The influence of kinesiotaping on the loosening of the laryngeal muscles in hyperfunctional dysphones

2018 ◽  
Vol 72 (6) ◽  
pp. 1-5
Author(s):  
Karina Wilhelmsen ◽  
Agata Szkiełkowska ◽  
Iwona Zając - Ratajczak

Introduction: Hyperfunctional dysfunction is one of the most common functional dysphonia, cha-racterized by voice insufficiency with excessive tightening of the muscles inside and outside the larynx during phonation. To make the treatment process more effective, new ways of rehabilitation are constantly being sought and developed. The aim of this work is to evaluate the effectiveness of laryngotaping - an innovative method of taping around the larynx and neck muscles. Material and method: 10 patients with diagnosed hyperfunctional dysphonia participated in the study. Using the kinesiotaping principles, for 7 days, the suprahyoid and infrahyoid muscles, ster-nocleidomastoid muscles as well as the thyroid cartilage were taped. Before and after the therapy, the patients completed the VHI voice self-evaluation questionnaire. The evaluation of the larynx according to the L. Mathienson scale was also assessed palpation. Results: Analyzing the results of the VHI questionnaire and evaluation of palpation evaluation of the larynx before and after the therapy, statistically significant differences were observed. The results on average decreased by half, which is the desired effect of therapy. Discussion: The results confirm the positive impact of kinesiotaping around the larynx. However, more research is needed on a larger group of patients to fully evaluate the therapeutic effect. Conclusions: 1. Laryngotaping is an effective way to normalize muscle tone, and thus to improve the quality of the voice. 2. The presented studies require continuation, however, positive reception of the introduced therapy by patients encourages further research on a larger group of patients.

2018 ◽  
Vol 15 (1) ◽  
pp. 55-72
Author(s):  
Herlin Hamimi ◽  
Abdul Ghafar Ismail ◽  
Muhammad Hasbi Zaenal

Zakat is one of the five pillars of Islam which has a function of faith, social and economic functions. Muslims who can pay zakat are required to give at least 2.5 per cent of their wealth. The problem of poverty prevalent in disadvantaged regions because of the difficulty of access to information and communication led to a gap that is so high in wealth and resources. The instrument of zakat provides a paradigm in the achievement of equitable wealth distribution and healthy circulation. Zakat potentially offers a better life and improves the quality of human being. There is a human quality improvement not only in economic terms but also in spiritual terms such as improving religiousity. This study aims to examine the role of zakat to alleviate humanitarian issues in disadvantaged regions such as Sijunjung, one of zakat beneficiaries and impoverished areas in Indonesia. The researcher attempted a Cibest method to capture the impact of zakat beneficiaries before and after becoming a member of Zakat Community Development (ZCD) Program in material and spiritual value. The overall analysis shows that zakat has a positive impact on disadvantaged regions development and enhance the quality of life of the community. There is an improvement in the average of mustahik household incomes after becoming a member of ZCD Program. Cibest model demonstrates that material, spiritual, and absolute poverty index decreased by 10, 5, and 6 per cent. Meanwhile, the welfare index is increased by 21 per cent. These findings have significant implications for developing the quality of life in disadvantaged regions in Sijunjung. Therefore, zakat is one of the instruments to change the status of disadvantaged areas to be equivalent to other areas.


Logopedija ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Anđela Bučević ◽  
Ana Bonetti ◽  
Luka Bonetti

The aim of this research paper was to examine the voice quality of sports coaches using the objective (acoustic) method. A total of 28 sports coaches (mean age 28.58, SD=5.08), from the City of Zagreb participated in this research. Recordings of the phonation of the vowel /a/ before and after one training session were obtained and analyzed using the PRAAT Program. Mean, minimal and maximal values of fundamental frequency, shimmer, jitter and harmonics-to-noise ratio were observed. The statistical analyses showed no statistically significant difference in acoustic voice quality of male and female coaches before and after the training session, or between male and female coaches. However, intra-individual differences among participants were observed, which may be significant in terms of their potential to affect the quality of their voices in the future.


Loquens ◽  
2017 ◽  
Vol 4 (1) ◽  
pp. 040
Author(s):  
Zulema Santana-López ◽  
Óscar Domínguez-Jaén ◽  
Jesús B. Alonso ◽  
María Del Carmen Mato-Carrodeguas

Voice pathologies, caused either by functional dysphonia or organic lesions, or even by just an inappropriate emission of the voice, may lead to vocal abuse, affecting significantly the communication process. The present study is based on the case of a single patient diagnosed with myasthenia gravis (Erb-Goldflam syndrome). In this case, this affection has caused, among other disruptions, a dysarthria. For its treatment, a technique for the education and re-education of the voice has been used, based on a resonator element: the cellophane screen. This article shows the results obtained in the patient after applying a vocal re-education technique called the Cimardi Method: the Cellophane Screen, which is a pioneering technique in this field. Changes in the patient’s voice signal have been studied before and after the application of the Cimardi Method in different domains of study: time-frequency, spectrum, and cepstrum. Moreover, parameters for voice quality measurement, such as shimmer, jitter and harmonic-to-noise ratio (HNR), have been used to quantify the results obtained with the Cimardi Method. Once the results were analyzed, it has been observed that the Cimardi Method helps to produce a more natural and free vocal emission, which is very useful as a rehabilitation therapy for those people presenting certain vocal disorders.


2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Jadwiga Kuciel-Lewandowska ◽  
Michał Kasperczak ◽  
Łukasz B. Lewandowski ◽  
Małgorzata Paprocka-Borowicz

Introduction. Osteoarthritis of the musculoskeletal system is accompanied with chronic pain which is the main factor in mood lowering, causing anxiety. Rehabilitation conducted in the framework of spa therapy and outpatient care aims at eliminating or reducing pain and improving physical fitness. Pain relief is an expected phenomenon because it improves the quality of life. Aim of the study. The aim of the study was to evaluate the effect of rehabilitation in the spa and in outpatient clinic on the level of pain and anxiety in patients with degenerative joints and disc disease. Material and methods. The study included a comprehensive treatment conducted in the spa and in outpatient clinic. Observation included 120 persons with disorders of the musculoskeletal system treated in the spa Przerzeczyn-Zdrój. The second group of patients was treated in the rehabilitation clinic. The examinations were performed before and after treatment. The scope of the observations included self-evaluation of anxiety treated as a state and a trait, the level of intensity of pain, medical history, and sociodemographic background interview. In the observations, there were VAS scale and State Trait Anxiety Inventory STAI used. Result. As a result of the spa therapy and therapy performed in an outpatient clinic, there was an improvement in lowering the level of pain and anxiety noted. Conclusions. 1. Spa therapy and treatment performed in an outpatient clinic reduce the level of pain and anxiety in patients with degenerative disease of the musculoskeletal system. 2. It was found that the therapy conducted in the spa was more effective in lowering the level of pain and anxiety. This trial is registered with NCT03405350.


2018 ◽  
Vol 7 (4) ◽  
pp. 1-7
Author(s):  
Anna Kuligowska ◽  
Barbara Jamróz ◽  
Joanna Chmielewska ◽  
Katarzyna Jędra ◽  
Tomasz Czernicki ◽  
...  

Aim of study: Evaluation of the speech therapy on voice quality in patients with unilateral vocal fold palsy. Material and methods: The study group included 11 patients, 8 women and 3 men, in age between 16 to 72 years, with unilateral vocal fold palsy, diagnosed in ENT Department of Warsaw Medical University between 2017-2018. Each person completed questionnaires: the voice disability self-assessment scale (VHI), the voice-based quality of life (VRQoL) scale, the vocal tract discomfort scale (VTD). All questionnaires were completed twice, before and after the voice therapy. In addition, the acoustic analysis of the voice, the assessment of the maximum phonation time and the breathing tract were performed twice in each patient. Each of the patients had a voice rehabilitation consisting of a series of 10 meetings. Results: Statistical analysis of the results of maximum phonation time, the self-assessment of voice disability, the quality of life depending on the voice, discomfort of the vocal tract voice acoustic analysis showed statistically significant differences in the results before and after rehabilitation (p <0.005). In addition, the improvement of the respiratory tract was observed in the majority of patients. Conclusions: Speech therapy significantly affects the voice quality of patients with unilateral laryngeal nerve palsy.


2005 ◽  
Vol 13 (2) ◽  
pp. 76-78 ◽  
Author(s):  
Slobodan Mitrovic ◽  
Ljiljana Jovancevic

The voice of patients indicated for surgical procedures in treating of dysphonia is already damaged before the operation. The problem, which exists at the level of glottis patients usually try to solve by compensative mechanisms. The quality of voice after the interventions in larynx depends on the type and width of resection, disturbance of physiological phonation mechanisms, and ability to establish optimal phonation automatism. The damage of laryngeal structure, especially its glottic part and vocal cords as its central part, no matter if they are just fibrous or they are partially or totally absent, leads into the development of substitutive phonation mechanisms. The most frequent substitutive mechanisms are: vestibular, ventricular, and chordoventricular phonation. There are some variations of these phonation mechanisms, which are conditioned not only by applied surgical technique, but as they are also individual characteristics, they can be the consequence of applied rehabilitation methods. The diagnosis of voice condition before and after the oncosurgical procedure is done by: laryngostroboscopy, subjective acoustic analysis of voice, and objective acoustic analysis of voice (sonography or computer analysis of acoustic signal). The most of laryngeal carcinomas appear in glottic region, so the function of phonation imposes itself as the objective parameter to measure the quality of life after the oncosurgery of larynx. That is the reason why according to the priority, it is just behind the principle of "oncologic radicalism". Phonation as the most complex laryngeal function seems to have secondary importance. All known operative techniques, especially partial resections, have the preservation of phonation as their goal.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Muhammad Arif ◽  
Christohper Gan ◽  
Muhammad Nadeem

Purpose Motivated by the enactment of non-financial reporting regulations by the European Parliament, this paper aims to investigate the impact of European Union (EU) directive 2014/95/EU on the quantity of environmental, social and governance (ESG) disclosures by the S&P Europe 350 index firms. This study also investigates whether the implementation of the non-financial information (NFI) reporting regulations influences the association between ESG disclosures and firms’ earnings risk. Design/methodology/approach To measure the impact of mandatory regulations on the quantity of ESG disclosures, this study estimates the average treatment effects using a propensity weighted sample. Then this study uses the difference-in-differences method to estimate the differences in the association between ESG disclosures and earning risk before and after implementation of the EU directive. Findings The results show a significant positive impact of the EU directive on the quantity of ESG disclosures for the sample European public-interest entities, which indicates that the mandatory NFI reporting requirements could boost the availability of increasingly demanded ESG related information. The enhanced association between the ESG disclosures and firms’ earnings risk during the post-directive period reveals that mandating NFI reporting also increases the quality of ESG disclosures. Originality/value Using the legitimacy and decision-usefulness theories, this study provides novel evidence concerning the impact of the EU directive on the quantity and quality of ESG disclosures.


2019 ◽  
Vol 42 (2) ◽  
pp. 30-37
Author(s):  
Tipwaree Aueworakhunanan ◽  
Kalyanee Makarabhirom ◽  
Dechavudh Nityasuddhi

Background: Previous studies have documented the effectiveness of voice therapy in terms of voice quality outcomes rather than quality of life outcomes. Objective: To compare the quality of life among patients with voice disorders, before and after voice therapy. Methods: Thirty-six patients with voice disorders who visited the Speech Clinic at Ramathibodi Hospital from March 2013 to January 2015 were enrolled. Thirty minutes per session within 10 weeks period of voice therapy program were used. The voice therapy approaches included direct and indirect therapy. The outcomes of this study were measured using Dr. Speech software version 5 for acoustic analysis and the Voice Handicap Index in Thai version for quality of life. Data was analyzed by descriptive and inferential statistics (Paired t test). Results: The total participants were 36 patients with a mean age of 51.31 years. They were divided to 4 groups according to the causes of voice disorders that were 18 patients for structural cause, 8 patients for functional cause, 6 patients for neurological cause, and 4 patients for inflammatory cause. The results for both voice quality and quality of life after voice therapy improved and showed statistically significant differences (P < .05). The patients with all causes of voice disorders were statistically significant differences in total the Voice Handicap Index scores (P < .05). Moreover the structural causes group exhibited statistically significant differences in all subscales (P < .05) but the others causes groups were not statistically significant differences in emotional subscale for functional causes, physical subscale for neurological causes, and functional subscale for inflammatory cause (P > .05) Conclusions: Voice therapy might be an effective treatment to decrease the severity of voice disorders in role of voice quality and quality of life, especially voice disorders from structural causes.


2019 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Yayu Rahayu ◽  
Yeni Heryani

Creativity has a very important role in the lives of children. Through kerativitas, children can be creative in accordance with the talent or ability, the child can solve a problem and can improve the quality of life in the future. Therefore, stimulation is needed that can develop the creativity of children, one of them through mengguanaan media playdough. In early childhood creativity has not developed well, early childhood has not been smooth in expressing idea idea idea. The purpose of this assessment is to describe the level of early childhood creativity by applying playdough media, differences in early childhood creativity levels before and after applying media playdough. Methods used in this study are classroom action research methods (PTK). The subjects of this study were children aged 4-5 years kober miftahul falah which amounted to 14 children consisting of 9 women and 5 men. The results of this study indicate a positive impact in improving creativity of children by 25.83% based on evaluation results from cycle I and cycle II.Dengan, it can be concluded that the media playdough provide a significant influence. So that can be recommended for teachers to use media playdough can be used as an alternative to develop creativity in children effectively. For schools to be able to facilitate by providing other learning media that can enhance the creativity of young children.


2021 ◽  
Vol 1 (9) ◽  
pp. 976-981
Author(s):  
Terra Amalia ◽  
Ria Angraini

Various methods and systems used to improve the quality of the management and storage of medical record files, one of which is to reduce the volume of archives that have no use value, to reduce archive buildup and create better and more efficient storage space, making it easier for officers to carry out their duties search and expedite the patient's treatment process. This study uses a qualitative type of research, with a descriptive method. The data collection in this study used the interview and observation (checklist) method. The population in this study were officers of the medical record work unit at Hermina Hospital Palembang in 2021. Based on the research, it can be concluded that the retention of inactive medical record files in 2021 is being carried out by medical record officers and the destruction of inactive medical record files has not been carried out because constrained by the COVID-19 pandemic, there are officers who carry out WFH (Work from Home) along with service hours. At the Hermina Hospital in Palembang, the standard operating procedure (SOP) regarding the destruction of inactive medical record files at the Hermina Palembang hospital already exists, but has not been implemented is 0.000 <0.05, it can be concluded that it is accepted, meaning that there is a difference in scores between before and after being treated with water tube media


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