Responsiveness of Persian Version of Consensus Auditory Perceptual Evaluation of Voice (CAPE-V), Persian Version of Voice Handicap Index (VHI), and Praat in Vocal Mass Lesions with Muscle Tension Dysphonia

2018 ◽  
Vol 32 (6) ◽  
pp. 770.e21-770.e30 ◽  
Author(s):  
Hassan Khoramshahi ◽  
Ahmad Reza Khatoonabadi ◽  
Seyyedeh Maryam Khoddami ◽  
Peyman Dabirmoghaddam ◽  
Noureddin Nakhostin Ansari
Keyword(s):  
Muscle Tension ◽  
Voice Handicap Index ◽  
Perceptual Evaluation ◽  
Muscle Tension Dysphonia ◽  
Persian Version ◽  
Mass Lesions

Voice Therapy for Benign Voice Disorders in the Elderly: A Randomized Controlled Trial Comparing Telepractice and Conventional Face-to-Face Therapy

2020 ◽  
Vol 63 (7) ◽  
pp. 2132-2140
Author(s):  
Feng-Chuan Lin ◽  
Hsin-Yu Chien ◽  
Sheng Hwa Chen ◽  
Yi-Chia Kao ◽  
Po-Wen Cheng ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Elderly Patients ◽  
Controlled Trial ◽  
Muscle Tension ◽  
Voice Disorders ◽  
Voice Handicap Index ◽  
Voice Therapy ◽  
Perceptual Evaluation ◽  
Muscle Tension Dysphonia ◽  
Randomized Controlled

Purpose Previous studies have reported that voice therapy via telepractice is useful for patients with nodules and muscle tension dysphonia. Nevertheless, telepractice for elderly patients with voice disorders has not yet been investigated. We conducted this study to examine the hypothesis that voice therapy via telepractice is not inferior to conventional voice therapy. Method Eighty patients with dysphonia aged more than 55 years participated in this study from September 2016 to June 2018. After screening the inclusion and the exclusion criteria, 69 patients were randomized into telepractice (33 patients) and conventional (36 patients) groups. The outcome measurements included Voice Handicap Index-10, videolaryngostroboscopy, maximum phonation time, auditory-perceptual evaluation, and acoustic analysis. Paired t test, Wilcoxon signed-ranks test, and repeated measures analysis of variance were used to examine treatment outcomes. Results The diagnoses of voice disorders included atrophy ( n = 33), unilateral vocal paralysis ( n = 13), muscle tension dysphonia ( n = 7), nodules ( n = 6), and polyps ( n = 10). No significant differences were observed in age, sex, and baseline measurements between the two groups. Twenty-five patients in the telepractice group and 24 patients in the control group completed at least four weekly sessions. Significant improvements were observed for all the outcome measures ( p < .05) in both groups. Improvements in Voice Handicap Index-10 in the telepractice group (24.84 ± 5.49 to 16.80 ± 8.94) were comparable to those in the conventional group (22.17 ± 7.29 to 13.46 ± 9.95, p = .764). Other parameters also showed comparable improvements between the two groups without statistically significant differences. Conclusions This is the first randomized controlled trial comparing telepractice and conventional voice therapy in elderly patients with voice disorders. The results showed that the effectiveness of voice therapy via telepractice was not inferior to that of conventional voice therapy, indicating that telepractice can be used as an alternative to provide voice care for elderly patients with vocal disorders.

Comparative Evaluation and Management of Dysphonia Between Adults <65 and ≥65 Years of Age

2020 ◽  
pp. 019459982097843
Author(s):  
Amy Jacks ◽  
Hannah Kavookjian ◽  
Shannon Kraft
Keyword(s):  
Vocal Cord ◽  
Laryngopharyngeal Reflux ◽  
Tertiary Care ◽  
Muscle Tension ◽  
Voice Handicap Index ◽  
Voice Therapy ◽  
Old Patients ◽  
Presenting Symptoms ◽  
Muscle Tension Dysphonia ◽  
Significant Relationships

Objective To compare presenting symptoms, etiology, and treatment outcomes among dysphonic adults <65 and ≥65 years of age. Study Design Retrospective cohort study. Setting Tertiary care voice center between January 2011 and June 2016. Methods A total of 755 patients presenting for dysphonia were included in the study: 513 adults <65 years of age and 242 adults ≥65. Data collected included demographics, referral information, prior diagnoses, prior treatments, clinical examination findings, diagnosis, coexisting symptoms, treatments, and pre- and postintervention Voice Handicap Index scores. Statistical analysis was performed with SPSS to determine significant relationships between variables of interest. Results The most common etiologies of dysphonia were vocal cord atrophy (44.8%) in the ≥65 cohort and benign vocal cord lesions (17.8%) in the <65 cohort. When compared with adults <65 years old, patients ≥65 had a higher incidence of neurologic dysphonia ( P = .006) and vocal cord atrophy ( P < .001) but were less likely to have laryngopharyngeal reflux ( P = .001), benign vocal cord lesions ( P < .001), or muscle tension dysphonia ( P < .001). Overall, 139 patients had surgery, 251 received medical therapy, and 156 underwent voice therapy. The ≥65 cohort demonstrated improvement in Voice Handicap Index scores after surgery ( P = .001) and voice therapy ( P = .034), as did the <65 cohort (surgery, P < .001; voice therapy, P = .015). Adult surgical patients <65 reported greater improvements than patients ≥65 ( P = .021). Conclusions There are notable differences in the pathophysiology of dysphonia between patients aged ≥65 and <65 years. Although adults <65 reported slightly better outcomes with surgery, patients ≥65 obtained significant benefit from surgery and voice therapy.

The Correlation Between Voice Handicap Index and Specific Acoustic Measures in Patients With Muscle Tension Dysphonia

2013 ◽  
Vol 2 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Mohaddese Tarazani ◽  
Seyyedeh Maryam Khoddami ◽  
Shohre Jalaie ◽  
Saeed Talebian Moghadam ◽  
Mohammad Akbari
Keyword(s):  
Muscle Tension ◽  
Voice Handicap Index ◽  
Acoustic Measures ◽  
Muscle Tension Dysphonia

scholarly journals Effect of Mathieson Laryngeal Manual Therapy in Patients With Muscle Tension Dysphonia After a Therapeutic Course

2021 ◽  
Author(s):  
Mohammad Fallah ◽  
Seyyedeh Maryam Khoddami ◽  
Shohreh Jalaie ◽  
Keyvan Aghazadeh ◽  
Amin Rezaei Rad
Keyword(s):  
Manual Therapy ◽  
Spontaneous Recovery ◽  
Vocal Tract ◽  
Muscle Tension ◽  
Nonparametric Test ◽  
Perceptual Evaluation ◽  
Muscle Tension Dysphonia ◽  
Significant Difference ◽  
Perceptual Characteristics ◽  
Wilcoxon Nonparametric Test

Introduction: This study aimed to investigate the effect of Mathieson Laryngeal Manual Therapy (MLMT) following a therapeutic course in patients with primary Muscle Tension Dysphonia (MTD). Materials and Methods: Twelve patients with primary MTD participated in this study. At first, videostroboscopy and perceptual voice assessment was performed, and the Persian version of Vocal Tract Discomfort (VTDp) scale was completed. After two and a half weeks that patients received no treatment, the assessments were repeated to evaluate the effect of spontaneous recovery. For studying the effect of MLMT, it was presented in five sessions. Then, all assessments were repeated. The frequency of supraglottic activity was elicited. For the perceptual evaluation and VTDp, the Wilcoxon nonparametric test was used to study and compare the effect of spontaneous recovery and MLMT. Results: After spontaneous recovery, a significant difference was observed only in strain (P<0.05). After MLMT, the frequency of supraglottic activity decreased, and perceptual voice parameters significantly changed (P<0.05), but the VTDp showed no significant difference (P>0.05). There was no significant difference between spontanous recovery and MLMT based on the paerceptual voice evaluation and VTDp scale (P>0.05). Conclusion: The MLMT can remarkably improve the supraglottic activity and perceptual characteristics of voice in primary MTD after a therapeutic course. Further studies are recommended to confirm the effectiveness of MLMT on decreasing VTD sensations.

The Vocal Tract Discomfort Scale: Validity and Reliability of the Persian Version in the Assessment of Patients With Muscle Tension Dysphonia

2016 ◽  
Vol 30 (6) ◽  
pp. 711-716 ◽  
Author(s):  
Hadi Torabi ◽  
Seyyedeh Maryam Khoddami ◽  
Noureddin Nakhostin Ansari ◽  
Payman Dabirmoghaddam
Keyword(s):  
Vocal Tract ◽  
Muscle Tension ◽  
Validity And Reliability ◽  
Scale Validity ◽  
Muscle Tension Dysphonia ◽  
Persian Version

scholarly journals Resolution of Muscle Tension Dysphonia with Reinke’s Edema Following STRETTA Therapy in a Patient with GERD: A Case Report

2021 ◽  
pp. 1-4
Author(s):  
Viswanath YKS ◽  
James E Dixon ◽  
Edward J Nevins ◽  
Michael John ◽  
Viswanath YKS
Keyword(s):  
Acoustic Analysis ◽  
Muscle Tension ◽  
Voice Quality ◽  
Operative Management ◽  
Laryngeal Edema ◽  
Perceptual Evaluation ◽  
Muscle Tension Dysphonia ◽  
Reinke’S Edema ◽  
Laparoscopic Nissen ◽  
The Cost

Muscle Tension Dysphonia (MTD) is a syndrome involving abnormal vocal cord behaviour due to increased tension of laryngeal musculature. It has a complex etiology, but gastroesophageal reflux disease (GERD) is implicated in up to half of cases. The authors present the first reported case of MTD being successfully treated using STRETTA, an endoscopic radio-frequency therapy, licenced for GERD. Since 2016, a 60- year-old female had symptoms of laryngo-pharyngeal reflux. These included dysphonia, cough, sore throat, and persistent throat clearing. She underwent flexible nasendoscopy demonstrating significant posterior laryngeal edema, and anterior-posterior constriction on phonation, suggestive of MTD. Despite anti-reflux medication, her symptoms persisted. Repeat flexible nasendoscopy demonstrated bilateral Reinke's edema. Her symptoms failed to improve despite incision and drainage of the Reinke’s edema. An EGD demonstrated reflux esophagitis, and a blunt angle of His. She underwent STRETTA and reports significant improvement of symptoms. Repeat nasoendoscopy showed convalescence of the Reinke’s edema. Existing evidence suggests that management of MTD with proton pump inhibitor (PPI) improves reflux symptoms such as chronic cough and heartburn but has a limited effect on measures of voice such as voice range profile, perceptual evaluation, and acoustic analysis. Given that the present patient found subjective improvement in voice quality, it is possible STRETTA may be preferable to PPI in treating MTD with regard to voice, but further assessment of voice quality pre- and post-STRETTA is needed. In LPR refractory to PPI, there is evidence that Laparoscopic Nissen Fundoplication (LNF) is successful; however, the cost-effectiveness of endoscopic anti-reflux procedures such as STRETTA is superior to operative management such as LNF. Therefore, STRETTA may well be more beneficial than both PPI and LNF in the treatment of MTD with LPR.

Intervention Outcomes of Two Treatments for Muscle Tension Dysphonia: A Randomized Controlled Trial

2019 ◽  
Vol 62 (2) ◽  
pp. 272-282 ◽  
Author(s):  
Christopher R. Watts ◽  
Amy Hamilton ◽  
Laura Toles ◽  
Lesley Childs ◽  
Ted Mau
Keyword(s):  
Outcome Measures ◽  
Primary Outcome ◽  
Outcome Measure ◽  
Muscle Tension ◽  
Primary Outcome Measure ◽  
Voice Therapy ◽  
Secondary Outcome ◽  
Treatment Groups ◽  
Perceptual Evaluation ◽  
Muscle Tension Dysphonia

Purpose The aim of this study was to test the hypothesis that stretch-and-flow voice therapy (SnF) is noninferior to resonant voice therapy (RVT) for speakers with muscle tension dysphonia. Method Participants with primary muscle tension dysphonia were randomly assigned to 1 of 2 treatment groups. Participants received 6 sessions of either SnF or RVT for 6 weeks (1 session per week). Pretreatment and posttreatment audio recordings of sustained vowels and connected speech were acquired. Response to treatment was assessed using the voice handicap index (VHI) as the primary outcome measure. Secondary outcome measures included the acoustic voice quality index, the smoothed cepstral peak prominence, and scales from the Consensus Auditory-Perceptual Evaluation of Voice instrument. Data were analyzed for 21 participants who completed the study (12 in the SnF group, 9 in the RVT group). Results Direction of change for the primary outcome measure and all 3 secondary outcome measures at posttreatment was in the direction of improvement for both SnF and RVT. Confidence intervals for VHI measures did not cross the null effect line on forest plots, suggesting significant effects for both treatments on the primary outcome measure. The effect sizes for pretreatment to posttreatment changes in VHI were large for both treatment groups. Similar results were found for the secondary acoustic outcome measures. There were statistically significant pretreatment to posttreatment changes in the primary and secondary outcome measures for patients receiving both treatments, indicating significant improvement in response to both RVT and SnF. There were no statistically significant differences in pretreatment to posttreatment changes in the primary outcome measure or any secondary outcome measure between the two groups. The within-group pretreatment to posttreatment changes in Consensus Auditory-Perceptual Evaluation of Voice scales did not reach statistical significance for either RVT or SnF. Conclusions Both SnF and RVT produced positive treatment response in speakers with muscle tension dysphonia, with no statistically significant difference in the outcome measures between the two treatments. This suggests that SnF is noninferior to RVT and that both are effective options for treating vocal hyperfunction. Results from this study also support previous findings documenting the sensitivity of multidimensional acoustic measurements to treatment response.

Vocal Function Exercises for Muscle Tension Dysphonia: Auditory-Perceptual Evaluation and Self-Assessment Rating

2017 ◽  
Vol 31 (4) ◽  
pp. 506.e25-506.e31 ◽  
Author(s):  
Narges Jafari ◽  
Abolfazl Salehi ◽  
Farzad Izadi ◽  
Saeed Talebian Moghadam ◽  
Abbas Ebadi ◽  
...  
Keyword(s):  
Muscle Tension ◽  
Self Assessment ◽  
Vocal Function ◽  
Perceptual Evaluation ◽  
Muscle Tension Dysphonia ◽  
Vocal Function Exercises

Muscle Tension Dysphonia: A Rationale for Symptomatic Subtypes, Expedited Treatment, and Increased Therapy Compliance

2015 ◽  
Vol 25 (1) ◽  
pp. 5-15 ◽  
Author(s):  
Martin L. Spencer
Keyword(s):  
Interest Group ◽  
Special Interest ◽  
Muscle Tension ◽  
Special Interest Group ◽  
Patient Awareness ◽  
Muscle Tension Dysphonia ◽  
Variable Nature ◽  
Therapy Compliance

This article will briefly identify the variable nature of muscle tension dysphonia (MTD). Causes such as psychogenicity and maladaptive “vocal posture” will be described and questioned. Special Interest Group (SIG) 3 members may benefit from identification of the strengths and weaknesses of an ongoing movement towards a symptomatically generic “MTD.” More specific subtyping of MTD into 9 categories will be proposed, as well as description of associated therapy methods. Increased patient awareness that some subtypes may be self-correctable could simplify intervention, increase compliance, and improve clinician and researcher effectiveness.

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