Cardoso Ricardo, Meneses Rute F, Lumini-Oliveira José
Department of Physical Medicine and Rehabilitation, Hospital-School of Fernando Pessoa University, Porto, Portugal.
Transdisciplinary Center of Consciousness Studies of Fernando Pessoa University, Porto, Portugal.
Front Med (Lausanne). 2017 Apr 24;4:45. doi: 10.3389/fmed.2017.00045. eCollection 2017.
The treatment of voice disorders includes physiotherapy and complementary therapies. However, research to support these treatments is scarce.
to verify the effectiveness of physiotherapy and complementary therapies on voice disorders. Research on electronic databases PubMed/Medline, SciELO, and LILACS was performed using the combination: voice AND (treatment OR intervention) according to PRISMA guidelines. Only randomized controlled trials (RCTs) were included in the review. Studies were analyzed using the physiotherapy evidence database (PEDro) scale and the Center for Evidence-Based Medicine's Levels of Evidence scale. Eight papers met the inclusion criteria. From the RCTs included in this review, six assessed massage, one transcutaneous electrical nerve stimulation (TENS), one refer to spinal manipulative therapy, and one to acupuncture. The literature regarding the effectiveness of physiotherapy and complementary therapies was good in both quality and results, indicating that massage, TENS, and acupuncture seem to be effective treatments to reduce voice complaints and improve voice quality, supporting the inclusion of complementary therapies but mostly physiotherapy interventions in the treatment of patients with voice disorders.
嗓音疾病的治疗包括物理治疗和辅助治疗。然而，支持这些治疗方法的研究很少。
验证物理治疗和辅助治疗对嗓音疾病的有效性。根据PRISMA指南，在电子数据库PubMed/Medline、SciELO和LILACS上进行检索，检索词组合为：嗓音AND（治疗OR干预）。纳入综述的仅为随机对照试验（RCT）。使用物理治疗证据数据库（PEDro）量表和循证医学中心的证据等级量表对研究进行分析。8篇论文符合纳入标准。在本综述纳入的随机对照试验中，6项评估了按摩，1项评估了经皮神经电刺激（TENS），1项涉及脊柱推拿治疗，1项涉及针灸。关于物理治疗和辅助治疗有效性的文献在质量和结果方面都很好，表明按摩、TENS和针灸似乎是减轻嗓音问题和改善嗓音质量的有效治疗方法，支持在嗓音疾病患者的治疗中纳入辅助治疗，但主要是物理治疗干预。
