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.

Phonatory Air Flow Characteristics of Adductor Spasmodic Dysphonia and Muscle Tension Dysphonia

1999 ◽  
Vol 42 (1) ◽  
pp. 101-111 ◽  
Author(s):  
Maureen B. Higgins ◽  
David H. Chait ◽  
Laura Schulte
Keyword(s):  
Air Flow ◽  
Muscle Tension ◽  
Flow Characteristics ◽  
Spasmodic Dysphonia ◽  
Potential Contribution ◽  
Intrasubject Variability ◽  
Muscle Tension Dysphonia ◽  
Adductor Spasmodic Dysphonia ◽  
Coefficients Of Variation ◽  
Significant Difference

The purpose of this study was to determine if phonatory air flow characteristics differed among women with adductor spasmodic dysphonia (AdSD), muscle tension dysphonia (MTD), and normal phonation. Phonatory air flow signals were gathered during [pα] syllable repetitions. Mean phonatory air flow, coefficients of variation, and the presence of large air flow perturbations (75 ml/s or more) were examined for the three groups of speakers. There was no significant difference in mean phonatory air flow across groups, and very large intersubject variation in mean phonatory air flow occurred for both the AdSD and MTD groups. Coefficients of variation were similar for the groups of women with MTD and normal phonation but were significantly larger for the group with AdSD. Air flow perturbations were common with AdSD and rare with MTD. Relatively large coefficients of variation and air flow perturbations of at least 75 ml/s did occur for some women with normal voices who were 70 years of age or older. It appears that intrasubject variability in phonatory air flow may aid in the differentiation of AdSD and MTD when used in conjunction with other elements of a thorough voice evaluation. However, the potential contribution of aging to increased intrasubject variability in phonatory air flow must be considered when interpreting findings.

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.

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 Comparison of electronic systems with sensory analysis for the quality evaluation of parenica cheese 

2020 ◽  
Vol 38 (No. 5) ◽  
pp. 273-279
Author(s):  
Jana Štefániková ◽  
Patrícia Martišová ◽  
Július Árvay ◽  
Ervín Jankura ◽  
Miroslava Kačániová ◽  
...  
Keyword(s):  
Sensory Evaluation ◽  
Electronic Nose ◽  
Sensory Analysis ◽  
Quality Evaluation ◽  
Nonparametric Test ◽  
Electronic Systems ◽  
Significant Difference ◽  
Fresh Cheese ◽  
Electronic Eye ◽  
Wilcoxon Nonparametric Test

The applicability of electronic systems for the quality evaluation of parenica cheese was investigated in fresh smoked and unsmoked cheeses and after seven days of storage. These data were then compared with sensory evaluation results. Fresh samples had stable colour profiles determined by the electronic eye, while the differences in brown colour intensity were confirmed by sensory evaluation. A significant difference in the aroma profiles of samples was recorded by the electronic nose in samples produced in February, April, December (unsmoked cheese) and September (smoked cheese). Based on sensory analysis results using the Wilcoxon nonparametric test, a significant difference was confirmed in February (smoked cheese) and March (unsmoked cheese), when stored cheese had a stronger aroma than fresh cheese (P &lt; 0.05). The suitability of electronic nose and electronic eye for monitoring of parenica cheese quality was confirmed.

Prevalence of dysphagia in patients with muscle tension dysphonia

2019 ◽  
Vol 133 (05) ◽  
pp. 390-393 ◽  
Author(s):  
A-L Hamdan ◽  
E Khalifee ◽  
H Jaffal ◽  
A Ghanem ◽  
A El Hage
Keyword(s):  
Assessment Tool ◽  
Demographic Data ◽  
Muscle Tension ◽  
Smoking History ◽  
Normative Values ◽  
Control Group ◽  
Muscle Tension Dysphonia ◽  
Significant Difference ◽  
High Prevalence ◽  
History Of

AbstractBackgroundIt is hypothesised that patients with muscle tension dysphonia have a high prevalence of dysphagia in comparison to normative values reported in the literature.MethodsThis prospective study included 44 subjects diagnosed with muscle tension dysphonia, based on symptoms and laryngoscopic findings, and 25 control subjects with no history of dysphonia and normal laryngeal examination findings. Demographic data included age, gender and smoking history. The aetiology of muscle tension dysphonia was classified as primary or secondary. Evaluation involved the Eating Assessment Tool (‘EAT-10’) questionnaire.ResultsPatients’ mean age was 45.93 ± 14.95 years, with a female to male ratio of 1.2:1. Fourteen patients had primary muscle tension dysphonia, while 30 had secondary muscle tension dysphonia. Among patients with secondary muscle tension dysphonia, Reinke's oedema was the most common aetiology. There was a significant difference in the prevalence of dysphagia between the study group and the control group (40.9 per cent vs 8 per cent respectively, p &lt; 0.05).ConclusionThis study demonstrates a higher prevalence of dysphagia in patients with the presenting symptom of dysphonia and diagnosed with muscle tension dysphonia in comparison to subjects with no dysphonia.

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

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.

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.

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