| Estimation of influence of myofascial release techniques on esophageal pressure in patients after total laryngectomy. | |
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MedLine Citation:
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PMID: 19023585 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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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Authors:
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Sławomir Marszałek; Anna Zebryk-Stopa; Jacek Kraśny; Andrzej Obrebowski; Wojciech Golusiński |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2008-11-21 |
Journal Detail:
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Title: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery Volume: 266 ISSN: 1434-4726 ISO Abbreviation: Eur Arch Otorhinolaryngol Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-07-02 Completed Date: 2009-10-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9002937 Medline TA: Eur Arch Otorhinolaryngol Country: Germany |
Other Details:
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Languages: eng Pagination: 1305-8 Citation Subset: IM |
Affiliation:
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Department of Athletics, University School of Physical Education, Poznan, Poland. marszaleksl@wp.pl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Esophagogastric Junction / physiopathology* Female Follow-Up Studies Humans Laryngeal Neoplasms / rehabilitation, surgery* Laryngectomy / rehabilitation* Male Manometry Middle Aged Pharyngeal Muscles / physiopathology* Pressure Speech Therapy / methods* Speech, Esophageal / methods Time Factors Treatment Outcome Voice Quality Voice Training |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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