Manual Therapy and Exercise to Improve Outcomes in Patients with Muscle Tension Dysphonia: A Case Series

2017 ◽  
Vol 21 (01) ◽  
pp. 6-7
Author(s):  
Stefano Lavecchia
Keyword(s):  
Manual Therapy ◽  
Muscle Tension ◽  
Case Series ◽  
Muscle Tension Dysphonia

scholarly journals Manual Therapy and Exercise to Improve Outcomes in Patients With Muscle Tension Dysphonia: A Case Series

2015 ◽  
Vol 95 (1) ◽  
pp. 117-128 ◽  
Author(s):  
Carey A. Tomlinson ◽  
Kristin R. Archer
Keyword(s):  
Physical Therapy ◽  
Manual Therapy ◽  
Rating Scale ◽  
Muscle Tension ◽  
Case Series ◽  
Vocal Folds ◽  
Patient Specific ◽  
Meaningful Improvement ◽  
Muscle Tension Dysphonia ◽  
Patient Reported

Background and Purpose Muscle tension dysphonia (MTD), a common voice disorder that is not commonly referred for physical therapy intervention, is characterized by excessive muscle recruitment, resulting in incorrect vibratory patterns of vocal folds and an alteration in voice production. This case series was conducted to determine whether physical therapy including manual therapy, exercise, and stress management education would be beneficial to this population by reducing excess muscle tension. Case Description Nine patients with MTD completed a minimum of 9 sessions of the intervention. Patient-reported outcomes of pain, function, and quality of life were assessed at baseline and the conclusion of treatment. The outcome measures were the numeric rating scale (NRS), Patient-Specific Functional Scale (PSFS), and Voice Handicap Index (VHI). Cervical and jaw range of motion also were assessed at baseline and postintervention using standard goniometric measurements. Outcomes Eight of the patients had no pain after treatment. All 9 of the patients demonstrated an improvement in PSFS score, with 7 patients exceeding a clinically meaningful improvement at the conclusion of the intervention. Three of the patients also had a clinically meaningful change in VHI scores. All 9 of the patients demonstrated improvement in cervical flexion and lateral flexion and jaw opening, whereas 8 patients improved in cervical extension and rotation postintervention. Discussion The findings suggest that physical therapists can feasibly implement an intervention to improve outcomes in patients with MTD. However, a randomized clinical trial is needed to confirm the results of this case series and the efficacy of the intervention. A clinical implication is the expansion of physical therapy to include referrals from voice centers for the treatment of MTD.

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.

scholarly journals Laryngeal Manual Therapy: A Preliminary Study to Examine its Treatment Effects in the Management of Muscle Tension Dysphonia

2009 ◽  
Vol 23 (3) ◽  
pp. 353-366 ◽  
Author(s):  
L. Mathieson ◽  
S.P. Hirani ◽  
R. Epstein ◽  
R.J. Baken ◽  
G. Wood ◽  
...  
Keyword(s):  
Manual Therapy ◽  
Treatment Effects ◽  
Muscle Tension ◽  
Muscle Tension Dysphonia ◽  
Preliminary Study

scholarly journals Application of manual therapy in muscle tensional dysphonia

2021 ◽  
Vol 18 (1) ◽  
pp. 20-28
Author(s):  
Stevan Jovanović ◽  
Slađana Arsić ◽  
Biljana Stojanović-Jovanović ◽  
Dragana Kljajić ◽  
Marija Trajkov
Keyword(s):  
Manual Therapy ◽  
Repeated Measures ◽  
Muscle Tension ◽  
Voice Disorder ◽  
Therapeutic Effects ◽  
Small Pilot Study ◽  
Muscle Tension Dysphonia ◽  
Vocal Qualities ◽  
Before And After ◽  
Control Study

Muscle tension dysphonia is a functional voice disorder caused by unbalanced activity of the laryngeal and extralaryngeal muscles. People with dysphonia may have changes in the cervical and perilaryngeal muscles, limited amplitude of movement of the cervical spine, but also posture disorders. The aim of this paper is to present the analyzed therapeutic effects of manual techniques in muscle tension dysphonia, based on a review of the available literature. In accordance with the set criteria and the goal of the paper, the collection and analysis of professional and scientific research papers available in PubMed / MEDLINE databases and others, published in the period from 2004 to 2018, was performed. The analyzed studies belong to the type of clinical studies and by design, two types of studies are included: the type of randomized control study and the study of one group of subjects with before and after-examination. Some studies with one group of respondents were characterized by the authors as a series of cases and one, as a small pilot study of repeated measures. The results of the research indicate a larger number of corrective effects of laryngeal manual therapy. It is certain that by developing a broader manual-therapeutic approach, the etiological factor of muscle tension dysphonia can be more effectively influenced which leads to a reduction in pain, improvement of physical functioning as well as improvement of specific vocal qualities.

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.

Primary Muscle Tension Dysphonia

2016 ◽  
Vol 4 (3) ◽  
pp. 175-182 ◽  
Author(s):  
Melda Kunduk ◽  
Daniel S. Fink ◽  
Andrew J. McWhorter
Keyword(s):  
Muscle Tension ◽  
Muscle Tension Dysphonia
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