CPP) of the experimental group improved immediately after the straw phonation exercise program, and shimmer of the experimental group after training was also significantly lower than that of the control group. A higher SF0 and lower shimmer were noted in the experimental group during the follow-up phase, whereas factors 1 (voice load and fatigue) and 2 (physiological symptoms) of the CVFI did not differ significantly until the third month after training.

      Conclusion

      The study results suggest that the straw phonation exercise program can help telephone service staff to establish an appropriate speaking pitch and prevent voice fatigue.

      Key Words

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