肌张力障碍性发声障碍评估与治疗的新兴技术
Emerging techniques in assessment and treatment of muscle tension dysphonia.
作者信息
Andreassen Meri L, Litts Juliana K, Randall Derrick R
机构信息
aCalgary Voice Program, Alberta Health Services, Calgary, Alberta, Canada bDepartment of Otolaryngology, Head & Neck Surgery, University of Colorado, Aurora, Colorado, USA cSection of Otolaryngology - Head & Neck Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
出版信息
Curr Opin Otolaryngol Head Neck Surg. 2017 Dec;25(6):447-452. doi: 10.1097/MOO.0000000000000405.
PURPOSE OF REVIEW
The purpose of this review is to summarize current evidence regarding treatment for muscle tension dysphonia (MTD) and to present recent advances in evaluation and management.
RECENT FINDINGS
It is generally accepted that voice therapy for MTD is effective, but current systematic reviews report limited evaluation specific to MTD patients with moderate evidence, at best, available to support voice therapy techniques. Individual studies are difficult to compare because of heterogeneity. Considerable work is underway to identify most important metrics to include in assessment, and to advance and define direct voice therapy approaches.
SUMMARY
Further standardization of assessment and treatment protocols for MTD will improve future research. Novel therapeutic techniques are under investigation. In small studies, these have found value in improving voice outcomes and measures compared with pretreatment values but have not met success greater than existing therapeutic methods.
综述目的
本综述旨在总结目前关于肌肉紧张性发声障碍（MTD）治疗的证据，并介绍评估和管理方面的最新进展。
最新发现
人们普遍认为MTD的嗓音治疗是有效的，但目前的系统评价报告称，针对MTD患者的评估有限，至多只有中等证据支持嗓音治疗技术。由于异质性，个体研究难以比较。目前正在进行大量工作，以确定评估中应纳入的最重要指标，并推进和定义直接嗓音治疗方法。
总结
MTD评估和治疗方案的进一步标准化将改善未来的研究。新型治疗技术正在研究中。在小型研究中，与治疗前值相比，这些技术在改善嗓音结果和测量指标方面具有价值，但尚未取得比现有治疗方法更大的成功。
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