Clinical trial Recruiting at 2 sites Early Phase 1 Interventional Ages 18 to 65

Biofeedback and voice therapy for vocal hyperfunction

Official title: Preliminary Studies to Test the Effects of Ambulatory Biofeedback in Small Groups of Patients With Vocal Hyperfunction: Study 3

Run by Massachusetts General Hospital · NCT05970562 · Data updated 2026-11-12

This study is testing if adding biofeedback to regular voice therapy can help people with vocal hyperfunction improve their voice use in everyday life.

Quick facts

PhaseEarly Phase 1
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment100 (estimated)
SponsorMassachusetts General Hospital
Academic / other
Locations2 sites (Boston, Massachusetts and 1 other locations)
StatusRecruiting
StartedMarch 1, 2024
Main results expectedSeptember 1, 2028
Study endsApril 1, 2029
Registry record updatedSeptember 8, 2026
Trial IDNCT05970562 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults diagnosed with vocal fold nodules, polyps, or muscle tension dysphonia.

Probably not a fit

Patients with secondary diagnoses unrelated to phonotrauma or those with structural vocal cord issues may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This project aims to improve voice therapy outcomes for patients with vocal hyperfunction by integrating ambulatory voice monitoring with biofeedback into their daily lives. The study will randomize participants to receive either standard voice therapy or enhanced therapy that includes this biofeedback component. The goal is to assess whether this approach helps patients better generalize improved vocal behaviors outside of therapy sessions. The trial will also explore how individual patient factors influence the effectiveness of this intervention.

Why it matters

Potential benefit: If successful, this approach could lead to more effective voice therapy and improved quality of life for patients with vocal disorders.

How similar studies have gone: While voice therapy is a common treatment, the integration of ambulatory biofeedback is a novel approach that has not been extensively tested in this context.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria for PVH:

* Diagnosis of vocal fold nodules and polyps.
* Secondary diagnosis of laryngopharyngeal reflux (LPR) or gastro-esophageal reflux disease (GERD)
* Secondary diagnoses commonly associated with phonotrauma like erythema, edema, varies, ectasia, laryngitis, secondary/reactive muscle tension dysphonia (MTD), hemorrhage, etc.

Exclusion criteria for PVH:

* Any secondary diagnosis not directly related to phonotrauma, like cyst, sulk, cancer, bamboo nodule, known or suspected paralysis, etc.

Inclusion criteria for NPVH:

* Diagnosis of primary MTD.
* Allowable secondary diagnoses are LPR and GERD.

Exclusion criteria for NPVH:

* Any secondary diagnosis related to pathological structure (e.g., nodules, polyps, edema, cancer), neurology (e.g., paralysis, Parkinson's Disease), or respiration (e.g., chronic cough, paradoxical vocal fold motion).

Where it's running

  • Massachusetts General Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Boston Medical Center
    Boston, Massachusetts, United States
    Recruiting

Study contacts

  • Principal investigator: Robert Hillman, PhD, CCC-SLP — Massachusetts General Hospital
  • Study coordinator: Jarrad Van Stan, PhD, CCC-SLP
  • Email: j.vanstan82@csuohio.edu
  • Phone: 216-687-3883

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Neck vibration plus voice therapy for muscle tension dysphonia

    This trial will test whether adding gentle translaryngeal (neck) vibration to standard voice therapy helps adults with muscle tension dysphonia improve their voice.

    Recruiting Phase 3 Texas Christian University · Fort Worth, Texas · NCT07145086

  • Voice therapy guided by the RTSS-Voice standardized coding system

    This project will test whether using a standardized coding system (RTSS-Voice) to document voice therapy sessions helps people with muscle tension dysphonia improve their voice.

    Recruiting at 5 sites Massachusetts General Hospital · Atlanta, Georgia and 4 other locations · NCT06152627

  • Investigating voice and brain responses in teachers with vocal fatigue

    This study is testing how stress affects the voices and speech of early career female teachers with vocal fatigue to see if their brain and muscle responses are different from those without vocal fatigue.

    Recruiting University Hospital, Bonn · Bonn · NCT06126627

  • Investigating Autonomic Dysfunction in Voice Disorders

    This study is testing a new therapy that focuses on the nervous system to see if it helps people with voice disorders feel better compared to those without the disorder.

    Recruiting University Ghent · Ghent, East-Flanders · NCT06100601

  • Exploring genetic and brain imaging factors in laryngeal dystonia

    This study is trying to see how genetics and brain changes are linked in people with laryngeal dystonia to help understand the condition better and find early signs in those at risk.

    Recruiting Massachusetts Eye and Ear Infirmary · Boston, Massachusetts · NCT03042975

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.