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Cited by 13Voice and Speech DisordersRespiratory and Cough-Related ResearchMuscle activation and electromyography studies

The DOI matches its Crossref record; 58 of the 58 references it cites were found in a registry or an index.

Is Surface Electromyography (sEMG) a Useful Tool in Identifying Muscle Tension Dysphonia? An Integrative Review of the Current Evidence

Wang, Feifan, Yiu, Edwin ML·2024·Journal of Voice
DOI 10.1016/j.jvoice.2021.10.006
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Abstract

Objective This integrative review aims to determine the quality level of evidence on using surface electromyography (sEMG) as a diagnostic tool in identifying muscle tension dysphonia. Method Two independent reviewers used one search engine and five databases to identify sEMG studies published between January 1980 and December 2020, using a set of specified search terms related to muscle tension dysphonia. The selected articles were systematically evaluated by two independent raters using a modified critical appraisal of diagnostic evidence (m-CADE) form. Results Nine articles that satisfied the inclusion criteria were selected from among 576 studies for evaluation. These nine studies showed varied methodological approaches in sEMG measurements, including electrode configuration and position, tasks used in sEMG data collection, outcome measure, and normalization procedures. Five studies showed relatively high m-CADE scores, which were indicative of "suggestive validity and compelling importance". Two studies were rated as "suggestive validity and importance", while two remaining studies were rated as "less suggestive or equivocal validity and importance". Conclusions The review found a moderate level of evidence that sEMG can be a potentially useful tool with diagnostic value in identifying muscle tension dysphonia. However, evidence is not yet available to determine the diagnostic accuracy of sEMG for muscle tension dysphonia. More studies are needed, and it is recommended that future studies involving sEMG and reference measurements should be undertaken using a blinding procedure in order to control any subjective biases. Details of the population that the sEMG has been tested on should be outlined clearly so that spectrum bias could be eliminated or minimized in the application process. Furthermore, it is suggested that a reliable and valid protocol in collecting sEMG data during speech should be developed to minimize the variability of sEMG measures in assessing muscle activities during speech.

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Crossref · 10.1016/j.jvoice.2021.10.006

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  • Literature evidences the use of varied methods such as visual examination of the larynx, laryngeal palpation, auditory-perceptual evaluation of voice, acoustic evaluation of voice, and measurement of aerodynamic measures of voice for the clinical diagnosis of MTD.

    “literature [7,8] evidences the use of varied methods such as visual examination of the larynx, laryngeal palpation, auditory-perceptual evaluation of voice, acoustic evaluation of voice, measurement of aerodynamic measures of voice for the clinical diagnosis of MTD.”

    From Correlation of Multiple Measures of Voice Evaluation Among Individuals with Muscle Tension Dysphonia: An Exploratory Study (2024) · cites this paper as [8]

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Metadata

Authors
Wang, F., & Yiu, E. M.
Affiliations
  • Shanghai Normal University (CN)
  • University of Hong Kong (HK)
Corresponding author
Wang, Feifan
ORCID
Venue
Journal of Voice
Publisher
Elsevier BV
Published
2024-05
Volume
38
Issue
3
Pages
800.e1-800.e12
ISSN
0892-1997 (ISSN-L)
DOI
10.1016/j.jvoice.2021.10.006
OpenAlex
W4200233694
Cited by
13
References
58
Citations by year
2026: 1 · 2025: 1 · 2024: 2
FWCI
0.37
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Voice (publishedVersion)
  • PubMed (publishedVersion)
  • The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Voice and Speech Disorders
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
  • Physical Sciences › Engineering › Biomedical Engineering › Muscle activation and electromyography studies
Keywords
surface electromyography, muscle tension dysphonia, diagnostic accuracy, voice disorders, electrode configuration, spectrum bias
MeSH terms
Adult, Aged, Electromyography, Female, Humans, Laryngeal Muscles, Male, Middle Aged, Muscle Tonus, Phonation, Predictive Value of Tests, Voice Quality, Reproducibility of Results, Dysphonia, Young Adult

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