{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T23:48:26Z","timestamp":1791416906026,"version":"4.3.3"},"reference-count":41,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2015\/06918-5"],"award-info":[{"award-number":["2015\/06918-5"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvoice.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Voice"],"published-print":{"date-parts":[[2019,5]]},"DOI":"10.1016\/j.jvoice.2017.12.015","type":"journal-article","created":{"date-parts":[[2018,4,18]],"date-time":"2018-04-18T22:05:20Z","timestamp":1524089120000},"page":"381.e11-381.e22","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"title":["Effectiveness of Voice Therapy Associated With Electromyographic Biofeedback in Women With Behavioral Dysphonia: Randomized Placebo-Controlled Double-Blind Clinical Trial"],"prefix":"10.1016","volume":"33","author":[{"given":"Vanessa Veis","family":"Ribeiro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Gabriela de Oliveira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jhonatan","family":"da Silva Vitor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Carolina","family":"Ramos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alcione Ghedini","family":"Brasolotto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly Cristina Alves","family":"Silverio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2017.12.015_bib0010","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.jvoice.2016.03.014","article-title":"Voice self-assessment protocols: different trends among organic and behavioral dysphonias","volume":"31","author":"Behlau","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0015","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.otpol.2013.02.001","article-title":"Acoustic and capacity analysis of voice academic teachers with diagnosed hyperfunctional dysphonia by using diagnoscope specialist software","volume":"67","author":"Zieli\u0144ska-Bli\u017aniewska","year":"2013","journal-title":"Otolaryngol Pol"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0020","series-title":"Effects of voice therapy on muscle tension dysphonia: a systematic literature review","author":"da Cunha Pereira","year":"2017"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0025","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1016\/j.jvoice.2010.08.005","article-title":"MRI anatomical and morphological differences in the vocal tract between dysphonic and normal adult women","volume":"25","author":"Yamasaki","year":"2011","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0030","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.jcomdis.2008.10.001","article-title":"Articulatory changes in muscle tension dysphonia: evidence of vowel space expansion following manual circumlaryngeal therapy","volume":"42","author":"Roy","year":"2009","journal-title":"J Commun Disord"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0035","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.1590\/1982-0216201410613","article-title":"Musculoskeletal stress syndrome, extrinsic laryngeal muscles and body posture: theoretical considerations","volume":"3","author":"Cielo","year":"2014","journal-title":"Rev CEFAC"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0040","article-title":"Laryngeal manual therapies for behavioral dysphonia: a systematic review and meta-analysis","author":"Ribeiro","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0045","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/S0892-1997(02)00105-4","article-title":"Extrinsic laryngeal muscular tension in patients with voice disorders","volume":"16","author":"Angsuwarangsee","year":"2002","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0050","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1044\/1092-4388(2003\/053)","article-title":"Three treatments for teachers with voice disorders","volume":"46","author":"Roy","year":"2003","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0055","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1080\/17549507.2016.1226953","article-title":"A systematic review of resonant voice therapy","volume":"19","author":"Yiu","year":"2017","journal-title":"Int J Speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0060","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.jvoice.2008.12.009","article-title":"Patient perceptions of voice therapy adherence","volume":"24","author":"van Leer","year":"2010","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0065","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1016\/j.jvoice.2014.02.007","article-title":"Perceptions of voice therapy from patients diagnosed with primary muscle tension dysphonia and benign mid-membranous vocal fold lesions","volume":"28","author":"Ziegler","year":"2014","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0070","first-page":"149","article-title":"EMG Biofeedback treatment of dysphonias and related voice disorders","volume":"2","author":"Allen","year":"2007","journal-title":"J Speech\u2014Lang Pathol Appl Behav Anal"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0075","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/j.jvoice.2013.04.003","article-title":"The effects of self-controlled feedback on learning of a \u201crelaxed phonation task\u201d","volume":"27","author":"Ma","year":"2013","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0080","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1002\/lary.5540900314","article-title":"Electromyographic biofeedback training with patients exhibiting a hyperfunctional voice disorder","volume":"90","author":"Stemple","year":"1980","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0085","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1016\/S0005-7894(05)80216-3","article-title":"Ventricular fold dysphonia: application of biofeedback technology to a rare voice disorder","volume":"24","author":"Watson","year":"1993","journal-title":"Behav Ther"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0090","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1080\/140154302762493225","article-title":"Muscle activity in the classical singer's shoulder and neck region","volume":"27","author":"Pettersen","year":"2002","journal-title":"Logop Phoniatr Vocol"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0095","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/0005-7916(91)90004-O","article-title":"EMG biofeedback treatment of pediatric hyperfunctional dysphonia","volume":"22","author":"Allen","year":"1991","journal-title":"J Behav Ther Exp Psychiatry"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0100","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1007\/BF00999084","article-title":"An interdisciplinary approach to the treatment of a hyperfunctional voice disorder","volume":"18","author":"Sime","year":"1993","journal-title":"Biofeedback Self Regul"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0105","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.ijsu.2011.10.001","article-title":"CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials","volume":"10","author":"Moher","year":"2012","journal-title":"Int J Surg"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0110","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.jvoice.2014.03.012","article-title":"Electrical activity of extrinsic laryngeal muscles in subjects with and without dysphonia","volume":"29","author":"Balata","year":"2015","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0115","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.jvoice.2014.03.010","article-title":"Normalization patterns of the surface electromyographic signal in the phonation evaluation","volume":"29","author":"Balata","year":"2015","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0120","author":"Silverio"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0125","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1016\/j.jvoice.2012.03.006","article-title":"Incomplete swallowing and retracted tongue maneuvers for electromyographic signal normalization of the extrinsic muscles of the larynx","volume":"26","author":"Balata","year":"2012","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0130","series-title":"controlado e cego","article-title":"Efeito da terapia vocal associada ao biofeedback eletromiogr\u00e1fico em mulheres com disfonia comportamental: ensaio cl\u00ednico randomizado","author":"Ribeiro","year":"2017"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0135","article-title":"The effect of a voice therapy program based on the taxonomy of vocal therapy in women with behavioral dysphonia","author":"Ribeiro","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0140","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1044\/2015_AJSLP-14-0030","article-title":"A taxonomy of voice therapy","volume":"24","author":"Van Stan","year":"2015","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0145","series-title":"Exercise Physiology: Integrated from Theory to Practical Applications","author":"Kraemer","year":"2012"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0150","first-page":"65","article-title":"Os dez mandamentos do ensaio cl\u00ednico randomizado\u2014princ\u00edpios para avalia\u00e7\u00e3o cr\u00edtica da literatura m\u00e9dica","volume":"13","author":"Berwanger","year":"2006","journal-title":"Rev Bras Hipertens"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0155","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/j.jvoice.2008.12.005","article-title":"The role of experience on judgments of dysphonia","volume":"24","author":"Eadie","year":"2010","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0160","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.jvoice.2016.01.004","article-title":"Auditory-perceptual evaluation of normal and dysphonic voices using the voice deviation scale","volume":"31","author":"Yamasaki","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0165","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1044\/jshd.4303.282","article-title":"EMG biofeedback in the treatment of hyperfunctional voice disorders","volume":"43","author":"Prosek","year":"1978","journal-title":"J Speech Hear Disord"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0170","series-title":"Software Instructions Manual: Multi-Dimensional Voice Program Model 5105","author":"Kaypentax Corporation","year":"2007"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0175","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/s12070-009-0050-4","article-title":"Soft phonation index\u2014a sensitive parameter?","volume":"61","author":"Mathew","year":"2009","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0180","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1044\/1092-4388(2006\/035)","article-title":"Voice training and therapy with a semi-occluded vocal tract: rationale and scientific underpinnings","volume":"49","author":"Titze","year":"2006","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0185","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/j.jvoice.2013.05.007","article-title":"Laryngeal and pharyngeal activity during semioccluded vocal tract postures in subjects diagnosed with hyperfunctional dysphonia","volume":"27","author":"Guzman","year":"2013","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0190","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/j.jvoice.2005.02.001","article-title":"Musculoskeletal patterns in patients with voice disorders","volume":"21","author":"Rubin","year":"2007","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0195","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1111\/j.1469-8986.1984.tb02316.x","article-title":"Placebo effects in biofeedback and self-perception of muscle tension","volume":"21","author":"Pollard","year":"1984","journal-title":"Psycophysiology"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0200","doi-asserted-by":"crossref","first-page":"329","DOI":"10.7162\/S1809-977720130003000014","article-title":"Use of surface electromyography in phonation studies: an integrative review","volume":"17","author":"Balata","year":"2014","journal-title":"Int Arch Otorhinolaryngol"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0205","first-page":"19","article-title":"Lateral asymmetry of human long bones","volume":"9","author":"Cuk","year":"2001","journal-title":"Var Evol"},{"key":"10.1016\/j.jvoice.2017.12.015_bib0210","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10484-006-9005-7","article-title":"Effects of biofeedback in phonatory disorders and phonatory performance: a systematic literature review","volume":"31","author":"Maryn","year":"2006","journal-title":"Appl Psychophysiol Biofeedback"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199717305325?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199717305325?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T19:32:00Z","timestamp":1760211120000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199717305325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":41,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["S0892199717305325"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2017.12.015","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2019,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effectiveness of Voice Therapy Associated With Electromyographic Biofeedback in Women With Behavioral Dysphonia: Randomized Placebo-Controlled Double-Blind Clinical Trial","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2017.12.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 The Voice Foundation. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}