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IRCT20231024059840N1 IRCT 2024-02-07 Tehran University of Medical Sciences Comparing the effectiveness of resonant voice therapy and manual circumlaryngeal therapy on laryngeal tension RVT Comparing the effectiveness of resonant voice therapy and manual circumlaryngeal therapy on tension reduction in patients with primary muscle tension dysphonia 2024-04-08 anticipated 30 Complete https://irct.ir/trial/74610 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: One of the therapeutic methods used in this research (resonant voice therapy) requires designing assignments in Persian language. Therefore, one of the products of this research is the design and preparation of valid and reliable tasks in Persian language, Randomization description: Randomization method: Randomization will be done using block, in such a way that all two people who enter the study will be placed in two treatment groups using lottery. The randomization unit is individual. Randomization tool using lottery, Blinding description: The evaluators (speech therapists other than the researcher) who evaluate the patients on 4 occasions during the study are blinded to the treatment that the patients receive. Also, the patients do not know what treatments are offered in this study, and the researcher is also blind to the patients' evaluation reports (the reports are coded). N/A Muscle tension dysphonia. Intervention 1: Intervention group: resonant voice therapy: This treatment method consists of 7 steps during which the patient learns how to produce resonant voice and how to use it in speech.The duration of the treatment consists of 6 sessions of 30 minutes, which are held twice a week. Intervention 2: Intervention group: manual circumlaryngeal therapy : In the MCT method, the patient sits on a comfortable chair; The therapist is placed next to the patient and manual therapy is performed with the therapist's superior hand and thumb and index (or middle) finger. Manual treatment starts from the target points where the patient has less pain and discomfort, but the parts that have more pain and discomfort; More attention is paid. The target points in this method are:1.hyoid bone 2. Thyrohyoid space 3. The posterior border of the thyroid lamina 4. Middle and lateral suprahyoid muscles.duration of the treatment consists of 6 sessions of 30 minutes, which are held twice a week. Yes - There is a plan to make this available What will be shared: The results of evaluations and statistical data and the results of statistical analyzes will be published in articles and thesis text. When: 6 months after printing the results To whom: Researchers working at Tehran University of Medical Sciences Conditions: If the researchers of Tehran University of Medical Sciences conduct a study in the common field with the present plan, they can use the documents Where to obtain: Dr. Maryam Khodami, Faculty of Rehabilitation, Tehran University of Medical Sciences How to obtain: By using the application letter in which a brief description of the research is mentioned so that their research is related to the current research. Comments:
public Mojdeh mohamadi
Enghelan ave. Tehran
Tehran Iran (Islamic Republic of) 1148965111 +98 912 929 3894 mmojdeh92@gmail.com Tehran University of Medical Sciences scientific Mojdeh
Enghelab ave
Tehran Iran (Islamic Republic of) 1148965111 +98 912 929 3894 mmojdeh92@gmail.com Tehran University of Medical Sciences Iran (Islamic Republic of) According to the joint opinion of a laryngologist and an experienced speech and language pathologist in the field of voice disorders, and based on the results of voice history, voice self-evaluation, larynx observation, auditory-perceptual evaluation of voice and palpation, the participants will receive a primary MTD diagnosis. Be in the age range of 18 to 55 years Have normal hearing Do not have evidence of neurological diseases Do not have a history of other voice disorders (such as weakness and paralysis of the vocal folds or laryngeal cancer). do not have a history of surgery, radiation therapy, trauma and intubation in the larynx and neck, chronic pain in the neck area, burns of the head and neck, and any kind of scar in the front of the neck and around the larynx. At least 14 days before the start of the study, do not have an active infection in the larynx and upper respiratory tract At the time of the study and before that, they have not received any other voice therapy program do not have a fat and short neck so that it is possible to perform a palpation 18 years 55 years Both have not completed any of the assessment and treatment stages of the study Their audio samples are unanalyzable for any reason In the evaluation of the palpation of all the target structures, the score of muscle tension should be reported as zero Rehabilitation Rehabilitation Intervention group: resonant voice therapy: This treatment method consists of 7 steps during which the patient learns how to produce resonant voice and how to use it in speech.The duration of the treatment consists of 6 sessions of 30 minutes, which are held twice a week. Intervention group: manual circumlaryngeal therapy : In the MCT method, the patient sits on a comfortable chair; The therapist is placed next to the patient and manual therapy is performed with the therapist's superior hand and thumb and index (or middle) finger. Manual treatment starts from the target points where the patient has less pain and discomfort, but the parts that have more pain and discomfort; More attention is paid. The target points in this method are:1.hyoid bone 2. Thyrohyoid space 3. The posterior border of the thyroid lamina 4. Middle and lateral suprahyoid muscles.duration of the treatment consists of 6 sessions of 30 minutes, which are held twice a week Muscle tension: The amount of tension of the paralaryngeal muscles, which can be measured by palpation. Timepoint: Muscle tension is measured before the start of the treatment, in the third session of the treatment and at the end of the treatment and one month after the end of the treatment. Method of measurement: Palpation. Vocal effort. Timepoint: Voice effort is measured before the start of the treatment, in the third session of the treatment, at the end of the treatment and one month after the end of the treatment. Method of measurement: Vocal effort scale. Cepstral analysis. Timepoint: It is measured before the start of the treatment, in the third session of the treatment and at the end of the treatment and one month after the end of the treatment. Method of measurement: Praat software. Vocal fatigue. Timepoint: It is measured before the start of the treatment, in the third session of the treatment and at the end of the treatment and one month after the end of the treatment. Method of measurement: Vocal fatigue index. Vocal strugle. Timepoint: It is measured before the start of the treatment, in the third session of the treatment and at the end of the treatment and one month after the end of the treatment. Method of measurement: The Consensus Auditory Perceptual Evaluation of Voice. Glottal closure. Timepoint: It is measured before the start of the treatment and at the end of the treatment and one month after the end of the treatment. Method of measurement: Laryngeal stroboscopy and VALI form(form for reporting datas). Tehran University of Medical Sciences Approved 2024-02-06 Ethics committee of Tehran University of Medical Sciences Tehran. Enghelab ave. Rahabilitation school of tehran university of medical science Tehran Tehran Iran (Islamic Republic of)