{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T17:47:52Z","timestamp":1775584072031,"version":"3.50.1"},"reference-count":84,"publisher":"American Speech Language Hearing Association","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perspect ASHA SIGs"],"published-print":{"date-parts":[[2026,4,7]]},"abstract":"<jats:sec>\n                    <jats:title>Clinical Scenario:<\/jats:title>\n                    <jats:p>\n                      Puberphonia (also known as mutational falsetto) occurs when an individual maintains prepubescent speaking fundamental frequency (\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      0) after the laryngeal changes associated with puberty have taken place. Voice therapy with a speech-language pathologist (SLP) is the primary treatment for puberphonia; however, resources describing treatment techniques specific to this patient population are lacking.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Question:<\/jats:title>\n                    <jats:p>What diagnostic and treatment procedures are employed in the course of treatment for an adolescent presenting with puberphonia? What factors influence intervention?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Sources:<\/jats:title>\n                    <jats:p>Henry, a 13-year-old adolescent male, was diagnosed with puberphonia with a muscle tension component. Voice quality was characterized by roughness, strain, and elevated speaking pitch for his age and gender. Voice therapy was recommended and pursued. Audio recordings, acoustics, patient-reported outcome measures, auditory-perceptual evaluations, and laryngeal imaging findings are presented in detail. Considerations for course of treatment are discussed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary Results:<\/jats:title>\n                    <jats:p>\n                      Initially, Henry did not tolerate manual laryngeal reposturing. Thus, dysphonia and speaking\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      0 were targeted through semi-occluded vocal tract exercises and resonant voice techniques. After four sessions, no change in speaking\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      0 was observed; however, muscle tension was sufficiently reduced to implement manual laryngeal reposturing. Three sessions implementing this technique resulted in\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      0 reduced to normative range and resolution of dysphonia. Henry and his family initially expressed trepidation about the sudden changes in his voice quality, but gradually welcomed them as his vocal efficiency and voice-related quality of life improved.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      This case study supports past work indicating that voice therapy effectively reduces\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      0 and improves voice quality in adolescents with puberphonia. Manual laryngeal techniques were particularly useful in reducing speaking\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      0. Future clinical trials should continue to examine the efficacy and efficiency of voice therapy for adolescents with puberphonia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Supplemental Material:<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/doi.org\/10.23641\/asha.31032382\">https:\/\/doi.org\/10.23641\/asha.31032382<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1044\/2025_persp-25-00222","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T14:38:47Z","timestamp":1769438327000},"page":"316-330","source":"Crossref","is-referenced-by-count":0,"title":["Voice Therapy for Puberphonia in the Adolescent Male: A Clinical Case Study"],"prefix":"10.1044","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4833-5115","authenticated-orcid":false,"given":"Lydia R.","family":"Kruse","sequence":"first","affiliation":[{"name":"Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9273-046X","authenticated-orcid":false,"given":"Robert Brinton","family":"Fujiki","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Indiana University School of Medicine, Indianapolis"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1310","reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2013.08.011"},{"issue":"6","key":"e_1_3_2_3_1","article-title":"Efficacy of Voice therapy for treatment of Puberphonia: Review of 20 cases","volume":"5","author":"Alam N.","year":"2012","unstructured":"Alam, N., Sinha, V., Kumar, S. 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