Reimann Ana Paula, Siqueira Larissa Thaís Donalonso, Rondon Ana Vitória, Brasolotto Alcione Ghedini, Silverio Kelly Cristina Alves
Departamento de Fonoaudiologia, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil.
Codas. 2016 Jan-Feb;28(1):59-65. doi: 10.1590/2317-1782/20162015089.
To investigate the immediate effect of Laryngeal Manual Therapy (LMT) in musculoskeletal pain, in voice and sensations referred to individuals with behavioral dysphonia and individuals without it.
30 individuals ranging from 18 to 45 years old were selected and sorted into two groups: the dysphonic group (DG) - 15 individuals with functional or organofunctional dysphonia, and the control group (CG) - 15 individuals without vocal complaints and with non-impaired voices. The individuals answered a pain questionnaire and their voices were subsequently registered. The initial evaluation was repeated after the LMT. The LMT was applied for 20 minutes. After the LMT, the individuals were self-evaluated in terms of sensations in their voices, larynxes, articulations and respiration.
After the application of LMT, the DG reported significant improvement of pain in the following areas: temporal, larynx, posterior neck, wrists/hands/fingers, upper and lower back, hip/thigh, which did not occur in CG. The perceptual analysis of the vowel /a/ revealed no significant difference in any parameter in both groups after the LMT. The analysis of the speech showed that there was an increase of the roughness parameter after the application of LMT just in the DG. The DG individuals reported better sensations in the larynx and articulations after the submission to LMT, which did not occur in CG.
this study clarified that TML immediately reduces the intensity of corporal pain in dysphonic individuals, which did not occur in individuals without any vocal impairments. Although the perceptual analysis reveals an increase of the roughness in the quality of the voice, positive sensation in the larynx and articulation were reported by dysphonic individuals after the application of TML.
研究喉手法治疗（LMT）对有行为性发声障碍和无行为性发声障碍个体的肌肉骨骼疼痛、嗓音及相关感觉的即时影响。
选取30名年龄在18至45岁之间的个体，分为两组：发声障碍组（DG）——15名功能性或器官功能性发声障碍个体，以及对照组（CG）——15名无嗓音问题且嗓音正常的个体。个体填写疼痛问卷，随后记录其嗓音。LMT治疗后重复进行初始评估。LMT治疗时长为20分钟。LMT治疗后，个体对自身嗓音、喉部、关节和呼吸的感觉进行自我评估。
LMT治疗后，DG组报告在以下部位的疼痛有显著改善：颞部、喉部、后颈部、手腕/手/手指、上背部和下背部、髋部/大腿，而CG组未出现这种情况。对元音/a/的感知分析显示，LMT治疗后两组在任何参数上均无显著差异。言语分析表明，仅DG组在LMT治疗后粗糙度参数有所增加。DG组个体报告在接受LMT治疗后喉部和关节的感觉更好，而CG组未出现这种情况。
本研究表明，TML能立即减轻发声障碍个体的身体疼痛强度，而无嗓音障碍的个体则未出现这种情况。尽管感知分析显示嗓音质量的粗糙度增加，但发声障碍个体在接受TML治疗后报告喉部和关节有积极的感觉。
