{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T21:48:23Z","timestamp":1775080103945,"version":"3.50.1"},"reference-count":46,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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":[[2025,5]]},"DOI":"10.1016\/j.jvoice.2022.11.031","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T16:06:59Z","timestamp":1673280419000},"page":"855.e11-855.e19","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Vocal Impact in Patients With Unilateral Diaphragmatic Paralysis"],"prefix":"10.1016","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8877-3408","authenticated-orcid":false,"given":"Fl\u00e1via","family":"Badar\u00f3","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7108-5935","authenticated-orcid":false,"given":"Mayra","family":"Caleffi-Pereira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o Paulo","family":"Macedo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mara","family":"Behlau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9 Lu\u00eds Pereira","family":"de Albuquerque","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2022.11.031_bib0001","first-page":"1013","article-title":"Eventration of the diaphragm","volume":"64","author":"McNamara","year":"1968","journal-title":"Surgery"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0002","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1097\/01.TA.0000031165.05382.18","article-title":"Posttraumatic diaphragmatic eventration","volume":"56","author":"Como","year":"2004","journal-title":"J Trauma"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0003","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1016\/0002-9343(62)90130-4","article-title":"Idiopathic diaphragmatic paralysis. A report of eight cases","volume":"32","author":"Riley","year":"1962","journal-title":"Am J Med"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0004","first-page":"976","article-title":"Bilateral diaphragmatic paralysis: clinical spectrum, prognosis and diagnostic approach","volume":"69","author":"Chan","year":"1988","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0005","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1136\/jnnp.55.4.316","article-title":"Unilateral diaphragmatic paralysis: an electrophysiological study","volume":"55","author":"Lagueny","year":"1992","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0006","first-page":"S1","article-title":"Espirometria","volume":"28","author":"Pereira","year":"2002","journal-title":"J Pneumol"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0007","first-page":"95","article-title":"Bases fundamentais da espirometria","volume":"5","author":"Costa","year":"2001","journal-title":"Rev bras fisioter"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0008","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1590\/S1806-37132007000400008","article-title":"New reference values for forced spirometry in white adults in Brazil","volume":"33","author":"Pereira","year":"2007","journal-title":"J Bras Pneumol"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0009","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1590\/S2317-17822013000500013","article-title":"Validation of the Voice Handicap Index -10 (VHI-10) to the Brazilian Portuguese","volume":"25","author":"Costa","year":"2013","journal-title":"CoDas"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0010","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1378\/chest.93.3.580","article-title":"Evaluation of clinical methods for rating dyspnea","volume":"93","author":"Mahler","year":"1988","journal-title":"Chest"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0011","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1164\/arrd.1987.135.6.1229","article-title":"Comparison of clinical dyspnea ratings and psychophysical measurements of respiratory sensation in obstructive airway disease","volume":"135","author":"Mahler","year":"1987","journal-title":"Am Rev Respir Dis"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0012","first-page":"143","article-title":"Brazilian-Portuguese version of the SF-36. A reliable and valid quality of life outcome measure","volume":"39","author":"Ciconelli","year":"1999","journal-title":"Rev bras reumatol"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0013","series-title":"Voz- O livro do especialista, Volume I","article-title":"Avalia\u00e7\u00e3o de voz","author":"Behlau","year":"2001"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0014","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1590\/S1516-18462011005000047","article-title":"Vital capacity and maximum phonation times of voiceless \/e\/and \/s\/ in adult women","volume":"14","author":"Miglioranzi","year":"2012","journal-title":"Rev CEFAC"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0015","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1590\/1982-021620182050818","article-title":"Tempos m\u00e1ximo de fona\u00e7\u00e3o e capacidade vital de mulheres disf\u00f4nicas","volume":"20","author":"Leite","year":"2018","journal-title":"CEFAC"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0016","doi-asserted-by":"crossref","first-page":"1615","DOI":"10.1590\/1982-0216201414713","article-title":"Compara\u00e7\u00e3o entre formas de extra\u00e7\u00e3o do tempo m\u00e1ximo fonat\u00f3rio em indiv\u00edduos sem queixas vocais","volume":"16","author":"Englert","year":"2014","journal-title":"Rev CEFAC"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0017","first-page":"700","article-title":"Glottal-to-noise excitation ratio \u2013 a new measure for describing pathological voices","volume":"83","author":"Michaelis","year":"1997","journal-title":"Acta Acustica"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0018","first-page":"110","article-title":"M\u00e9todos diagn\u00f3sticos para avalia\u00e7\u00e3o da for\u00e7a muscular inspirat\u00f3ria e expirat\u00f3ria","volume":"41","author":"Albuquerque","year":"2015","journal-title":"J Bras Pneumol"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0019","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1590\/S0100-879X1999000600007","article-title":"Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation","volume":"32","author":"Neder","year":"1999","journal-title":"Brazilian J Med Biol Res"},{"issue":"suppl 3","key":"10.1016\/j.jvoice.2022.11.031_bib0020","first-page":"S155","article-title":"Guidelines for Pulmonary Function Tests","volume":"28","year":"2002","journal-title":"Brazilian Journal of Pneumology: official publication of the Brazilian Society of Pneumology and Tisilogy"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0021","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1590\/S1806-37132007000400008","article-title":"New reference values for forced spirometry in White 2dults in Brazil","volume":"33","author":"Pereira","year":"2007","journal-title":"J Bras Pneumol"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0022","series-title":"Estat\u00edstica B\u00e1sica","author":"Bussab","year":"2006"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0023","series-title":"Estat\u00edstica n\u00e3o-param\u00e9trica para ci\u00eancias do comportamento","author":"Siegel","year":"2006"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0024","series-title":"Categorical data analysis","author":"Agresti","year":"1990"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0025","series-title":"Compreendendo os problemas da voz. Uma Perspectiva Fisiol\u00f3gica no Diagn\u00f3stico e Tratamento das Disfonias","author":"Colton","year":"2010"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0026","article-title":"The prevalence and impact of voice problems in nonprofessional voice users: preliminary findings","author":"Sheyona","year":"2020","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0027","series-title":"Voz: O livro do especialista \u2013 Volume 1. 1 Ed","author":"Behlau","year":"2001"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0028","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1159\/000263491","article-title":"Effect of respiratory and postural mechanisms upon action of the vocal cords","volume":"23","author":"Gould","year":"1971","journal-title":"Folia Phoniatr"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0029","article-title":"The effect of voice training on lung volumes in singers and the possible relationship to the damping factor of Pressman","volume":"1","author":"Gould","year":"1977","journal-title":"J Res Sing"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0030","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1044\/jshr.1601.78","article-title":"Kinematics of the chest wall during speech production: volume displacements of the rib cage, abdomen and lung","volume":"16","author":"Hixon","year":"1973","journal-title":"J Speech Hear Res"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0031","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1044\/1058-0360.0704.37","article-title":"Physical examination of the diaphragm by the speech-language pathologist","volume":"7","author":"Hixon","year":"1988","journal-title":"Am J Speech-Language Pathol"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0032","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/S0892-1997(89)80118-3","article-title":"Abdominal muscle activity during classical singing","volume":"3","author":"Watson","year":"1989","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0033","first-page":"61","article-title":"Belly in or belly out? Effects of inhalatory behavior and lung volume on voice function in male opera singers","volume":"45","author":"Thomasson","year":"2003","journal-title":"Speech, Music and Hearing, KTH, Stockholm, Sweden. TMH-QPSR"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0034","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/S0892-1997(02)00125-X","article-title":"Expiratory muscles training increases pressure support in high school band students","volume":"16","author":"Sapienza","year":"2002","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0035","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1044\/1058-0360(2012\/11-0048)","article-title":"Effect of training frequency on maximum expiratory pressure","volume":"12","author":"Anand","year":"2012","journal-title":"Am J Speech-Languag Pathol"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0036","series-title":"Princ\u00edpios da produ\u00e7\u00e3o vocal. Trad. Claudia Liechavicius","author":"Titze","year":"2013"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0037","series-title":"Uma Perspectiva Fisiol\u00f3gica no Diagn\u00f3stico e Tratamento das Disfonias","article-title":"Compreendendo os problemas da voz","author":"Colton","year":"2010"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0038","series-title":"Trad. Gl\u00e1ucia La\u00eds Salom\u00e3o","article-title":"Ci\u00eancia da Voz, Fatos sobre a voz na fala e no canto","author":"Sundberg","year":"2015"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0039","first-page":"51","article-title":"GRBAS evaluation of running speech and sustained phonations","volume":"28","author":"Sakata","year":"1994","journal-title":"Ann Bull RILP"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0040","first-page":"248","article-title":"Diagnosis of Voice Disorders","volume":"54","author":"Omori","year":"2011","journal-title":"JMAJ"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0041","first-page":"700","article-title":"Glottal-to-noise excitation ratio - a new measure for describing pathological voices","volume":"83","author":"Michaelis","year":"1997","journal-title":"Acta Acustica"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0042","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1044\/1058-0360.0603.66","article-title":"The Voice Handicap Index (VHI): development and validation","volume":"6","author":"Jacobson","year":"1997","journal-title":"Am J Speech-Languag Pathol"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0043","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1159\/000325061","article-title":"An unusual case of Neuralgic Amyotrophy presentimg with bilateral phrenic Nerve and Vocal Cord Paresis","volume":"3","author":"Holtbernd","year":"2011","journal-title":"Case Rep Neurol"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0044","doi-asserted-by":"crossref","first-page":"992A","DOI":"10.1378\/chest.1390919","article-title":"Respiratory failure with diaphragmatic palsy: a rare complication of relapsing polychondritis","volume":"142","author":"Badireddi","year":"2012","journal-title":"Signs SympChest Dis Chest"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0045","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1136\/thx.5.2.169","article-title":"Unilateral paralysis of the Diaphragm and larynx associated with inflammatory lung disease","volume":"5","author":"Freedman","year":"1950","journal-title":"Thorax"},{"key":"10.1016\/j.jvoice.2022.11.031_bib0046","article-title":"Vocal cord and diaphragmatic paralysis in a patient with bilateral mediastinal neurofibromatosis type 1","volume":"1\u20132","author":"Choi","year":"2020","journal-title":"Ear Nose Throat J"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199722003824?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199722003824?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T19:46:03Z","timestamp":1775072763000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199722003824"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":46,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["S0892199722003824"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2022.11.031","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Vocal Impact in Patients With Unilateral Diaphragmatic Paralysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2022.11.031","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}