Laryngeal Manipulation

Rubin, John S.; Lieberman, Jacob E.; Harris, Tom

doi:10.1016/s0030-6665(05)70261-9

Cited by 74 publications

(38 citation statements)

References 10 publications

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“…Many authors have written about the relocation of myofascial tension from the neck and mandible area to structures located deeper, i.e. to the internal muscles of the larynx [13,16,24]. Because of that, it is worth including osteopathic techniques for thorough diagnostics of patients with occupational dysphonia, in particular those with occupation-related hyperfunctional dysphonia.…”

Section: Discussionmentioning

confidence: 99%

“…According to Rubin et al [16] in order to carry out palpation examination of the anatomical structures indirectly and directly connected with the larynx, a very good knowledge of anatomy and palpation experience is necessary, which is within the competence of the osteopath. The novelty of the paper has been the use of osteopathic assessment for evaluation of results of intensive voice rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…The osteopath assessed the patients by palpation according to the Liebermann scale [16], examining them in a sitting, standing and prone position. He assessed in detail visually and by palpation the posture, tension (muscle tension assessed by osteopath), tenderness (painful symptoms assessed by patient during palpation examination) and function of anatomical structures indirectly and directly connected with the vocal tract.…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, restoration of the correct breathing, muscular balance and proper functional anatomical relations have a key significance for improving the function of the larynx. According to Rubin et al [16] the indications for larynx manipulation…”

mentioning

confidence: 99%

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Assessment of the influence of osteopathic myofascial techniques on normalization of the vocal tract functions in patients with occupational dysphonia

Marszałek¹,

Niebudek-Bogusz²,

Woźnicka³

et al. 2012

International Journal of Occupational Medicine and Environmental Health

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Objectives: Occupational voice disorders are accompanied by increased tension of the external laryngeal muscle which changes the position of the larynx and consequently disturbs the conditions of functioning of the vocal tract. The aim of the study is to assess the use of osteopathic procedures in the diagnosis and treatment of occupational dysphonia. Material and Methods: Study subjects included 40 teachers with chronic diseases of the voice organ (38 women and 2 men) aged from 39 to 59 (mean age: 48.25). Before and after the voice therapy the osteopathic examination according to Libermann's protocol was performed as well as phoniatric examination including laryngovideostroboscopy (LVSS), assessment of the maximum phonation time (MPT) and the Voice Handicap Index (VHI) score. The voice therapy, scheduled and supervised by a laryngologist-phoniatrician and conducted by a speech-language pathologist, was supplemented with osteopathic myofascial rehabilitation of the larynx. The chisquare McNemar test and non-parametric Wilcoxon matched pairs test were applied in the statistical assessment. Results: The applied interdisciplinary treatment including osteopathic and vocal therapy resulted in a statistically significant decrease in tenderness of muscles raising the larynx (cricothyroid ligament, sternocleidomastoid muscles, and pharyngeal constrictor muscles) and in lowering the tonus (geniohyoid muscles, pharyngeal constrictor muscles and sternocleidomastoid muscles). A significant improvement was also observed in the case of dysfunction of the cricothyroid joint examined during glissando and yawning, as well as in asymmetry of the thyrohyoid apparatus. Moreover, the therapy resulted in significantly better normalization of the head position and better control of the centre of gravity of the body. Statistically significant post-therapy improvement was observed in the phoniatric examination, including VHI scores, MPT results and parameters of videostroboscopic examination. Conclusions: The use of osteopathic therapy helps significantly improve the functions of the vocal tract in patients with occupational dysphonia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Assessment of the influence of osteopathic myofascial techniques on normalization of the vocal tract functions in patients with occupational dysphonia

Marszałek¹,

Niebudek-Bogusz²,

Woźnicka³

et al. 2012

International Journal of Occupational Medicine and Environmental Health

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show abstract

“…The disorder of the laryngeal complex and persistent closure of the thyrohyoid or cricothyroid spaces or anterior positioning of the cricoid cartilage relative to the thyroid cartilage may suffer consequences as a result of all this vocal misuse. 10,[15][16][17][18] Therefore, posture is a current concern in the field of voice disorders. 10,12,16,18,19 Posture involves constant postural adjustments, with numerous intrinsic and extrinsic factors affecting these postural strategies.…”

Section: Introductionmentioning

confidence: 99%

Is the Sagittal Postural Alignment Different in Normal and Dysphonic Adult Speakers?

et al. 2014

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Summary: Objective. Clinical research in the field of voice disorders, in particular functional dysphonia, has suggested abnormal laryngeal posture due to muscle adaptive changes, although specific evidence regarding body posture has been lacking. The aim of our study was to verify if there were significant differences in sagittal spine alignment between normal (41 subjects) and dysphonic speakers (33 subjects). Study Design. Cross-sectional study. Methods. Seventy-four adults, 35 males and 39 females, were submitted to sagittal plane photographs so that spine alignment could be analyzed through the Digimizer-MedCalc Software Ltd program. Perceptual and acoustic evaluation and nasoendoscopy were used for dysphonic judgments: normal and dysphonic speakers. Results. For thoracic length curvature (TL) and for the kyphosis index (KI), a significant effect of dysphonia was observed with mean TL and KI significantly higher for the dysphonic speakers than for the normal speakers. Concerning the TL variable, a significant effect of sex was found, in which the mean of the TL was higher for males than females. The interaction between dysphonia and sex did not have a significant effect on TL and KI variables. For the lumbar length curvature variable, a significant main effect of sex was demonstrated; there was no significant main effect of dysphonia or significant sex 3 dysphonia interaction. Conclusions. Findings indicated significant differences in some sagittal spine posture measures between normal and dysphonic speakers. Postural measures can add useful information to voice assessment protocols and should be taken into account when considering particular treatment strategies.

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