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Estimation of influence of myofascial release techniques on esophageal pressure in patients after total laryngectomy

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Abstract

In patients after total laryngectomy, increased tension in myofascial neck and arm areas might be observed. Via fascial continuity it has an adverse impact on the superior esophageal constrictor forming the “mouth of the oesophagus”, which hinders learning of esophageal speech. The aim is to assess the effect of manual myofascial release techniques on esophageal pressure in patients after total laryngectomy. Forty patients (12 F, 28 M), aged 43–75 (mean 56.8 years), 9 months to 13 years (average 3 years) after total laryngectomy, 35 patients (87.5%) after neck lymph node resection, 38 patients (95%) after radiotherapy. Esophageal pressure was assessed using modified Seeman’s method. Manual myofascial release techniques were applied within head, neck, arms, upper trunk and upper limb areas. Wilcoxon and Shapiro–Wilk’s test was used for the purpose of statistical analysis. Statistically significant decrease of the mean esophageal pressure was observed after the physiotherapy treatment. The average pressure among the examined patients decreased from 37.9 to 26.6 mmHg. The application of myofascial manual techniques decreases esophageal pressure, thus allowing patients to learn esophagus speech at a faster pace.

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References

  1. Lewit K (1991) Manipulative therapy in rehabilitation of the locomotor system. Butterworths-Heinemann, Oxford

    Google Scholar 

  2. Marszałek S (2003) Ocena skuteczności rehabilitacji ruchowej osób po całkowitym usunięciu krtani. Praca doktorska. Akademia Wychowania Fizycznego, Poznań

  3. Marszałek S, Golusinski W, Dworak LB (2003) Ocena zakresu ruchów i siły mięśniowej w odcinku szyjnym kręgosłupa u chorych po całkowitym usunięciu krtani. Otolaryngol Pol 57:649

    PubMed  Google Scholar 

  4. Rakowski A (2001): Materiały szkoleniowe – kurs I–V medycyny manualnej. Centrum Terapii Manualnej, Poznań

  5. Marszałek S, Golusiński W, Dworak LB (2003) Ocena techniki rozciągającej mięśnie okolicy szyi i barków w rehabilitacji chorych po całkowitym usunięciu krtani. Otolar Pol 58:485

    Google Scholar 

  6. Rakowski A (2002) Fizyczne reakcje narządu ruchu na negatywne stymulowanie ze sfery psychiczno–duchowej. Terapia Manualna Modelu Holistycznym 2:6

    Google Scholar 

  7. de Walden-Gałuszko K (1998) Psychologiczne następstwa leczenia chorych na nowotwory. Onkol Pol 3–4:149

    Google Scholar 

  8. Lowen A (2002) Duchowość ciała. Jacek Santorski and Co. Agencja Wydawnicza, Warszawa

  9. Seeman M (1966) W sprawie rehabilitacji chorych po usunięciu krtani. Otolaryg Pol 20:87

    CAS  Google Scholar 

  10. Butler D (2000) The sensitive nervous system. Noigroup Publications, Adelaide

    Google Scholar 

  11. Chaitow L (1999) Cranial manipulation theory and practice. Osseous and soft tissue approaches. Churchill Livingstone, Edinburgh

    Google Scholar 

  12. D’Ambrogio KJ, Roth GB (1997) Positional release therapy: assessment and treatment musculoskeletal dysfunction. A Harcourt Health Sciences Company, Mosby, St Louis

  13. Jones LH (1981) Strain and counterstrain. American Academy of Osteopathy, Newark

    Google Scholar 

  14. Liebenson C (1996) Rehabilitation of the spine. A practitioner’s manual. Williams and Wilkins, Philadelphia

  15. Lizak A (2002) Proprioreceptive neuromuscular facilitation–skrypt kursu podstawowego. Reha plus, Kraków

    Google Scholar 

  16. Manheim JC (2001) Myofascial release manual. 3rd ed., SLACK

  17. Vernon H (2001) The cranio-cervical syndrome. Mechanisms, assessment and treatment. Butterworth-Heinemann, Oxford

    Google Scholar 

  18. Donat-Jasiak T (1977) Rola przełyku w czasie wytwarzania głosu zastępczego u chorych po wycięciu krtani, Praca doktorska, Akademia Medyczna, Poznań

  19. Pruszewicz A, Donat-Jasiak T, Obrębowski A, Kubacki A (1979) Zmiany ciśnienia wewnątrzprzełykowego w chorych po laryngektomii w czasie wykształcania mowy zastępczej. Otolaryngol Pol 33:647

    CAS  PubMed  Google Scholar 

  20. Szprynger J, Sozańska G (2001) Neuromechanika i neuromobilizacje w fizjoterapii. Wydawnictwo Czelej, Lublin

  21. Altman KW, Atkinson C, Lazarus C (2005) Current and emerging concepts in muscle tension dysphonia: a 30-month review. J Voice 19:261. doi:10.1016/j.jvoice.2004.03.007

    Article  PubMed  Google Scholar 

  22. Angsuwarangsee T, Morrison M (2002) Extrinsic laryngeal muscular tension in patients with voice disorders. J Voice 16:333. doi:10.1016/S0892-1997(02)00105-4

  23. Kooijman PGC, de Jong FICRS, Oudes MJ, Huinck W, van Acht H, Graamans K (2005) Muscular tension and body posture in relation to voice handicap and voice quality in teachers with persistent voice complaints. Folia Phoniatr Logop 57:134. doi:10.1159/000084134

    Article  CAS  PubMed  Google Scholar 

  24. Rubin JS, Lieberman J, Harris TM (2000) Laryngeal manipulation. Otolaryngol Clin North Am 33:1017. doi:10.1016/S0030-6665(05)70261-9

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Authors and Affiliations

  1. Department of Athletics, University School of Physical Education, Poznan, Poland

    Sławomir Marszałek

  2. Department Head and Neck Oncology, Great Poland Cancer Center, Poznan University of Medical Sciences, Poznan, Poland

    Sławomir Marszałek & Wojciech Golusiński

  3. Department of Phoniatrics and Audiology, Poznan University of Medical Sciences, Poznan, Poland

    Anna Żebryk-Stopa, Jacek Kraśny & Andrzej Obrębowski

Authors
  1. Sławomir Marszałek
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  2. Anna Żebryk-Stopa
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  3. Jacek Kraśny
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  4. Andrzej Obrębowski
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  5. Wojciech Golusiński
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Correspondence to Sławomir Marszałek.

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Marszałek, S., Żebryk-Stopa, A., Kraśny, J. et al. Estimation of influence of myofascial release techniques on esophageal pressure in patients after total laryngectomy. Eur Arch Otorhinolaryngol 266, 1305–1308 (2009). https://doi.org/10.1007/s00405-008-0861-z

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  • DOI: https://doi.org/10.1007/s00405-008-0861-z

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