The mechanism of action for laryngeal manual therapies: the need for an update.

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY
Walt Fritz
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引用次数: 0

Abstract

Purpose of review: To propose a pathway for expanding the understanding of potential mechanisms of action with laryngeal-based manual therapy (LMT) for muscle tension dysphonia (MTD). This review may help determine if current LMT literature has kept up with advances in the more general manual therapy (MT) findings.

Recent findings: Studies over the past thirty years, including recently published articles, have confirmed the efficacy of various manual therapy interventions in treating MTD. However, gaps exist between current LMT literature and that being presented in the more general MT field. Instead of viewing peripheral manipulation's influences as a local cause/effect process, the MT literature paints a richer tapestry of centrally mediated impacts.

Summary: Evidence from outside the LMT field has introduced a broad tapestry of factors that may contribute to the efficacy of MT, extending beyond the local effects reported in LMT literature. To better understand the effect and mechanism of action touch-based interventions have on a patient's voice and to potentially improve outcomes, it is necessary to broaden investigations to include a broader range of perspectives.

喉人工疗法的作用机制:需要更新。
综述目的:提出一条途径,以扩大对基于喉的手法治疗(LMT)治疗肌肉紧张性发音障碍(MTD)的潜在作用机制的了解。本综述可帮助确定当前的喉部手法治疗文献是否跟上了更广泛的手法治疗(MT)研究结果的进展:过去三十年的研究(包括最近发表的文章)证实了各种手法治疗干预对治疗 MTD 的疗效。然而,目前的 LMT 文献与更一般的 MT 领域的文献之间还存在差距。摘要:来自 LMT 领域以外的证据介绍了可能有助于 MT 疗效的各种因素,这些因素超出了 LMT 文献中报道的局部效果。为了更好地了解触摸式干预对患者嗓音的影响和作用机制,并有可能改善疗效,有必要扩大调查范围,纳入更广泛的视角。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
96
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.
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