{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T08:15:31Z","timestamp":1771402531851,"version":"3.50.1"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T00:00:00Z","timestamp":1766188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T00:00:00Z","timestamp":1766188800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"Instituto Anima","award":["60\/2024"],"award-info":[{"award-number":["60\/2024"]}]},{"name":"Instituto Anima","award":["60\/2024"],"award-info":[{"award-number":["60\/2024"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Lasers Med Sci"],"DOI":"10.1007\/s10103-025-04790-4","type":"journal-article","created":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T04:34:56Z","timestamp":1766205296000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A single photobiomodulation session selectively improves vocal stability and respiratory capacity in teachers with severe vocal fatigue"],"prefix":"10.1007","volume":"40","author":[{"given":"Aline","family":"Garrido","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renato","family":"Zangaro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osmar Pinto","family":"Neto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,20]]},"reference":[{"key":"4790_CR1","doi-asserted-by":"publisher","first-page":"665.e9","DOI":"10.1016\/j.jvoice.2011.09.010","volume":"26","author":"M Behlau","year":"2012","unstructured":"Behlau M, Zambon F, Guerrieri AC, Roy N (2012) Epidemiology of voice disorders in teachers and nonteachers in Brazil: prevalence and adverse effects. J Voice 26:665.e9-665.e18","journal-title":"J Voice"},{"key":"4790_CR2","doi-asserted-by":"crossref","unstructured":"Provenzano CFA, Maria Marinho Sampaio L, T Preval\u00eancia de disfonia em professores do ensino p\u00fablico estadual afastados de sala de aula (2010) Prevalence of vocal dysfunction in teachers from the state education, licensed from classroom","DOI":"10.1590\/S1516-18462010000100013"},{"key":"4790_CR3","doi-asserted-by":"publisher","unstructured":"Abou-Raf\u00e9e M, Zambon F, Badar\u00f3 F, Behlau M (2019) Vocal fatigue in dysphonic teachers who seek treatment. Codas 31. https:\/\/doi.org\/10.1590\/2317-1782\/20182018120","DOI":"10.1590\/2317-1782\/20182018120"},{"key":"4790_CR4","unstructured":"Santos TA, Belmiro J, J\u00fanior M Altera\u00e7\u00f5es vocais em professores escolares: revis\u00e3o sistem\u00e1tica * Vocal changes in school teachers: systematic review"},{"key":"4790_CR5","unstructured":"analise acustica de vozes patologicas"},{"key":"4790_CR6","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1016\/j.jvoice.2016.06.003","volume":"31","author":"IR Titze","year":"2017","unstructured":"Titze IR (2017) Human speech: a restricted use of the mammalian larynx. J Voice 31:135\u2013141. https:\/\/doi.org\/10.1016\/j.jvoice.2016.06.003","journal-title":"J Voice"},{"key":"4790_CR7","unstructured":"Boersma P, Van Heuven V Speak and unSpeak with PRAAT RAAT"},{"key":"4790_CR8","unstructured":"Paulo Teixeira J, Barbosa Ferreira D, Moreira Carneiro S, An\u00e1lise Ac\u00fastica, Vocal-determina\u00e7\u00e3o do jitter e shimmer para diagn\u00f3stico de patologias da fala"},{"key":"4790_CR9","doi-asserted-by":"publisher","first-page":"E70","DOI":"10.1164\/rccm.201908-1590ST","volume":"200","author":"BL Graham","year":"2019","unstructured":"Graham BL, Steenbruggen I, Barjaktarevic IZ et al (2019) Standardization of spirometry 2019 update an official American thoracic society and European respiratory society technical statement. Am J Respir Crit Care Med 200:E70\u2013E88","journal-title":"Am J Respir Crit Care Med"},{"key":"4790_CR10","doi-asserted-by":"publisher","first-page":"384.e15","DOI":"10.1016\/j.jvoice.2016.09.004","volume":"31","author":"LS Kagan","year":"2017","unstructured":"Kagan LS, Heaton JT (2017) The effectiveness of low-level light therapy in attenuating vocal fatigue. J Voice 31:384.e15-384.e23. https:\/\/doi.org\/10.1016\/j.jvoice.2016.09.004","journal-title":"J Voice"},{"key":"4790_CR11","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11070938","author":"A Gonz\u00e1lez-Mu\u00f1oz","year":"2023","unstructured":"Gonz\u00e1lez-Mu\u00f1oz A, Cuevas-Cervera M, P\u00e9rez-Montilla JJ et al (2023) Efficacy of photobiomodulation therapy in the treatment of pain and inflammation: a literature review. Healthcare. https:\/\/doi.org\/10.3390\/healthcare11070938","journal-title":"Healthcare"},{"key":"4790_CR12","doi-asserted-by":"publisher","first-page":"532","DOI":"10.1089\/photob.2019.4641","volume":"37","author":"Z Lou","year":"2019","unstructured":"Lou Z, Gong T, Kang J et al (2019) The effects of photobiomodulation on vocal fold wound healing: in vivo and in vitro studies. Photobiomodulat Photomed Laser Surg 37:532\u2013538. https:\/\/doi.org\/10.1089\/photob.2019.4641","journal-title":"Photobiomodulat Photomed Laser Surg"},{"key":"4790_CR13","doi-asserted-by":"publisher","DOI":"10.1590\/2317-1782\/e20240222en","author":"VSB Bacelete","year":"2025","unstructured":"Bacelete VSB, Plec EMRL, Nunes FB et al (2025) Immediate effects of photobiomodulation with low-level laser in women with no laryngeal or voice changes: preliminary results. CoDAS. https:\/\/doi.org\/10.1590\/2317-1782\/e20240222en","journal-title":"CoDAS"},{"key":"4790_CR14","doi-asserted-by":"publisher","first-page":"51","DOI":"10.21876\/rcshci.v11i1.1053","volume":"11","author":"RM dos Santos","year":"2021","unstructured":"dos Santos RM, Cavalcante M, dos Porto S, de Morais VF (2021) Speech therapy strategies to promote the vocal health of teachers: integrative literature review. REVISTA CI\u00caNCIAS EM SA\u00daDE 11:51\u201360. https:\/\/doi.org\/10.21876\/rcshci.v11i1.1053","journal-title":"REVISTA CI\u00caNCIAS EM SA\u00daDE"},{"key":"4790_CR15","doi-asserted-by":"publisher","first-page":"8279","DOI":"10.1002\/cam4.3582","volume":"9","author":"RJ Bensadoun","year":"2020","unstructured":"Bensadoun RJ, Epstein JB, Nair RG et al (2020) Safety and efficacy of photobiomodulation therapy in oncology: a systematic review. Cancer Med 9:8279\u20138300","journal-title":"Cancer Med"},{"key":"4790_CR16","doi-asserted-by":"publisher","DOI":"10.1590\/2317-1782\/20242023333en","author":"EMRL Plec","year":"2024","unstructured":"Plec EMRL, Bacelete VSB, Santos MAR, Gama ACC (2024) Laryngeal photobiomodulation: application sites, interferences from body mass index and skin phototype. Codas. https:\/\/doi.org\/10.1590\/2317-1782\/20242023333en","journal-title":"Codas"},{"key":"4790_CR17","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1089\/pho.2007.2134","volume":"26","author":"TI Karu","year":"2008","unstructured":"Karu TI, Pyatibrat V., Moskvin V. et al (2008) Elementary processes in cells after light absorption do not depend on the degree of polarization: implications for the mechanisms of laser phototherapy. Photomed Laser Surg 26:77\u201382. https:\/\/doi.org\/10.1089\/pho.2007.2134","journal-title":"Photomed Laser Surg"},{"key":"4790_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/jcm9061724","volume":"9","author":"C Dompe","year":"2020","unstructured":"Dompe C, Moncrieff L, Matys J et al (2020) Photobiomodulation\u2014underlying mechanism and clinical applications. J Clin Med 9:1\u201317","journal-title":"J Clin Med"},{"key":"4790_CR19","doi-asserted-by":"publisher","first-page":"812.e17","DOI":"10.1016\/j.jvoice.2012.03.005","volume":"26","author":"K Nemr","year":"2012","unstructured":"Nemr K, Sim\u00f5es-Zenari M, Cordeiro GF et al (2012) GRBAS and cape-V scales: high reliability and consensus when applied at different times. J Voice 26:812.e17-812.e22. https:\/\/doi.org\/10.1016\/j.jvoice.2012.03.005","journal-title":"J Voice"},{"key":"4790_CR20","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1109\/JSTQE.2016.2561201","volume":"22","author":"LF De Freitas","year":"2016","unstructured":"De Freitas LF, Hamblin MR (2016) Proposed mechanisms of photobiomodulation or low-level light therapy. IEEE J Sel Top Quantum Electron 22:348\u2013364. https:\/\/doi.org\/10.1109\/JSTQE.2016.2561201","journal-title":"IEEE J Sel Top Quantum Electron"},{"key":"4790_CR21","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0268324","author":"RB Fujiki","year":"2022","unstructured":"Fujiki RB, Huber JE, Preeti Sivasankar M (2022) The effects of vocal exertion on lung volume measurements and acoustics in speakers reporting high and low vocal fatigue. PLoS One. https:\/\/doi.org\/10.1371\/journal.pone.0268324","journal-title":"PLoS One"},{"key":"4790_CR22","doi-asserted-by":"crossref","unstructured":"Vargha A, Delaney HD (2000) A critique and improvement of the CL common. Language Effect Size Statistics of McGraw and Wong","DOI":"10.2307\/1165329"},{"key":"4790_CR23","unstructured":"Meissel K, Yao ES (2024) Using Cliff\u2019s Delta as a Non-Parametric Effect Size Measure: An Accessible Web App and R Tutorial. 29"},{"key":"4790_CR24","doi-asserted-by":"publisher","unstructured":"Dantas MI dos, Gama S, Nogueira ACC, Furlan LLCR RMMM (2025) An\u00e1lise do Efeito Imediato do exerc\u00edcio de oscila\u00e7\u00e3o oral de Alta frequ\u00eancia sonorizada Em indiv\u00edduos com e Sem Sintomas vocais. Codas 37. https:\/\/doi.org\/10.1590\/2317-1782\/e20240056pt","DOI":"10.1590\/2317-1782\/e20240056pt"},{"key":"4790_CR25","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0002789","author":"NYK Li","year":"2008","unstructured":"Li NYK, Verdolini K, Clermont G et al (2008) A patient-specific in silico model of inflammation and healing tested in acute vocal fold injury. PLoS One. https:\/\/doi.org\/10.1371\/journal.pone.0002789","journal-title":"PLoS One"},{"key":"4790_CR26","doi-asserted-by":"publisher","first-page":"1055","DOI":"10.1007\/s10103-019-02885-3","volume":"35","author":"GHM de Souza","year":"2020","unstructured":"de Souza GHM, Ferraresi C, Moreno MA et al (2020) Acute effects of photobiomodulation therapy applied to respiratory muscles of chronic obstructive pulmonary disease patients: a double-blind, randomized, placebo-controlled crossover trial. Lasers Med Sci 35:1055\u20131063. https:\/\/doi.org\/10.1007\/s10103-019-02885-3","journal-title":"Lasers Med Sci"},{"key":"4790_CR27","doi-asserted-by":"publisher","first-page":"1416.e11","DOI":"10.1016\/j.jvoice.2023.04.005","volume":"39","author":"SJ Lee","year":"2023","unstructured":"Lee SJ, Park YM, Lim JY (2023) Comprehensive index of vocal fatigue (CIVF): development and clinical validation. J Voice 39:1416.e11-1416.e20. https:\/\/doi.org\/10.1016\/j.jvoice.2023.04.005","journal-title":"J Voice"}],"container-title":["Lasers in Medical Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10103-025-04790-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10103-025-04790-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10103-025-04790-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T07:22:33Z","timestamp":1771399353000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10103-025-04790-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,20]]},"references-count":27,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["4790"],"URL":"https:\/\/doi.org\/10.1007\/s10103-025-04790-4","relation":{},"ISSN":["1435-604X"],"issn-type":[{"value":"1435-604X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,20]]},"assertion":[{"value":"16 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Research Ethics Committee of Universidade Anhembi Morumbi, S\u00e3o Jos\u00e9 dos Campos, Brazil (approval number: 5.757.048), and registered on Plataforma Brasil (CAAE: 57484621.4.0000.5492). All procedures were performed in accordance with the ethical standards of the institutional and national research committees and with the 1964 Helsinki declaration and its later amendments.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Nature of the Research: You are being invited to participate in this research, which aims to evaluate the systemic and distal effects of low-intensity photobiomodulation in various clinical contexts. Research Participants: 300 Participation in the Research: By participating in this study, you allow the researcher(s) to use the collected data in scientific and public publications without any conflict of interest. You have the freedom to decline participation or withdraw at any stage of the research without any consequences. You may request additional information about the research at any time by contacting the project researcher or, if necessary, the Research Ethics Committee. Interviews: Interviews will be conducted digitally, via phone, or in person for clarification and information collection. Risks and Discomforts: Participation in this research does not involve legal complications. All procedures in this study comply with the Ethics Guidelines for Research Involving Humans, as stated in Resolution No. 196\/96 of the National Health Council. None of the procedures pose risks to your dignity. Confidentiality: All information collected in this study is strictly confidential. Only the researcher(s) and supervisor will have access to the data. Benefits: Participation in this study will not provide direct benefits to you. However, we hope that this study will generate important insights into the use of new health devices. The knowledge gained from this research may benefit public health. The researcher commits to sharing the results obtained. Payment: There are no costs for you to participate in this research, nor will you receive any compensation for your participation. After these clarifications, we request your free consent to participate in this research. Note: Do not sign this form if you still have questions about it. Informed Consent Having reviewed the points above, I freely and knowingly give my consent to participate in the research. I declare that I have received a copy of this consent form and authorize the research and publication of the data obtained in this study.Research Participant\u2019s NameResearch Participant\u2019s SignatureResearcher\u2019s Signature Supervisor\u2019s Signature Principal Researcher: Aline Garrido, fonogarrido@gmail.com Other Researchers: Renato Zangaro","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent form"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"This study is registered in the Brazilian Clinical Trials Registry (ReBEC), clinical trial number RBR\u201134h937k (date of registration: 29 July 2024). The present manuscript reports the acute, single\u2011session pre\u2013post PBM analysis in 41 female teachers with vocal fatigue; the originally planned multi\u2011session component of the protocol was not carried out as intended.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial registration"}}],"article-number":"533"}}