acupuncture was delivered twice a week by an expert. The second group received a doubled dose of (Dickman et al). In both studies the data revealed evidence of PPI’s more success in the acupuncture patients. Further investigation in this field seems justified. Voice professionals stress the importance of both voice therapy and psychological therapy as adjuncts to medical treatment for patients with LPR (Boone et al; Aronson & Bless; Satoloff, 2005; Behlau & Oliviera). Stress and psychological influences exacerbate symptoms, most specifically increase resting LES pressure (Wright et al; Cammarota et al). In the study conducted by Wright et al, they found evidence of a correlation, but a relationship contradiction. No difference in pH monitoring was found when they were under stress, however, the sings self -reported more symptoms. Voice hygiene is considered (Behlau and Oliviera), best as a “indirect therapy” preventative strategy and a component of a comprehensive therapeutic program (Behlau & Oliviera; Sataloff, 2006; Murry et al). The most significant benefit of vocal hygiene exercises is increased awareness of various aspects of voice production and therefore any vocal changes (Vashani et al). With little data available, further study is warranted (Behylau & Oliviera; Sataloff, 2006). Conclusion In the realm of reflux research there is a wealth of research, many articles exploring signs and symptoms but still many uncertainties (Wright et al; Sataloff 2006). A standard definition of is needed and continued interdisciplinary discourse “normal” with multi-center studies, unbiased collaboration and excellently designed studies with rigorous inclusion criteria (Sataloff, 2010). There is no cure for LPR as of yet, only ways
acupuncture was delivered twice a week by an expert. The second group received a doubled dose of PPI’s (Dickman et al). In both studies the data revealed evidence of more success in the acupuncture patients. Further investigation in this field seems justified. Voice professionals stress the importance of both voice therapy and psychological therapy as adjuncts to medical treatment for patients with LPR (Boone et al; Aronson & Bless; Satoloff, 2005; Behlau & Oliviera). Stress and psychological influences exacerbate symptoms, most specifically increase resting LES pressure (Wright et al; Cammarota et al). In the study conducted by Wright et al, they found evidence of a correlation, but a relationship contradiction. No difference in pH monitoring was found when they were under stress, however, the sings self -reported more symptoms. Voice hygiene is considered “indirect therapy” (Behlau and Oliviera), best as a preventative strategy and a component of a comprehensive therapeutic program (Behlau & Oliviera; Sataloff, 2006; Murry et al). The most significant benefit of vocal hygiene exercises is increased awareness of various aspects of voice production and therefore any vocal changes (Vashani et al). With little data available, further study is warranted (Behylau & Oliviera; Sataloff, 2006). Conclusion In the realm of reflux research there is a wealth of research, many articles exploring signs and symptoms but still many uncertainties (Wright et al; Sataloff 2006). A standard definition of “normal” is needed and continued interdisciplinary discourse with multi-center studies, unbiased collaboration and excellently designed studies with rigorous inclusion criteria (Sataloff, 2010). There is no cure for LPR as of yet, only ways