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Muscle Tension Dysphonia

Nelson Roy, Rebecca A Fetrow, Ray M Merrill, Christopher Dromey
Purpose: Vocal hyperfunction, related to abnormal laryngeal muscle activity, is considered the proximal cause of primary muscle tension dysphonia (pMTD). Relative fundamental frequency (RFF) has been proposed as an objective acoustic marker of vocal hyperfunction. This study examined (a) the ability of RFF to track changes in vocal hyperfunction after treatment for pMTD and (b) the influence of dysphonia severity, among other factors, on the feasibility of RFF computation. Method: RFF calculations and dysphonia severity ratings were derived from pre- and posttreatment recordings from 111 women with pMTD and 20 healthy controls...
October 20, 2016: Journal of Speech, Language, and Hearing Research: JSLHR
Seyyedeh Maryam Khoddami, Saeed Talebian, Farzad Izadi, Noureddin Nakhostin Ansari
OBJECTIVE: The study aims to evaluate the reliability and the discriminative validity of surface electromyography (sEMG) in the assessment of patients with primary muscle tension dysphonia (MTD). STUDY DESIGN: The study design is cross-sectional. METHODS: Fifteen patients with primary MTD (mean age: 34.07 ± 10.99 years) and 15 healthy volunteers (mean age: 34.53 ± 10.63 years) were included. All participants underwent evaluation of sEMG to record the electrical activity of the thyrohyoid and cricothyroid muscles...
October 11, 2016: Journal of Voice: Official Journal of the Voice Foundation
Christina Dastolfo-Hromack, Tracey L Thomas, Clark A Rosen, Jackie Gartner-Schmidt
OBJECTIVES/HYPOTHESIS: The objectives of this study were to describe singing voice therapy (SVT), describe referred patient characteristics, and document the outcomes of SVT. STUDY DESIGN: Retrospective. METHODS: Records of patients receiving SVT between June 2008 and June 2013 were reviewed (n = 51). All diagnoses were included. Demographic information, number of SVT sessions, and symptom severity were retrieved from the medical record. Symptom severity was measured via the 10-item Singing Voice Handicap Index (SVHI-10)...
June 27, 2016: Laryngoscope
Soo Yeon Jung, Hae Sang Park, Hasuk Bae, Jeong Hyun Yoo, Hyung Jun Park, Kee Duk Park, Han Su Kim, Sung Min Chung
OBJECTIVE: To consider the feasibility of diagnosing intrinsic laryngeal muscle myofascial pain syndrome (MPS) in dysphonic patients who demonstrated immediate symptom and stroboscopic finding improvement after laryngeal electromyography (LEMG) without further treatment. METHODS: A chart review of patients who showed subtle vocal fold movement abnormalities on a stroboscopic examination and underwent ultrasonography (US)-guided LEMG was performed. Patients with vocal fold paralysis, mucosal lesions, spasmodic dysphonia, and vocal tremor on stroboscopic examination were excluded...
June 1, 2016: Auris, Nasus, Larynx
Ali Dehqan, Fariba Yadegari, Ronald C Scherer, Peyman Dabirmoghadam
OBJECTIVES: Voice disorders that affect the quality of voice also result in varying degrees of psychological and social problems. The research question here is whether the correlations between Voice Handicap Index (VHI)-30 scores and objective acoustic measures differ in patients with different types of voice disorders. METHODS: The subjects were divided into three groups: muscle tension dysphonia (MTD), benign mid-membranous vocal fold lesions, and unilateral vocal fold paralysis (UVFP)...
April 13, 2016: Journal of Voice: Official Journal of the Voice Foundation
Francesco Mozzanica, Daniela Ginocchio, Rosaria Barillari, Stefania Barozzi, Patrizia Maruzzi, Francesco Ottaviani, Antonio Schindler
OBJECTIVES: The aim of this study was to determine the prevalence and clinical characteristics of voice disorders in a large group of patients seeking voice therapy. STUDY DESIGN: This is a prospective prevalence study. METHODS: A total of 821 patients were enrolled. Each patient was evaluated following a multidimensional protocol including videolaryngostroboscopy, perception, acoustics, aerodynamics, and self-rating by the patient. Data regarding age, gender, tobacco use, gastroesophageal reflux disease (GERD), and professional voice use were collected and analyzed...
January 18, 2016: Journal of Voice: Official Journal of the Voice Foundation
Andrew Nida, Josie Alston, John Schweinfurth
IMPORTANCE: Essential vocal tremor is difficult to treat. An effective pharmacologic treatment could allow patients to avoid or decrease the frequency or dosage of botulinum neurotoxin injections. OBJECTIVE: To evaluate the efficacy of primidone in the treatment of essential vocal tremor. DESIGN, SETTING, AND PARTICIPANTS: Medical records of all patients with a primary or secondary diagnosis of laryngeal spasm or essential tremor treated with primidone between June 1, 2012, and March 21, 2014, at a tertiary care medical center were reviewed...
February 2016: JAMA Otolaryngology—Head & Neck Surgery
Hadi Torabi, Seyyedeh Maryam Khoddami, Noureddin Nakhostin Ansari, Payman Dabirmoghaddam
OBJECTIVE: To cross-culturally adapt of Persian Vocal Tract Discomfort (VTDp) scale and evaluate its validity and reliability in the assessment of patients with muscle tension dysphonia (MTD). STUDY DESIGN: A cross-sectional and prospective cohort design was used to psychometrically test the VTDp. METHODS: The VTD scale was cross-culturally adapted into Persian language following standard forward-backward translations. The VTDp scale was administrated to 100 patients with MTD (54 men and 46 women; mean age: 38...
October 23, 2015: Journal of Voice: Official Journal of the Voice Foundation
Marco Guzmán, Christian Castro, Sofia Madrid, Christian Olavarria, Miguel Leiva, Daniel Muñoz, Elizabeth Jaramillo, Anne-Maria Laukkanen
OBJECTIVE: The purpose of this study was to investigate the effect of phonation into tubes in air and tubes submerged in water on air pressure variables and vocal fold adduction in subjects with different voice conditions. METHODS: Forty-five participants representing four vocal conditions were included: (1) subjects diagnosed with normal voice and without voice training, (2) subjects with normal voice with voice training, (3) subjects with muscle tension dysphonia, and (4) subjects with unilateral vocal fold paralysis...
October 29, 2015: Journal of Voice: Official Journal of the Voice Foundation
Calvin Myint, Jaime Eaglin Moore, Amanda Hu, Aaron J Jaworek, Robert T Sataloff
OBJECTIVES: Previous studies have identified abnormal findings in up to 86.1% of singers on initial screening strobovideolaryngoscopy (SVL) examinations. No studies have compared the prevalence of abnormalities in singers on their subsequent follow-up SVL. Our study evaluates the frequency of these findings in both the initial and subsequent examinations. METHODS: Retrospective charts and SVL reports were reviewed on students from an opera conservatory from 1993 to 2014...
July 2016: Journal of Voice: Official Journal of the Voice Foundation
Sharyl Samargia, Rebekah Schmidt, Teresa Jacobson Kimberley
BACKGROUND: The pathophysiology of adductor spasmodic dysphonia (AdSD), like other focal dystonias, is largely unknown. OBJECTIVE: The purposes of this study were to determine (a) cortical excitability differences between AdSD, muscle tension dysphonia (MTD), and healthy controls; (b) distribution of potential differences in cranial or skeletal muscle; and (c) if cortical excitability measures assist in the differential diagnosis of AdSD and MTD. METHODS: Ten participants with adductor spasmodic dysphonia, 8 with muscle tension dysphonia, and 10 healthy controls received single and paired pulse transcranial magnetic stimulation (TMS) to the primary motor cortex contralateral to tested muscles, first dorsal interosseus (FDI), and masseter...
March 2016: Neurorehabilitation and Neural Repair
Jennifer Craig, Carey Tomlinson, Kristin Stevens, Kiran Kotagal, Judith Fornadley, Barbara Jacobson, C Gaelyn Garrett, David O Francis
OBJECTIVE: This study investigated the role of a specialized physical therapy program for muscle tension dysphonia patients as an adjunct to standard of care voice therapy. STUDY DESIGN: Retrospective Cohort Study Methods Adult MTD patients seen between 2007 and 2012 were identified from the clinical database. They were prescribed voice therapy and, if concomitant neck pain, adjunctive physical therapy. In a pragmatic observational cohort design, patients underwent one of four potential treatment approaches: voice therapy alone (VT), voice therapy and physical therapy (VT+PT), physical therapy alone (PT), or incomplete/no treatment...
November 2015: Journal of Communication Disorders
Christina Dastolfo, Jackie Gartner-Schmidt, Lan Yu, Olivia Carnes, Amanda I Gillespie
OBJECTIVES: The two goals of the present study were to (1) determine the ability of commonly used aerodynamic voice measures to capture change as a function of known interventions and (2) determine if certain aerodynamic measures demonstrate better responsiveness to change in specific disorder types than others. STUDY DESIGN: This is a retrospective, longitudinal, single-blinded, cross-sectional study. METHODS: Patients (n = 70) with a single voice disorder diagnosis of benign vocal fold lesions (lesions), unilateral vocal fold paralysis (UVFP), primary muscle tension dysphonia (MTD-1), or vocal fold atrophy (atrophy) underwent baseline testing, a single intervention (phonosurgery or voice therapy), and follow-up testing...
May 2016: Journal of Voice: Official Journal of the Voice Foundation
Kiyohito Hosokawa, Makoto Ogawa, Toshihiko Iwahashi, Michiko Hashimoto, Hidenori Inohara
OBJECTIVES: The purpose was to assess whether cervical muscular contraction during phonation influences the period and amplitude perturbation quotients (PPQ and APQ, respectively) of electroglottographic (EGG) signals, and whether high-pass filtering can attenuate these effects. STUDY DESIGN: Prospective. METHODS: We included 19 nondysphonic speakers and 21 patients with muscle tension dysphonia. During the recording of acoustic and EGG signals, each participant was instructed to naturally phonate sustained vowels /i:/ and /a:/ (NP tasks), and additionally, each nondysphonic participant was asked to phonate the same vowels in a nondysphonic voice quality while contracting the cervical muscles (muscular contracted phonation [MCP] tasks)...
November 2015: Journal of Voice: Official Journal of the Voice Foundation
Balaji Rangarathnam, Gary H McCullough, Hylan Pickett, Richard I Zraick, Ozlem Tulunay-Ugur, Kimberly C McCullough
PURPOSE: The purpose of this study was to investigate the utility of telepractice for delivering flow phonation exercises to persons with primary muscle tension dysphonia (MTD). METHOD: Fourteen participants with a diagnosis of primary MTD participated, 7 on site and 7 at remote locations. Each participant received 12 treatment sessions across 6 weeks. Treatment consisted of flow phonation voice therapy exercises. Auditory-perceptual, acoustic, aerodynamic, and quality-of-life measures were taken before and after treatment...
August 2015: American Journal of Speech-language Pathology
C Kiese-Himmel
The etiopathogenesis of functional dysphonia is complex; it is not sufficient to look solely at vocal behavior aspects. The predisposing basis for functional dysphonia can lie in the constitution of an individual, his/her professional speaking and speech behavior and/or may be personality-based. (Prolonged) psychosocial stress, vocal overstressing, unfavorable speaking habits, infection of the upper respiratory tract, inflammatory processes in the larynx, emotional life events and COSO events are considered as possible triggers...
March 2015: Laryngo- Rhino- Otologie
Regina Helena Garcia Martins, Elaine Lara Mendes Tavares, Paula Ferreira Ranalli, Anete Branco, Adriana Bueno Benito Pessin
INTRODUCTION: Psychogenic dysphonia is a functional disorder with variable clinical manifestations. OBJECTIVE: To assess the clinical and vocal characteristics of patients with psychogenic dysphonia in a case series. METHODS: The study included 28 adult patients with psychogenic dysphonia, evaluated at a University hospital in the last ten years. Assessed variables included gender, age, occupation, vocal symptoms, vocal characteristics, and videolaryngostroboscopic findings...
November 2014: Brazilian Journal of Otorhinolaryngology
P C Pacheco, S Karatayli-Ozgursoy, S Best, A Hillel, L Akst
No abstract text is available yet for this article.
February 2015: Clinical Otolaryngology
Christopher R Watts, Shelby S Diviney, Amy Hamilton, Laura Toles, Lesley Childs, Ted Mau
OBJECTIVES: To investigate the efficacy of stretch-and-flow voice therapy as a primary physiological treatment for patients with hyperfunctional voice disorders. STUDY DESIGN: Prospective case series. METHODS: Participants with a diagnosis of primary muscle tension dysphonia or phonotraumatic lesions due to hyperfunctional vocal behaviors were included. Participants received stretch-and-flow voice therapy structured once weekly for 6 weeks...
March 2015: Journal of Voice: Official Journal of the Voice Foundation
Sarah E Keesecker, Thomas Murry, Lucian Sulica
OBJECTIVES/HYPOTHESIS: Controversial recommendations regarding the evaluation of dysphonia have been made in the absence of evidence related to clinical practice. This study aims to describe existing patterns of care for dysphonia to generate data for potential systemic improvement and provide a baseline for dysphonia recommendations. STUDY DESIGN: Retrospective review. METHODS: Information regarding the current complaint, including duration of hoarseness; inciting factors; number and type of previous physicians seen; Voice Handicap Index-10; and details of prior evaluation, diagnosis, and treatment was collected from patient records...
March 2015: Laryngoscope
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