An Alternate Method to Assess the Movement of Velum in a Clinical Setup Shanmugasundaram Lokheshwar, Anu Lokheshwar, R.K. Chandan, Kaustav Mandal Folia Phoniatrica Et Logopaedica, 2025 Introduction: Accurate evaluation of velum movement is important in the assessment of velopharyngeal function. Traditional phonation-based tasks can pose challenges for individuals with compromised phonatory subsystems. Identifying alternative, reliable tasks for visualizing velum movement is important for clinical assessment and intervention planning. The objective of the study was to determine whether a forced expiration task (FET) elicits greater velum movement compared to a phonation task (PT) during oral motor examination, using direct oral visualization. Methods: The study included 100 participants (50 males, 50 females) aged 18–70 years, excluding individuals with craniofacial anomalies, neurologic disorders, or conditions affecting velar function. Participants performed two tasks: phonation (“ah” repeated five times) and a FET (inhalation through the nose and forced exhalation through the mouth). Audio-video recordings were evaluated by three experienced speech-language pathologists using a 5-point scale for velum movement effectiveness. A Wilcoxon signed-rank test was used to compare scores between the two tasks. The Mann-Whitney U test was used to assess gender differences. Inter-rater reliability was evaluated using the intraclass correlation coefficient (ICC). Results: Velum movement was significantly greater during the FET compared to the PT (Z = −7.051, p < 0.001), with a large effect size (r = 0.705). No significant gender differences were found for either task. Inter-rater reliability was moderate to good (ICC = 0.703). Conclusion: The FET was more effective than the PT in producing visible velum movement during oral motor examination. This task may serve as a practical alternative in assessing patients with limited phonatory ability and may enhance clinical assessment protocols for velopharyngeal function.
An Alternate Method to Assess the Movement of Velum in a Clinical Setup S Lokheshwar, A Lokheshwar, RK Chandan, K Mandal Folia Phoniatrica et Logopaedica , 2025 2025
Prevalence of Communication Disorders in Selected Villages of Kolar District, Karnataka: A Preliminary Study. R Sumanth, A.V., Apoorva, H.M., Lokheshwar, S., Abhijith, M., Lokheshwar, A ... National Scientific Conclave on Interdisciplinary Research, Kolar, India , 2025 2025
Navigating speech and language complexity: A case study of a child with multifaceted health conditions MI Maseera, BM Mohan, CS Sebastian, S Lokheshwar Journal of Indian Federation of Neurorehabiliation 1 (2), 31-35 , 2025 2025
Exploring the use of social media for education among audiology and speech-language pathology students in India. S Lokheshwar, H Benny, R Rao, P Prabhu International Conference on Health Professions Education, Kolar, India , 2024 2024
Integration of social media in teaching practices: Insights from Audiology & Speech-language pathology faculty in India. S Lokheshwar, H Benny, R Rao, P Prabhu International Conference on Health Professions Education, Kolar, India , 2024 2024
A comparative analysis of neurogenic and developmental stuttering. AV Sumanth, M Jayaram, K Prabhakar, M Usha, S Lokheshwar 16th Kerala State Branch - Indian Speech-language and Hearing Association … , 2024 2024
Development and Standardization of a Photo-Word Articulation Test in Tamil - Phase I A Lokheshwar, S Lokheshwar, S Khamalanidhie, KB Anand Nitte Conference on Childhood Communication Disorders , 2024 2024
Communication Disorders in School-going Children: Preliminary Data from Schools in Villages of Kolar District, Karnataka AV Sumanth, M Abhijith, HM Apoorva, S Lokheshwar, A Lokheshwar, ... National Scientific Conclave on Transitional Research, Karnataka, India , 2024 2024
The Perspective of Undergraduate Students to Opt for Training in the Field of Speech and Hearing S Lokheshwar, A Lokheshwar, S Kumar, M Jayaram National Scientific Conclave on Transitional Research, Karnataka, India , 2024 2024
An alternate method to assess the movement of velum in a clinical setup: A pilot study S Lokheshwar, A Lokheshwar, C R K, K Mandal 55th ISHACON, Kolkata, India , 2024 2024
Motivation to enroll in speech and hearing training programs in India: A follow-up study S Lokheshwar, A Lokheshwar, S Kumar, M Jayaram Journal of All India Institute of Speech and Hearing 43 (1), 67-69 , 2024 2024
Does Language Influence the Outcome of Vocal Loading? S Lokheshwar, R Rajasudhakar Recent Advancement in the Assessment and Management of Communication … , 2023 2023
Motivation to study speech and hearing: A survey of undergraduate students in India S Lokheshwar, M Abhijith, A Lokheshwar, M Jayaram Journal of All India Institute of Speech and Hearing 41 (1), 71-81 , 2022 2022 Citations: 2
Impact of voice conservation sensitization program in nursing trainees: A pre–Post comparison K Yeshoda, R Rajasudhakar, S Lokheshwar Education in the Health Professions 4 (3), 116-123 , 2021 2021 Citations: 2
Medical Practitioner's awareness on Speech-Language Pathologists and their services in India: A pilot study S Lokheshwar, R Rajasudhakar Journal of Interprofessional Education & Practice 23, 100412 , 2021 2021 Citations: 6
Changes in Throat Temperature and Acoustic Voice Measures in Vocally Healthy Adults After Vocal Loading S Lokheshwar, R Rajasudhakar The Hong Kong Speech and Hearing Symposium 2018 , 2018 2018
A Preliminary Study Using Thermal Imaging on Voice and Throat Temperature under Induced Vocal Loading L Shanmugasundaram, R Rajasudhakar International Journal of Health Sciences & Research 8 (11), 8-14 , 2018 2018 Citations: 6
Effect of vocal loading on throat temperature in young phono-normal adults S Lokheshwar, R Rajasudhakar Nitte Voice Assessment & Therapeutics, Karnataka, India , 2018 2018
Infrared Thermography as a Tool to Infer Vocal Load: A Preliminary Observation S Lokheshwar, R Rajasudhakar, K Ravindran 47th Annual Symposium Care of the Professional Voice , 2018 2018
Effect of vocal loading on throat temperature in young phono-normal adults L Shanmugasundaram, R Rajasudhakar Journal of Laryngology and Voice 8 (1), 14-18 , 2018 2018 Citations: 4
MOST CITED SCHOLAR PUBLICATIONS
Medical Practitioner's awareness on Speech-Language Pathologists and their services in India: A pilot study S Lokheshwar, R Rajasudhakar Journal of Interprofessional Education & Practice 23, 100412 , 2021 2021 Citations: 6
A Preliminary Study Using Thermal Imaging on Voice and Throat Temperature under Induced Vocal Loading L Shanmugasundaram, R Rajasudhakar International Journal of Health Sciences & Research 8 (11), 8-14 , 2018 2018 Citations: 6
Effect of vocal loading on throat temperature in young phono-normal adults L Shanmugasundaram, R Rajasudhakar Journal of Laryngology and Voice 8 (1), 14-18 , 2018 2018 Citations: 4
Motivation to study speech and hearing: A survey of undergraduate students in India S Lokheshwar, M Abhijith, A Lokheshwar, M Jayaram Journal of All India Institute of Speech and Hearing 41 (1), 71-81 , 2022 2022 Citations: 2
Impact of voice conservation sensitization program in nursing trainees: A pre–Post comparison K Yeshoda, R Rajasudhakar, S Lokheshwar Education in the Health Professions 4 (3), 116-123 , 2021 2021 Citations: 2
An Alternate Method to Assess the Movement of Velum in a Clinical Setup S Lokheshwar, A Lokheshwar, RK Chandan, K Mandal Folia Phoniatrica et Logopaedica , 2025 2025
Prevalence of Communication Disorders in Selected Villages of Kolar District, Karnataka: A Preliminary Study. R Sumanth, A.V., Apoorva, H.M., Lokheshwar, S., Abhijith, M., Lokheshwar, A ... National Scientific Conclave on Interdisciplinary Research, Kolar, India , 2025 2025
Navigating speech and language complexity: A case study of a child with multifaceted health conditions MI Maseera, BM Mohan, CS Sebastian, S Lokheshwar Journal of Indian Federation of Neurorehabiliation 1 (2), 31-35 , 2025 2025
Exploring the use of social media for education among audiology and speech-language pathology students in India. S Lokheshwar, H Benny, R Rao, P Prabhu International Conference on Health Professions Education, Kolar, India , 2024 2024
Integration of social media in teaching practices: Insights from Audiology & Speech-language pathology faculty in India. S Lokheshwar, H Benny, R Rao, P Prabhu International Conference on Health Professions Education, Kolar, India , 2024 2024
A comparative analysis of neurogenic and developmental stuttering. AV Sumanth, M Jayaram, K Prabhakar, M Usha, S Lokheshwar 16th Kerala State Branch - Indian Speech-language and Hearing Association … , 2024 2024
Development and Standardization of a Photo-Word Articulation Test in Tamil - Phase I A Lokheshwar, S Lokheshwar, S Khamalanidhie, KB Anand Nitte Conference on Childhood Communication Disorders , 2024 2024
Communication Disorders in School-going Children: Preliminary Data from Schools in Villages of Kolar District, Karnataka AV Sumanth, M Abhijith, HM Apoorva, S Lokheshwar, A Lokheshwar, ... National Scientific Conclave on Transitional Research, Karnataka, India , 2024 2024
The Perspective of Undergraduate Students to Opt for Training in the Field of Speech and Hearing S Lokheshwar, A Lokheshwar, S Kumar, M Jayaram National Scientific Conclave on Transitional Research, Karnataka, India , 2024 2024
An alternate method to assess the movement of velum in a clinical setup: A pilot study S Lokheshwar, A Lokheshwar, C R K, K Mandal 55th ISHACON, Kolkata, India , 2024 2024
Motivation to enroll in speech and hearing training programs in India: A follow-up study S Lokheshwar, A Lokheshwar, S Kumar, M Jayaram Journal of All India Institute of Speech and Hearing 43 (1), 67-69 , 2024 2024
Does Language Influence the Outcome of Vocal Loading? S Lokheshwar, R Rajasudhakar Recent Advancement in the Assessment and Management of Communication … , 2023 2023
Changes in Throat Temperature and Acoustic Voice Measures in Vocally Healthy Adults After Vocal Loading S Lokheshwar, R Rajasudhakar The Hong Kong Speech and Hearing Symposium 2018 , 2018 2018
Effect of vocal loading on throat temperature in young phono-normal adults S Lokheshwar, R Rajasudhakar Nitte Voice Assessment & Therapeutics, Karnataka, India , 2018 2018
Infrared Thermography as a Tool to Infer Vocal Load: A Preliminary Observation S Lokheshwar, R Rajasudhakar, K Ravindran 47th Annual Symposium Care of the Professional Voice , 2018 2018