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NCT Number: NCT06975046

Aerodynamic Measurements in the Pediatric Population

The goal of this clinical trial is to create a vocal health database of people aged 4-65 with no diagnosed voice pathology. The main question it aims to answer is:

* what is the best way to assess pediatric voices; and, * what are the differences between healthy and dysphonic pediatric voices?

Participants will complete one 60 minute session involving one of three types of aerodynamic interruption.

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Key information

Conditions

Age range

4 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Iowa, Iowa City, Iowa, United States

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About this study

The primary goals of this research are to develop noninvasive aerodynamic assessments specific to the pediatric population, and to describe differences between healthy and dysphonic pediatric voices between the ages of 4-17 years. An adult cohort (ages 18-65) will function as a comparison group for incomplete interruption. To account for challenges associated with pediatric data collection, we will modify our current devices and methods of aerodynamic assessment to be better suited for use with the pediatric population and aim to increase measurement reliability in younger subjects. Our proposed modifications include shorter trial times, auditory masking, the use of cheek restraints, and gamification.

After identification of optimal data collection conditions for each method, we will compare these in a large group of children with normal voice. These data will be compared to data from children with vocal fold nodules or polyp. All data will be compiled into a pediatric vocal health database.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

- Healthy Control:

  • Age 4-65 years
  • Normal voice
  • No history of voice or other pertinent health disorders

Exclusion criteria

- Healthy Control:

  • Neuromuscular disorder affecting the larynx
  • History of respiratory or laryngeal disease
  • History of smoking
  • Hearing impairment
  • Cognitive impairment that might impact ability to perform the tasks required by the study

Inclusion criteria

- Abnormal Voice:

  • Age 4-17
  • Laryngeal pathology

Exclusion criteria

- Abnormal Voice:

  • No laryngeal disorder

Treatment and study plan

Complete airflow interruption

Device

Participants will produce a sustained vowel into a mouthpiece (with nose-clip) connected to a PVC tube, with a balloon valve

Incomplete airflow interruption

Device

Incomplete airflow interruption uses a Y-shaped device. The participant produces a sustained /a/ into a mouthpiece and air filter connected to the tube. The tube splits into two tubes distally.

Airflow redirection

Device

Participant phonates through a mouthpiece into a PVC tube that splits into two paths. One path is connected to an open balloon valve. When the balloon is inflated and blocks the path, air is redirected into the other path which is gated by a one-way valve.

Primary outcomes

  1. Compare subglottic pressure across different airflow interruption methods

    Time frame: 60 minutes

    Subglottic pressure is measured in kPa of leakage of air between the vocal folds and the resistance to that flow during speech

  2. Compare phonation threshold pressure (PTP) across airflow interruption methods

    Time frame: 60 minutes

    PTP is is calculated by subtracting the intraoral pressure at phonation cessation from the subglottal pressure (Ps).

  3. Compare laryngeal resistance across airflow interruption methods

    Time frame: 90 minutes

    Pressure and airflow measurements can be taken and entered into equations (Ps = (LR) U1+ Z1U1 and Ps = (LR)U2+Z2U2) to calculate Laryngeal resistance and Ps.

  4. Compare subglottic pressure between benign vocal fold lesions and normal voices

    Time frame: 90 minutes

    Subglottic pressure is measured in kPa of leakage of air between the vocal folds and the resistance to that flow during speech

  5. Compare PTP between benign vocal fold lesions and normal voices

    Time frame: 90 minutes

    PTP is is calculated by subtracting the intraoral pressure at phonation cessation from the subglottal pressure (Ps).

  6. Compare laryngeal resistance between benign vocal fold lesions and normal voices

    Time frame: 90 minutes

    Pressure and airflow measurements can be taken and entered into equations (Ps = (LR) U1+ Z1U1 and Ps = (LR)U2+Z2U2) to calculate Laryngeal resistance and Ps.

  7. Compare vocal efficiency between benign vocal fold lesions and normal voices

    Time frame: 90 minutes

    Vocal efficiency is calculated using aerodynamic to acoustic power.

  8. Compare mean airflow rate between benign vocal fold lesions and normal voices

    Time frame: 90 minutes

    Mean airflow (I) = Ps / laryngeal resistance (Lr).

Study contacts

Contact information is provided by the study sponsor or research team.

Jack Jiang, MD

CONTACT

[email protected]

608-265-7888

Owen Wischhoff

CONTACT

[email protected]

Sponsors and collaborators

Lead sponsor

University of Wisconsin, Madison

Other

Collaborators

  • National Institute on Deafness and Other Communication Disorders (NIDCD)
  • University of Iowa

Registry information

Important dates

Study start
2025
Primary completion
2030
Study completion
2030
First posted
May 16, 2025
Registry last updated
May 15, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.