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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao The Laryngoscopearrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
The Laryngoscope
Article . 2025 . Peer-reviewed
License: Wiley Online Library User Agreement
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The Laryngoscope
Article . 2025
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Myofascial Release Therapy Augments the Effect of Voice Therapy in Patients With Cervicalgia

Authors: Megan R. Gillespie; Mady Williams; Benjamin Casey; Mark R. Gilbert;

Myofascial Release Therapy Augments the Effect of Voice Therapy in Patients With Cervicalgia

Abstract

ABSTRACT Objectives To analyze the synergistic effects of myofascial release physical therapy (MFRPT) and voice therapy (VT) in reducing symptom severity for patients diagnosed with cervicalgia and associated functional laryngeal conditions. Methods This retrospective analysis included adult patients with cervicalgia and functional laryngeal conditions—muscle tension dysphonia (MTDa), muscle tension dysphagia (MTDg), chronic cough (CC), or globus sensation (GP)—at a tertiary care center. Patients received MFRPT, VT, or a combination of both (VT + MFRPT). Patient‐reported outcome measures (PROMs) assessed symptom severity before and after therapy and included the Voice Handicap Index‐10 (VHI‐10), Reflux Symptom Index (RSI), Laryngopharyngeal Measure of Perceived Sensation (LUMP), Dyspnea Index (DI), Cough Severity Index (CSI), and Dysphagia Handicap Index (DHI). Results Eighty‐seven patients were analyzed. 74.7% were female, and the mean age was 55.8 (SD = 16.3). Treatment groups included MFRPT ( n = 41), VT ( n = 26), and VT + MFRPT ( n = 20). Statistically significant improvements were observed in VHI‐10 ( p = 0.006), RSI ( p = 0.007), and LUMP ( p = 0.04) scores for VT only. MFRPT only had a statistically significant improvements in RSI ( p = 0.04). VT + MFRPT yielded significant improvements across all PROMs and provided additional benefit over VT only for RSI ( p = 0.02), LUMP ( p = 0.03), DI ( p = 0.008), and CSI ( p = 0.02). Conclusion Combining MFRPT with VT demonstrates superior efficacy in treating cervicalgia and related laryngeal symptoms compared to VT only. Significant improvements across multiple PROMs suggest this integrated approach effectively addresses diverse patient symptoms. Level of Evidence 3.

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Keywords

Male, Adult, Neck Pain, Middle Aged, Dysphonia, Combined Modality Therapy, Severity of Illness Index, Voice Training, Treatment Outcome, Cough, Humans, Female, Patient Reported Outcome Measures, Deglutition Disorders, Physical Therapy Modalities, Retrospective Studies, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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