{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T09:37:48Z","timestamp":1793785068954,"version":"4.6.1"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["R21DC019207"],"award-info":[{"award-number":["R21DC019207"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["R01DC021447"],"award-info":[{"award-number":["R01DC021447"]}],"id":[{"id":"10.13039\/100000055","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":[[2025,1]]},"DOI":"10.1016\/j.jvoice.2024.12.020","type":"journal-article","created":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T21:01:48Z","timestamp":1736024508000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Salient Voice Symptoms in Primary Muscle Tension Dysphonia"],"prefix":"10.1016","author":[{"given":"Avery","family":"Moore","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrianna C.","family":"Shembel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2024.12.020_bib1","doi-asserted-by":"crossref","first-page":"2030","DOI":"10.3390\/app14052030","article-title":"Biography of muscle tension dysphonia: a scoping review","volume":"14","author":"Ferr\u00e1n","year":"2024","journal-title":"Appl Sci"},{"key":"10.1016\/j.jvoice.2024.12.020_bib2","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.jvoice.2009.10.009","article-title":"Pathophysiology and treatment of muscle tension dysphonia: a review of the current knowledge","volume":"25","author":"Van Houtte","year":"2011","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib3","article-title":"Clinical characteristics and effects of vocal demands in occupational voice users with and without primary muscle tension dysphonia","author":"McDowell","year":"2022","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib4","doi-asserted-by":"crossref","first-page":"3482","DOI":"10.1002\/lary.30830","article-title":"Extrinsic laryngeal muscle tension in primary muscle tension dysphonia with shear wave elastography","volume":"133","author":"Shembel","year":"2023","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2024.12.020_bib5","doi-asserted-by":"crossref","first-page":"1792","DOI":"10.1002\/lary.31063","article-title":"Optical flow analysis of paralaryngeal muscle movement","volume":"134","author":"Morrison","year":"2024","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2024.12.020_bib6","article-title":"Relationships between vocal fold adduction patterns, vocal acoustic quality, and vocal effort in individuals with and without hyperfunctional voice disorders","author":"Crocker","year":"2024","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib7","doi-asserted-by":"crossref","first-page":"3472","DOI":"10.1002\/lary.30829","article-title":"Use of motion capture technology to study extrinsic laryngeal muscle tension and hyperfunction","volume":"133","author":"Hogue","year":"2023","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2024.12.020_bib8","doi-asserted-by":"crossref","DOI":"10.1590\/2317-1782\/20202020035","article-title":"Par\u00e2metros vocais, palpa\u00e7\u00e3o muscular e autopercep\u00e7\u00e3o de sintomas vocais, dor e fadiga vocal em mulheres com disfonia por tens\u00e3o muscular","volume":"33","author":"Martinez","year":"2021","journal-title":"CoDAS"},{"key":"10.1016\/j.jvoice.2024.12.020_bib9","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.jvoice.2020.04.011","article-title":"Effect of muscle tension dysphonia on self-perceived voice handicap and multiparametric measurement and their relation in female teachers","volume":"36","author":"Aghadoost","year":"2022","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib10","doi-asserted-by":"crossref","first-page":"325.e1","DOI":"10.1016\/j.jvoice.2019.08.028","article-title":"Self-assessment of vocal fatigue in muscle tension dysphonia and vocal nodules: a preliminary analysis of the discriminatory potential of the croatian adaptation of the Vocal Fatigue Index (VFI-C)","volume":"35","author":"Bonetti","year":"2021","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib11","doi-asserted-by":"crossref","first-page":"1792","DOI":"10.1002\/lary.31063","article-title":"Optical flow analysis of paralaryngeal muscle movement","volume":"134","author":"Morrison","year":"2024","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2024.12.020_bib12","doi-asserted-by":"crossref","first-page":"3472","DOI":"10.1002\/lary.30829","article-title":"Use of motion capture technology to study extrinsic laryngeal muscle tension and hyperfunction","volume":"133","author":"Hogue","year":"2023","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2024.12.020_bib13","doi-asserted-by":"crossref","first-page":"3482","DOI":"10.1002\/lary.30830","article-title":"Extrinsic laryngeal muscle tension in primary muscle tension dysphonia with shear wave elastography","volume":"133","author":"Shembel","year":"2023","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2024.12.020_bib14","doi-asserted-by":"crossref","DOI":"10.1016\/j.jvoice.2024.08.003","article-title":"Laryngeal and global somatosensation in primary muscle tension dysphonia","author":"Shembel","year":"2024","journal-title":"J Voice"},{"issue":"6","key":"10.1016\/j.jvoice.2024.12.020_bib15","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/j.jvoice.2021.05.019","article-title":"Characterization of primary muscle tension dysphonia using acoustic and aerodynamic voice metrics","volume":"37","author":"Shembel","year":"2023","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib16","article-title":"Relationships between laryngoscopic analysis metrics of supraglottic compression and vocal effort in primary muscle tension dysphonia","author":"Shembel","year":"2023","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib17","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1097\/00005537-200103000-00015","article-title":"The clinical features of functional dysphonia","volume":"111","author":"Sama","year":"2001","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2024.12.020_bib18","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1067\/S0892-1997(03)00018-3","article-title":"Anterior-posterior and medial compression of the supraglottis: signs of nonorganic dysphoniaor normal postures?","volume":"17","author":"Behrman","year":"2003","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib19","doi-asserted-by":"crossref","first-page":"507.e9","DOI":"10.1016\/j.jvoice.2015.06.004","article-title":"Immediate effect of stimulability assessment on acoustic, aerodynamic, and patient-perceptual measures of voice","volume":"30","author":"Gillespie","year":"2016","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib20","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1044\/2018_AJSLP-17-0009","article-title":"Recommended protocols for instrumental assessment of voice: American speech-language-hearing association expert panel to develop a protocol for instrumental assessment of vocal function","volume":"27","author":"Patel","year":"2018","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2024.12.020_bib21","article-title":"Laying the groundwork to study the heterogeneous nature of vocal fatigue","author":"Nanjundeswaran","year":"2022","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib22","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1044\/2019_JSLHR-19-00057","article-title":"Toward a consensus description of vocal effort, vocal load, vocal loading, and vocal fatigue","volume":"63","author":"Hunter","year":"2020","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2024.12.020_bib23","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.jvoice.2014.09.012","article-title":"Vocal Fatigue Index (VFI): development and validation","volume":"29","author":"Nanjundeswaran","year":"2015","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib24","doi-asserted-by":"crossref","first-page":"381.e23","DOI":"10.1016\/j.jvoice.2017.11.018","article-title":"Vocal tract discomfort scale (VTDS) and voice symptom scale (VoiSS) in the evaluation of patients with voice disorders","volume":"33","author":"Lopes","year":"2019","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib25","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1044\/2023_AJSLP-23-00159","article-title":"Acoustic and physiologic correlates of vocal effort in individuals with and without primary muscle tension dysphonia","volume":"33","author":"Toles","year":"2024","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2024.12.020_bib26","first-page":"302","article-title":"Muscular tension dysphonia","volume":"12","author":"Morrison","year":"1983","journal-title":"J Otolaryngol"},{"key":"10.1016\/j.jvoice.2024.12.020_bib27","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.jvoice.2004.03.007","article-title":"Current and emerging concepts in muscle tension dysphonia: a 30-month review","volume":"19","author":"Altman","year":"2005","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib28","article-title":"Potential biophysiological mechanisms underlying vocal demands and vocal fatigue","author":"Shembel","year":"2022","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib29","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1044\/2018_JSLHR-S-18-0205","article-title":"The relationship between physiological mechanisms and the self-perception of vocal effort","volume":"62","author":"McKenna","year":"2019","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2024.12.020_bib30","article-title":"Interoception, voice symptom reporting, and voice disorders","author":"Smeltzer","year":"2023","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib31","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1111\/resp.12103","article-title":"Laryngeal sensory dysfunction in laryngeal hypersensitivity syndrome","volume":"18","author":"Vertigan","year":"2013","journal-title":"Respirology"},{"key":"10.1016\/j.jvoice.2024.12.020_bib32","first-page":"282","article-title":"The irritable larynx syndrome as a central sensitivity syndrome","volume":"34","author":"Morrison","year":"2010","journal-title":"Can J Speech-Lang Pathol Audiol"},{"key":"10.1016\/j.jvoice.2024.12.020_bib33","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.1002\/lary.30398","article-title":"Tracking occupational voice state with a visual analog scale: voice quality, vocal fatigue, and effort","volume":"133","author":"Castillo-Allendes","year":"2023","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2024.12.020_bib34","doi-asserted-by":"crossref","DOI":"10.1016\/j.cpr.2020.101928","article-title":"Specificity of trait anxiety in anxiety and depression: meta-analysis of the State-Trait Anxiety Inventory","volume":"82","author":"Knowles","year":"2020","journal-title":"Clin Psychol Rev"},{"key":"10.1016\/j.jvoice.2024.12.020_bib35","doi-asserted-by":"crossref","first-page":"1871","DOI":"10.1017\/S0033291709992108","article-title":"Temperamental and acute symptoms of borderline personality disorder: associations with normal personality traits and dynamic relations over time","volume":"40","author":"Hopwood","year":"2010","journal-title":"Psychol Med"},{"key":"10.1016\/j.jvoice.2024.12.020_bib36","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/j.jvoice.2021.05.019","article-title":"Characterization of primary muscle tension dysphonia using acoustic and aerodynamic voice metrics","volume":"37","author":"Shembel","year":"2023","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib37","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.jvoice.2007.12.004","article-title":"Effects of muscle tension dysphonia on tone phonation: acoustic and perceptual studies in Vietnamese female teachers","volume":"23","author":"Nguyen","year":"2009","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2024.12.020_bib38","doi-asserted-by":"crossref","first-page":"42","DOI":"10.21849\/cacd.2016.00122","article-title":"Spectral and cepstral based acoustic features of voices with muscle tension dysphonia","volume":"1","author":"Shim","year":"2016","journal-title":"Clin Arch Commun Disord"},{"key":"10.1016\/j.jvoice.2024.12.020_bib39","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1044\/1092-4388(2012\/11-0217)","article-title":"Aerodynamic profiles of women with muscle tension dysphonia\/aphonia","volume":"56","author":"Gillespie","year":"2013","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2024.12.020_bib40","doi-asserted-by":"crossref","first-page":"663.e1","DOI":"10.1016\/j.jvoice.2019.12.019","article-title":"Do phonatory aerodynamic and acoustic measures in connected speech differ between vocally healthy adults and patients diagnosed with muscle tension dysphonia?","volume":"35","author":"Belsky","year":"2021","journal-title":"J Voice"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199724004466?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199724004466?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:46:45Z","timestamp":1777578405000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199724004466"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":40,"alternative-id":["S0892199724004466"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2024.12.020","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Salient Voice Symptoms in Primary Muscle Tension Dysphonia","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2024.12.020","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Voice Foundation. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}