Physical Therapy for Muscle Tension Dysphonia with Cervicalgia.

Autor:	Tate AD; Department of Otolaryngology-Head and Neck Surgery, Brooke Army Medical Center, San Antonio, TX, USA., Tomlinson CA; Vanderbilt Dayani Center for Health and Wellness, Vanderbilt University Medical Center, Nashville, TN, USA., Francis DO; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Wisconsin Surgical Outcomes Research Program, Madison, WI, USA., Wishik ED; Vanderbilt Voice Center, Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA., Lowery AS; Vanderbilt University Medical Center, Nashville, TN, USA., Watkins MO; Meharry Medical College, Nashville, TN, USA., Stewart TG; Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA., Gong WH; Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA., Gilbert MR; Department of Otolaryngology-Head and Neck Surgery, University of Missouri Health Care, Missouri, MO, USA., Garrett CG; Vanderbilt Voice Center, Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Jazyk:	angličtina
Zdroj:	Ear, nose, & throat journal [Ear Nose Throat J] 2024 Aug; Vol. 103 (8), pp. 509-517. Date of Electronic Publication: 2021 Dec 23.
DOI:	10.1177/01455613211063239
Abstrakt:	Objectives: This study investigated the effectiveness of a specialized manual physical therapy (PT) program at improving voice among patients diagnosed with concomitant muscle tension dysphonia (MTD) and cervicalgia at a tertiary care voice center. Materials and Methods: Cervicalgia was determined by palpation of the anterior neck. Both voice therapy (VT) and PT was recommended for all patients diagnosed with MTD and cervicalgia. PT included full-body manual physical therapy with myofascial release. Patients underwent: 1) VT alone, 2) concurrent PT and VT (PT with VT), 3) PT alone, 4) VT, but did not have PT ordered by treating clinician (VT without PT order) or 5) VT followed by PT (VT then PT). The pairwise difference in post-Voice Handicap Index-10 (VHI-10) controlling for baseline variables was calculated with a linear regression model. Results: 178 patients met criteria. All groups showed improvement with treatment. The covariate-adjusted differences in mean post-VHI-10 improvement comparing the VT alone group as a reference were as follows: PT with VT 9.95 (95% confidence interval 7.70, 12.20); PT alone 8.31 (6.16, 10.45); VT without PT order 8.51 (5.55, 11.47); VT then PT 5.47 (2.51, 8.42). Conclusion: Among patients diagnosed with MTD with cervicalgia, treatment with a specialized PT program was associated with improvement in VHI-10 scores regardless of whether they had VT. While VT is the standard of care for MTD, PT may also offer benefit for MTD patients with cervicalgia. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: The Physical Therapy intervention in this study is a copyrighted program. Vanderbilt University Medical Center, 2013 with revisions 2019: All Rights Reserved. Created by co-author Carey A. Tomlinson, Physical Therapist for the Vanderbilt Dayani Center. All necessary permission was obtained for use of this program in this study.
Databáze:	MEDLINE
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