SIVA ENT Hospital (P) Ltd
Puberphonia ENT Research
• Education Program
Welcome to Puberphonia ENT Research. It is created to
Support Scientific Activities related to Puberphonia. We are doing a series of
weekly online lectures given by top speakers in the field of Puberphonia..
Send Message
+91 9841055774
kumaresan@doctor.com
www.sivaent.com
The goal of Puberphonia ENT Research Education and Traing
program is to provide information on puberphonia specialty, educational links
and resources, as well as dates of important upcoming Webinars and events.
It is divided in to
three parts.
1. Puberphonia camp. Identification by trained volunteers at
village level for census. Uplifting Society by Providing Innovative Solutions:
A study of puberphonia, a Social Entrepreneurship.
2.Puberphonia cure centre. The scope of add on practice for
physio therapist, speech therapist, any AYUSH degree therapist after UMAR
learning and training. They can diagnose and treat puberphonia and allied
speech problems according to their system.
3.Puberphonia workshop.Traing ENT Otolaryngology residents,
Fellows, interested Junior Consultants and students to train in UMAR principle
We are very interested in hearing from you. If there are any
topics you think would be helpful to include, please let us know by clicking
the “contact” link below..
1. Puberphonia
camp, Identification by trained volunteers at village level for census.
Uplifting Society by Providing Innovative Solutions: A study of puberphonia, a
Social Entrepreneurship in India.
Education is
going through a big transition due to the ongoing changes in the way we use
technology and the way we communicate. Online availability of the content has
brought about revolutionary changes in the learning process of the students.
Because the content is anyway available, so the level of learning has shifted
to the next grade. All these practices may bring some innovation in the
delivery of the courses and may enhance the quality of the outcome. The real
change will come with the change in the mindset of the leadership behind the
institutions. The vision and mission of the educational institutions need to
change from product delivery to societal change. We don’t want lengthy
manuscripts written for various journals for the purpose of publications but we
need real action along with the novel thoughts to bring about the change in the
lives of people. Actual interventions involving latest breakthroughs should be
of much more importance than having research grants for incremental changes in
existing research.
Focus is on
lifelong learning skills so that the students can adapt themselves to the new
careers in the 21st century. It is being taken care that students are
passionate about the society around them and hey come up with some solutions
to change their life in a meaningful manner. -Social entrepreneurship has
become the buzz word in India and around the world. People have found this
concept of hilanthropy a bit intriguing in nature. It has the best mixture of
social service and entrepreneurship; this ombination makes it most attractive
and so unique in nature. Usually entrepreneurship is related to economic activities
and being ruthlessly profit making and ignoring social benefits or societal
well being. In the present era of heavy industrialization and economic growth,
societal gains have taken back seat or even out of the sight all around the
world, including India, with the concept of social entrepreneurship rising in
India and around the world has helped in serving the society in more meaningful
manner than ever before along with living the spirit of entrepreneurship with
its fullest.
ENTHUSIASM FACED BY
PUBERPHONIA WORK IN SOCIAL ENTREPRENEURSHIP
1. Finance- One of the challenges for
entrepreneurship in India remains lack of financial sources. Puberphonia
identification training and treatment offering a unique product and set of
services make it even easier to get financial support from claints.
2. Talented/dedicated workforce- This is a very
unique challenge faced by social entrepreneurship exclusively. Generally people
get into jobs to get a handsome salary and perks, but with social
entrepreneurship this becomes a bit hard. Since the prime objective of
puberphonia treatment is to get social gains/benefits it makes revenue by
itself.
3. The problem of creativity- The next safety
which is faced by puberphonia social entrepreneurship is gaining of creativity
regarding thinking great ideas for betterment of society and earning profits as
well. This fusion is very easy to think and implemented particularly in health
care.
4. Global Recognition is a leading provider of
recognition awards - the role of international opportunity recognition became
an emergent research stream in puberphonia.
Our first impression is puberphonia is much more, larger
than it is cited. In our small single ENT doctor clinic we are able to get more
than 600 cases in a matter of 2 years.
Data Collection and Treatment Method
After getting the
ethical consideration of
verbal and written permission
from each sample,
the structured questionnaire was
used to assess
the impact of puberphonia on society by interview
method. Even though the investigator has
found his own
simple method of
puberphonia relief in 1990
[4], vigorous propaganda is
done since 11
November 2016. In a short period
in our center we got 476 cases which indicates
that prevalence of
puberphonia is high.
The investigator have done
the treatment of”
Pharyngeal resonance manipulation”
followed by breath
of fire and breath
yoga therapy of
three to five
days by the
trained personal, and the
effectiveness of treatment is
daily assessed and guided them
when needed. At
the end of
the data collection in
puberphonia center we were able to collect 476 cases by the investigators.
Puberphonia
is a voice disorder which is distinguished by the habitual and continuous use
of prepubertal high-pitched voice of a child even after puberty. It is not a
rare disorder, in which the patient manifests higher register voice than others
of their same age group. Previous report says that the prevalence is 1 in 900,000
population. The impact of voice disorder varies greatly from person to person,
environment, occupation, family members and overall personality. These are all
the variables that can affect the way voice disorder affect a particular
person. In general, people with puberphonia tend to encounter problems that
include emotional, psychological, social and professional difficulty.
How we identify puberphonia
Simply
identify puberphonia boys with ears-on hearing their tone by voice. Many may
even refuse to conjunction with an atypically high pitch, common symptoms
include a weak, breathy, or hoarse voice,
as well as a low vocal intensity, pitch breaks, and shallow
breathing. Emotional stress, self-consciousness resulting from an early breaking
of the voice, Self-consciousness resulting from emerging adulthood, excessive
admiration of another male or sibling, excessive maternal protection, social
consequences of speaking in the falsetto register, because a high-pitched voice
pathologized as women, women are less likely to be referred to clinicians to
treat falsetto speech, some older adult women, however, may seek a referral for
this disorder due to increasing weakness of their voice and vocal fatigue at
the end of the day (these cases are often referred to as "juvenile
voice" or "little girl's voice" rather than puberphonia.
One can assess the personality and identify the possibility
of puberphonia in males 1. Physical/
mental health problem with unknown origin. 2. Destroys their self esteem, 3.
Leads to low confidence, self doubt, anxiety and depression, 4. Anxious
avoidance behavior,5. Obsessive thoughts about self image, 6. Eating disorder
like anorexia and binge eating, 7. Delayed or no marriage, 8. Live lonely or
leave the home 9. Live with friends, 10.Suicide tendency in some after
rejection by a female partner. Male
having married, their wife incest them to change their voice because of social
stigma and multivarious reasons. Even
some boys may leave the house and disappear. Boys may refuse to attend classes,
mostly due to bulling. Evan senior officer looses the power of control.
People would make comments a big business man/ politician in
the society by not recognizing ther puberphonia. For istance we like to suggest
few comments: ‘You should do voiceovers
for kids movies’ or ‘How old are you?’ and sounding less, like a child, more
womanly. Even British prime minister Margaret Thatcher had elocution lessons to
make her voice powerful, to recognize her as a “ Iron Lady”.
The first part of the questionnaire inquired about
functional communication and social participation and second part focused on
emotional responses. All participants filled out the puberphonia health
questionnaire and also took part in individual interviews to gather in depth
information. Conversing over the telephone was a problem for 100%, while 100%
experienced difficulties when talking to same age girls. 100% reported
difficulties in work place or place of education. Among the participants, 10%
communicated by writing on paper and 87% used text messages to communicate. 70%
of the participants showed psychological distress with puberphonia. Different
coping strategies are used to overcome these difficulties. Adolescents are more
affected than young adults. Apart from impact on voice of the puberphonia, this
disorder also has impact on social and psychological level. The case history
generally concerns about the level of psychological impact of the patient, but
research has not yet addresses the change in the psycho-social behavior of the
patient. There is lack of awareness about the disorder and also the treatment.
It has also been noted that the patient with puberphonia, has a tendency to be
left out alone. There has been very little research in puberphonia patient’s psychological
and social behaviors. Supportive study revealed that participants filled out
the General Health Questionnaire and also took part in individual interviews to
gather in depth information.
Now a day,
suicide has become a major public health problem which can have a lasting
effect on the family and the entire community. According to WHO, around
8,00,000 people die due to suicide every year. National Institute of Mental
Health states that suicide is the second leading cause of death among
individuals ranging from 15 to 30 years. People with suicidal tendency tend to
have certain problems like mental disorders, depression or alcohol abuse may be
due to financial crisis, life stress or even chronic pain and illness. One of
the cause may be puberphonia and rejection by opposite sex or by bullying. Such
people do not openly talk about their problems and end up attempting/committing
suicide. One of the major reasons for this problem is lack of awareness on
treatment and could be done from this intervention to reduce suicide rates to
create more awareness about it. As medical professions should identify
puberphonia early and treat quickly and confidently with non invasive process.
Once we correct the voice in puberphonia, communication and quality of life
improves. We find that patients socialize more and participate in more
activities.
The
third party recognized the voice of his father. Genetics also play a role in
how our voices mature. Although how a child's voice develops owes something to
mimicry of their parents, people from the same family will often sound alike
because laryngeal anatomy is dictated by ancestral DNA just like every other
physical trait.
The most common
symptoms include pitch breaks, hoarseness, breathiness, difficulty in vocal
projection, and visible laryngeal muscle tension. GRBAS scale, was used to
assess the voice, perceptually. This
scale evaluates voice on five scales - Grade (G), Roughness (R), Breathiness
(B), Asthenia (A), and Strain (S). Each
parameter is rated on a 4-point rating scale ranging from 0 (normal), 1
(slight), 2 (moderate), and 3 (extreme).
Praat software was used for acoustic assessment of voice. Prat is a software tool used to analyze,
synthesize, and manipulate speech and has an built-in voice report tool.
The psychosocial impact of puberphonia was assessed with the
Voice Handicap Index . It is a 30 item,
5 point (0 to 4) scale, where 0 denotes “never” and 4 denotes “always”. From the scores, the impact of the voice
disorder may be classified as mild, moderate or severe. Low scores (greater than 30) indicate that
there is a minimal amount of handicap associated with the voice disorder. A score of 31 to 60 denotes a moderate amount
of handicap and a VHI score from 60 to 120 represents a significant amount of
handicap due to a voice problem. VHI is
a useful instrument to monitor the treatment efficacy for voice disorders.
Pre and post therapy testing was performed using VHI
administration and perceptual and acoustic analyses.
Voice Therapy: All
patients underwent a voice therapy schedule with the following techniques:
Counseling regarding the basics of patient anatomy,
physiology and human growth to understand what is happening. It aims to
alleviate anxiety, depression and other psychosocial impacts of
puberphonia. The patient is counseled
about the effects of childish voice
communication and the likely positive changes resulting from the use of a new
voice.
Therapy techniques included:
• Vegetative
sounds – patient is asked to produce a cough or throat clear to initiate
voicing.
• Hard
glottal attack – patient is asked to produce vowels and words in a sudden
plosive manner.
• Glottal
fry – patient is asked to produce the lowest possible pitch on vowels and words
then on short phrases and short sentences.
• Confidential
voice therapy – patient is asked to use a breathy, soft, gentle speech.
• Humming
while sliding down the scale
• Yawning
technique
• Inspiratory
phonation
• Incomplete
swallowing sonorous ( full and loud and deep
• Use of
nasal sounds
• UMAR
training – our new research methotd- uvula manipulation – in one day high pitch
voice turn to normal low pitch voice
Our voice
training will continue with fire of breathing along with other
manipulation for 3 complete days as outpatient procedure with no medicine. The patients were made aware of their newly
acquired low-pitched voice and were counseled to accept it as their own
voice. When the patient was able to
produce the low-pitched vowel, the same was used to produce nonsense syllables,
words, phrases and sentences in a hierarchical manner. Our UMAR treatment is
95% successful and less time taking-maximum 3 days and habituate by home
training for 21 days as home training.
The camp .Our over-arching goal for the program is to help
campers to:
• Explore what PUBERPHONIA is, and what it is not
• Become aware of their own unique way of Speaking.
• Engage in group settings with others who puberphonia and
learn to talk openly about their speech
• Make decisions about what changes they would like to make
in either speaking.
• Provide opportunities for speaking in a variety of
communication situations.
An innovative puberphonia care programme to deliver
awareness, screening, diagnosis, and treatment for the underserved.
600 puberphonia identified and treated globally
Age wise treated cases
Aim
1. Identify the one problem- puberphonia you can solve.
One of the main misconceptions around coaching and
consulting is that you need to be an expert in the entirety of a field. That
couldn’t be further from the truth.
The reality is, in order to have a successful business; you
have to be a specialist, not a generalist. People choose a coach or consultant
because they believe them to be uniquely qualified to solve their particular
problem. Your business must solve one specific problem, for one specific group
of people. Those who have that problem will seek you, before anyone else, to
solve it.
By specializing, you also gain a deep understanding of your
market, thus allowing you to speak to their specific pain points and increasing
confidence that you can actually help solve them.
2. Figure out the steps to success.
Once you’ve figured out the one problem you solve and who
you solve it for, the next step is to map out the specific steps clients will
need to take to get the desired result. Once you know what they'll need to do,
arrange those steps into chronological actions. Then, record yourself walking
through each of those steps.
3. Speaks to the end result.
The final piece of the puzzle is to compile all the work
you’ve done so far so you can start attracting clients. You'll want to create
four lead-generation pages. The first page should have a strong headline that
speaks to the end result you get for your client.
4. Confirmation page.
• Explore what PUBERPHONIA is, and what it is not
• Become aware of their own unique way of Speaking.
• Engage in group settings with others who puberphonia and
learn to talk openly about their speech
• Make decisions about what changes they would like to make
in either speaking.
• Provide opportunities for speaking in a variety of
communication situations.
An innovative puberphoniar care programme to deliver
awareness, screening, diagnosis, and treatment for the underserved.
Early screening and diagnosis.
These can be easily detected through a simple hearing of the
tone of the voice by a social worker using an android cell phone-down down
loaded voice pitch analyzer. . With early screening and diagnosis, puberphonia
is curable. UMAR with a philosophy to create sustainable program of low-cost
puberphonia care including awareness, screening, diagnosis, and treatment to
the underserved, particularly in densely populated, low-income urban
settlements and rural areas by leveraging medical technology,
telecommunication, and frugal innovation. It is a hallmark example of health
system innovation, serving dual objects of social impact and business viability
simultaneously.
Direct recording the voice and finding out the pitch/ Puberphonia camp at school with oculus Camp at village
With an ENT surgeon as the central point of care, the
programs are operationalized through trained community health workers (CHW)
equipped with an “android cell phone.” Patients with a positive provisional
diagnosis are routed to the point of care for receiving low-cost treatment,
including advanced diagnosis anr UMAR noninvasive ,out patient therapy .
False and myth about puberphonia
There are a number of proposed causes for the development
of Puberphonia, that the etiology
of Puberphonia can be both organic
(biological) and psychogenic (psychological) in nature.
1. Hormonal,
similarly at puberty, guys' bodies begin producing excess of hormone called
testosterone which causes changes in several parts of the body, including the
voice. For starters, a guy's, also known as the voice box, grows bigger.
Examination of these patients should include a complete physical examination
including a genital examination also. Secondary sexual characters should be
assessed; hypogonadism should be ruled out. Genetic origin, Family history of
Puberphonia is proposed. We tested testosterone level 100 case of Puberphonia
as a sample study. Their level from 310 to 675ng/dl.
2. It
is not due to psychological. As they are left out of society they are
considered as indifferent.
3 It is not due to habitual use. They may try all the ways
to break the voice. It is concluded that it is not curable.
4. Puberphonia
boys are not smart and intelligent. They will have a normal life if they are
not disturbed by the society.
5. It is
not due to anatomical reason in the vocal tract. They are having normal vice on
coughing and yarning.
6. It is not
due to neurological. After puberphonia treatment they lead a normal life.
7. Bad
parenting is not the cause for developing pubertphonia. Puberphonia is not a
disease, it is a life experience.
8. It is
easily curable by uvula resonance manipulation.
2.3. Data Collection and Treatment Method
After getting the
ethical consideration of
verbal and written permission
from each sample,
the structured questionnaire was
used to assess
the impact of puberphonia on society by interview
method. Even though the investigator has
found his own
simple method of
puberphonia relief in 1990
[4], vigorous propaganda is
done since 11
November 2016. In a short period
in our center we got 476 cases which indicates
that prevalence of
puberphonia is high.
The investigator have done
the treatment of”
Pharyngeal resonance
manipulation” followed by
breath of fire
and breath yoga therapy
of three to
five days by
the trained personal, and
the effectiveness of treatment is daily assessed and guided
them when needed.
At the end
of the data collection in puberphonia center we were able to collect 476 cases by the investigators.
3. Results
The assessment of impact of puberphonia on society among puberphonia
in males from the age group of 15 to 70 years is depicted in
figure 1 and figure 2
depicts the marital
status report among puberphonia
males. The results
also revealed that there is a
significant association between salaried
versus dependent which is depicted in figure 3 and figure 4 shows the geographical
location data of puberphonia male.
4. Discussion
The first part
of the questionnaire
inquired about functional communication
and social participation
and second part focused on emotional responses. All participants filled out the puberphonia health questionnaire and also
took part in individual
interviews to gather
in depth information.
Conversing over the
telephone was a
problem for 100%, while
100% experienced difficulties
when talking to
same age girls. 100% reported difficulties in work place or place of education.
Among the participants, 10% communicated by writing on paper
and 87% used text messages to communicate. 70% of the participants
showed psychological distress
with puberphonia. Different coping
strategies are used
to overcome these difficulties.
Adolescents are more
affected than young adults. Apart
from impact on
voice of the
puberphonia, this disorder also has
impact on social and
psychological level.
The case history
generally concerns about
the level of psychological impact of the patient, but research has not
yet address the change
in the psycho-social
behavior of the patient.
There is lack
of awareness about
the disorder and also the treatment. It has also been
noted that the patient with puberphonia,
has a tendency
to be left out alone.
There has been very little
research in puberphonia
patient’s psychological and social
behaviors. Supportive study revealed that
participants filled out
the General Health Questionnaire and
also took part
in individual interviews to gather in
depth information. Conversing over the
telephone was a problem for
87% while 73% experienced
difficulties when talking to
same age girls.
60% reported difficulties
in work place or
place of education.
77% had difficulties
in social situations. Only
20% experienced difficulties
when interacting with family members [10].
Now a day,
suicide has become
a major public
health problem which can have a lasting effect on the family and the entire community.
According to WHO,
around 8,00,000 people die due to
suicide every year [7]. National Institute
of Mental Health states that
suicide is the second leading cause of
death among individuals ranging from
15 to 30 years [5].
People with suicidal
tendency tend to have certain problems like mental
disorders, depression or
alcohol abuse may be
due to
financial crisis, life
stress or even
chronic pain and illness. One of the cause maybe
puberphonia and rejection by opposite
sex or by bullying. Such people
do not openly talk about their
problems and end up attempting/committing suicide. One of the
major reasons for this problem is
lack of awareness on
treatment and could
be done from
this intervention to reduce
suicide rates to create more awareness about it. As medical professions should
identify puberphonia early and treat
quickly and confidently
with non invasive process.
Once we correct the voice in puberphonia, communication and quality
of life improves.
We find that
patients socialize more and
participate in more activities.
Highlights of puberphonia
males- functional communication and social participation
1. Critical
aspects of communication
skills have been impacted by puberphonia.
2. Adolescents who are puberphonia are teased and bullied more
than their fluent peers.
3. Adolescents
may not find
puberphonia voice a stigmatizing condition
however they prefer
not to discuss it with other
people.
4. Families have experienced
high levels of
emotional strain in conducting the
marriage for puberphonia boys and recognize the impact of puberphonia
among boys.
Puberphonia can cause
wide ranging psychosocial impact.
This is particularly
the case for
adolescents who may
face additional physical, emotional
and personality changes
as they become adults.
This study reports
the findings of an investigation into
the social and communication
impacts of puberphonia.
The following Message should be recognized by the public and medical professionals
1. Puberphonia is a very common problem.
2. It needs treatment and treatment available.
3. It is not a hormonal disease and physiological disease.
4. Puberphonia boys are smart and intelligent.
5. Bad parenting is not the etiology for puberphonia and.
2.3. Data Collection and Treatment Method
After getting the
ethical consideration of
verbal and written permission
from each sample,
the structured questionnaire was
used to assess
the impact of puberphonia on society by interview
method. Even though the investigator has
found his own
simple method of
puberphonia relief in 1990
[4], vigorous propaganda is
done since 11
November 2016. In a short period
in our center we got 476 cases which indicates
that prevalence of
puberphonia is high.
The investigator have done
the treatment of”
Pharyngeal resonance
manipulation” followed by
breath of fire
and breath yoga therapy
of three to
five days by
the trained personal, and
the effectiveness of treatment is daily assessed and guided
them when needed.
At the end
of the data collection in puberphonia center we were able to collect 476 cases by the investigators.
3. Results
The assessment of impact of puberphonia on society among puberphonia
in males from the age group of 15 to 70 years is depicted in
figure 1 and
figure 2 depicts
the marital status report
among puberphonia males.
The results also
revealed that there is a significant association between salaried versus dependent which is depicted in figure
3 and figure 4 shows the geographical location data of puberphonia male.
4. Discussion
The first part
of the questionnaire
inquired about functional communication
and social participation
and second part focused on emotional responses. All participants filled out the puberphonia health questionnaire and also
took part in individual
interviews to gather
in depth information.
Conversing over the
telephone was a
problem for 100%, while
100% experienced difficulties
when talking to same age girls. 100% reported difficulties in
work place or place of education.
Among the participants, 10% communicated by writing on paper
and 87% used text messages to communicate. 70% of the participants
showed psychological distress
with puberphonia. Different coping
strategies are used
to overcome these difficulties.
Adolescents are more
affected than young adults. Apart
from impact on
voice of the
puberphonia, this disorder also has
impact on social and
psychological level.
The case history
generally concerns about
the level of psychological impact of the patient, but research has not
yet address the change
in the psycho-social
behavior of the patient.
There is lack
of awareness about
the disorder and also the treatment. It has also been
noted that the patient with puberphonia,
has a tendency
to be left out alone.
There has been very little
research in puberphonia
patient’s psychological and social
behaviors. Supportive study revealed that
participants filled out
the General Health Questionnaire and
also took part
in individual interviews to gather in
depth information.
Conversing over the telephone was
a problem for 87%
while 73% experienced difficulties when talking
to same age
girls. 60% reported
difficulties in work place
or place of
education. 77% had
difficulties in social situations.
Only 20% experienced
difficulties when interacting
with family members [10].
Now a day,
suicide has become
a major public
health problem which can have a lasting effect on the family and the entire community.
According to WHO,
around 8,00,000 people die due to
suicide every year [7]. National Institute
of Mental Health states that
suicide is the second leading cause of
death among individuals ranging from
15 to 30 years [5].
People with suicidal
tendency tend to have certain problems like mental
disorders, depression or
alcohol abuse may be
due to
financial crisis, life
stress or even
chronic pain and illness. One of the cause maybe
puberphonia and rejection by opposite
sex or by bullying. Such people
do not openly talk about their
problems and end
up attempting/committing suicide.
One of the major reasons for this
problem is lack of awareness on
treatment and could
be done from
this intervention to reduce
suicide rates to create more awareness about it. As medical professions should
identify puberphonia
early and treat
quickly and confidently
with non invasive process.
Once we correct the voice in puberphonia, communication and quality
of life improves.
We find that
patients socialize more and
participate in more activities.
Highlights of puberphonia
males- functional communication
and social participation
1. Critical aspects
of communication skills
have been impacted by
puberphonia.
2. Adolescents who are puberphonia are teased and bullied more
than their fluent peers.
3. Adolescents
may not find
puberphonia voice a stigmatizing condition
however they prefer
not to discuss it with other
people.
4. Families have experienced
high levels of
emotional strain in conducting
the marriage for puberphonia boys and
recognize the impact of puberphonia among boys.
Puberphonia can cause wide ranging psychosocial impact.
This is particularly
the case for
adolescents who may
face additional physical, emotional
and personality changes
as they become adults.
This study reports
the findings of an investigation into
the social and communication
impacts of puberphonia.
The following Message should be recognized by the public and
medical professionals
1. Puberphonia is a very common problem.
2. It needs treatment and treatment available.
3. It is not a hormonal disease and physiological disease.
4. Puberphonia boys are smart and intelligent.
5. Bad parenting is not the etiology for puberphonia and.
Data Collection and Treatment Method
After getting the
ethical consideration of
verbal and written permission
from each sample,
the structured questionnaire was
used to assess
the impact of puberphonia on society by interview
method. Even though the investigator has
found his own
simple method of
puberphonia relief in 1990
[4], vigorous propaganda is
done since 11
November 2016. In a short period
in our center we got 476 cases which indicates
that prevalence of
puberphonia is high.
The investigator have done
the treatment of”
Pharyngeal resonance
manipulation” followed by
breath of fire
and breath yoga therapy
of three to
five days by
the trained personal, and
the effectiveness of treatment is daily assessed and guided
them when needed.
At the end
of the data collection in puberphonia center we were able to collect 476 cases by the investigators.
The study
concludes that our treatment for puberphonia by an out patient treatment by uvula manipulation and breath of
fire therapy not only improves the voice, it is also improved the personality
of puberphonia client and we provides thorough further knowledge about
puberphonia among the society and health professionals.
2. The scope of add on practice for physio therapist, speech
therapist, any AYUSH degree therapist after UMAR learning and training. They
can diagnose and treat puberphonia and allied speech problems according to
their system.
Puberphonia cure
centre.
The scope
of add on practice for physio therapist, speech therapist, any AYUSH degree
therapist after UMAR learning and training. They can diagnose and treat
puberphonia and allied speech problems.
Our preliminary study suggests that physical therapy techniques may have
a role in the treatment of a subset of puberphonia patients. Larger,
comparative studies are needed to better characterize the role of physical
therapy in this population. Puberphonia
is characterized by increased musculoskeletal tension with excessive
muscular recruitment in the larynx, pharynx and mouth with concomitant
disruption of efficient vibratory parameters. Puberphonia voice disorder is
further classified as primary or secondary. Primary occurs in the absence of
identifiable fixed laryngeal pathology (e.g. vocal fold/tract lesions,
paralysis), while secondary refers to unknown etiology that occurs
concomitantly with such pathologies. Clinically, both types present with
variable symptomology including hoarseness, vocal fatigue, effortful voice
production, change in habitual pitch, reduced vocal range, pain with voice use,
muscular cramping and neck stiffness which can be a subject added treated
modality for therapist, speech therapist, any AYUSH degree therapist.
About 1%
of the population, are born with a predisposition to speak in a different
manner, among that one problem is puberphonia.
Speech Language Pathologist Speech-language pathologists provide
services to children (from neonates through to school age), adolescents, adults
and geriatrics with special needs in the areas of communication and swallowing.
The clinical services include, but are not limited to clinical and/or
instrumental screening, assessment, identification, diagnosis, treatment, and
management of • Speech sound production delays and disorders including
articulation disorder, phonological disorder, apraxia of speech, and dysarthria
• Language delays and disorders including comprehension and expression in
verbal and/or non-verbal modalities • Fluency disorders including puberphonia,
normal non fluency, stuttering and cluttering • Voice disorders including
disorders of phonation quality, pitch, loudness and respiration • Resonance
disorders including hyper nasality, hypo nasality and cul-de-sac resonance and
mixed resonance • Swallowing and feeding disorders • Cognitive-communicative
disorders including disorders of social communication skills, attention,
memory, reasoning, sequencing, problem solving, and executive functions •
Pre-literacy and literacy skills including phonological awareness, decoding,
reading, comprehension, and writing • Communication and swallowing disorders in
the context of other diagnoses or impairments including but not limited to
hearing impairments, traumatic brain injury, dementia, developmental,
intellectual or genetic disorders, and neurological impairments • Development,
assessment and selection of augmentative and alternative communication systems
including unaided and aided strategies for individuals who have limited in
their ability to communicate verbally, and provision of education and training
in their use. • Selecting, fitting, and establishing effective use of
prosthetic/adaptive devices for communication and swallowing such as trachea
esophageal prostheses, speaking valves, electro larynx, etc. • Modifications or
improvement of speech and language proficiency and communication effectiveness
such as, care and improvement of professional voice.
A call for puberphonia eradication program
ELIGIBILITY – Physio Therapist, Speech Therapist, Any
AY(N)USH degree or students.
We on behalf of
SIVA ENT Hospital, Puberphonia Cure Centre really very happy to have a heart to
heart communication. I specially thank you from the bottom of my heart for your
awareness to overcome puberphonia and the interest shown towards this Centre.
Read this book to have positive good ideas and to get correct, factual and
practical information about puberphonia and its cure.
This is not a
professional rather it is a heart-to-heart life-saving communication with us by
several puberphonia boys, who also has been humiliated, teased, ignored,
uncared for and under-estimated just like few because of puberphonic voice for
years. With the motto of “SERVICE TO PUBERPHONIA PERSONS ABOVE SELF”, since
over 30 years we have been dedicated wholeheartedly to serve around puberphonia
persons of India and around the Globe, who are still suffering from lack of
confidence, low self esteem, frustration, depression, several hurdles and
difficulties and have lost all hope in life due to their puberphonic voice.
Many people in India are suffering from puberphonia but most of them are
brilliant, creative, talented, imaginative and intelligent. Can you imagine the
massive wastage of resources for the nation and the whole World?
Depressed, Tensed,
Humiliated, Frustrated And Have Lost All Hope In Life Due To Puberphonia?
Don't worry! Puberphonia is not a disease, neither is it by
birth nor is it any physical defect. It is purely a dour, life style and bad
habitual problem which is easily curable in just 3 days. Unbelievable but true.
Over the past more than 600 people have cured their puberphonia under our guidance. Why not you join with us to treat it?
The
Big Shift: Moving from "Doer" to "Leader"
No matter how severe or how old the puberphonia problem, we
can treat it.AT IS PUBERPHONIA
What is Pubberphonia ?: Puberphonia voice is childish or
girl’s voice.
The good news is that puberphonia is not a disease. There is
nothing wrong with the tongue, throat or any other speech organs. When they
speak alone the voice is high pitch. SES STAMMERING
Puberphonia develops at the time of boys attain adulthood
change, as a result of non breaking of voice.
Whatever may be the reason for developing puberphonia, they
have uncontrolled excitement, tension, fear, nervousness, hesitation,
anticipation of child/ladies voice, faulty way of breathing, very fast speaking
habit, lack of confidence and courage to speak.
HOW DOES PUBERPHONIA DEVELOP?
Neither does it start by birth nor is there any physical
defect. Adult male continue to talk in their childhood high pitch tone..
All these things which recognized in the adulthood continue
to be a lifelong problem.
Does Puberphonia Get Cured On Its Own? .No.
Most of the parents in India surprisingly comment that
'Ignore the problem, it will be cured by itself when you grow up – it is a
passing phase'. It is not that puberphonia once voiced is not curable at all
naturally, and then so many golden years of one's life become a nightmare. This
time will never come back and there is no way to compensate for it. The
formative period of anybody's life – school life, adolescence, college life and
so on are the stages in which to build up one's personality, skill and other
essential qualities for a bright life and a successful career. But during those
vital periods, if one is forced to stay in the shell, avoiding people and
engage in all other self-defeatist behavior, naturally it affects one's success
and achievement in life. So without waiting for the fortunate day when it may
or may not get cured on its own, take immediate action to solve the most
complicated problem of a person's life – voice.
Is Puberphonia Curable, Controllable Or Incurable? Yes
curable, the most neglected and ignored problems in the world.
DIFFICULTIES FACED BY PUBERPHONIC VOICE PERSONS
Puberphonia is something seldom understood and rarely have
people shown their concern for people suffering from it. Since it does not kill
a person or affect the major internal body organs, it is not taken seriously.
To others, puberphonia is a joke they can tease and laugh about but only a
puberphonia person knows what they are going through because of their high
pitch voice.
• Even
after knowing better than most of the people, they cannot express their
knowledge; people consider them to be dull & incompetent.
• Puberphonia
leads to depression, tension, frustration, pessimism and they develops
inferiority complex and ultimately lose all hope & ambition in life and
often think of committing suicide.
• Due to
poor communication with examiner, marks obtained in oral exams are less even if
they are prepared very well.
• Puberphonia
boys always have to take the help of others to go anywhere or meet anybody, so
they do not become self-sufficient or independent.
• Due to
this problem, puberphonia boys get easily irritated and annoyed, thus losing your
cool calm and composure.
• During
social functions & marriage gatherings, puberphonia boys try to avoid
people & they treat them as unsocial because of your inability to interact.
• They are
not able to ask questions or clarify doubts in class & hence have to remain
ignorant in some topics.
• They
often do not get due credit & appreciation for the hard sincere &
honest work that they have done.
• To take
up any challenging task is very difficult for them because of constant fear
& lack of confidence.
• To
participate in a interview, marriage proposal, delayed conceiving, quiz
contest, elocution or perform in the stage is very difficult.
• In most
of the cases they admit their inability & have to settle for a petty job
that is much less dignified compared to their qualification.
• They have
definitely missed or are missing the beautiful school/college life which other
students happily & cheerfully enjoy by participating in all extracurricular
activities.
• To meet
top people for important work, a lot of tension mounts making it problematic to
discuss freely.
• In spite
of having everything in life because of their indifferent pitch in speech,
their dreams always remain unfulfilled.
The essential life line is : Their deep knowledge, very good
intellectual ability, creative ideas, good aptitude skill & excellent
academic & other records are wasted unless they are capable enough to
communicate very well, display pleasing and attractive personality to command
leadership. Today these things are absolutely necessary to excel in life. We
request you to learn to treat puberphonia.
STATUS OF PUBERPHONIA PERSONS
It is very unfortunate that the status of puberphonia
persons is extremely pathetic and painful. They are being subjected to teasing,
humiliation, underestimation, neglect and ill-treatment everywhere. Sometimes
they are ignored, made fun of and even tortured. In the society, people
misunderstand them; do not respect them and puberphonia persons are exploited
in various ways. They are often victims of cheating, bullying and injustice
because they cannot protest. People stereotype puberphonia persons as dull,
foolish, unsmart, incompetent, timid and other similar negative things.
In short, the puberphonia persons are very much deprived of
leading a normal and respectable life. They are leading a life full of
frustration, depression and hopelessness, wandering through life aim-less and
goal-less. In reality, puberphonia persons are more intelligent, creative,
imaginative and have fast thought process. It is frustrating to see them
underachieving and being under-rewarded compared to their skills and talents.
Moreover they face such discouragement that they feel
unaccepted in their own families and friend circles. Their relatives and
friends may often try to hide the fact from the society that are related to
them or even know them. Since that love, support and encouragement in life is
lost, they are left with just loneliness, unhappiness, hopelessness,
helplessness, frustration and feelings of worthlessness, which can all lead to
suicide attempts. Puberphonia persons are not just discriminated against by
their family, friends or society, but also by themselves. They view themselves
as "diseased", "handicapped", incapable, worthless and
undeserving of good things in life because of their puberphonia problem and
their repeated failures to utilize opportunities and shine.
FAMOUS PEOPLE WITH PUBERPHONIA
Many. We believe that puberphonia also have the full right
and all the necessary qualities and the potential to transform yourself into a
fluent confident and an excellent speaker within a short period. We have
already proved it several times. The only thing you need is the link with me to
cure puberphonia.
TREATMENT TECHNIQUES
Enriched 600 puberphonia patients life with ancestral voice
by an innovative ,noninvasive successful uvula, the accessory speech organ,
resonance manipulation treatment. A live demonstration with
palatal-uvula obturators, short-term prosthetics oculus ,Virtual Reality
and APP used to create low pitch speech production. “Treat puberphonia in one day” workshop
provides opportunity for “hands-on” or skill-based practice or learning.
This topic is important to the prospective Physio Therapist,
Speech Therapist and AYUSH Therapist because it is specific, relevant
common condition of an unknown etiology. It is based on an extensive research
literature, though didactic presentations are kept to a minimum. Active
learning is encouraged through case-based discussions, group exercises, video
case review, and communication skills practice. It's a great way to teach
hands-on skills in puberphonia because it offers participants a chance to try
out our/your new noninvasive, outpatient treatment methods in an easily
recognized, common, unattended voice problem. The interactive portions of the
workshop should be stressed and should include both small- and large-group
discussions and activities wherever possible. One will experience the most 28
years experienced best quality methods with 6 articles published and 29
workshop conducted.
In a seminar on ‘Voice care for students and teachers,’
conducted by Tamil Nadu Science and Technology Centre in coordination with
Medical Advance Research Foundation, close to 150 teachers got a respite from
talking,
3. Puberphonia workshop.Traing ENT Otolaryngology residents,
Fellows, interested Junior Consultants and students to train in UMAR principle
Workshop content
1. Use of voice pitch analyzer in puberphonia, cough,
yarning and snoring.
2. Bernoulli Effect. The Bernoulli Effect provides an
explanation of how the vocal folds actually vibrate and produce sound.
3. Tholkappier article, 2500 years back written Tamil poem.
The voice originates from abdomen.
4. Venturi
effect. Venturi effect is a
system for speeding the flow of the air at uvular level, by constricting it in
a cone shape tube.
5. Ripple Phenomenon. The ripples are cause either by wind
currents blowing in the mouth.
6. Resonance by shell
(“sanku-in Tamil language”), comparable to nasal resonance. The principle of
resonance affects how we perceive sound waves. All objects possess a natural or
resonant frequency at which they tend to vibrate
7. Meditation / Yoga “breath of fire” breathing training.
Deeply inhaling and exhaling fully through the nose or mouth. During the
inhale, the diaphragm is pushed out and pulled during the exhale.
8. Pavlov
Conditioning theory of habituation. Pavlovian theory is a learning procedure
that involves pairing a stimulus with a conditioned response.
9. Uvula as a speech organ; Uvula trill and uvula
consonants; both uvula and speech serve to differentiate human beings from
animals. Our conclusion is that the uvula is an accessory organ of speech, and
may be another marker of human evolution that differentiates man from other
mammals
10.Puberphonia App.
Focus on what the puberphonia can do instead of overemphasizing what he can't
do.
11. Virtual reality training with “Oculus”. Use of
non-immersive virtual environments to provide assessment and intervention.
12. Gaining the ancestral voice in the place of puberphonia
voice, because no surgery is involved. Participants will benefit from learning
a range of shared rituals they can use to manifest various objectives sought.
They will leave the programme with the self-confidence to extend their
knowledge in creating their own rituals and customising them for increased
spiritual development, growth and achievement.
Practical references by the workshop instructor published
articles
1, “Tholkappiyam
Leads Bernoullies Phenomenon in Voice Production and Maintenance, Kumaresan, M.
World Classical Tamil Conference, 5-day Summit | June 2010, Coimbatore.
2. Assess the
Impact of Puberphonia in the Society - Science ...article. MuthiahKumaresan,Science
publishing group.com › … May, 2019.
3. An immediate
and permanent cure for Puberphonia
www.researchgate.net › amp.uthiahKumaresan Journal of eISSN: 2379-6359, Otolaryngology-ENT
Research, Published: July 31, 2018.
4. A study of
parallels in the works of Tholkappiyar and Bernoulli, Dr.M.Kumaresan, The 10th
World Tamil Conference, Chicago July... Published: 4th July 2019.
5. Fast Track
Treatment for Puberphonia, Kumaresan M* and NavinBharath, Published: February
05, 2020.Scholarly Journal of Otolaryngology (SJO)
6. New concept
for uvula manipulation to treat Puberphonia, Journal of Otolaryngology-ENT
Research, Muthiah Kumaresan; K.NavinBharath, Volume 12 Issue 3 – 2020.
7. Research Article, Puberphonia Treatment by Uvula Manipulation,
Muthiah Kumaresan1* and Navin Bharath2 Received: September 28, 2020, Published:
November 18, 2020
© All rights are reserved by Muthiah Kumaresan and Navin
Bharath. Acta Scientific Otolaryngology
Volume 2 Issue 12 December 2020.
Herewith I am enclosing video of one of a puberphonia
treated patients. https://youtu.be/AHaktHeOEk0.
MEET OUR FANTASTIC TEAM
1. Prof.Dr.R.Ponnudurai MD, DPM,MNAMS,PhD BC ROY Award, Clinical psychiatrist
2. Prof (Dr).K.Pearlson PT,MBT(Aus),COMT(Aus)Manual
therapist ,
Founder President, Federation of Indian Manual Therapists FIMT
3. Dr.M.Kumaresan
MS(ENT), DLO. FICS,FIMSA,FCCP, Science Popularization Award Govt of
Tamil Nadu, Gold Medal Acoustic Society of America, SIVA ENT Hospital
4. Dr.K.Navin Bharath MS(ENT), ENT Deprtment, Saveetha
Medical College
5. Mr. Elangovan Darling Parameswaran BASAP (Audiology and
speech therapy)
Website – https://www.SivaENT.com
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