Evidenzbasierte Stimmtherapieprogramme bei Dysphonien: eine Literaturstudie

Abstract

The aim of the present study was a systematic literature review on selected evidence-based voice therapy programs for the treatment of various types of dysphonia. The results showed that nine of seventeen voice therapy programs complied the selection criteria. All nine voice therapy programs revealed significant improvements in various aspects of laryngeal evaluation, voice quality, vocal function, and/or self-evaluation. These improvements might be expected between one day to ten weeks. Mostly, the voice therapy programs based on physiological voice therapy.

Es wurde eine systematische Literaturstudie über evidenzbasierte Stimmtherapieprogramme bei der Behandlung von Dysphonien durchgeführt. 9 von 17 Stimmtherapieprogrammen entsprachen den Selektionskriterien und diese zeigten signifikante Verbesserung von laryngealer Beurteilung, Stimmqualität, Stimmfunktion und/oder Selbstwahrnehmung bei Patienten mit Dysphonien in einem Zeitraum von einem Tag bis 10 Wochen. Die meisten dieser Programme haben einen physiologischen Ansatz.

Schlüsselwörter

Stimmtherapie - Dysphonie - Therapieeffekte - systematische Literaturstudie - Therapieresultate

Keywords

Voice therapy - dysphonia - therapy effects - systematic review - therapy outcome

• Literatur

• 1 Bhattacharyya N. The prevalence of voice problems among adults in the United States. Laryngoscope 2014; 124: 2359-2362
• 2 Cohen SM, Kim J, Roy N. et al. Prevalence and causes of dysphonia in a large treatment-seeking population. Laryngoscope 2012; 122: 343-348
• 3 Mozzanica F, Ginocchio D, Barillari R. et al. Prevalence and voice characteristics of laryngeal pathology in an Italian voice therapy-seeking population. J Voice 2016; 30: 774.e13-774.e21
• 4 De Bodt M, Van den Steen L, Mertens F. et al. Characteristics of a dysphonic population referred for voice assessment and/or voice therapy. Folia Phoniatr Logop 2015; 67: 178-186
• 5 Ruotsalainen J, Sellman J, Lehto L. et al. Systematic review of the treatment of functional dysphonia and prevention of voice disorders. Otolaryngol Head Neck Surg 2008; 138: 557-565
• 6 Speyer R. Effects of voice therapy: a systematic review. J Voice 2008; 22: 565-580
• 7 Desjardins M, Halstead L, Cooke M. et al. A systematic review of voice therapy: what „effectiveness“ really implies. J Voice 2017; 31: 392.e13-392.e32
• 8 Da Cunha Pereira G, de Oliveira Lemos I, Dalbosco Gadenz C. et al. Effects of voice therapy on muscle tension dysphonia: a systematic literature Review. J Voice 2018; 32: 546-552
• 9 Stemple JC, Roy N, Klaben BK. Clinical voice pathology: theory and managment. 5th ed. San Diego: Plural Publishing; 2014
• 10 Roy N, Gray SD, Simon M. et al. An evaluation of the effects of two treatment approaches for teachers with voice disorders: a prospective randomized clinical trial. J Speech Lang Hear Res 2001; 44: 286-296
• 11 Gillivan-Murphy P, Drinnan MJ, OʼDwyer TP. et al. The effectiveness of a voice treatment approach for teachers with self-reported voice problems. J Voice 2006; 20: 423-431
• 12 Gorman S, Weinrich B, Lee L. et al. Aerodynamic changes as a result of vocal function exercises in elderly men. Laryngoscope 2008; 118: 1900-1903
• 13 Nguyen DD, Kenny DT. Randomized controlled trial of vocal function exercises on muscle tension dysphonia in Vietnamese female teachers. J Otolaryngol Head Neck Surg 2009; 38: 261-278
• 14 Sauder C, Roy N, Tanner K. et al. Vocal function exercises for presbylaryngis: a multidimensional assessment of treatment outcomes. Ann Otol Rhinol Laryngol 2010; 119: 460-467
• 15 Tay EY, Phyland DJ, Oates J. The effect of vocal function exercises on the voices of aging community choral singers. J Voice 2012; 26: 672.e19-672.e27
• 16 Gelfer MP, Van Dong BR. A preliminary study on the use of vocal function exercises to improve voice in male-to-female transgender clients. J Voice 2013; 27: 321-334
• 17 Ziegler A, Verdolini AbbottK, Johns M. et al. Preliminary data on two voice therapy interventions in the treatment of presbyphonia. Laryngoscope 2014; 124: 1869-1876
• 18 Kaneko M, Hirano S, Tateya I. et al. Multidimensional analysis on the effect of vocal function exercises on aged vocal fold atrophy. J Voice 2015; 29: 638-644
• 19 Teixeira LC, Behlau M. Comparison between vocal function exercises and voice amplification. J Voice 2015; 29: 718-726
• 20 Kapsner-Smith MR, Hunter EJ, Kirkham K. et al. A randomized controlled trial of two semi-occluded vocal tract voice therapy protocols. J Speech Lang Hear Res 2015; 58: 535-549
• 21 Pedrosa V, Pontes A, Pontes P. et al. The effectiveness of the comprehensive voice rehabilitation program compared with the vocal function exercises method in behavioral dysphonia: a randomized clinical trial. J Voice 2016; 30: 377.e11-377.e19
• 22 Jafari N, Salehi A, Izadi F. et al. Vocal function exercises for muscle tension dysphonia: auditory-perceptual evaluation and self-assessment rating. J Voice 2017; 31: 506.e25-506.e31
• 23 Roy N, Leeper HA. Effects of the manual laryngeal musculoskeletal tension reduction technique as a treatment for functional voice disorders: perceptual and acoustic measures. J Voice 1993; 7: 242-249
• 24 Roy N, Tasko SM. Speaking Fundamental Frequency (SFF) changes following successful management of functional dysphonia. J Speech Language Pathol Audiol 1994; 18: 115-120
• 25 Roy N, Bless DM, Heisey D. et al. Manual circumlaryngeal therapy for functional dysphonia: an evaluation of short- and long-term treatment outcomes. J Voice 1997; 11: 321-331
• 26 Roy N, Ferguson NA. Formant frequency changes following manual circumlaryngeal therapy for functional dysphonia: evidence of laryngeal lowering. J Med Speech Language Pathol 2001; 9: 169-175
• 27 Roy N, Hendarto H. Revisiting the pitch controversy: changes in Speaking Fundamental Frequency (SFF) after management of functional dysphonia. J Voice 2005; 19: 582-591
• 28 Dromey C, Nissen SL, Roy N. et al. Articulatory changes following treatment of muscle tension dysphonia: preliminary acoustic evidence. J Speech Lang Hear Res 2008; 51: 196-208
• 29 Roy N, Nissen SL, Dromey C. et al. Articulatory changes in muscle tension dysphonia: evidence of vowel space expansion following manual circumlaryngeal therapy. J Commun Disord 2009; 42: 124-135
• 30 Van Lierde KM, De Bodt M, Dhaeseleer E. et al. The treatment of muscle tension dysphonia: a comparison of two treatment techniques by means of an objective multiparameter approach. J Voice 2010; 24: 294-301
• 31 Roy N, Peterson EA, Pierce JL. et al. Manual laryngeal reposturing as a primary approach for mutational falsetto. Laryngoscope 2017; 127: 645-650
• 32 Dehqan A, Scherer RC. Positive effects of manual circumlaryngeal therapy in the treatment of Muscle Tension Dysphonia (MTD): long term treatment outcomes. J Voice 2018; [Epub ahead of print]
• 33 Kotby MN, Sady SRE, Basiouny SE. et al. Efficacy of the accent method of voice therapy. J Voice 1991; 5: 316-320
• 34 Fex B, Fex S, Shiromoto O. et al. Acoustic analysis of functional dysphonia: before and after voice therapy (accent method). J Voice 1994; 8: 163-167
• 35 Bassiouny S. Efficacy of the accent method of voice therapy. Folia Phoniatr Logop 1998; 50: 146-164
• 36 Stier KH. Behandlung von Stimmpatienten mit der Akzentmethode im Vergleich zu nicht methodenorientierter Stimmtherapie. Stimme Sprache Gehör 2011; 35: e68-e76
• 37 Mathieson L, Hirani SP, Epstein R. et al. Laryngeal manual therapy: a preliminary study to examine its treatment effects in the management of muscle tension dysphonia. J Voice 2009; 23: 353-366
• 38 Alves Silverio KC, Brasolotto AG, Thaís Donalonso Siqueira L. et al. Effect of application of transcutaneous electrical nerve stimulation and laryngeal manual therapy in dysphonic women: clinical trial. J Voice 2015; 29: 200-208
• 39 Reimann AP, Siqueira LT, Rondon AV. et al. Immediate effect of laryngeal manual therapy in dysphonic individuals. Codas 2016; 28: 59-65
• 40 Conde MCM, Siqueira LTD, Vendramini JE. et al. Transcutaneous Electrical Nerve Stimulation (TENS) and Laryngeal Manual Therapy (LMT): immediate effects in women with dysphonia. J Voice 2018; 32 : 385.e17-385.e25
• 41 Barsties v Latoszek B. Preliminary study of Novafon local vibration voice therapy for dysphonia treatment. Logoped Phoniatr Vocol 2018; [Epub ahead of print]
• 42 Barsties v Latoszek B. Treatment effectiveness of Novafon local vibration voice therapy for dysphonia treatment. J Voice 2018; [Epub ahead of print]
• 43 Watts C, Diviney S, Hamilton A. et al. The effect of stretch-and-flow voice therapy on measures of vocal function and handicap. J Voice 2015; 29: 191-199
• 44 Watts CR, Hamilton A, Toles L. et al. A randomized controlled trial of stretch-and-flow voice therapy for muscle tension dysphonia. Laryngoscope 2015; 125: 1420-1425
• 45 Cavalcanti NR, Souza BO, Gama ACC. et al. Effect of the comprehensive voice rehabilitation program in teachers with behavioral dysphonia. Codas 2018; 30: e20170182
• 46 Chen SH, Hsiao TY, Hsiao LC. et al. Outcome of resonant voice therapy for female teachers with voice disorders: perceptual, physiological, acoustic, aerodynamic, and functional measurements. J Voice 2007; 21: 415-425
• 47 Roy N, Weinrich B, Gray SD. et al. Three treatments for teachers with voice disorders: a randomized clinical trial. J Speech Lang Hear Res 2003; 46: 670-688
• 48 Ogawa M, Hosokawa K, Yoshida M. et al. Immediate effects of humming on computed electroglottographic parameters in patients with muscle tension dysphonia. J Voice 2014; 28: 733-741
• 49 Vlot C, Ogawa M, Hosokawa K. et al. Investigation of the immediate effects of humming on vocal fold vibration irregularity using electroglottography and high-speed laryngoscopy in patients with organic voice disorders. J Voice 2017; 31: 48-56
• 50 Andrade PA, Wood G, Ratcliffe P. et al. Electroglottographic study of seven semi-occluded exercises: LaxVox, straw, lip-trill, tongue-trill, humming, hand-over-mouth, and tongue-trill combined with hand-over-mouth. J Voice 2014; 28: 589-595