Laryngeal Manipulation for Dysphagia with Muscle Pressure Dysphonia.
Dysphagia. 2018 Jan 25;:
Authors: DePietro JD, Rubin S, Stein DJ, Golan H, Noordzij JP
The aim of the article is to explain using laryngeal manipulation as a remedy for dysphagia ensuing from extreme paralaryngeal muscle pressure and to establish the sufferers more likely to have symptomatic enchancment. This can be a retrospective single-center case sequence. A retrospective overview recognized sufferers from 2007 to 2013 with laryngeal manipulation for muscle pressure dysphagia in an educational Otolaryngology apply. Topics with dysphagia not attributable to an anatomic trigger who attended remedy at the very least one time have been included within the examine. The first final result of the examine was subjective enchancment in dysphagia signs (sure/no) throughout follow-up. Signs, demographic info, remedy, and response to remedy have been recorded. The Kruskal-Wallis check was used for evaluation of steady variables, whereas a Chi-squared check or fisher’s actual check was used for evaluation of all categorical variables. Forty-four topics have been included, consisting of 37 girls and seven males. Subjective enchancment in dysphagia was seen in 34 topics (77.three%). No important variations have been seen in enchancment primarily based on gender (p = zero.3223), race (p = zero.4317), variety of classes with a speech pathologist (p = zero.3198), or presenting signs together with hoarseness (p = zero.0853), ache (p = 1.000), globus (p = zero.2834), and cough (p = 1.000). We discovered subjective enchancment with laryngeal manipulation as reported throughout follow-up visits to clinic amongst people with muscle pressure dysphagia. Affected person age, presenting signs, and variety of remedy classes weren’t discovered to be considerably related to decision of signs.
PMID: 29372358 [PubMed – as supplied by publisher]