Voice Therapy for Unilateral Vocal Fold Paralysis

Stewart, Celia; Allen, Emily

doi:10.1007/3-540-32504-2_7

Cited by 4 publications

(3 citation statements)

References 57 publications

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“…Hoarseness and diplophonia were also caused by the inability of the vocal folds to maintain normal tension within the affected fold, which resulted in asymmetric vocal fold vibrations. 14,17 Furthermore, patients usually exhibited exhaustion after extensive talking and needed more energy to maintain talking in a long conversation. Moreover, they could develop throat pain, 15,16 globus sensation, and neck discomfort.…”

Section: Assessmentsmentioning

confidence: 99%

“…9 These symptoms were caused by the patient's compensatory behavior to the incomplete folding of their vocal folds. 16,17 Particularly, hoarse voices, strained voices, and low-pitched sounds represented the leading symptoms that caused patients to seek recovery. 9 Voice therapy presents a less invasive and more preferential method for patients; they would not be subjected to the aforementioned surgical risks.…”

Section: Assessmentsmentioning

confidence: 99%

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Efficacy of the voice therapy protocol (VTP) for adult patients with unilateral vocal fold mobility impairment; a feasibility study

Wilaklang,

Makarabhirom,

Thayansin

et al. 2024

JAMS

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Background: Unilateral vocal fold mobility impairment (UVFMI) causes dysphonia and/or dysphagia, which can significantly affect a patient’s ability to communicate and perform regular daily life activities as well as the quality of life. Voice therapy offers a less invasive and more preferential method for patients. However, there are limitations concerning the integration of multiple therapy approaches. Voice therapy exercises with clear methodologies are required to plan and conduct therapy systematically, and frequency would be required for each exercise. Therefore, this study was conducted by applying the protocols of voice therapy in adult patients with unilateral vocal fold mobility impairment. Objective: This feasibility study is a prospective cohort, pre-post single arm, designed to determine whether the voice therapy protocol (VTP) can enhance voice quality in adult patients with unilateral vocal fold mobility impairment (UVFMI) in a pilot study. Materials and methods: All subjects received 12 sessions of voice therapy protocol, with each session conducted weekly for 45 minutes. The voice therapy protocol applied in this study consisted of vocal hygiene education, abdominal breathing exercises, vocal function exercises, pushing exercises, muscle relaxation exercises, and applied resonance voice therapy. The outcomes of protocols for voice therapy were measured before and after treatment using subjective voice assessments (GIRBAS scale) and objective voice assessments (Dr. Speech program and electroglottography-EGG). Results: Cases 2, 7, 10, 11, and 13 improved after receiving VTP. As for other participants, there are still some voice parameters that need to be monitored. Overall, it was found that the participants’ voice parameters were changing within the acceptable range, with MPT, jitter, shimmer, and HNR values significantly different (p<0.05). Conclusion: The findings of this study indicated that the voice therapy protocol was a worthwhile alternative and could be used to develop further treatment guidelines for adult patients with UVFMI at a speech clinic.

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Section: Assessmentsmentioning

confidence: 99%

Section: Assessmentsmentioning

confidence: 99%

Efficacy of the voice therapy protocol (VTP) for adult patients with unilateral vocal fold mobility impairment; a feasibility study

Wilaklang,

Makarabhirom,

Thayansin

et al. 2024

JAMS

View full text Add to dashboard Cite

show abstract

“…Post-surgical physiotherapy focuses on increasing the lung capacities of the patient, as the respiratory centers become depressed after administration of general anesthesia, and the long-term effect after surgery causes an overall weakness of the respiratory system and weakness of the incised muscles. Exercises combining diaphragmatic breathing (one of the commonly used breathing exercises) and voice therapy exercises help improve unilateral vocal cord palsy-induced difficulty in vocal resonance [ 11 , 12 ]. It also reduces the energy needed for phonation and relieves vocal fatigue.…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy Combined With Voice Exercises in a Patient With Unilateral Vocal Cord Palsy Following a Total Thyroidectomy Surgery: A Case Report

Kazi¹,

Patil²,

Pathan³

2023

Cureus

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Multinodular goiter is a condition in which the thyroid gland is swollen and has several distinct masses. A large multinodular goiter can lead to difficulty in swallowing and breathing. A large goiter hampers respiration and deglutition; therefore, a part of or the whole thyroid gland is removed. Total thyroidectomy is a surgical process which involves the removal of the whole thyroid gland. One of the adverse effects of a complete thyroidectomy is vocal cord paralysis. It occurs because of an injury to the recurrent laryngeal nerve. Vocal cord paralysis could be bilateral or unilateral. It is characterized by hoarseness of voice, breathing difficulties and voice pitch loss, and inability to talk loudly. This case report describes physiotherapy along with voice exercises in a 65-year-old female who suffered from unilateral vocal cord palsy following total thyroidectomy. The patient was successfully rehabilitated after four weeks, using a tailored physiotherapy program according to the difficulty faced by her. The rehabilitation exercises consisted of upper and lower limb mobility activities, breathing activities including thoracic expansion, and deep breathing exercises. Static hamstrings, static quadriceps exercise, heel slides and isometric exercise to neck muscles, and passive movements to the cervical spine were administered. Voice therapy exercises combined with breathing exercises were also administered.

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Management of Adult Vocal Fold Nerve Injury

Woo

Carroll

2009

Perspect Voice Voice Dis

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Diagnosis and management of nerve impairment in adults can be difficult due to the myriad of other diagnoses that must be considered. Accurate diagnosis of severity of a nerve impairment and determination of prognostic indicators for return of adequate function are paramount to best management. The strongest prognostic test of nerve function is electromyography. Team management by an otolaryngologist and speech-language pathologist of vocal fold paralysis needs to be sensitive to the patient's needs, both short-term and long-term. This article summarizes the current diagnostic tests and options. Case studies are included to guide the reader through team management and surgical options.

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Voice Therapy for Unilateral Vocal Fold Paralysis

Cited by 4 publications

References 57 publications

Efficacy of the voice therapy protocol (VTP) for adult patients with unilateral vocal fold mobility impairment; a feasibility study

Efficacy of the voice therapy protocol (VTP) for adult patients with unilateral vocal fold mobility impairment; a feasibility study

Physiotherapy Combined With Voice Exercises in a Patient With Unilateral Vocal Cord Palsy Following a Total Thyroidectomy Surgery: A Case Report

Management of Adult Vocal Fold Nerve Injury

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