Khoddami Seyyedeh Maryam, Ansari Noureddin Nakhostin, Jalaie Shohreh
Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
J Voice. 2015 Jul;29(4):459-68. doi: 10.1016/j.jvoice.2014.09.023. Epub 2015 Mar 17.
Laryngeal palpation is a common clinical method for the assessment of neck and laryngeal muscles in muscle tension dysphonia (MTD).
To review the available laryngeal palpation methods used in patients with MTD for the assessment, diagnosis, or document of treatment outcomes.
STUDY DESIGN (METHOD): A systematic review of the literature concerning palpatory methods in MTD was conducted using the databases MEDLINE (PubMed), ScienceDirect, Scopus, Web of science, Web of knowledge and Cochrane Library between July and October 2013. Relevant studies were identified by one reviewer based on screened titles/abstracts and full texts. Manual searching was also used to track the source literature.
There were five main as well as miscellaneous palpation methods that were different according to target anatomical structures, judgment or grading system, and using tasks. There were only a few scales available, and the majority of the palpatory methods were qualitative. Most of the palpatory methods evaluate the tension at both static and dynamic tasks. There was little information about the validity and reliability of the available methods.
The literature on the scientific evidence of muscle tension indicators perceived by laryngeal palpation in MTD is scarce. Future studies should be conducted to investigate the validity and reliability of palpation methods.
喉部触诊是评估肌肉紧张性发声障碍（MTD）患者颈部和喉部肌肉的常用临床方法。
综述用于MTD患者评估、诊断或记录治疗效果的现有喉部触诊方法。
研究设计（方法）：2013年7月至10月期间，使用MEDLINE（PubMed）、ScienceDirect、Scopus、科学网、知识网和考克兰图书馆数据库，对有关MTD触诊方法的文献进行了系统综述。由一名评审员根据筛选出的标题/摘要和全文确定相关研究。还通过手工检索来追踪原始文献。
根据目标解剖结构、判断或分级系统以及使用的任务，有五种主要的以及其他各种触诊方法，它们各不相同。可用的量表很少，大多数触诊方法是定性的。大多数触诊方法在静态和动态任务中评估张力。关于现有方法的有效性和可靠性的信息很少。
关于MTD中通过喉部触诊感知的肌肉紧张指标的科学证据的文献很少。未来应开展研究以调查触诊方法的有效性和可靠性。
