Muscle tension dysphonia.
Conditions
Interventions
Intervention 1: Intervention group: resonant voice therapy: This treatment method consists of 7 steps during which the patient learns how to produce resonant voice and how to use it in speech.The dura
The therapist is placed next to the patient and manual therapy is performed with the therapist's superior hand and thumb and index (or middle) finger. Manual treatment starts from the target points wh
More attention is paid. The target points in this method are:1.hyoid bone 2. Thyrohyoid space 3. The posterior border of the thyroid lamina 4. Middle and lateral suprahyoid muscles.duration of the tre
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 55 Years
Inclusion criteria
Inclusion criteria: According to the joint opinion of a laryngologist and an experienced speech and language pathologist in the field of voice disorders, and based on the results of voice history, voice self-evaluation, larynx observation, auditory-perceptual evaluation of voice and palpation, the participants will receive a primary MTD diagnosis. Be in the age range of 18 to 55 years Have normal hearing Do not have evidence of neurological diseases Do not have a history of other voice disorders (such as weakness and paralysis of the vocal folds or laryngeal cancer). do not have a history of surgery, radiation therapy, trauma and intubation in the larynx and neck, chronic pain in the neck area, burns of the head and neck, and any kind of scar in the front of the neck and around the larynx. At least 14 days before the start of the study, do not have an active infection in the larynx and upper respiratory tract At the time of the study and before that, they have not received any other voice therapy program do not have a fat and short neck so that it is possible to perform a palpation
Exclusion criteria
Exclusion criteria: have not completed any of the assessment and treatment stages of the study Their audio samples are unanalyzable for any reason In the evaluation of the palpation of all the target structures, the score of muscle tension should be reported as zero
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Muscle tension: The amount of tension of the paralaryngeal muscles, which can be measured by palpation. Timepoint: Muscle tension is measured before the start of the treatment, in the third session of the treatment and at the end of the treatment and one month after the end of the treatment. Method of measurement: Palpation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Vocal effort. Timepoint: Voice effort is measured before the start of the treatment, in the third session of the treatment, at the end of the treatment and one month after the end of the treatment. Method of measurement: Vocal effort scale.;Cepstral analysis. Timepoint: It is measured before the start of the treatment, in the third session of the treatment and at the end of the treatment and one month after the end of the treatment. Method of measurement: Praat software.;Vocal fatigue. Timepoint: It is measured before the start of the treatment, in the third session of the treatment and at the end of the treatment and one month after the end of the treatment. Method of measurement: Vocal fatigue index.;Vocal strugle. Timepoint: It is measured before the start of the treatment, in the third session of the treatment and at the end of the treatment and one month after the end of the treatment. Method of measurement: The Consensus Auditory Perceptual Evaluation of Voice.;Glottal closure. Timepoint: It is measured before the start of the treatment and at the end of the treatment and one month after the end of the treatment. Method of measurement: Laryngeal stroboscopy and VALI form(form for reporting datas). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMojdeh mohamadi
Tehran University of Medical Sciences
Outcome results
None listed