Rubin John S, Blake Ed, Mathieson Lesley
Voice Disorders Unit, Royal National Throat, Nose, and Ear Hospital Division, Royal Free Hospital NHS Trust, London, U.K.
J Voice. 2007 Jul;21(4):477-84. doi: 10.1016/j.jvoice.2005.02.001. Epub 2006 Apr 19.
This study correlated the ear, nose, and throat (ENT) and physiotherapy input on 26 patients who presented with voice problems and were found by the ENT surgeon to have a degree of musculoskeletal issues. It also looked for patterns of musculoskeletal findings. Although all patients referred were found by the physiotherapist to have musculoskeletal abnormalities, the correlation proved to be excellent among the subgroup of performers, but only fair-to-good among the other voice professionals. Certain patterns of musculoskeletal abnormalities were frequently encountered, including a high held larynx, a shortening or contraction of the stylohyoid and sternocleidomastoid muscles, and a weak deep flexor mechanism. In this small group, most patients seemed to improve, although it must be noted that management was not limited to physiotherapy. In summary, physiotherapy input proved helpful in the evaluation and management of this group of patients presenting with voice problems.
本研究对26例存在嗓音问题且经耳鼻喉科医生诊断有一定程度肌肉骨骼问题的患者的耳鼻喉科和物理治疗投入进行了相关性分析。研究还探寻了肌肉骨骼检查结果的模式。尽管物理治疗师发现所有转诊患者都有肌肉骨骼异常，但在表演者亚组中相关性极佳，而在其他嗓音专业人员中仅为中等至良好。经常会遇到某些肌肉骨骼异常模式，包括喉部抬高、茎突舌骨肌和胸锁乳突肌缩短或收缩，以及深层屈肌机制薄弱。在这个小群体中，大多数患者似乎有所改善，不过必须指出的是，治疗并不局限于物理治疗。总之，物理治疗投入被证明有助于对这组存在嗓音问题的患者进行评估和治疗。
