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Journal articles on the topic 'Secondary muscle tension voice disorders'

Author: Grafiati

Published: 10 September 2021

Last updated: 29 July 2025

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1

James, P. Dworkin-Valenti. "Pathophysiologic Perspectives on Muscle Tension Dysphonia." Archives of Otolaryngology and Rhinology 4, no. 1 (2017): 001–10. https://doi.org/10.17352/2455-1759.000065.

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It is difficult to quantify the incidence of hyperfunctional muscle tension dysphonia (H-MTD). Although voice disorders in general have been noted to affect approximately 10% of the population in the United States, up to 40% of patient visits to voice specialists are for symptoms of H-MTD. Clearly this condition is a very common vocal pathology, yet its differential diagnosis is not always straightforward. The primary purpose of this tutorial is to present a comprehensive literature review on this condition, with particular focus on alternative etiologic theories and differential diagnostic an

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Kang, Christina H., and David G. Lott. "Muscle Tension Dysphagia Evaluation and Treatment." Perspectives of the ASHA Special Interest Groups 5, no. 6 (2020): 1593–97. http://dx.doi.org/10.1044/2020_persp-20-00069.

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Purpose This clinical focus article introduces primary and secondary muscle tension dysphagia (MTDg) as a functional idiopathic dysphagia that is often encountered in the otolaryngology clinic setting. Critical aspects of clinical assessment and treatment approaches will be discussed. The presented case study will describe a multidisciplinary evaluation and efficacy of therapy. Conclusions MTDg is a diagnosis of exclusion for a functional idiopathic swallowing disorder associated with abnormal laryngeal muscle tension. Abnormal laryngeal muscle tension is often associated with disorders of lar

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Madill, Catherine, Antonia Chacon, Evan Kirby, Daniel Novakovic, and Duy Duong Nguyen. "Active Ingredients of Voice Therapy for Muscle Tension Voice Disorders: A Retrospective Data Audit." Journal of Clinical Medicine 10, no. 18 (2021): 4135. http://dx.doi.org/10.3390/jcm10184135.

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Background: Although voice therapy is the first line treatment for muscle-tension voice disorders (MTVD), no clinical research has investigated the role of specific active ingredients. This study aimed to evaluate the efficacy of active ingredients in the treatment of MTVD. A retrospective review of a clinical voice database was conducted on 68 MTVD patients who were treated using the optimal phonation task (OPT) and sob voice quality (SVQ), as well as two different processes: task variation and negative practice (NP). Mixed-model analysis was performed on auditory–perceptual and acoustic data

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Sotirovic, Jelena, Masa Petrovic, Milanko Milojevic, Nenad Baletic, Ognjen Cukic, and Ivan Zaletel. "Demographic characteristics and spectrum of comorbidities in patients with muscle tension dysphonia: A retrospective cross-sectional study." Vojnosanitetski pregled, no. 00 (2025): 31. https://doi.org/10.2298/vsp241029031s.

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Background/Aim. Muscle tension dysphonia (MTD) is one of the most common voice disorders. The aim of the study was to examine demographic characteristics and the prevalence of comorbidities in patients diagnosed with MTD. Methods. A retrospective cross-sectional study included an analysis of demographic characteristics and comorbidities in 87 patients diagnosed with MTD during a one-year period. Results. The mean age of the patients was 49.2 years (range 18-84 years), and 79.3% were younger than 65 years. The female gender comprised 73.6%. No statistically significant difference was found in s

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Gillespie, Amanda I., Jonathan Yabes, Clark A. Rosen, and Jackie L. Gartner-Schmidt. "Efficacy of Conversation Training Therapy for Patients With Benign Vocal Fold Lesions and Muscle Tension Dysphonia Compared to Historical Matched Control Patients." Journal of Speech, Language, and Hearing Research 62, no. 11 (2019): 4062–79. http://dx.doi.org/10.1044/2019_jslhr-s-19-0136.

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Purpose Conversation training therapy (CTT) is the 1st voice therapy approach to eliminate the traditional therapeutic hierarchy and use patient-driven conversation as the sole therapeutic stimulus. The purpose of this investigation was to determine the efficacy of CTT compared to standard-of-care voice therapy approaches for the treatment of patients with voice disorders. Method A prospective study of CTT treatment outcomes in adults with dysphonia due to primary muscle tension dysphonia or benign vocal fold lesions compared to age, gender, and diagnosis historical matched control (HMC) patie

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Cevallos-Schnabel, Filipina T. "An Easy Guide for Voice Evaluation in the Clinic." Philippine Journal of Otolaryngology-Head and Neck Surgery 23, no. 2 (2008): 52–54. http://dx.doi.org/10.32412/pjohns.v23i2.753.

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The past three years have seen an overwhelming increase in the number of dysphonic patients in our clinics. This phenomenon goes hand in hand with increased opening of call centers nationwide and increased demand for teachers, singers and performers abroad.  This article discusses simple steps for the Otolaryngologist interested in evaluating these patients with different voice demands. It is important to recognize these common voice problems and address them promptly, or to refer them accordingly to Voice Centers if necessary.  Chief Complaint  The most com

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Slavit, David H., and Barbara Leader. "Functional Voice Disorders/Muscle Tension Dysphonia." Otolaryngology–Head and Neck Surgery 112, no. 5 (1995): P100. http://dx.doi.org/10.1016/s0194-5998(05)80243-8.

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Educational objectives: To identify the various forms and etiologic factors of muscle-tension dysphonia, to perform a comprehensive evaluation, and to understand the role of surgical and nonsurgical management.

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Roy, Nelson. "Personality and Voice Disorders." Perspectives on Voice and Voice Disorders 21, no. 1 (2011): 17–23. http://dx.doi.org/10.1044/vvd21.1.17.

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It has been argued that personality, emotions, and psychological problems contribute to or are primary causes of voice disorders, and that voice disorders in turn create psychological problems and personality effects. This article provides an overview of recent concepts in personality and trait structure, briefly summarizes the “Trait Theory” which explains how personality may contribute to the development of primary muscle tension dysphonia and vocal nodules, reviews research aimed at testing the Trait Theory, and discusses clinical implications related to recognizing personality as a factor

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Koufman, James A., Teresa A. Radomski, Ghazi M. Joharji, Gregory B. Russell, and David C. Pillsbury. "Laryngeal Biomechanics of the Singing Voice." Otolaryngology–Head and Neck Surgery 115, no. 6 (1996): 527–37. http://dx.doi.org/10.1016/s0194-59989670007-4.

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By transnasal fiberoptic laryngoscopy, patients with functional voice disorders often demonstrate abnormal laryngeal biomechanics, commonly supraglottic contraction. Appropriately, such conditions are sometimes termed muscle tension dysphonias. Singers working at the limits of their voice may also transiently demonstrate comparable tension patterns. However, the biomechanics of normal singing, particularly for different singing styles, have not been previously well characterized. We used transnasal fiberoptic laryngoscopy to study 100 healthy singers to assess patterns of laryngeal tension dur

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Dutta, Smrity Rupa Borah. "Voice Therapy in Muscle Tension Dysphonia Cases." International Journal of Phonosurgery & Laryngology 5, no. 1 (2015): 20–24. http://dx.doi.org/10.5005/jp-journals-10023-1097.

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ABSTRACT Muscle tension dysphonia (MTD) is a condition where phonation is associated with excessive muscular tension or muscle misuse. It has multifactorial etiologies. It can be a primary or secondary MTD. While it can affect anyone, sufferers usually belong to a particular group. It has very serious impact on sufferer's personal, social and professional life. We are presenting here, our 20 months prospective study done in the department of otorhinolaryngology, Silchar Medical College and Hospital from June 2012 to July 2013. Voice therapy was given to every patient, whether primary or second

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Kęder, Karolina, and Ewelina Sielska-Badurek. "Effectiveness of voice therapy combining various voice rehabilitation techniques in patients with muscle tension dysphonia." Polski Przegląd Otorynolaryngologiczny 13, no. 1 (2024): 1–7. http://dx.doi.org/10.5604/01.3001.0054.2985.

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Introduction: Voice disorders associated with excessive muscle tension are most frequently diagnosed by phoniatrists. Voice therapy constitutes an essential part of the management of patients with voice disorders. Aim: The aim of this study consisted in the assessment of the effectiveness of voice therapy combining various rehabilitation techniques in patients with muscle tension dysphonia along with the analysis of patient-assessed rehabilitation quality results. Material and methods: The study was carried out in a group of 16 patients (4 male and 12 female) aged 33–91 years. The mean age of

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Eastwood, Clare, Catherine Madill, and Patricia Mccabe. "The behavioural treatment of muscle tension voice disorders: A systematic review." International Journal of Speech-Language Pathology 17, no. 3 (2015): 287–303. http://dx.doi.org/10.3109/17549507.2015.1024169.

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Lin, Feng-Chuan, Hsin-Yu Chien, Sheng Hwa Chen, Yi-Chia Kao, Po-Wen Cheng, and Chi-Te Wang. "Voice Therapy for Benign Voice Disorders in the Elderly: A Randomized Controlled Trial Comparing Telepractice and Conventional Face-to-Face Therapy." Journal of Speech, Language, and Hearing Research 63, no. 7 (2020): 2132–40. http://dx.doi.org/10.1044/2020_jslhr-19-00364.

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Purpose Previous studies have reported that voice therapy via telepractice is useful for patients with nodules and muscle tension dysphonia. Nevertheless, telepractice for elderly patients with voice disorders has not yet been investigated. We conducted this study to examine the hypothesis that voice therapy via telepractice is not inferior to conventional voice therapy. Method Eighty patients with dysphonia aged more than 55 years participated in this study from September 2016 to June 2018. After screening the inclusion and the exclusion criteria, 69 patients were randomized into telepractice

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Nguyen, Duy Duong, Antonia M. Chacon, Daniel Novakovic, Nicola J. Hodges, Paul N. Carding, and Catherine Madill. "Pitch Discrimination Testing in Patients with a Voice Disorder." Journal of Clinical Medicine 11, no. 3 (2022): 584. http://dx.doi.org/10.3390/jcm11030584.

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Auditory perception plays an important role in voice control. Pitch discrimination (PD) is a key index of auditory perception and is influenced by a variety of factors. Little is known about the potential effects of voice disorders on PD and whether PD testing can differentiate people with and without a voice disorder. We thus evaluated PD in a voice-disordered group (n = 71) and a non-voice-disordered control group (n = 80). The voice disorders included muscle tension dysphonia and neurological voice disorders and all participants underwent PD testing as part of a comprehensive voice assessme

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Watts, Christopher R., Amy Hamilton, Laura Toles, Lesley Childs, and Ted Mau. "Intervention Outcomes of Two Treatments for Muscle Tension Dysphonia: A Randomized Controlled Trial." Journal of Speech, Language, and Hearing Research 62, no. 2 (2019): 272–82. http://dx.doi.org/10.1044/2018_jslhr-s-18-0118.

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Purpose The aim of this study was to test the hypothesis that stretch-and-flow voice therapy (SnF) is noninferior to resonant voice therapy (RVT) for speakers with muscle tension dysphonia. Method Participants with primary muscle tension dysphonia were randomly assigned to 1 of 2 treatment groups. Participants received 6 sessions of either SnF or RVT for 6 weeks (1 session per week). Pretreatment and posttreatment audio recordings of sustained vowels and connected speech were acquired. Response to treatment was assessed using the voice handicap index (VHI) as the primary outcome measure. Secon

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Parra, Jesús A., Carlos Calvache, Gabriel A. Alzamendi, et al. "Asymmetric triangular body-cover model of the vocal folds with bilateral intrinsic muscle activation." Journal of the Acoustical Society of America 156, no. 2 (2024): 939–53. http://dx.doi.org/10.1121/10.0028164.

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Many voice disorders are linked to imbalanced muscle activity and known to exhibit asymmetric vocal fold vibration. However, the relation between imbalanced muscle activation and asymmetric vocal fold vibration is not well understood. This study introduces an asymmetric triangular body-cover model of the vocal folds, controlled by the activation of bilateral intrinsic laryngeal muscles, to investigate the effects of muscle imbalance on vocal fold oscillation. Various scenarios were considered, encompassing imbalance in individual muscles and muscle pairs, as well as accounting for asymmetry in

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McKenna, Victoria S., Jennifer M. Vojtech, Melissa Previtera, Courtney L. Kendall, and Kelly E. Carraro. "A Scoping Literature Review of Relative Fundamental Frequency (RFF) in Individuals with and without Voice Disorders." Applied Sciences 12, no. 16 (2022): 8121. http://dx.doi.org/10.3390/app12168121.

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Relative fundamental frequency (RFF) is an acoustic measure that characterizes changes in voice fundamental frequency during voicing transitions. Despite showing promise as an indicator of vocal disorder and laryngeal muscle tension, the clinical adoption of RFF remains challenging, partly due to a lack of research integration. As such, this review sought to provide summative information and highlight next steps for the clinical implementation of RFF. A systematic literature search was completed across 5 databases, yielding 37 articles that met inclusion criteria. Studies most often included a

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Hancock, Rebecca. "Management of Functional Aphonia and Related Severe Muscle Tension Disorders: A Practical Approach with Historical Underpinnings." Perspectives on Voice and Voice Disorders 24, no. 2 (2014): 55–63. http://dx.doi.org/10.1044/vvd24.2.55.

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Management of functional aphonia and severe muscle tension dysphonia requires a skilled and flexible treatment approach. Key components of management include accurate diagnosis, clinical probing, and targeting underlying physiological processes inherent in voice production. Diagnostic factors include laryngeal imaging, acoustic and aerodynamic testing (when appropriate), as well as perceptual and therapeutic potential assessment. This article explores historical management techniques in the context of modern approaches, demonstrating management approaches that focus on balancing respiration an

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Shidlovskaya, Tetiana A., and Tetyana V. Volkova. "Complaints of patients with functional dysorders of voice production accompained by hypotonic condition of the vocal apparatus." OTORHINOLARYNGOLOGY №5-6(3) 2020, no. 5-6(3) 2020 (November 4, 2020): 25–33. http://dx.doi.org/10.37219/2528-8253-2020-6-25.

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Topicality: Hypotonic functional dysphonia, especially a chronic disease (CHFD), is the most common nosology among all functional voice disorders. It is often accompanied by various complications and characterized by a very severe disease course, deteriorating significantly the voice function and general state of health of patients. Materials and Methods: A total of 123 patients with chronic hypotonic functional dysphonia were examined and divided into 4 groups depending on the violation degree in the vocal apparatus. The 1st group included 25 patients with mild disorders in the vocal apparatu

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Pérez-Bonilla, Margarita, Paola Díaz Borrego, Marina Mora-Ortiz, et al. "Relationship Between Voice Analysis and Functional Status in Patients with Amyotrophic Lateral Sclerosis." Audiology Research 15, no. 3 (2025): 53. https://doi.org/10.3390/audiolres15030053.

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Background: Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease affecting both upper and lower motor neurons, with bulbar dysfunction manifesting in up to 80% of patients. Dysarthria, characterized by impaired speech production, is common in ALS and often correlates with disease severity. Voice analysis has emerged as a promising tool for detecting disease progression and monitoring functional status. Methods: This study investigates acoustic and biomechanical voice alterations in ALS patients and their association with clinical measures of functional independence. A

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Fantalova, E. B., and R. Barabanov. "Relaxing Biofeedback as a Psychological Correction Technique in the Treatment and Rehabilitation of the Vocal Apparatus Diseases." Клиническая и специальная психология 6, no. 3 (2017): 23–46. http://dx.doi.org/10.17759/cpse.2017060302.

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The article deals with the psychological treatment of patients with voice disorders using the latest computer technology psychotherapy. The paper describes a method of psychological treatment based on biofeedback relaxation. The data on the dynamics of changes in physiological parameters, psycho-emotional background, as well as the state of the voice functions, taking into account the treatment. It describes the techniques and methods of work on the unit. On the basis of the data evaluated the effectiveness of this method in rehabilitation of voice function in patients with voice disorders. Su

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Jovanović, Stevan, Slađana Arsić, Biljana Stojanović-Jovanović, Dragana Kljajić, and Marija Trajkov. "Application of manual therapy in muscle tensional dysphonia." PONS - medicinski casopis 18, no. 1 (2021): 20–28. http://dx.doi.org/10.5937/pomc18-27228.

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Muscle tension dysphonia is a functional voice disorder caused by unbalanced activity of the laryngeal and extralaryngeal muscles. People with dysphonia may have changes in the cervical and perilaryngeal muscles, limited amplitude of movement of the cervical spine, but also posture disorders. The aim of this paper is to present the analyzed therapeutic effects of manual techniques in muscle tension dysphonia, based on a review of the available literature. In accordance with the set criteria and the goal of the paper, the collection and analysis of professional and scientific research papers av

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Cortés, Juan P., Jon Z. Lin, Katherine L. Marks, et al. "Ambulatory Monitoring of Subglottal Pressure Estimated from Neck-Surface Vibration in Individuals with and without Voice Disorders." Applied Sciences 12, no. 21 (2022): 10692. http://dx.doi.org/10.3390/app122110692.

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The aerodynamic voice assessment of subglottal air pressure can discriminate between speakers with typical voices from patients with voice disorders, with further evidence validating subglottal pressure as a clinical outcome measure. Although estimating subglottal pressure during phonation is an important component of a standard voice assessment, current methods for estimating subglottal pressure rely on non-natural speech tasks in a clinical or laboratory setting. This study reports on the validation of a method for subglottal pressure estimation in individuals with and without voice disorder

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Hintze, Justin M., Christy L. Ludlow, Stephen F. Bansberg, Charles H. Adler, and David G. Lott. "Spasmodic Dysphonia: A Review. Part 2: Characterization of Pathophysiology." Otolaryngology–Head and Neck Surgery 157, no. 4 (2017): 558–64. http://dx.doi.org/10.1177/0194599817728465.

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Objective The purpose of this review is to describe the recent advances in characterizing spasmodic dysphonia. Spasmodic dysphonia is a task-specific focal laryngeal dystonia characterized by irregular and uncontrolled voice breaks. The pathophysiology is poorly understood, and there are diagnostic difficulties. Data Sources PubMed, Google Scholar, and Cochrane Library. Review Methods The data sources were searched using the following search terms: ( spasmodic dysphonia or laryngeal dystonia) and ( etiology, aetiology, diagnosis, pathogenesis, or pathophysiology). Conclusion The diagnosis of s

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Barkmeier-Kraemer, Julie. "Updates on Vocal Tremor and its Management." Perspectives on Voice and Voice Disorders 22, no. 3 (2012): 97–103. http://dx.doi.org/10.1044/vvd22.3.97.

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Vocal tremor is a neurogenic voice disorder characterized by a nearly periodic modulation in pitch and loudness during sustained phonation. This voicing pattern is the result of tremor affecting structures within the speech mechanism, resulting in modulation of lung pressure, phonation, articulation, and resonance during speaking. Speaking patterns in these individuals may be perceived as similar to spasmodic dysphonia or muscle tension dysphonia. The key to determining the presence of vocal tremor and distinguishing it from other voice disorders requires familiarity with the perceptual, acous

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Jahn, Anthony F. "Medical Management of the Professional Singer: An Overview." Medical Problems of Performing Artists 24, no. 1 (2009): 3–9. http://dx.doi.org/10.21091/mppa.2009.1002.

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Caring for the professional singer, whether an operatic performer or serious amateur, involves careful consideration of both physical and emotional components, as it does in other performing artists. However, because the head and neck contain representatives of other major organ systems in close proximity to the phonating larynx, singing is additionally vulnerable to a range of diseases of the respiratory, gastrointestinal, and endocrine systems. This review provides an overview of the conditions typically encountered in singers. These include occupational disorders (muscle tension dysphonia,

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Park, Jae-Seon, Seo Yeon Cho, Chae Rim Park, Sang Hyuk Lee, and Sung Min Jin. "Clinical Usefulness of Korean Items for the Differential Diagnosis of Adductor Spasmodic Dysphonia." Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 35, no. 3 (2024): 94–101. https://doi.org/10.22469/jkslp.2024.35.3.94.

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Background and Objectives Adductor spasmodic dysphonia (ADSD) is a disease in which symptoms such as voice break, strained voice, and voice tremor occur during vocalization due to abnormal spasms of the adductor muscles of the vocal cords. In this study, we aimed to confirm the clinical effectiveness of recently developed Korean items for the differential diagnosis of ADSD and muscle tension dysphonia (MTD).Materials and Method Twenty patients who were diagnosed with ADSD and improved with treatment were set as the ADSD group, 7 patients diagnosed with MTD and received voice therapy as the MTD

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Dietrich, Maria, Richard D. Andreatta, Yang Jiang, and Joseph C. Stemple. "Limbic and cortical control of phonation for speech in response to a public speech preparation stressor." Brain Imaging and Behavior 14, no. 5 (2019): 1696–713. http://dx.doi.org/10.1007/s11682-019-00102-x.

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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 product

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Finnegan, Eileen M., Henry T. Hoffman, Abby L. Hemmerich, and Douglas J. Van Daele. "Clinical Practice: Spasmodic Dysphonia and Vocal Tremor." Perspectives on Voice and Voice Disorders 19, no. 2 (2009): 66–73. http://dx.doi.org/10.1044/vvd19.2.66.

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Abstract The Laryngeal Movement Disorder Clinic (LMDC) was started in 1990 in the Department of Otolaryngology at the University of Iowa. This specialized subset of the general Voice Clinic ( http://www.healthcare.uiowa.edu/otolaryngology/protocols/Parts/Part1/Part1C/P1C1.htm ) is scheduled twice a month for patients with laryngeal movement disorders such as spasmodic dysphonia (SD), vocal tremor, muscle tension dysphonia (MTD), and vocal fold paralysis (VCP). Patients with other craniocervical dystonias also may be seen in this clinic. The purpose of the clinic is to provide specialized diagn

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Choi, Seong Hee, and Deok Ae Kim. "Impact of Face Masks on Acoustic Measures in Patients with Hyperfunctional Voice Disorders and Normal Speakers." Clinical Archives of Communication Disorders 8, no. 1 (2023): 1–8. http://dx.doi.org/10.21849/cacd.2022.00906.

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Purpose: Wearing face masks during the COVID-19 pandemic has become a very important hygiene measure to block or prevent respiratory droplets and infections. The purpose of this study is to explore the effect of wearing face masks on the acoustical measurement of voice and speech in patients with hyperfunctional voice disorders, and to present guidelines for wearing a mask when evaluating voice and speech.Methods: A total of 20 patients with hyperfunctional voice disorders who diagnosed with vocal nodules, muscle tension dysphonia, and adductor spasmodic dysphonia (14 females, 6 males, age=30.

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Franzone, Roberta, Luca Petrigna, Daniele Signorelli, and Giuseppe Musumeci. "The Relationship between Posture and Muscle Tensive Dysphonia in Teachers: A Systematic Scoping Review." Journal of Functional Morphology and Kinesiology 9, no. 2 (2024): 60. http://dx.doi.org/10.3390/jfmk9020060.

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Teachers usually present work-related pain such as neck pain. Their posture could be the cause of these problems; indeed, it is often a sway-back posture. Furthermore, teachers can also experience problems with their voice such as dysphonia, specifically muscle tension dysphonia (MTD). This scoping review aims to find the correlation between teachers’ posture and MTD. It also studies how a posture-based treatment can influence this disorder. Randomized controlled trials, controlled clinical trials, prospective cohort studies, and cross-sectional studies that considered the relationship between

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Shidlovskaya, Tetiana A., Tetiana B. Zemliak, Tetyana V. Volkova, and Daria M. Kuleshova. "Complaints of patients with unilateral and bilateral motion disorders of the larynx." OTORHINOLARYNGOLOGY, No1-2(6) 2023 (April 10, 2023): 54–61. http://dx.doi.org/10.37219/2528-8253-2023-1-54.

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Relevance: In the structure of diseases of the vocal apparatus, paresis and paralysis of the larynx make up a significant share. The most common cause of peripheral paresis and paralysis of the larynx is surgical trauma to the laryngeal nerves during operations, primarily due to thyroid gland diseases. A stable trend towards an increase in the number of patients with thyroid neoplasms, an indicator of the prevalence of thyroid cancer among the population of Ukraine after the accident at the Chernobyl nuclear power plant, causes an increase in the number of patients with paralytic laryngeal ste

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Kosztyła-Hojna, Bożena, Marek Rogowski, Emilia Duchnowska, Maciej Zdrojkowski, and Anna Łobaczuk-Sitnik. "Multidimentional assessment of voice quality in patients with laryngopharyngeal reflux disease." Otolaryngologia Polska 78, no. 1 (2023): 20–30. http://dx.doi.org/10.5604/01.3001.0053.7519.

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<b><br>Introduction:</b> Gastroesophageal Reflux Disease (GERD) is a common disorder in world population. As a result of the regurgitation of acid content from the stomach to laryngopharynx and larynx, secondary damage of laryngeal mucosa occur, which is highly sensitive to hydrochloric acid, and morphological changes are observed. Symptomatology of laryngopharyngeal reflux is varied which makes differential diagnosis difficult.</br> <b><br>Aim:</b> The aim of the study was the assessment of voice quality, morphological changes in larynx as well as eti

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., Neeraj. "Molecular Docking Studies of Secondary Metabolites against Sequestosome-1 to Treat Parkinson Disease." International Journal for Research in Applied Science and Engineering Technology 9, no. VI (2021): 4456–64. http://dx.doi.org/10.22214/ijraset.2021.35994.

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Parkinson's disease (PD) is one of the major progressive neurological disorders. It occurs due to a low level of a chemical substance in the brain known as Dopamine, which controls the muscle movements of the body. In many cases, PD occurs due to a low level of dopamine. PD generally appears in persons between the ages of 50 & 60. Some common symptoms of Parkinson's are slow movements, tremors, change in voice, depression, anxiety, hallucinations, psychosis, etc. Diagnosis of PD is done by CAT (Computerized Axial Tomography) scan or MRI (Magnetic Resonance Imaging, and DAT (Dopamine Transp

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Harbeck-Weber, Cynthia, Kelsey Klaas, Leslie Sim, Karen Weiss, April Shappell, and Tracy Harrison. "Outcomes of Pediatric Patients with Excessive Postural Tachycardia After Attending an Intensive Interdisciplinary Pain Program: A Pilot Study." Children 12, no. 2 (2025): 186. https://doi.org/10.3390/children12020186.

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Background/Objectives: Adolescents with autonomic disorders who attend Intensive Interdisciplinary Pain Treatment (IIPT) programs report improvements in functioning. However, it is unclear whether they experience corresponding improvements in physiological measures. As such, the aim of this pilot study was to examine changes in physiological measures in youth attending an IIPT program who demonstrated excessive postural tachycardia on an active stand test. The secondary goal was to examine associations between physiological measurements and self-reported measures of chronic orthostatic intoler

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Neevel, Andrew J., Joshua D. Smith, Robert J. Morrison, Norman D. Hogikyan, Robbi A. Kupfer, and Andrew P. Stein. "Postacute COVID-19 Laryngeal Injury and Dysfunction." OTO Open 5, no. 3 (2021): 2473974X2110410. http://dx.doi.org/10.1177/2473974x211041040.

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Objective Patients with COVID-19 are at risk for laryngeal injury and dysfunction secondary to respiratory failure, prolonged intubation, and other unique facets of this illness. Our goal is to report clinical features and treatment for patients presenting with voice, airway, and/or swallowing concerns postacute COVID-19. Study Design Case series. Setting Academic tertiary care center. Methods Patients presenting with laryngeal issues following recovery from COVID-19 were included after evaluation by our laryngology team. Data were collected via retrospective chart review from March 1, 2020, t

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Sagun, Joyce Rodvie M., and Emmanuel Tadeus S. Cruz. "Bilateral Cricoarytenoid Joint Ankylosis with a Perplexing Etiology." Philippine Journal of Otolaryngology-Head and Neck Surgery 33, no. 1 (2018): 51–55. http://dx.doi.org/10.32412/pjohns.v33i1.37.

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Immobility, fixation, or paralysis of the vocal folds is an ominous sign when encountered in the clinics. This may be due to a variety of diseases, lesions, injuries, or vascular compromise which may affect the integrity and physiologic mechanism of the vocal folds. The common etiologies include infectious processes such as laryngeal or pulmonary tuberculosis (PTB), malignancy or neoplasms, central problems such as cerebrovascular accidents (CVA), stroke and others.1,2,3 The problem should be addressed immediately because this potentially life threatening and imminent narrowing of the glottic

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Tomasi, David, Sheri Gates, and Emily Reyns. "Positive Patient Response to a Structured Exercise Program Delivered in Inpatient Psychiatry." Global Advances in Health and Medicine 8 (January 2019): 216495611984865. http://dx.doi.org/10.1177/2164956119848657.

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Background The complexity of diagnostic presentations of an inpatient psychiatry population requires an integrative approach to health and well-being. In this sense, the primary need of this research aims at developing clinical strategies and healthier coping skills for anger, anxiety, and depression; promoting self-esteem, healthier sleep, and anxiety reduction; as well as enhancing mood and emotional–behavioral regulation via exercise and nutrition education. Objectives The primary objective is to promote exercise, fitness, and physical health in inpatient psychiatry patients. The secondary

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Makhlynets, N. P., V. P. Pyuryk, H. B. Prots, and N. Ya Slyusarenko. "Etiopathogenetic Treatment of Patients with Dentofacial Anomalies Against the Background of Disorders in the Architecture of the Oral Cavity Forecourt." DENTISTRY. MEDICINE. REHABILITATION, no. 1 (June 2025): 9–13. https://doi.org/10.64124/dmr-2025-1-9.

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Aim and objectives of the study: Improving the effectiveness of diagnostics and comprehensive treatment of patients with dentofacial anomalies against the background of disorders in the architecture of the vestibule of the mouth is relevant, as the frenula of the lips, tongue, and buccal frenula are among the etiological factors in the development of dentofacial anomalies and the cause of relapses after the completion of active orthodontic treatment. Materials and Methods of the Study: 60 individuals with dentofacial anomalies and disorders in the architecture of the oral cavity forecourt were

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Fitriani, Anisa, and Ratna Supradewi. "Desensitisasi Sistematis dengan Relaksasi Zikir untuk Mengurangi Gejala Kecemasan pada Kasus Gangguan Fobia." PHILANTHROPY: Journal of Psychology 3, no. 2 (2019): 75. http://dx.doi.org/10.26623/philanthropy.v3i2.1689.

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<p>Phobia is anxiety disorders in the form of excessive and irrational fear to certain objects or situations. Phobia symptoms can interfere with daily activities, such as muscle tension, trembling, cold sweat, dizziness, nausea, panic, and various other discomforts. This study aimed to look at the effect of systematic desensitization therapy combined with dhikr relaxation to reduce anxiety levels in people with phobias. The method used in this research was an experiment with pretest and posttest one group design. Data obtained by phobia anxiety scale Severity Measure for Specific Phobia-

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Medvedchikov, A. E., E. A. Anastasieva, A. A. Korytkin, and I. A. Kirilova. "Providing specialized care to patients with a rupture of the distal tendon of the biceps brachii: diagnosis and treatment algorithm." Acta Biomedica Scientifica 7, no. 5-2 (2022): 193–206. http://dx.doi.org/10.29413/abs.2022-7.5-2.20.

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Biceps brachii distal tendon injury is rare, 2.55–5.35 per 100,000. This nosological form did not have a gender modality and was previously found mainly in middle-aged men (46.3 y.o.). By 2022, this injury “rejuvenated” and began to occur more often, covering the categories of juniors and young athletes, whose professional activities have expanded significantly with the advent of new power disciplines, contact sports and popularization of bodybuilding. The authors note the negative impact of smoking and the use of anabolic steroids, statins and obesity on the incidence of these lesions. The ma

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Radchenko, Alina. "Evaluation of the Effectiveness of a Physical Therapy Program for Protrusions of the Intervertebral Discs of the Cervical Spine." Bulletin of Luhansk Taras Shevchenko National University, no. 3 (351) (2022): 52–59. http://dx.doi.org/10.12958/2227-2844-2022-3(351)-52-59.

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A significant place in the article is devoted to the means of physical therapy and the evaluation of the effectiveness of physical therapy for protrusions of the intervertebral discs of the cervical spine. The features of the cervical spine is a complex anatomical organization, which determines its high biomechanical mobility. Currently, most people have a sedentary, sedentary lifestyle. Of all the muscle groups, only the muscles of the trunk and neck carry a constant load, which, with their small but constant static tension, maintain and maintain work and household postures. With an increase

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Scherber, Robyn M., Zhenya Senyak, Amylou Constance Dueck, et al. "High Prevalence of Mood Disorders in MPNs and Their Possible Role in MPN Related Fatigue." Blood 124, no. 21 (2014): 3173. http://dx.doi.org/10.1182/blood.v124.21.3173.3173.

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Abstract Background Myelofibrosis (MF), polycythemia vera (PV), and essential thrombocythemia (ET) represent three of the most common Philadelphia chromosome negative myeloproliferative neoplasms (MPN). Individuals with these disorders suffer from excessive debilitating fatigue compared to age-matched controls. Although cytokine deregulation and impaired hematopoiesis contributes to the intrinsic causes of MPN-related fatigue, there may be contributory effects of underlying mood. To date few studies have prospectively evaluated the role of mood disorders on fatigue among this population. Metho

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Enverga, Mariel C., and Thelma D. Crisostomo. "An Unusual Case of Coexistence:De-Differentiation of a Papillary Thyroid Carcinoma into SquamousCell Carcinoma." Journal of the Endocrine Society 5, Supplement_1 (2021): A881—A882. http://dx.doi.org/10.1210/jendso/bvab048.1800.

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Abstract Background: Squamous cell carcinoma (SCC) of the thyroid is a rare condition comprising less than 1% of thyroid cancer. SCC of the thyroid may arise from de-differentiation of aggressive thyroid carcinomas secondary to chronic thyroid gland inflammation1. Thyroid SCC is a variant of undifferentiated thyroid carcinoma and is also associated with tall-cell variant of Papillary thyroid carcinoma (PTC). Given its aggressive clinical course, early recognition of the disease is essential to management. Clinical Case: A 67-year-old, Filipino male, presented with anterior neck mass over a per

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Usama, Bin Yar. "A Review: Effect of Whole Body Vibration on Parkinson Disease." IAR Journal of Engineering and Technology 2, no. 3 (2022): 8–14. https://doi.org/10.5281/zenodo.6220234.

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<strong>I</strong><strong>NTRODUCTION</strong> Parkinson's disease (PD) is a complicated, irreversible and debilitating neurodegenerative condition leading to progressive depletion of nigrostriary dopaminergic neurons leading to a loss of motor control (Hirsch, M. A., & Farley, B. G. 2009). PD is composed of motor and non-motor signs and effects. The clinical phase of PD also continues with non-motor signs, and patients are not typically diagnosed at this stage of the disorder. Diagnosis happens when there are strong and noticeable motor signs, such as resting tremor, stiffness, weaken

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Grischuk, Tatiana. "Symptom. Toxic story." Mental Health: Global Challenges Journal 4, no. 2 (2020): 19–24. http://dx.doi.org/10.32437/mhgcj.v4i2.91.

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Introduction Such symptoms as hard, complex, bodily or mental feelings, that turn our everyday life into a hell, at first, lead us to a doctor, and then - to a psychotherapist. A sick man is keen to get rid of a symptom. A doctor prescribes medication, that is ought to eliminate a symptom. A psychotherapist searches for a reason of the problem that needs to be removed. There is such an idea that a neurotic symptom, in particular, an anxiety - is a pathological (spare or extra) response of a body. It is generally believed that such anxiety doesn’t have some real, objective reasons a

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Erickson-DiRenzo, Elizabeth, Christine M. Kim, and C. Kwang Sung Sung. "Presbylarynx, Functional Voice Disorders, Muscle Tension Dysphonia." DeckerMed Otolaryngology, September 7, 2021. http://dx.doi.org/10.2310/ot.7065.

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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

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Nguyen-Feng, Viann N., Patricia A. Frazier, Yuchen Liu, et al. "Online Intervention for Muscle Tension Dysphonia." JAMA Otolaryngology–Head & Neck Surgery, February 27, 2025. https://doi.org/10.1001/jamaoto.2024.5255.

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ImportanceVoice-related perceived control is the extent to which a person feels they can control their voice condition and/or their response to it. Given the interaction of psychological factors and voice outcomes, an intervention targeting psychological factors may be a helpful adjunct to clinical voice care.ObjectiveTo investigate the feasibility, acceptability, and potential efficacy of a perceived control intervention adapted for adult patients with muscle tension dysphonia and to compare its outcomes with those of a voice education program.Design, Settings, and ParticipantsThis was a pilo

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McGlashan, Julian, Mathias Aaen, Anna White, and Cathrine Sadolin. "A mixed-method feasibility study of the use of the Complete Vocal Technique (CVT), a pedagogic method to improve the voice and vocal function in singers and actors, in the treatment of patients with muscle tension dysphonia: a study protocol." Pilot and Feasibility Studies 9, no. 1 (2023). http://dx.doi.org/10.1186/s40814-023-01317-y.

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Abstract Background Muscle tension dysphonia (MTD) results from inefficient or ineffective voice production and is the cause of voice and throat complaints in up to 40% of patients presenting with hoarseness. Standard treatment is voice therapy (SLT-VT) delivered by specialist speech therapists in voice disorders (SLT-V). The Complete Vocal Technique (CVT) is a structured, pedagogic method which helps healthy singers and other performers optimise their vocal function enabling them to produce any sound required. The aim of this feasibility study is to investigate whether CVT administered by a t

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Yiu, Yin, and Teresa Procter. "Neurogenic Laryngeal Disorders." DeckerMed Otolaryngology, August 27, 2021. http://dx.doi.org/10.2310/ot.7068.

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The larynx is critical to performing complex tasks of airway protection, phonation, respiration, and deglutition. Various focal and systemic neurologic disorders impact the larynx, causing deficits that lead to dysfunction in voice, speech, breathing, and swallowing function. The most common hyperfunctional neurolaryngeal disorders include spasmodic dysphonia (laryngeal dystonia), essential vocal tremor, and muscle tension dysphonia. Some hypofunctional neurolaryngeal disorders include parkinsonian disorders, neuromuscular junction diseases, and myopathies. A multidisciplinary approach involvi

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