{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T17:52:28Z","timestamp":1788717148992,"version":"build-2803163510"},"reference-count":39,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100001824","name":"Grantov\u00e1 Agentura \u010cesk\u00e9 Republiky","doi-asserted-by":"publisher","award":["16-01246S"],"award-info":[{"award-number":["16-01246S"]}],"id":[{"id":"10.13039\/501100001824","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":[[2020,5]]},"DOI":"10.1016\/j.jvoice.2018.10.011","type":"journal-article","created":{"date-parts":[[2018,11,22]],"date-time":"2018-11-22T06:34:31Z","timestamp":1542868471000},"page":"387-397","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["How Much Loading Does Water Resistance Voice Therapy Impose on the Vocal Folds? An Experimental Human Study"],"prefix":"10.1016","volume":"34","author":[{"given":"Anne-Maria","family":"Laukkanen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1617-1181","authenticated-orcid":false,"given":"Ahmed","family":"Geneid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00edt\u011bzslav","family":"Bula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1783-9692","authenticated-orcid":false,"given":"Vojt\u011bch","family":"Radolf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7045-3070","authenticated-orcid":false,"given":"Jarom\u00edr","family":"Hor\u00e1\u010dek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1785-3707","authenticated-orcid":false,"given":"Tero","family":"Ik\u00e4valko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarja","family":"Kukkonen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elina","family":"Kankare","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaana","family":"Tyrmi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2018.10.011_bib0001","first-page":"121","article-title":"Nya metoder vid behandling rostrubbningar [new methods for treating voice disorders]","volume":"3","author":"Sovij\u00e4rvi","year":"1969","journal-title":"Nordisk Tidskrift for Tale og Stemme"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0002","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1080\/14015430701207790","article-title":"The resonance tube method in voice therapy: description and practical implementations","volume":"32","author":"Simberg","year":"2007","journal-title":"Logop Phoniatr Vocology"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0003","series-title":"Terve \u00e4\u00e4ni. \u00c4\u00e4nen hoidon A B C [Healthy Voice. The A B C for Voice Care]","author":"Sihvo","year":"2006"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0004","series-title":"Lax Vox: Voice Therapy Technique","author":"Sihvo","year":"2007"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0005","series-title":"History of Lax Vox History of the LAX VOX\u00ae\u2014Tube Exercise QUICK First-Aid and Vocal Self Care","author":"Sihvo","year":"2017"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0006","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/j.jvoice.2013.04.007","article-title":"Immediate effects of the Finnish resonance tube method on behavioral dysphonia","volume":"27","author":"Paes","year":"2013","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0007","doi-asserted-by":"crossref","DOI":"10.1016\/j.jvoice.2016.09.005","article-title":"Efficacy of water resistance therapy in subjects diagnosed with behavioral dysphonia: A randomized controlled trial","volume":"31","author":"Guzman","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0008","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.2018.10.011_bib0009","first-page":"53","article-title":"Air-pressure, vocal fold vibration and acoustic characteristics of phonation during vocal exercising. Part 1: measurement in vivo","volume":"21","author":"Radolf","year":"2014","journal-title":"Eng Mech"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0010","doi-asserted-by":"crossref","first-page":"759.e1","DOI":"10.1016\/j.jvoice.2015.09.010","article-title":"Air pressure and contact quotient measures during different semi-occluded postures in subjects with different voice conditions","volume":"30","author":"Guzman","year":"2015","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0011","unstructured":"Hor\u00e1\u010dek J, Radolf V, Bula V, et al.Experimental investigation of air pressure and acoustic characteristics of human voice. Part 1: measurement in vivo, in J. N\u00e1prstek, C. Fischer, (Eds.) Engineering Mechanics. 2012, Prague: The Institute of Theoretical and Applied Mechanics AS CR, v.v.i., 2012, pp. 403\u2013417. ISBN 978-80-86246-40-6 (electronic), ISSN 1805-8256 (electronic), http:\/\/engmech.cz\/2012\/im\/im\/proceedings."},{"key":"10.1016\/j.jvoice.2018.10.011_bib0012","doi-asserted-by":"crossref","first-page":"1530","DOI":"10.1044\/1092-4388(2013\/12-0040)","article-title":"Effects on vocal fold collision and phonation threshold pressure of resonance tube phonation with tube end in water","volume":"56","author":"Enflo","year":"2013","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0013","doi-asserted-by":"crossref","first-page":"113","DOI":"10.3109\/14015439.2014.913682","article-title":"Resonance tube phonation in water: high-speed imaging, electrographic and oral pressure observations of vocal fold vibrations\u2014a pilot study","volume":"40","author":"Granqvist","year":"2015","journal-title":"Logop Phoniatr Vocology"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0014","doi-asserted-by":"crossref","first-page":"117","DOI":"10.3109\/14015439.2015.1028101","article-title":"Vertical laryngeal position and oral pressure variations during resonance tube phonation in water and in air. A pilot study","volume":"41","author":"Wistbacka","year":"2016","journal-title":"Logop Phoniatr Vocology"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0015","doi-asserted-by":"crossref","first-page":"235","DOI":"10.2165\/00007256-200535030-00004","article-title":"The mechanisms of massage and effects on performance, muscle recovery and injury prevention","volume":"35","author":"Weerapong","year":"2005","journal-title":"Sports Med"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0016","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.bspc.2017.02.004","article-title":"Low frequency mechanical resonance of the vocal tract in vocal exercises that apply tubes","volume":"37","author":"Hor\u00e1\u010dek","year":"2017","journal-title":"Biomed Signal Process Control"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0017","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1044\/1092-4388(2006\/034)","article-title":"Theoretical analysis of maximum flow declination rate versus maximum area declination rate in phonation","volume":"49","author":"Titze","year":"2006","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0018","first-page":"183","article-title":"Impact stress in a self-oscillating model of human vocal folds","volume":"4","author":"Hor\u00e1\u010dek","year":"2016","journal-title":"J Vib Eng Technols"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0019","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/S0892-1997(05)80302-9","article-title":"Mechanical stress in phonation","volume":"8","author":"Titze","year":"1994","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0020","first-page":"132","article-title":"Measurement of vocal fold intraglottal pressure and impact stress","volume":"8","author":"Jiang","year":"1994","journal-title":"JVoice"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0021","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1159\/000219949","article-title":"Comparison of acceleration and impact stress as possible loading factors in phonation. A computer modeling study","volume":"61","author":"Hor\u00e1\u010dek","year":"2009","journal-title":"Folia Phoniatrica et Logopaedica"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0022","first-page":"131","article-title":"Direct measurement of vocal fold medial forces","volume":"34","author":"Reed","year":"1992","journal-title":"Am Speech Hear Ass Rep"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0023","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/S0892-1997(99)80022-8","article-title":"Investigation of vocal fold impact stress in human subjects","volume":"13","author":"Verdolini","year":"1999","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0024","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/S0892-1997(98)80050-7","article-title":"Correspondence of electroglottographic closed quotient to vocal fold impact stress in excised canine larynges","volume":"12","author":"Verdolini","year":"1998","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0025","series-title":"Proceedings of the 7th International Conference Advances in Quantitative Laryngology, Voice and Speech Research","first-page":"pp 8","article-title":"Closed quotient as an estimate of impact stress: a computer modeling study","author":"Hor\u00e1\u010dek","year":"2006"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0026","doi-asserted-by":"crossref","DOI":"10.1016\/j.jvoice.2016.04.013","article-title":"How stressful is \u201cdeep bubbling\u201d?","volume":"31","author":"Tyrmi","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0027","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1080\/14015439.2016.1207097","article-title":"Effect of water resistance therapy on vocal fold vibration: a high speed registration study","volume":"42","author":"Guzman","year":"2017","journal-title":"Logop Phoniatr Vocology"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0028","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.bspc.2017.04.001","article-title":"Comparison of parametrization methods of electroglottographic and inverse filtered acoustic speech pressure signals in distinguishing between phonation types","volume":"36","author":"Liu","year":"2017","journal-title":"J Biomed Sign Proc Contr"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0029","article-title":"Impact stress in water resistance voice therapy. A physical modeling study","author":"Hor\u00e1\u010dek","year":"2018","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0030","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1121\/1.388046","article-title":"Initial validation of an indirect measure of subglottal pressure during vowels","volume":"72","author":"L\u00f6fqvist","year":"1982","journal-title":"J Acoust Soc Am"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0031","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1177\/000348940711600303","article-title":"Videokymography in voice disorders: what to look for?","volume":"116","author":"\u0160vec","year":"2007","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0032","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1121\/1.1490365","article-title":"Normalized amplitude quotient for parametrization of the glottal flow","volume":"112","author":"Alku","year":"2002","journal-title":"J Acoust Soc Am"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0033","doi-asserted-by":"crossref","first-page":"523.e19","DOI":"10.1016\/j.jvoice.2013.02.007","article-title":"Vocal tract and glottal function during and after vocal exercising with resonance tube and straw","volume":"27","author":"Guzman","year":"2013","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0034","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.jvoice.2016.10.024","article-title":"Resonance tube or Lax Vox","volume":"31","author":"Tyrmi","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0035","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/S0892-1997(98)80021-0","article-title":"Laryngeal adduction in resonant voice","volume":"12","author":"Verdolini","year":"1998","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0036","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1159\/000354076","article-title":"EGG and acoustic analyses of different voice samples: comparison between perceptual evaluation and voice activity and participation profile","volume":"65","author":"Kankare","year":"2013","journal-title":"Folia Phoniatrica et Logopaedica"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0037","series-title":"Principles of Voice Production","author":"Titze","year":"2000"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0038","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1159\/000170080","article-title":"Effects of a semioccluded vocal tract on laryngeal muscle activity and glottal adduction in a single female subject","volume":"60","author":"Laukkanen","year":"2008","journal-title":"Folia Phoniatr Logop"},{"key":"10.1016\/j.jvoice.2018.10.011_bib0039","doi-asserted-by":"crossref","first-page":"2539","DOI":"10.1121\/1.1408947","article-title":"High-speed digital imaging of the medial surface of the vocal folds","volume":"110","author":"Berry","year":"2001","journal-title":"J Acoust Soc Am"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199718303709?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199718303709?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T19:32:26Z","timestamp":1760211146000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199718303709"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":39,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,5]]}},"alternative-id":["S0892199718303709"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2018.10.011","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2020,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"How Much Loading Does Water Resistance Voice Therapy Impose on the Vocal Folds? An Experimental Human Study","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2018.10.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 The Voice Foundation. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}