gms | German Medical Science

81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

12.05. - 16.05.2010, Wiesbaden

Manual treatment versus PMR in the therapy of muscle tension dysphonia – a first comparison of immediate effects

Meeting Abstract

  • corresponding author presenting/speaker Bernhard Lehnert - Klinik für Phoniatrie, Pädaudiologie und Kommunikationsstörungen / Medizinnische Fakultät der RWTH Aachen University, Aachen, Germany
  • author Hannah Schlasze - Klinik für Phoniatrie, Pädaudiologie und Kommunikationsstörungen / Medizinnische Fakultät der RWTH Aachen University, Aachen, Germany
  • author Sarah Siebertz - Klinik für Phoniatrie, Pädaudiologie und Kommunikationsstörungen / Medizinnische Fakultät der RWTH Aachen University, Aachen, Germany
  • author Christiane Neuschaefer-Rube - Klinik für Phoniatrie, Pädaudiologie und Kommunikationsstörungen / Medizinnische Fakultät der RWTH Aachen University, Aachen, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hno083

DOI: 10.3205/10hno083, URN: urn:nbn:de:0183-10hno0832

Veröffentlicht: 6. Juli 2010

© 2010 Lehnert et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Manual treatments gain increasing interest among voice therapists. Studies on manual therapy concerning voice disorders are of mostly poor methodological quality. Studies including control groups are almost absent. We present preliminary data of a feasibility study that shows, that the effects of manual therapy on muscle tension dysphonia can be examined and confirmed in a controlled, prospective and single-blinded manner. The same patients served as a control group as they were treated with progressive muscle relaxation (PMR; Jacobson) as well.

Methods: Six female patients with muscle tension dysphonia were treated with manual therapy (osteopathic approach) and PMR with one week in between. The order of both treatments was randomly assigned. Before and after each treatment a thorough voice examination including videolaryngostroboscopy, jitter, shimmer, phonography, etc. was performed by a blinded examiner (stroboscopy was performed by a non-blinded examiner but the videos obtained were rated in a blinded manner by a different person). Patients were to complete VHI and vocal tract discomfort scale (VTD) forms as well as a visual analog scale for the perceived amount of relaxation after each treatment.

Results: Both types of treatment were perceived as being relaxing. Both types of treatments deployed significant positive effects on a number of voice quality measures. There is a trend towards better effects of osteopathic manual therapy than PMR on stroboscopic results as well as on vocal tract discomfort.

Conclusion:

1.
We have proven the feasibility of a controlled, randomised, single-blinded study on short term effects of both treatment alternatives. The data gained will allow for statistic sample size estimation for further studies.
2.
General relaxation plays a major role in the effects of manual therapy which will have to be regarded in further studies.