None listed
Conditions
Brief summary
Globus Pharyngeus, otherwise known as Globus, is the sensation of a foreign body or a lump in the throat. Though there is currently no standard treatment, increasingly it has been described as a result of muscular tension, which suggests that people with Globus may substantially benefit from intervention that focuses on the musculoskeletal system, such as physiotherapy. This study aims to understand the clinical characteristics and outcomes for individuals receiving physiotherapy treatment for Globus Pharyngeus and to use this information to improve health services for individuals with the condition. A prospective, observational case series design was chosen to align with the study aims and to best evaluate the potential for physiotherapy to benefit people with Globus Pharyngeus.
Interventions
This study will be a prospective, consecutive case series following patients presenting with Globus Pharyngeus to a Physiotherapy clinic that provides care for voice and throat problems. This is an observational study design and patients will receive standard care, as is given for all patients who receive Voice Physiotherapy at the clinic. Standard care is based on clinical judgment and the individual’s presentation will include a combination of laryngeal manual therapy, exercise prescription, a
This study will be a prospective, consecutive case series following patients presenting with Globus Pharyngeus to a Physiotherapy clinic that provides care for voice and throat problems. This is an observational study design and patients will receive standard care, as is given for all patients who receive Voice Physiotherapy at the clinic. Standard care is based on clinical judgment and the individual’s presentation will include a combination of laryngeal manual therapy, exercise prescription, and education. The patient’s response to the treatment is being observed, including their reports of change in symptom, and their outcomes, as recorded in outcome measures. Outcomes will be taken initially and reassessed when the therapist in collaboration with the patient considers Globus treatment to be completed. The outcome measures include questionnaires. These are the Vocal Tract Discomfort Scale, the Glasgow-Edinburgh Throat Scale (GETS), and the GROC scale (only on completion of treatment and at the three-month follow-up), which will take the patient approximately 2-3 minutes to complete each. In the Physical assessment, the laryngeal palpatory scale will be completed by the physiotherapist and is anticipated to take 5-10 minutes to complete. At the three-month follow-up, a short semi-structured interview with questions regarding the impact and role of physiotherapy. This is anticipated to take 5 minutes to complete. The overall duration of the observation will be three months, from the time of enrolment to the follow-up appointment, three months after the initial appointment.
Sponsors
University of Otago Stanley Paris OMT scholarship
Eligibility
Sex/Gender
All
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Clients referred to physiotherapy with symptoms of Globus Pharyngeus by an ENT specialist or Speech Language Therapist if they have already been seen by an ENT specialist.
Exclusion criteria
Children under 16
Outcome results
None listed