SLPOtherJournal of voice : official journal of the Voice Foundation2022

Respiratory Particle Emission During Voice Assessment and Therapy Tasks in a Single Subject.

Lauren Timmons Sund, Neel K Bhatt, Elisabeth H Ference and 2 others

PMID 33268220

WHAT IT FOUND

In one voice-specialized clinician, voice assessment and therapy tasks emitted more particles at 15 cm than speaking or baseline.

Moving to 1 m lowered counts. A surgical mask added no further reduction for measured particles. Counts did not accumulate.

Key findings

01At 15 cm, therapy and acoustic tasks combined produced a median 6.5 additional particles per time point compared with baseline and speaking.

02Particle counts were significantly lower at 1 m than at 15 cm, with a median difference of 5.2 particles.

03A surgical mask did not significantly reduce measured particles compared with the unmasked condition; the difference was 2.1 particles.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Only one voice-specialized speech-language pathologist was tested, and she was the first author rather than a patient, so results cannot show what patients or other clinicians emit. The study was done in one clinic room, and the room's air changes per hour were not available, so another ventilation setup could change particle suspension. Only particles from 1 to 10 μm were analyzed; smaller ambient particles were excluded and larger droplets were not captured, so the findings do not cover the full respiratory particle range. Opening and closing the door raised particle counts, and tasks done in the first 10 minutes after entering were removed, so some planned assessment and therapy tasks were not analyzed. The masked condition could not include instrumental assessment or EMST, so the mask condition was not a complete match to the unmasked conditions.

The easy way to misread this

Do not conclude that masks do not reduce transmission risk. The study measured only a narrow particle range in one person in one room, and the masked condition omitted some tasks, so the lack of extra reduction for those measured particles does not show masks are ineffective.

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