Rezaee Rad Amin, Khoddami Seyyedeh Maryam
Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Enghelab Avenue, Pich-e-shemiran, Tehran, 11489 Iran.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):3777-3792. doi: 10.1007/s12070-024-04896-1. Epub 2024 Jul 18.
Laryngeal manual therapy (LMT) has been known as one of the main techniques for decreasing musculoskeletal tension in the (para) laryngeal muscles in dysphonic patients, especially patients with muscle tension dysphonia (MTD).
A narrative review on the available LMT methods in MTD.
(Method).A review on the literature regarding to the LMT methods in MTD was conducted using electronic databases up to December 2022. To identify all eligible literature, hand searching was also utilized. Moreover, articles and books in which LMT methods were introduced or used for the first time, or had innovation and were complementary for previous LMT methods were included. Relevant sources were identified by two reviewers based on screened titles/abstracts and full texts.
The authors found five main common and some miscellaneous LMT methods that may not be used as conventional methods in clinical and research settings. There are some similarities and differences between the available LMT methods based on the manual techniques, target anatomical structures, and tension criteria. Although there is not enough information about details of some LMT methods, we additionally tried to provide some details about LMT treatment protocol.
The LMT is still at the beginning and it is necessary to revise the previous methods or develop new ones according to the similarities and differences have been found in this review. This paper will be useful for learning and teaching the LMT methods in MTD for clinicians and students who are interested in.
The online version contains supplementary material available at 10.1007/s12070-024-04896-1.
喉手法治疗（LMT）一直被认为是减轻发声障碍患者（尤其是肌肉紧张性发声障碍患者）喉旁肌肉骨骼张力的主要技术之一。
对肌肉紧张性发声障碍中现有的喉手法治疗方法进行叙述性综述。
（方法）截至2022年12月，使用电子数据库对有关肌肉紧张性发声障碍中喉手法治疗方法的文献进行了综述。为了识别所有符合条件的文献，还采用了手工检索。此外，纳入了首次介绍或使用喉手法治疗方法，或具有创新性且对先前喉手法治疗方法有补充作用的文章和书籍。两位审稿人根据筛选出的标题/摘要和全文确定相关来源。
作者发现了五种主要的常见喉手法治疗方法以及一些在临床和研究环境中可能不作为常规方法使用的其他方法。现有的喉手法治疗方法在手法技术、目标解剖结构和张力标准方面存在一些异同。尽管关于一些喉手法治疗方法的细节信息不足，但我们额外尝试提供了一些喉手法治疗方案的细节。
喉手法治疗仍处于起步阶段，有必要根据本综述中发现的异同对先前的方法进行修订或开发新的方法。本文将有助于对肌肉紧张性发声障碍中喉手法治疗方法感兴趣的临床医生和学生进行学习和教学。
在线版本包含可在10.1007/s12070-024-04896-1获取的补充材料。
