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Original Articles

Assessment and treatment of musculoskeletal tension in hyperfunctional voice disorders

Pages 195-209 | Published online: 03 Jul 2009

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (8)

Jane Bickford, Deborah Hersh & Mark Israel. (2022) “I won’t be able to speak for three days after”: Ethical and practical considerations in qualitative research involving people with a laryngectomy. International Journal of Speech-Language Pathology 0:0, pages 1-11.
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Seyed Abolfazl Tohidast, Banafshe Mansuri, Rasool Bagheri & Hadi Azimi. (2021) Determining pain in patients with voice disorders: a qualitative study. Logopedics Phoniatrics Vocology 46:4, pages 155-162.
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Ben Barsties v. Latoszek. (2020) Preliminary study of Novafon local vibration voice therapy for dysphonia treatment. Logopedics Phoniatrics Vocology 45:1, pages 1-9.
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Edwin M.-L. Yiu, Marco C.M. Lo & Elizabeth A. Barrett. (2017) A systematic review of resonant voice therapy. International Journal of Speech-Language Pathology 19:1, pages 17-29.
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Janet Baker, David Ben-Tovim, Andrew Butcher, Adrian Esterman & Kristin McLaughlin. (2013) Psychosocial risk factors which may differentiate between women with Functional Voice Disorder, Organic Voice Disorder and a Control group. International Journal of Speech-Language Pathology 15:6, pages 547-563.
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Ewa Niebudek-Bogusz, Ewelina Woźnicka, Justyna Wiktorowicz & Mariola Śliwińska-Kowalska. (2012) Applicability of the Polish Vocal Tract Discomfort (VTD) scale in the diagnostics of occupational dysphonia. Logopedics Phoniatrics Vocology 37:4, pages 151-157.
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Jennifer Oates & Alison Winkworth. (2008) Characterising hyperfunctional voice disorders: Etiology, assessment, treatment and prevention. International Journal of Speech-Language Pathology 10:4, pages 193-194.
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Jennifer Oates & Alison Winkworth. (2008) Current knowledge, controversies and future directions in hyperfunctional voice disorders. International Journal of Speech-Language Pathology 10:4, pages 267-277.
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Articles from other publishers (80)

Maryam Mokhlesin, Azin Kohansal, Neda Tahmasebi, Ali Dehqan, Seyed Abolfazl Tohidast & Banafshe Mansuri. (2023) The Effect of Adding Cricothyroid Visor Maneuver to Voice Facilitating Techniques on Improving Voice in Individuals With Primary Muscle Tension Dysphonia: A Pilot Randomized Clinical Trial. Journal of Voice.
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Steven Hogue, Xiaohu Guo, Robert A. Morrison, Sarah McDowell & Adrianna C. Shembel. (2023) Use of Motion Capture Technology to Study Extrinsic Laryngeal Muscle Tension and Hyperfunction. The Laryngoscope 133:12, pages 3472-3481.
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Seyed Abolfazl Tohidast, Banafshe Mansuri, Faezeh Farzadi, Payman Dabirmoghaddam, Mehran Choubineh, Maryam Mokhlesin & Ronald C. Scherer. (2023) Development and Psychometric Evaluation of the Laryngeal Palpation Pain Scale (LPPS). Journal of Voice.
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Adrianna C. Shembel, Jeon Lee, Joshua R. Sacher & Aaron M. Johnson. (2023) Characterization of Primary Muscle Tension Dysphonia Using Acoustic and Aerodynamic Voice Metrics. Journal of Voice 37:6, pages 897-906.
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Prakash Boominathan, Shenbagavalli Mahalingam, Ravikumar Arunachalam & Lakshmi Venkatesh. (2023) An eclectic Voice Therapy Program for the Treatment of Hyperfunctional Voice Disorders (HFVD). Journal of Voice 37:6, pages 969.e1-969.e21.
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Sevgi Atar, Yavuz Atar, Hüseyin Sari, Semih Karaketir, Ugur Uygan, Seyma Görcin Karaketir, Ziya Saltürk & Ömer Kuru. (2023) Efficacy of Kinesio taping on Mutational Falsetto: A Double Blind, Randomized, Sham-controlled Trial. Journal of Voice 37:6, pages 968.e1-968.e12.
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Mohamed A. Serry, Gabriel A. Alzamendi, Matías Zañartu & Sean D. Peterson. (2023) An Euler–Bernoulli-type beam model of the vocal folds for describing curved and incomplete glottal closure patterns. Journal of the Mechanical Behavior of Biomedical Materials 147, pages 106130.
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Bo Gyeom Kim, Seong Hee Choi, Kyungjae Lee & Chul-Hee Choi. (2023) Efficacy of Laryngeal Massage in Patients with Muscle Tension Dysphonia: Changes in Surface Electromyography (sEMG) Activity. Communication Sciences & Disorders 28:3, pages 658-668.
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Mohamed A. Serry, Gabriel A. Alzamendi, Matías Zañartu & Sean D. Peterson. (2023) Modeling the influence of the extrinsic musculature on phonation. Biomechanics and Modeling in Mechanobiology 22:4, pages 1365-1378.
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Robert Brinton Fujiki & Susan L. Thibeault. (2023) Examining Therapy Duration in Adults With Voice Disorders. American Journal of Speech-Language Pathology 32:4, pages 1665-1678.
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Qobad Shabani, Mohammad Jafar ShaterzadehYazdi, Majid Soltani, Amin Behdarvandan, Zahra Najarzadeh, Ehsan Naderifar, Maryam Dastoorpour, Negin Moradi & Parvaneh Rahimifar. (2023) The effects of transcutaneous electrical nerve stimulation on muscle activity pattern in professional voice users with muscle tension dysphonia using surface electromyography data: A pilot study. American Journal of Otolaryngology 44:4, pages 103911.
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Ben Barsties v. Latoszek, Christopher R. Watts & Svetlana Hetjens. (2023) The Efficacy of the Manual Circumlaryngeal Therapy for Muscle Tension Dysphonia: A Systematic Review and Meta‐analysis. The Laryngoscope.
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Seyyedeh Maryam Khoddami, Samira Aghadoost, Shohreh Jalaie & Peyman Dabirmoghaddam. (2023) The comparison between vocal facilitating techniques, manual circumlaryngeal therapy, and combined voice therapy in teachers with muscle tension dysphonia: a randomized clinical trial. European Archives of Oto-Rhino-Laryngology.
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Claire M. Thomas, David Rhodes, Melanie Mehta & Jill Alexander. (2023) Methods of Measuring Laryngeal Muscle Tension in Patients with Muscle Tension Dysphonia: A Scoping Review. Journal of Voice.
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Narges Moein, Ali Dehqan & Ronald C. Scherer. (2023) Chronic voice disorder after coronavirus disease 2019 infection and its treatment using the cricothyroid visor maneuver: a case report. Journal of Medical Case Reports 17:1.
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Ali Dehqan. (2023) Outcomes of Cricothyroid Visor Maneuver (CVM) for Treatment of Vocal Polyp: A Case Report. Journal of Voice 37:1, pages 144.e1-144.e7.
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Balaji Rangarathnam, Towino Paramby, Gary H. McCullough, Hylan Pickett, Özlem E. Tulunay-Ugur & Richard I. Zraick. (2023) A randomized controlled trial of the effects of flow phonation voice treatment for primary muscle tension dysphonia. Journal of Communication Disorders 101, pages 106290.
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Yeonggwang Park, Supraja Anand, Lisa M. Kopf, Rahul Shrivastav & David A. Eddins. (2022) Interactions Between Breathy and Rough Voice Qualities and Their Contributions to Overall Dysphonia Severity. Journal of Speech, Language, and Hearing Research 65:11, pages 4071-4084.
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Seyed Abolfazl Tohidast, Banafshe Mansuri, Payman Dabirmoghadam, Mehran Choubineh, Rasool Bagheri, Abbas Ebadi & Hadi Azimi. (2022) Development and Preliminary Validation of a Pain Scale Specific to Patients With Voice Disorders: The Voice-Related Pain Scale (VRPS). Journal of Voice 36:6, pages 876.e1-876.e7.
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Ji-Sung Kim. (2022) Correlation between Severity of Laryngeal Hypertension and Subjective Voice Evaluation. Communication Sciences & Disorders 27:3, pages 671-677.
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Brett R. Myers, Pamela Mathy & Nelson Roy. (2022) Behavioral Treatment Approaches to Lowering Pitch in the Female Voice. Journal of Voice.
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Nassim Ahmadi, Katherine Verdolini Abbott, Fatemeh Rajati, Seyyedeh Maryam Khoddami, Farhad Torabinezhad, Ismail Ebrahimi Takamjani & Behnoosh Vasaghi-Gharamaleki. (2022) Effects of Laryngeal Manual Therapy on Primary Muscle Tension Dysphonia (MTD-1): Implications for MTD-1 Type. Journal of Voice.
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Christopher Fuentes & Christopher Biermann. (2022) Diferencias en el comportamiento glótico y supraglótico y en la estructura de los pliegues vocales entre mujeres con odinofonía y asintomáticas. Revista de Investigación en Logopedia 12:2, pages e77880.
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Nassim Ahmadi, Narges Moein, Maryam Tarameshlu, Leila Ghelichi, Mohammad Kamali & Mohammad Sadegh Jenabi. (2022) The effect of breathing exercises combined with manual therapy on muscle tension dysphonia in traditional singers: a blinded randomized controlled trial. European Archives of Oto-Rhino-Laryngology 279:6, pages 2989-2996.
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Maude Desjardins, Christopher Apfelbach, Marianna Rubino & Katherine Verdolini Abbott. (2022) Integrative Review and Framework of Suggested Mechanisms in Primary Muscle Tension Dysphonia. Journal of Speech, Language, and Hearing Research 65:5, pages 1867-1893.
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Kimberly L. Dahl, Felicia A. François, Daniel P. Buckley & Cara E. Stepp. (2022) Voice and Speech Changes in Transmasculine Individuals Following Circumlaryngeal Massage and Laryngeal Reposturing. American Journal of Speech-Language Pathology 31:3, pages 1368-1382.
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Rene L. Utianski & Joseph R. Duffy. (2022) Understanding, Recognizing, and Managing Functional Speech Disorders: Current Thinking Illustrated With a Case Series. American Journal of Speech-Language Pathology 31:3, pages 1205-1220.
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Soren Y. Lowell, Raymond H. Colton, Richard T. Kelley, Madeline Auld & Hanna Schmitz. (2022) Isolated and Combined Respiratory Training for Muscle Tension Dysphonia: Preliminary Findings. Journal of Voice 36:3, pages 361-382.
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Shahouzaie Nasrin, Dehqan Ali, Jamali Jamshid, Ghaemi Hamed, Rasoulian Bashir & Ghaemi Hamide. (2022) The effects of Cricothyroid Visor Maneuver (CVM) therapy on the voice characteristics of patients with muscular tension dysphonia: A Case Series Study. Journal of Voice.
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Neda Azizi Ata, Seyyedeh Maryam Khoddami, Arash Babaei-Ghazani, Farzad Izadi & Saman Maroufizadeh. (2022) Strain Elastosonography Measurement in Patients with Primary Muscle Tension Dysphonia Compared with Healthy Speakers: A Pilot Study. Journal of Voice 36:2, pages 290.e7-290.e15.
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Ji-Sung Kim & Dong-Wook Lee. (2021) Usefulness of Vocal Fatigue Index for Hypertension of Extrinsic Laryngeal Muscles. Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 32:3, pages 124-129.
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Feifan Wang & Edwin ML Yiu. (2021) Is Surface Electromyography (sEMG) a Useful Tool in Identifying Muscle Tension Dysphonia? An Integrative Review of the Current Evidence. Journal of Voice.
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Janet Baker, Caroline Barnett, Lesley Cavalli, Maria Dietrich, Lorna Dixon, Joseph R Duffy, Annie Elias, Diane E Fraser, Jennifer L Freeburn, Catherine Gregory, Kirsty McKenzie, Nick Miller, Jo Patterson, Carole Roth, Nelson Roy, Jennifer Short, Rene Utianski, Miriam van Mersbergen, Anne Vertigan, Alan Carson, Jon Stone & Laura McWhirter. (2021) Management of functional communication, swallowing, cough and related disorders: consensus recommendations for speech and language therapy. Journal of Neurology, Neurosurgery & Psychiatry 92:10, pages 1112-1125.
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Christopher Fuentes Aracena, Claudia Calderón González, Camila Figueroa Álvarez, Laura Sánchez Romo & Carla Yáñez Saldaña. (2021) Diferencias en el umbral de presión de los tejidos perilaríngeos entre pacientes con odinofonía e individuos asintomáticos. Revista de Logopedia, Foniatría y Audiología 41:3, pages 124-132.
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Michael A. Belsky, Scott D. Rothenberger, Amanda I. Gillespie & Jackie L. Gartner-Schmidt. (2021) Do Phonatory Aerodynamic and Acoustic Measures in Connected Speech Differ Between Vocally Healthy Adults and Patients Diagnosed with Muscle Tension Dysphonia?. Journal of Voice 35:4, pages 663.e1-663.e7.
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Payman Dabirmoghaddam, Mahshid Aghajanzadeh, Reza Erfanian, Keyvan Aghazadeh, Saeed Sohrabpour, Mohamadreza Firouzifar, Saman Maroufizadeh & Maryam Nikravesh. (2021) Comparative Study of Increased Supraglottic Activity in Normal Individuals and those with Muscle Tension Dysphonia (MTD). Journal of Voice 35:4, pages 554-558.
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Defne Abur, Austeja Subaciute, Mara Kapsner-Smith, Roxanne K. Segina, Lauren F. Tracy, J. Pieter Noordzij & Cara E. Stepp. (2021) Impaired auditory discrimination and auditory-motor integration in hyperfunctional voice disorders. Scientific Reports 11:1.
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Victoria S. McKenna, Tulsi H. Patel, Courtney L. Kendall, Rebecca J. Howell & Renee L. Gustin. (2021) Voice Acoustics and Vocal Effort in Mask-Wearing Healthcare Professionals: A Comparison Pre- and Post-Workday. Journal of Voice.
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Jarrad H. Van Stan, Andrew J. Ortiz, Juan P. Cortes, Katherine L. Marks, Laura E. Toles, Daryush D. Mehta, James A. Burns, Tiffiny Hron, Tara Stadelman-Cohen, Carol Krusemark, Jason Muise, Annie B. Fox-Galalis, Charles Nudelman, Steven Zeitels & Robert E. Hillman. (2021) Differences in Daily Voice Use Measures Between Female Patients With Nonphonotraumatic Vocal Hyperfunction and Matched Controls. Journal of Speech, Language, and Hearing Research 64:5, pages 1457-1470.
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Yeonggwang Park, Feng Wang, Manuel Díaz-Cádiz, Jennifer M. Vojtech, Matti D. Groll & Cara E. Stepp. (2021) Vocal fold kinematics and relative fundamental frequency as a function of obstruent type and speaker age. The Journal of the Acoustical Society of America 149:4, pages 2189-2199.
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Ali Dehqan & Kirrie J. Ballard. (2021) An evaluation of Short-term Treatment Outcomes of Cricothyroid Visor Maneuver: A Proof-of-Concept Pilot Study. Journal of Voice 35:2, pages 330.e1-330.e7.
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Stevan JovanovićS.S., Slađana ArsićD.D., Biljana Stojanović-JovanovićN.N., Dragana KljajićM.M. & Marija TrajkovT.T.. (2021) Application of manual therapy in muscle tensional dysphonia. PONS - medicinski casopis 18:1, pages 20-28.
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Yeonggwang Park, Manuel Díaz Cádiz, Kathleen F. Nagle & Cara E. Stepp. (2020) Perceptual and Acoustic Assessment of Strain Using Synthetically Modified Voice Samples. Journal of Speech, Language, and Hearing Research 63:12, pages 3897-3908.
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Samira Aghadoost, Shohreh Jalaie, Ahmad Reza Khatoonabadi, Peyman Dabirmoghaddam & Seyyedeh Maryam Khoddami. (2020) A Study of Vocal Facilitating Techniques Compared to Manual Circumlaryngeal Therapy in Teachers With Muscle Tension Dysphonia. Journal of Voice 34:6, pages 963.e11-963.e21.
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Daniel P. Buckley, Kimberly L. Dahl, Gabriel J. Cler & Cara E. Stepp. (2020) Transmasculine Voice Modification: A Case Study. Journal of Voice 34:6, pages 903-910.
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Torsten Liem. (2020) Osteopathische Behandlung des Larynx. Osteopathische Medizin 21:3, pages 13-18.
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Brett Myers & Trevor Bell. (2020) Adapting Vocal Function Exercises for Voice Masculinization. Perspectives of the ASHA Special Interest Groups 5:4, pages 861-866.
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Krzysztof Piersiala, Lee M. Akst, Alexander T. Hillel & Simon R. Best. (2020) Chronic Pain Syndromes and Their Laryngeal Manifestations. JAMA Otolaryngology–Head & Neck Surgery 146:6, pages 543.
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Narges Jafari, Abolfazl Salehi, Iris Meerschman, Farzad Izadi, Abbas Ebadi, Saeed Talebian, Seyyedeh Maryam Khoddami, Payman Dabirmoghadam, Michael Drinnan, Karolien Jordens, Evelien D'haeseleer & Kristiane Van Lierde. (2020) A Novel Laryngeal Palpatory Scale (LPS) in Patients with Muscle Tension Dysphonia. Journal of Voice 34:3, pages 488.e9-488.e27.
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Victoria S. McKenna, Jennifer A. Hylkema, Monique C. Tardif & Cara E. Stepp. (2020) Voice Onset Time in Individuals With Hyperfunctional Voice Disorders: Evidence for Disordered Vocal Motor Control. Journal of Speech, Language, and Hearing Research 63:2, pages 405-420.
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Carly Jo Hosbach-Cannon, Soren Y. Lowell, Raymond H. Colton, Richard T. Kelley & Xue Bao. (2020) Assessment of Tongue Position and Laryngeal Height in Two Professional Voice Populations. Journal of Speech, Language, and Hearing Research 63:1, pages 109-124.
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Ziya Saltürk, Erdi Özdemir, Hüseyin Sari, Seda Keten, Tolgar Lütfi Kumral, Guler Berkiten, Belgin Tutar & Yavuz Uyar. (2019) Assessment of Resonant Voice Therapy in the Treatment of Vocal Fold Nodules. Journal of Voice 33:5, pages 810.e1-810.e4.
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Victoria S. McKenna, Manuel E. Diaz-Cadiz, Adrianna C. Shembel, Nicole M. Enos & Cara E. Stepp. (2019) The Relationship Between Physiological Mechanisms and the Self-Perception of Vocal Effort. Journal of Speech, Language, and Hearing Research 62:4, pages 815-834.
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Nelson Roy, Maria Dietrich, Michael Blomgren, Amanda Heller, Daniel R. Houtz & James Lee. (2019) Exploring the Neural Bases of Primary Muscle Tension Dysphonia: A Case Study Using Functional Magnetic Resonance Imaging. Journal of Voice 33:2, pages 183-194.
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Gabriela da Cunha Pereira, Isadora de Oliveira Lemos, Camila Dalbosco Gadenz & Mauriceia Cassol. (2018) Effects of Voice Therapy on Muscle Tension Dysphonia: A Systematic Literature Review. Journal of Voice 32:5, pages 546-552.
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Amin Rezaee Rad, Negin Moradi, Mohammad Jafar Shater Zadeh Yazdi, Majid Soltani, Mohammad Mehravar & Seyyed Mahmood Latifi. (2018) Efficacy of Manual Circumlaryngeal Therapy in Patients with Muscle Tension Dysphonia. Shiraz E-Medical Journal In Press:In Press.
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JP Dworkin-Valenti. (2018) Pathophysiologic Perspectives on Muscle Tension Dysphonia. Archives of Otolaryngology and Rhinology, pages 001-010.
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So Yean Kim & Sang Hyuk Lee. (2017) Differential Diagnosis between Neurogenic and Functional Dysphonia. Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 28:2, pages 71-78.
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Ji-Sung Kim, Dong-Wook Lee, Chul-Hee Choi & Seong Hee Choi. (2017) Effects of Laryngeal Massage and Semi-occluded Vocal Tract Exercises for Patients with Hyperfunctional Dysphonia. Communication Sciences & Disorders 22:4, pages 806-817.
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Mafalda Andrea, Óscar Dias, Mário Andrea & Maria Luísa Figueira. (2017) Functional Voice Disorders: The Importance of the Psychologist in Clinical Voice Assessment. Journal of Voice 31:4, pages 507.e13-507.e22.
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Cara E. Stepp, Rosemary A. Lester-Smith, Defne Abur, Ayoub Daliri, J. Pieter Noordzij & Ashling A. Lupiani. (2017) Evidence for Auditory-Motor Impairment in Individuals With Hyperfunctional Voice Disorders. Journal of Speech, Language, and Hearing Research 60:6, pages 1545-1550.
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Seyyedeh Maryam Khoddami, Saeed Talebian, Farzad Izadi & Noureddin Nakhostin Ansari. (2017) Validity and Reliability of Surface Electromyography in the Assessment of Primary Muscle Tension Dysphonia. Journal of Voice 31:3, pages 386.e9-386.e17.
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P. Carding, M. Bos-Clark, S. Fu, P. Gillivan-Murphy, S.M. Jones & C. Walton. (2017) Evaluating the efficacy of voice therapy for functional, organic and neurological voice disorders. Clinical Otolaryngology 42:2, pages 201-217.
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Nelson RoyElizabeth A. PetersonJenny L. PierceMarshall E. SmithDaniel R. Houtz. (2017) Manual laryngeal reposturing as a primary approach for mutational falsetto. The Laryngoscope 127:3, pages 645-650.
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Victoria S. McKenna, Elizabeth S. Heller Murray, Yu-An S. Lien & Cara E. Stepp. (2016) The Relationship Between Relative Fundamental Frequency and a Kinematic Estimate of Laryngeal Stiffness in Healthy Adults. Journal of Speech, Language, and Hearing Research 59:6, pages 1283-1294.
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Nelson Roy, Rebecca A. Fetrow, Ray M. Merrill & Christopher Dromey. (2016) Exploring the Clinical Utility of Relative Fundamental Frequency as an Objective Measure of Vocal Hyperfunction. Journal of Speech, Language, and Hearing Research 59:5, pages 1002-1017.
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Jackie Gartner-Schmidt, Shirley Gherson, Edie R. Hapner, Jennifer Muckala, Douglas Roth, Sarah Schneider & Amanda I. Gillespie. (2016) The Development of Conversation Training Therapy: A Concept Paper. Journal of Voice 30:5, pages 563-573.
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Balaji Rangarathnam, Gary H. McCullough, Hylan Pickett, Richard I. Zraick, Ozlem Tulunay-Ugur & Kimberly C. McCullough. (2015) Telepractice Versus In-Person Delivery of Voice Therapy for Primary Muscle Tension Dysphonia. American Journal of Speech-Language Pathology 24:3, pages 386-399.
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Seyyedeh Maryam Khoddami, Noureddin Nakhostin Ansari & Shohreh Jalaie. (2015) Review on Laryngeal Palpation Methods in Muscle Tension Dysphonia: Validity and Reliability Issues. Journal of Voice 29:4, pages 459-468.
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Leonardo Wanderley Lopes, Gyllyane Furtado Cabral & Anna Alice Figueiredo de Almeida. (2015) Vocal Tract Discomfort Symptoms in Patients With Different Voice Disorders. Journal of Voice 29:3, pages 317-323.
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VyVy N. Young, Jackie Gartner-Schmidt & Clark A. Rosen. (2015) Comparison of voice outcomes after trial and long-term vocal fold augmentation in vocal fold atrophy. The Laryngoscope 125:4, pages 934-940.
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Rebecca Hancock. (2014) Management of Functional Aphonia and Related Severe Muscle Tension Disorders: A Practical Approach with Historical Underpinnings. Perspectives on Voice and Voice Disorders 24:2, pages 55-63.
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Teresa Garcia-Real, Tomas M. Diaz-Roman, Victoria Garcia-Martinez & Pilar Vieiro-Iglesias. (2013) Clinical and Acoustic Vocal Profile in Children With Attention Deficit Hyperactivity Disorder. Journal of Voice 27:6, pages 787.e11-787.e18.
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Michael Z. Lerner, Boris Paskhover, Lynn Acton & Nwanmegha Young. (2013) Voice Disorders in Actors. Journal of Voice 27:6, pages 705-708.
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Cara E. Stepp, Devon E. Sawin & Tanya L. Eadie. (2012) The Relationship Between Perception of Vocal Effort and Relative Fundamental Frequency During Voicing Offset and Onset. Journal of Speech, Language, and Hearing Research 55:6, pages 1887-1896.
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Cara E. Stepp, Gabrielle R. Merchant, James T. Heaton & Robert E. Hillman. (2011) Effects of Voice Therapy on Relative Fundamental Frequency During Voicing Offset and Onset in Patients With Vocal Hyperfunction. Journal of Speech, Language, and Hearing Research 54:5, pages 1260-1266.
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Marianne Bos-Clark & Paul Carding. (2011) Effectiveness of voice therapy in functional dysphonia: where are we now?. Current Opinion in Otolaryngology & Head & Neck Surgery 19:3, pages 160-164.
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Lesley Mathieson. (2011) The evidence for laryngeal manual therapies in the treatment of muscle tension dysphonia. Current Opinion in Otolaryngology & Head & Neck Surgery 19:3, pages 171-176.
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Cara E. Stepp, Robert E. Hillman & James T. Heaton. (2010) A virtual trajectory model predicts differences in vocal fold kinematics in individuals with vocal hyperfunction. The Journal of the Acoustical Society of America 127:5, pages 3166-3176.
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Nelson Roy, Shawn L. Nissen, Christopher Dromey & Shimon Sapir. (2009) Articulatory changes in muscle tension dysphonia: Evidence of vowel space expansion following manual circumlaryngeal therapy. Journal of Communication Disorders 42:2, pages 124-135.
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