{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T23:52:27Z","timestamp":1790380347698,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This exploratory study investigated tracheoesophageal voicing following 6\u2009weeks of resistance\u2010based dysphagia rehabilitation with the SEA2.0, using a multidimensional assessment approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty laryngectomized participants were assessed at T0 (baseline), T1 (after 6\u2009weeks training), and T2 (after 8\u2009weeks rest). Training included the chin tuck, jaw opening, and effortful swallow against resistance. Multidimensional assessments included acoustic analysis (AVQI, intensity, dynamic range), clinician\u2010rated perceptual evaluations (voice tonicity, intelligibility), PROMs (VHI\u201010, V\u2010RQOL, CPIB\u201010), and tracheal manometry and pharyngeal\u2010\/esophageal high\u2010resolution impedance manometry during voicing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No significant changes in mean AVQI, intensity, dynamic range, voice tonicity, intelligibility, PROMs, and physical outcomes (manometry) were found. However, several clinically relevant changes, mostly improvements, were noted in 14 participants for AVQI and PROMs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Tracheoesophageal voice, on average, is not affected by resistance\u2010based muscle training for swallowing rehabilitation. For some participants, however, several clinically relevant improvements in voice quality and quality of life were noticeable.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.28136","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T22:45:47Z","timestamp":1743029147000},"page":"2209-2222","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Tracheoesophageal Voicing Following Resistance\u2010Based Dysphagia Rehabilitation: An Exploratory Multidimensional Assessment"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1780-3055","authenticated-orcid":false,"given":"Marise","family":"Neijman","sequence":"first","affiliation":[{"name":"Department of Head and Neck Oncology and Surgery The Netherlands Cancer Institute  Amsterdam the Netherlands"},{"name":"Amsterdam Center for Language and Communication (ACLC) University of Amsterdam (UvA)  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9288-5402","authenticated-orcid":false,"given":"Klaske E.","family":"van Sluis","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology and Surgery The Netherlands Cancer Institute  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6321-7635","authenticated-orcid":false,"given":"Rob J. J. H.","family":"van Son","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology and Surgery The Netherlands Cancer Institute  Amsterdam the Netherlands"},{"name":"Amsterdam Center for Language and Communication (ACLC) University of Amsterdam (UvA)  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martijn M.","family":"Stuiver","sequence":"additional","affiliation":[{"name":"Center for Quality of Life and Division of Psychosocial Research and Epidemiology The Netherlands Cancer Institute  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frans J. 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