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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 11. no 4. December 2012  

 Original articles
New method for manual therapy of larynx in rehabilitation of functional voice disorders
Ewelina Woźnicka, Ewa Niebudek-Bogusz, Mariola Śliwińska-Kowalska

The article presents a description of the voice rehabilitation in
a 46-year old teacher, who was diagnosed with hyperfunctional
dysphonia and soft nodules of vocal cords. As one of the
elements of voice training we used, for the first time in Poland,
manual therapy developed by L. Mathieson, intended to reduce
the vocal tract discomfort by massage of neck muscle. Before and
after the treatment, a comprehensive diagnosis was carried out:
subjective self-assessment according to Voice Handicap Index
(VHI), GRBAS perceptual evaluation, followed by videolaryngostroboscopy,
acoustic voice analysis and maximum phonation
time MPT) test. The battery of tests includes a new laryngeal
palpation evaluation scale (LMTPE) developed from the English
version (Laryngeal Manual Therapy Palpatory Evaluation). The
use of manual therapy reduced tension of laryngeal muscles
in our patient and improved her voice emission confirmed by
the use of objective and subjective parameters. The reported
case shows the advisability of including manual therapy in the
rehabilitation of functional dysphonia.

keywords: dysfonia czynnościowa, skala ewaluacji palpacyjnej krtani, manualna terapia krtani

pages: from 168 to 173

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