A Preliminary Comparison of Laryngeal Manipulation and Postural Treatment on Voice Quality in a Prospective Randomized Crossover Study

Kennard, Elliot J.; Lieberman, Jacob E.; Saaid, Arjmand; Rolfe, KJ

doi:10.1016/j.jvoice.2014.09.026

Cited by 10 publications

(15 citation statements)

References 19 publications

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“…The studies presented some homogeneity regarding speech samples, since sustained vowel was present in five articles (22, 24–26, 28), followed by reading (23, 24, 27), spontaneous speech (28), automatic speech sequence (26) and singing (21). …”

Section: Resultsmentioning

confidence: 99%

“…Taking into account the voice assessment parameters, the investigations were similar because of the eight RCTs, six used acoustic analysis (21, 23–27), and four included perceptive–auditory analysis (21, 24, 26, 28). However, regarding other outcome measures, the studies were heterogeneous varying from voice range profile (22, 25), maximum phonation time (MPT) (25), size of vocal fold lesion (22), muscle palpation (26), visual analog scale (VAS) (24, 26, 28), and scales like voice activity and participation profile (VAPP) (22, 26) and nordic musculoskeletal symptoms questionnaire (28).…”

Section: Resultsmentioning

confidence: 99%

“…However, one investigation (22) had three groups (intervention group, sham intervention group, and no-treatment group). In terms of study design, six studies were RCTs (parallel-group) (22–26, 28), and two were RCTs (Crossover) (21, 27). …”

Section: Resultsmentioning

confidence: 99%

“…Most interventions had a duration of 30 min (22, 23, 26, 27). However, some were 10 min (21), 20 min (25, 28), or 60 min (24) long.…”

Section: Resultsmentioning

confidence: 99%

“…However, some were 10 min (21), 20 min (25, 28), or 60 min (24) long. The length of the studies varied from a single treatment approach (21, 23, 25, 27) to 6 weeks (22, 28), 8 weeks (26), or 3 months of intervention (24). …”

Section: Resultsmentioning

confidence: 99%

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The Effectiveness of Physiotherapy and Complementary Therapies on Voice Disorders: A Systematic Review of Randomized Controlled Trials

2017

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The treatment of voice disorders includes physiotherapy and complementary therapies. However, research to support these treatments is scarce. Objective: to verify the effectiveness of physiotherapy and complementary therapies on voice disorders. Research on electronic databases PubMed/Medline, SciELO, and LILACS was performed using the combination: voice AND (treatment OR intervention) according to PRISMA guidelines. Only randomized controlled trials (RCTs) were included in the review. Studies were analyzed using the physiotherapy evidence database (PEDro) scale and the Center for Evidence-Based Medicine’s Levels of Evidence scale. Eight papers met the inclusion criteria. From the RCTs included in this review, six assessed massage, one transcutaneous electrical nerve stimulation (TENS), one refer to spinal manipulative therapy, and one to acupuncture. The literature regarding the effectiveness of physiotherapy and complementary therapies was good in both quality and results, indicating that massage, TENS, and acupuncture seem to be effective treatments to reduce voice complaints and improve voice quality, supporting the inclusion of complementary therapies but mostly physiotherapy interventions in the treatment of patients with voice disorders.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Most interventions had a duration of 30 min (22, 23, 26, 27). However, some were 10 min (21), 20 min (25, 28), or 60 min (24) long.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The Effectiveness of Physiotherapy and Complementary Therapies on Voice Disorders: A Systematic Review of Randomized Controlled Trials

2017

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Laryngeal Manipulation for Dysphagia with Muscle Tension Dysphonia

et al. 2018

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The purpose of the article is to describe the use of laryngeal manipulation as a treatment for dysphagia resulting from excessive paralaryngeal muscle tension and to identify the patients likely to have symptomatic improvement. This is a retrospective single-center case series. A retrospective review identified patients from 2007 to 2013 with laryngeal manipulation for muscle tension dysphagia in an academic Otolaryngology practice. Subjects with dysphagia not attributable to an anatomic cause who attended therapy at least one time were included in the study. The primary outcome of the study was subjective improvement in dysphagia symptoms (yes/no) during follow-up. Symptoms, demographic information, treatment, and response to therapy were recorded. The Kruskal-Wallis test was used for analysis of continuous variables, while a Chi-squared test or fisher's exact test was used for analysis of all categorical variables. Forty-four subjects were included, consisting of 37 women and 7 men. Subjective improvement in dysphagia was seen in 34 subjects (77.3%). No significant differences were seen in improvement based on gender (p = 0.3223), race (p = 0.4317), number of sessions with a speech pathologist (p = 0.3198), or presenting symptoms including hoarseness (p = 0.0853), pain (p = 1.000), globus (p = 0.2834), and cough (p = 1.000). We found subjective improvement with laryngeal manipulation as reported during follow-up visits to clinic among individuals with muscle tension dysphagia. Patient age, presenting symptoms, and number of therapy sessions were not found to be significantly associated with resolution of symptoms.

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Laryngeal Manual Therapies for Behavioral Dysphonia: A Systematic Review and Meta-analysis

et al. 2018

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A Preliminary Comparison of Laryngeal Manipulation and Postural Treatment on Voice Quality in a Prospective Randomized Crossover Study

Cited by 10 publications

References 19 publications

The Effectiveness of Physiotherapy and Complementary Therapies on Voice Disorders: A Systematic Review of Randomized Controlled Trials

The Effectiveness of Physiotherapy and Complementary Therapies on Voice Disorders: A Systematic Review of Randomized Controlled Trials

Laryngeal Manipulation for Dysphagia with Muscle Tension Dysphonia

Laryngeal Manual Therapies for Behavioral Dysphonia: A Systematic Review and Meta-analysis

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