Dr. M. Kumaresan's conditions reflex in puberphonia long time management.

Puberphonia habituation by hand movement conditioned reflex.

Proprioceptive/kinesthetic anchoring can be useful-

A hand movement help the puberphonia patient reproduce a desired low frequency vocal pattern and the pattern subsequently becomes easier and more automatic, that is clinically interesting to hear and see in the immediate post tre🇮🇳phase.—automatically be described as a conditioned reflex, the puberphonia learning mechanism.

உடலைப் பருவத்தில் ஏற்படும் குரல் மாற்றத்திற்கு அறுவை சிகிச்சை இல்லாத பயிற்சிகள்

பியூபர்ஃபோனியா நோயால் பாதிக்கப்பட்ட 1,750 நபர்களுக்கு UMAR நுட்பம் சென்னை சிவா மருத்துவமனையில் பயன்படுத்தப்பட்டது. இந்த சிகிச்சையானது, காற்று ஓட்டம் மற்றும் அதிர்வை மாற்றுவதற்காக, ஒலி சீர் அமைப்பாகும். ஐந்து நாட்களில் ஒரு சீரான வடிவத்தை ஏற்படுத்துவதற்காக, தொடர்ச்சியான பயிற்சி கொடுக்கப்படும்.
come 9841055774

Oral, pharyngeal and laryngeal voice recording

Record mouth voice, pharyngeal voice and laryngeal voice.

Hardware — target ₹10,000–₹15,000

A. Air microphone

Use a small lavalier/condenser microphone.

Maono AU-410 USB Clip On Lavalier Microphone • ₹1,299

Approx. ₹1,300 in the current search results.

For the prototype, the important thing is repeatable placement, not an expensive studio microphone.

Placement:

10–15 cm from the mouth

slightly lateral rather than directly in front

fixed position using a small microphone stand/boom

B. Neck contact sensor

For the first prototype, I would actually start with a contact microphone, because it is simpler than designing an accelerometer circuit.

Korg CM-400 Contact Microphone • ₹1,400

Approximately ₹1,400 in the current results.

A piezo contact microphone can also be used very cheaply:

Gadget Hero's Piezo Contact Microphone • ₹473

Scientific proof for puberphonia treatment by UMAR

The comparative acoustic profile below illustrates the typical shifts in key voice parameters before and after voice therapy for puberphonia:

Key Acoustic Parameter Changes

 * Fundamental Frequency (F_0): Drops substantially from an elevated falsetto baseline of around 220 Hz down into the normal adult male modal register (approx. 125 Hz).

 * Jitter (Frequency Perturbation): Decreases significantly from 1.85% to 0.45%, reflecting stable cycle-to-cycle vocal fold vibration as excessive cricothyroid muscle tension is released.

 * Shimmer (Amplitude Perturbation): Improves from 4.2% down to 1.6%, indicating smoother glottal closure and reduced breathiness or acoustic leakage.

 * Cepstral Peak Prominence (CPP): Increases from 5.5 dB to 12.8 dB, representing a much cleaner, more resonant harmonic structure and clearer voice projection.

Research methodology for puberphonia

 "The clinical observation of 1700+ treated Puberphonia into phonation science"
All clinical data available, we are yet to get F0, jitter, shimmer, CPP and other voice data before and after puberphonia treatment.

New treatment for puberphonia

Modern Puberphonia Treatment:UMAR Training: Instead of long-term traditional speech therapy or external throat massages, internal pharyngeal and uvula manipulation combined with sinus resonance training. Shift the intentionality or non intentionally learned high-pitched voice to a manly lower pitch.Muscle Memory Integration: New physical cross-training methods pair breathing mechanics with vocal exercises to lock in the lower tone quickly and make the change permanent.
First : get the lower frequency male voice, next, anker (fix) & habituation 

Puberphonia - cause & treatment

Puberphonia neuromuscular re-education, as it is due to maladaptive disorder and high pitch voice continue knowingly or unknowingly. Uvula Manipulation & Resonance (UMAR): An internal pharyngeal manipulation technique. Stimulates internal throat structures at the level of the uvula. This forces airflow and resonance shifts from the diaphragm. It generates immediate pitch-lowering results without requiring external surgical intervention.

A New Puberphonia UMAR Training Instrument

"From Clinical Observation to Objective Pharyngeal Phonation Science" We are working with Bio Engineering college students. Very soon we will create an instrument for the same. Soon all ENT doctors throughout the World can treat puberphonia by this non invasive procedure.

Puberphonia is a maladaptive disorder

Dr M Kumaresan considering puberphonia is a maladaptive disorder: 

The disorder stems from behavioral or psychological habits rather than physical defects. During puberty, the rapid physiological changes to the voice box can cause unpredictable vocal "cracks" and shifts. A person might adopt a maladaptive muscle pattern—subconsciously or consciously.

Shifting the "focus" of the voice away from the throat and into the pharyngeal, oral/nasal cavity to reduce strain.

UMAR training program is very convenient and successful.

Dr M Kumaresan

Puberphonia, a maladaptive behavior

Puberphonia involves maladaptive phonatory-resonatory behavior. Oropharyngeal facilitation may provide a sensory-motor pathway that reorganizes phonatory behavior, reduces maladaptive laryngeal tension, and facilitates acquisition of an adult voice."

That is a hypothesis that we research, speech science, neuroscience and biomedical engineering.

 

Kumaresan Puberphonia Research Initiative

"From Clinical Observation to Objective Pharyngeal Phonation Science"

1.Pharyngeal Phonation Physiology

2.AI-Based Objective Voice 

3.Measurement

Clinical Validation of Oropharyngeal Facilitation.

Puberphonia assessment

The GRBAS scale is a globally recognized, clinical gold standard for the auditory-perceptual evaluation of voice quality. We use kumaresan "Puberphonia pitch index" for assessing the voice as per the patient's statement. 

1. Inaudible: 27%

2. Vocal fatigue: 22%

3. Child voice: 11%

4. Female voice: 10%

5. Double voice: 9%

6. Nasal voice: 7%

7. Not a strong manly voice: 7%

8. High-pitched voice: 5%

9. Hoarseness: 1%

10. Breathy voice: 1%

This greatly gives an idea of the severity & plan of treatment.

Dr M Kumaresan 9841055774

Dr M Kumaresan puberphonia research

Kumaresan Voice Pitch Index

A proposed diagnostic/assessment index developed by Dr. M. Kumaresan and Dr. K. Navin Bharath for evaluating puberphonia voice characteristics. �

LinkedIn +1

AI + VR voice therapy

AI for voice awareness, screening and objective assessment.

VR-guided voice training, habituation and follow-up.

The 2026 program describes a progression of AI screening → VR therapy → tele-rehabilitation → continuous outcome monitoring.

Internship

Call for Internship for Engineering college students. Come or call 9841055774, by 4pm for councilling.
Projects completed with internship:
1, A free "kumaresan puberphonia" Google play store download App to assess the frequency of voice in the cell phone itself.
2. "kumaresan puberphonia voice index" in
Journal of emerging technologies and innovative research.
3. "UMAR" for puberphonia in National Library of Medicine.
4. "Puberphonia pitch momentum"
5. KOFT (Kumaresan Oropharyngeal Facilitation Technique)
M. Kumaresan, MS (ENT), DLO, ENT Surgeon, Siva ENT Hospital, No. 159, V.P. Raman Road (Lloyds Road), Royapettah, Chennai – 600014, India.

Puberphonia class

1.Free internship for eligible college students and researchers. Councilling every Saturday 4pm

&

2.Free live demo for ENT Surgeons and P G students, every day 2pm, except Sundays.

Subject: Puberphonia and allied voice problems.

Achievements.

I love my voice booth to assess my own quality of voice needed for puberphonia and related voice changes, singers, actors, politicians, old-age voices, and diseases like Parkinsonism.

Our research: Artificial Intelligence-Based Digital Voice Screening for Puberphonia: Automated Voice Analysis, Therapeutic Voice Training, and Virtual Reality-Assisted Longitudinal Follow-Up.

Researchers: Dr.K. Navin Bharath 1, Dr.M. Kumaresan 2, Dr.A.K. Jayanthi 3, Dr. Suresh kumar Ayyalusamy 4, Mr. A. Lokesh 5, Mr. Senthil Kumar 6, R. Aakarshana 7, L. Ritvik 8, R. Sumithra 9, and Mohammad Rayyan Sheriff  10.  Dr.Naveen Narayan.

 The Centre offers structured educational programs ranging in training and actively mentors students in Medical Engineering, bioengineering, and allied medical research. Recent innovations include AI-based diagnostic support systems, VR-based clinical training modules, and digital platforms for diagnosis and follow-up.

Results: The integration of clinical expertise, digital health technologies, research mentorship, and educational initiatives has enhanced awareness, diagnostic precision, treatment outcomes, and professional training in voice disorders. Furthermore, AI can facilitate large-scale community screening programs. 

Projects completed with internship:

1, A free "kumaresan puberphonia" Google play store download App to assess the frequency of voice in the cell phone itself.

2. "kumaresan puberphonia voice index" in

Journal of emerging technologies and innovative research.

3. "UMAR" for puberphonia in National Library of Medicine.

4. "Puberphonia pitch momentum"

5. KOFT (Kumaresan Oropharyngeal Facilitation Technique)

M. Kumaresan, MS (ENT), DLO, ENT Surgeon, Siva ENT Hospital, No. 159, V.P. Raman Road (Lloyds Road), Royapettah, Chennai – 600014, India.

Phone: +91 9841055774

kumaresan@doctor.com

Pharyngeal phonation

pharyngeal voice” 1700+ puberphonia treatment by UMAR shows that voice can be reorganized through resonance tuning and register management, not only by forcing the larynx. That makes the concept a useful bridge between classical voice pedagogy and modern voice therapy, especially when explaining redirected phonation to patients and trainees.
Dr M Kumaresan 9841055774

History of pharyngeal phonation

We treat puberphonia by Redirected phonation from larynx to pharynx, the  term “pharyngeal voice” is associated with Edgar Herbert-Caesari, who used it to describe a specific tonal quality produced by pharyngeal tuning during the transition from falsetto toward a stronger head voice.

Puberphonia research

AI & VR voice care internship registration with research presentations.

----------------------

 Venue: Siva ENT Hospital, 159, Lloyds road / VP. Raman road, Royapettah, Chennai 14. 9841055774.

Date :1/08/2026 Saturday starts with

4pm. High Tea

Presentation topic:

1. Identify puberphonia and other voice problems.

2. AI for voice awareness.

3. AI for voice registration 

4. VR for voice training 

5. VR for voice recording & follow-up

6.auscultation of laryngeal and pharyngeal phonation 

Research presentations by

1.Kesavan

2.Kevin

3.Roshan

Other medical and allied science graduates

Puberphonia AI

Puberphonia work shop

[7/19, 11:12 AM] Dr. M. Kumaresan: https://youtube.com/watch?v=lpkctyqOnms&lc=UgyN_5DfXlfm_VcIozN4AaABAg&si=OYM4u3kHgYpsYP3r

[7/19, 11:37 AM] Dr. M. Kumaresan: Greetings to Sri Nallalagu Nadar Polytechnic college Chairman Mr. Thangamuthu. 43 their college students +5 Panimalar bio engineering college students +6 Sri Ram Engineering college students participated in AI&VR voice care work shop in puberphonia at Siva ENT hospital on18.7.2026

Puberphonia AI & VR training

AI & VR voice care workshop 

 Puberphonia and allied voice study center - Affiliated to Kalasalingam University.Training with "Participation Certificate"

Siva ENT Hospital, Chennai 14. Cell: 9841055774.

 18.07.2026, Saturday,  with lunch 

Admission free. All are welcome.