Muscle tension dysphonia and spasmodic dysphonia: The role of manual laryngeal tension reduction in diagnosis and management
Muscle tension dysphonia and spasmodic dysphonia: The role of manual laryngeal tension reduction in diagnosis and management
复制标题
DOI：
10.1177/000348949610501102
复制
发表时间：
1996-11-01
影响因子：
1.4
通讯作者：
Bless, DM
中科院分区：
文献类型：
--
作者：
Roy, N;Ford, CN;Bless, DM
喉外肌肉的过度活动会影响喉功能，并导致一系列相关的症状和综合征，包括肌张力性发声困难和痉挛性发声困难。认识喉外张力的作用有助于确保正确诊断和选择适当的治疗方法。本报告展示了手动喉部肌肉骨骼张力降低技术在喉功能亢进综合征的诊断和治疗中的应用。手动技术包括局部触诊，以确定 1) 喉部抬高的程度，2) 局部压痛，3) 在甲状腺层上缘施加向下压力的声音效果，以及 4) 环喉按摩后声音持续改善的程度。讨论了这种创新方法的临床实用性。
Excessive activity of the extralaryngeal muscles affects laryngeal function and contributes to a spectrum of interrelated symptoms and syndromes including muscle tension dysphonia and spasmodic dysphonia. Recognition of the role of extralaryngeal tension is helpful in ensuring proper diagnosis and selection of appropriate treatment. This report demonstrates the application of manual laryngeal musculoskeletal tension reduction techniques in the diagnosis and management of laryngeal hyperfunction syndromes. The manual technique consists of focal palpation to determine 1) extent of laryngeal elevation, 2) focal tenderness, 3) voice effect of applying downward pressure over the superior border of the thyroid lamina, and 4) extent of sustained voice improvement following circum-laryngeal massage. The clinical utility of this innovative approach is discussed.