The behavioural treatment of muscle tension voice disorders: A systematic review

2015 ◽  
Vol 17 (3) ◽  
pp. 287-303 ◽  
Author(s):  
Clare Eastwood ◽  
Catherine Madill ◽  
Patricia Mccabe
Keyword(s):  
Systematic Review ◽  
Muscle Tension ◽  
Voice Disorders ◽  
Behavioural Treatment

Systematic review of the treatment of functional dysphonia and prevention of voice disorders

2008 ◽  
Vol 138 (5) ◽  
pp. 557-565 ◽  
Author(s):  
Ruotsalainen Jani ◽  
Sellman Jaana ◽  
Lehto Laura ◽  
Verbeek Jos
Keyword(s):  
Systematic Review ◽  
Voice Disorders ◽  
Functional Dysphonia

scholarly journals Systematic review of evidence underpinning non-pharmacological therapies in dementia

2018 ◽  
Vol 42 (4) ◽  
pp. 361 ◽  
Author(s):  
Richard Olley ◽  
Andrea Morales
Keyword(s):  
Systematic Review ◽  
Sleep Disturbances ◽  
Research Effort ◽  
Evidence Base ◽  
Pharmacological Therapy ◽  
Sufficient Evidence ◽  
Behavioural Treatment ◽  
Significant Research ◽  
Research Gap ◽  
Meta Analyses

Objective Dementia is one of the most common illnesses worldwide, and is one of the most important causes of disability in older people. Currently, dementia affects over 35 million people around the globe. It is expected that this number will increase to 65.7 million by 2030. Early detection, diagnosis and treatment to control the principal behaviour symptoms may help reduce these numbers and delay the progression to more advanced and dangerous stages of this disorder with resultant increase quality of life for those affected. The main goal of the present systematic literature review was to examine contemporary evidence relating to non-pharmacological therapy in the treatment of dementia. Methods To achieve the study goal, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was used. Results This study identified the five most common behaviours in patients with dementia as aggression, wandering, agitation, apathy and sleep disturbances. Two non-pharmacological therapies were the most studied treatment: music therapy and aromatherapy. Ten other non-pharmacological therapies were also identified, but these lack a sufficient evidence-base. Conclusion Although all the therapies identified could be used as part of the treatment of behavioural symptoms, there is insufficient evidence relating to the indications, appropriate use and effectiveness of these therapies to apply in each behavioural treatment. Thus, the present study has demonstrated a significant research gap. What is known about the topic? Despite the widespread use of many different types of therapies, there is limited evidence regarding the efficacy of non-pharmaceutical therapies deployed in the management of behaviours of concern manifested by some people who suffer with dementia in all its forms. What does this paper add? This systematic review examines contemporary evidence from the literature to determine whether there is an evidence base available that would underpin the use of these therapies. This report on a PRISMA systematic review of the available literature demonstrates that only two therapies have some evidence to underpin the use of these non-pharmaceutical therapies and that a significant research gap is exists. What are the implications for practitioners? The implications for practitioners is that significant research effort is required to determine the efficacy of many of the therapies that are currently deployed, and thus many of the therapies used lack an evidence base at this time.

Presbylarynx, Functional Voice Disorders, Muscle Tension Dysphonia

2021 ◽  
Author(s):  
Elizabeth Erickson-DiRenzo ◽  
Christine M. Kim ◽  
C. Kwang Sung Sung
Keyword(s):  
Muscle Tension ◽  
Voice Disorders ◽  
Neuromuscular Control ◽  
Vocal Folds ◽  
Voice Therapy ◽  
Type I ◽  
Muscle Tension Dysphonia ◽  
Functional Dysphonia ◽  
Age Related ◽  
Type I Thyroplasty

Presbylarynx refers to age-related structural changes of the vocal folds that include muscle atrophy, reduced neuromuscular control, loss of superficial lamina propria layer, and reduced pliability. The changes result in thin and bowed vocal folds, increased vocal effort requirements, breathy voice, change in habitual pitch, and strain. The primary treatment options are voice therapy focused on strengthening breath support and the intrinsic muscles of the larynx, and optimization of resonance; injection augmentation of the vocal folds; and type I thyroplasty. Functional dysphonia is defined as change in voice quality in the absence of structural or neurological abnormalities of the larynx. Muscle tension dysphonia (MTD) is a subtype of functional voice disorders and involves laryngeal muscle tension imbalance due to excessive or dysregulated activation resulting often in strained or breathy voice. MTD can be divided into primary (psychological etiology or vocal misuse) and secondary (compensatory for organic laryngeal pathology). The mainstay of treatment for MTD is voice therapy, along with medical or surgical treatment of the underlying vocal pathology in secondary MTD. Mutational falsetto, or puberphonia, is a functional voice disorder where a high-pitched, pre-adolescent voice fails to transition to the lower pitch of adulthood. This review contains 5 figures, 7 tables, 4 videos and 10 references Key Words: Presbylarynx, Injection augmentation, Type I thyroplasty, Primary muscle tension dysphonia, Secondary muscle tension dysphonia, Muscle tension patterns, Manual circumlaryngeal therapy, Functional dysphonia, Mutational falsetto  

scholarly journals A systematic review of evaluations of prison‐based alcohol and other drug use behavioural treatment for men

2019 ◽  
Vol 43 (2) ◽  
pp. 120-130 ◽  
Author(s):  
Michael F. Doyle ◽  
Anthony Shakeshaft ◽  
Jill Guthrie ◽  
Mieke Snijder ◽  
Tony Butler
Keyword(s):  
Systematic Review ◽  
Drug Use ◽  
Behavioural Treatment

Prevalence of Voice Disorders in Singers: Systematic Review and Meta-Analysis

2017 ◽  
Vol 31 (6) ◽  
pp. 722-727 ◽  
Author(s):  
Pedro Melo Pestana ◽  
Susana Vaz-Freitas ◽  
Maria Conceição Manso
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Voice Disorders

Prevalence of voice disorders in the elderly: a systematic review of population-based studies

2014 ◽  
Vol 272 (10) ◽  
pp. 2601-2609 ◽  
Author(s):  
Leandro de Araújo Pernambuco ◽  
Albert Espelt ◽  
Patrícia Maria Mendes Balata ◽  
Kenio Costa de Lima
Keyword(s):  
Systematic Review ◽  
Voice Disorders ◽  
The Elderly ◽  
Population Based

Voice disorders in teachers and their associations with work-related factors: A systematic review

2013 ◽  
Vol 46 (2) ◽  
pp. 143-155 ◽  
Author(s):  
Lady Catherine Cantor Cutiva ◽  
Ineke Vogel ◽  
Alex Burdorf
Keyword(s):  
Systematic Review ◽  
Voice Disorders ◽  
Related Factors ◽  
Work Related

scholarly journals Interventions to optimize prescribed medicines and reduce their misuse in chronic non-malignant pain: a systematic review

2020 ◽  
Author(s):  
Aziza Alenezi ◽  
Asma Yahyouche ◽  
Vibhu Paudyal
Keyword(s):  
Systematic Review ◽  
Drug Testing ◽  
Healthcare Professionals ◽  
Data Extraction ◽  
Healthcare Providers ◽  
Educational Interventions ◽  
Functional Improvement ◽  
Behavioural Treatment ◽  
Prescribed Medicines ◽  
Medication Optimization

Abstract Purpose Sub-optimal opioid prescribing and use is viewed as a major contributor to the growing opioid crisis. This study aims to systematically review the nature, process and outcomes of interventions to optimize prescribed medicines and reduce their misuse in chronic non-malignant pain (CNMP) with a particular focus on minimizing misuse of opiates. Methods A systematic review of literature was undertaken. Search of literature using Medline, EMBASE and CINAHL databases from 2000 onwards was conducted. Screening and selection, data extraction and risk of bias assessments were undertaken by two independent reviewers. Narrative synthesis of the data was conducted. Results A total of 21 studies were included in the review, of which three were RCTs. Interventions included clinical (e.g. urine drug testing, opioid treatment contract, pill count), behavioural (e.g. electrical diaries about craving), cognitive behavioural treatment and/or educational interventions for patients and healthcare providers delivered as a single or as a multi-component intervention. Medication optimization outcomes included aspects of misuse, abuse, aberrant drug behaviour, adherence and non-adherence. Although all evaluations showed improvement in medication optimization outcomes, multi-component interventions were more likely to consider and to have shown improvement in clinical outcomes such as pain intensity, quality of life, psychological states and functional improvement compared to single-component interventions. Conclusions A well-structured CNMP management programme to promote medicines optimization should include multi-component interventions delivered by a multidisciplinary team of healthcare professionals and target both healthcare professionals and patients. There was heterogeneity in definitions applied and interventions evaluated. There is a need for the development of clear and consistent terminology and measurement criteria to facilitate better comparisons of research evidence.

scholarly journals Limbic and cortical control of phonation for speech in response to a public speech preparation stressor

2019 ◽  
Vol 14 (5) ◽  
pp. 1696-1713 ◽  
Author(s):  
Maria Dietrich ◽  
Richard D. Andreatta ◽  
Yang Jiang ◽  
Joseph C. Stemple
Keyword(s):  
Speech Production ◽  
Salivary Cortisol ◽  
Neural Control ◽  
Rating Scales ◽  
Stress Reactivity ◽  
Muscle Tension ◽  
Voice Disorders ◽  
Total Sample ◽  
The Right ◽  
Task Conditions

Abstract Knowledge on brain networks subserving vocalization in vocally healthy individuals under various task conditions is scarce but paramount to understand voice disorders. The aims of our study were to determine (1) the effect of social-evaluative stress on the central neural control of phonation underlying speech production; and (2) the neural signature, personality profile, and aerodynamic vocal function in relation to salivary cortisol responses. Thirteen vocally healthy females underwent an event-related sparse-sampling fMRI protocol consisting of voiced and whispered sentence productions with and without exposure to the social-evaluative stressor public speaking anticipation. Participants completed a personality questionnaire, rating scales of negative emotional state, and provided salivary cortisol samples. In the total sample, the task contrast of voiced productions revealed that stressor exposure resulted in a peak activation in the right caudate with concomitant deactivations in the bilateral pgACC and aMCC, and right IFG, BA 9, BA 10, insula, putamen, and thalamus. There were individual differences in stressor-induced brain activations as a function of stress reactivity with greater cortisol reactivity linked with lower laryngeal motor cortex activity and lower scores on aspects of extraversion. Our data confirm that stress alters the phonatory control for speech production through limbic-motor interactions. The findings support the Trait Theory of Voice Disorders (Roy and Bless 2000) and help provide critical insights to the study of voice disorders such as primary muscle tension dysphonia.

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