Vahid Maedeh, Mansuri Banafshe, Farzadi Faezeh, Tohidast Seyed Abolfazl, Bagheri Rasool, Scherer Ronald Callaway
Department of Speech Therapy, School of Rehabilitation, Semnan University of Medical Sciences, Semnan, Iran.
Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.
J Voice. 2025 Mar;39(2):429-438. doi: 10.1016/j.jvoice.2022.09.006. Epub 2022 Oct 22.
The present study investigated the immediate effect of adding Kinesio taping along with voice therapy for the treatment of muscle tension dysphonia patients.
Twenty patients with primary muscle tension dysphonia (MTD) (12 males and 8 females) with a mean age of 36.95 ± 9.58 years participated in the study. Participants were assigned to two groups: one group (6 males and 4 females) received only traditional voice therapy (VT) and the other group (6 males and 4 females) received Kinesio taping (KT) and voice therapy (VT). The VT group received laryngeal manual therapy (LMT) (for 15 minutes) and voice therapy techniques including humming, chewing, and yawn-sigh (for 15 minutes). The VT + KT group received both KT and the same VT as the first group. KT was applied to the sternocleidomastoid, infralaryngeal, and supralaryngeal muscles of the neck. Auditory-perceptual assessments using CAPE-V, acoustic voice analysis, and assessments of vocal tract discomfort and pain were used to evaluate the effects of a single treatment session. The Wilcoxon and Mann-Whitney U tests were used for data analysis.
The results of within-group comparison of the auditory-perceptual assessment (overall severity, roughness, breathiness, and strain) in both sustained vowels and connected speech tasks showed a significant reduction in all mentioned items in both groups (P < 0.05). Acoustic voice analysis showed significant improvement of HNR in the KT + VT group for both sustained vowels and connected speech tasks, and significant improvement of jitter in the VT group for sustained vowels (P < 0.05). Regarding vocal tract discomfort, the symptom of tightness in the KT + VT group, irritability and pain in the VT group, and the overall score of vocal tract discomfort in both groups, significantly decreased (P < 0.05). A significant decrease in pain severity in the front of the neck, throat, and larynx was reported by MTD patients in both groups (P < 0.05). Between-group comparisons indicated a significant difference only in the pain item of the VTD scale (P < 0.05) with greater pain decrease for the VT group. Comparison of the mean of differences showed that the VT group reduced irritability more than the KT + VT group (P < 0.05).
The present study showed that voice therapy with and without Kinesio taping can improve patients' voice quality (auditory-perceptual and acoustic voice analysis) and reduce vocal tract discomfort and pain in MTD patients after one therapy session. Moreover, MTD patients treated with KT + VT did not experience more significant improvements compared to those treated with VT alone. More studies in this area are recommended to better determine the effects of KT in MTD patients especially for long term effects of KT.
本研究调查了在嗓音治疗基础上增加肌内效贴布对肌肉紧张性发声障碍患者的即时疗效。
20例原发性肌肉紧张性发声障碍患者（12例男性，8例女性）参与本研究，平均年龄为36.95±9.58岁。参与者被分为两组：一组（6例男性，4例女性）仅接受传统嗓音治疗（VT），另一组（6例男性，4例女性）接受肌内效贴布（KT）和嗓音治疗（VT）。VT组接受喉部手法治疗（LMT）（15分钟）以及包括哼唱、咀嚼和打哈欠-叹息等嗓音治疗技术（15分钟）。VT+KT组接受KT以及与第一组相同的VT。KT贴于颈部的胸锁乳突肌、喉下及喉上肌肉。采用CAPE-V进行听觉-感知评估、声学嗓音分析以及声道不适和疼痛评估，以评价单次治疗的效果。数据分析采用Wilcoxon检验和Mann-Whitney U检验。
在持续元音和连贯言语任务中，两组听觉-感知评估（总体严重程度、粗糙感、气息声和紧张度）的组内比较结果显示，两组上述各项均显著降低（P<0.05）。声学嗓音分析显示，在持续元音和连贯言语任务中，KT+VT组的谐噪比显著改善，VT组在持续元音任务中的抖动率显著改善（P<0.05）。关于声道不适，KT+VT组的紧绷症状、VT组的易激惹和疼痛以及两组的声道不适总分均显著降低（P<0.05）。两组肌肉紧张性发声障碍患者均报告颈部前方、咽喉和喉部的疼痛严重程度显著降低（P<0.05）。组间比较仅显示在嗓音障碍量表的疼痛项目上存在显著差异（P<0.05），VT组的疼痛减轻更明显。差异均值比较显示，VT组比KT+VT组更能减轻易激惹症状（P<0.05）。
本研究表明，无论是否使用肌内效贴布，嗓音治疗均可改善肌肉紧张性发声障碍患者的嗓音质量（听觉-感知和声学嗓音分析），并减轻单次治疗后声道不适和疼痛。此外，与单纯接受VT治疗的患者相比，接受KT+VT治疗的肌肉紧张性发声障碍患者并未有更显著的改善。建议在该领域开展更多研究，以更好地确定KT对肌肉紧张性发声障碍患者的影响，尤其是KT的长期疗效。
