Sol Ferran de la Cierva, David Terrasa, Octavio Garaycochea, Beatriz Del Rio, Mikel Urdin, Secundino Fernandez
{"title":"MyotonPRO as a new valid tool for measuring cervical muscle tension. A reliability study.","authors":"Sol Ferran de la Cierva, David Terrasa, Octavio Garaycochea, Beatriz Del Rio, Mikel Urdin, Secundino Fernandez","doi":"10.1080/14015439.2024.2388896","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The main objective of this study is to test the reliability of a non-invasive objective method for the measurement of biomechanical parameters of cervicofacial muscle groups, with the purpose of diagnosis and evaluation of voice disorders' treatments, especially focused on muscle tension dysphonia.</p><p><strong>Study design: </strong>Prospective study.</p><p><strong>Methods: </strong>The device used is a handheld myotonometer (MyotonPRO) that measures biomechanical and viscoelastic properties in superficial soft tissues frequency, stiffness, elasticity, relaxation time and creep. It is used in the field of medicine, sport and research. This pilot study includes 10 subjects, who have been measured in the masseter, sternocleidomastoid, orbicularis oris, semispinalis capitis, suprahyoid, infrahyoid and trapezius muscles on each side. Measurements were performed by 2 evaluators to assess inter-evaluator reliability. Subsequently, one of them repeated the measurements to assess intra-evaluator reliability.</p><p><strong>Results: </strong>The results revealed good to excellent inter-rater reliability for the masseter, sternocleidomastoid, trapezius and suprahyoid muscles, with lower ICCs for the stiffness and creep properties. Intra-rater reliability was good to excellent for the masseter, sternocleidomastoid, semispinalis capitis and suprahyoid muscles. The lowest ICCs were found in the stiffness and creep properties.</p><p><strong>Conclusion: </strong>The use of a myotonometer to measure the mechanical properties of selected cervical and orofacial muscles is a reliable and reproducible method. Future research is needed to establish an association between the properties of these muscles and their role in voice disorders, as well as to determine whether this tool can aid diagnosis with quantifiable and objectifiable indicators, and for monitoring and treatment efficacy.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Logopedics Phoniatrics Vocology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/14015439.2024.2388896","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The main objective of this study is to test the reliability of a non-invasive objective method for the measurement of biomechanical parameters of cervicofacial muscle groups, with the purpose of diagnosis and evaluation of voice disorders' treatments, especially focused on muscle tension dysphonia.
Study design: Prospective study.
Methods: The device used is a handheld myotonometer (MyotonPRO) that measures biomechanical and viscoelastic properties in superficial soft tissues frequency, stiffness, elasticity, relaxation time and creep. It is used in the field of medicine, sport and research. This pilot study includes 10 subjects, who have been measured in the masseter, sternocleidomastoid, orbicularis oris, semispinalis capitis, suprahyoid, infrahyoid and trapezius muscles on each side. Measurements were performed by 2 evaluators to assess inter-evaluator reliability. Subsequently, one of them repeated the measurements to assess intra-evaluator reliability.
Results: The results revealed good to excellent inter-rater reliability for the masseter, sternocleidomastoid, trapezius and suprahyoid muscles, with lower ICCs for the stiffness and creep properties. Intra-rater reliability was good to excellent for the masseter, sternocleidomastoid, semispinalis capitis and suprahyoid muscles. The lowest ICCs were found in the stiffness and creep properties.
Conclusion: The use of a myotonometer to measure the mechanical properties of selected cervical and orofacial muscles is a reliable and reproducible method. Future research is needed to establish an association between the properties of these muscles and their role in voice disorders, as well as to determine whether this tool can aid diagnosis with quantifiable and objectifiable indicators, and for monitoring and treatment efficacy.
期刊介绍：
Logopedics Phoniatrics Vocology is an amalgamation of the former journals Scandinavian Journal of Logopedics & Phoniatrics and VOICE.
The intention is to cover topics related to speech, language and voice pathology as well as normal voice function in its different aspects. The Journal covers a wide range of topics, including:
Phonation and laryngeal physiology
Speech and language development
Voice disorders
Clinical measurements of speech, language and voice
Professional voice including singing
Bilingualism
Cleft lip and palate
Dyslexia
Fluency disorders
Neurolinguistics and psycholinguistics
Aphasia
Motor speech disorders
Voice rehabilitation of laryngectomees
Augmentative and alternative communication
Acoustics
Dysphagia
Publications may have the form of original articles, i.e. theoretical or methodological studies or empirical reports, of reviews of books and dissertations, as well as of short reports, of minor or ongoing studies or short notes, commenting on earlier published material. Submitted papers will be evaluated by referees with relevant expertise.
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