Section: 
Science articles
Science articlesMethods of nondrug therapy of functional voice disorders
Yu. E. Stepanova (1), T. V. Gotovyakhina (1), N. N. Makhotkina (1), (2)
(1) Saint Petersburg Institute of Ear, Throat, Nose and Speech, Saint Petersburg, 190013, Russian Federation, (2) Mechnikov North Western State Medical University, Saint Petersburg, 191015, Russian Federation
UDK: УДК 616.22-008.5-085:615.83
DOI: https://doi.org/10.18692/1810-4800-2024-2-59-65
ABSTRACT
The development of physical and rehabilitation medicine makes it possible to introduce nondrug methods of treatment more widely. Treatment of patients with hypofunctional dysphonia is aimed at improving the condition of the neuromuscular apparatus of the larynx. The number of such patients increased significantly during and after the Covid-19 pandemic. Neuromuscular electrophonopedic stimulation (NMEPS) is a modern method combining physiotherapeutic and voice therapy effects. Objectives. To study the effectiveness of various nondrug treatments methods for hypofunctional dysphonia. Materials and methods. 45 patients with hypofunctional dysphonia were examined. For the treatment of vocal function, 25 patients of the observation group used NMEPS of the larynx, and 20 patients of the comparison group used phonopedic correction. Each course consisted of 10 lessons. A point assessment of patient complaints, an analysis of videoendoscopic end videolaryngostroboscopic signs of hypofunctional dysphonia and the psychoemotional status of patients were performed. Results. Before treatment, there was no significant difference between the groups. After the course of treatment, the number of complaints from patients in the observation group decreased from 10.3±1.1 to 4.1±0.3 points, in the comparison group, from 10.5±0.8 to 6.8±0.4 points (p < 0.05). When analyzing the videoendoscopic picture in the observation group, a significant improvement in most indicators was noted. Normal indicators of the videoendostroboscopic picture were diagnosed in 88% of patients in the observation group and 65% of patients in the comparison group (p < 0.05). In both groups, an improvement in the psychoemotional status during treatment was revealed compared to the initial one. Conclusions. The data obtained confirm the effectiveness of the NMEРS in the treatment of patients with hypofunctional dysphonia.
Publication date:
17.04.2024
Keywords:
hypofunctional dysphonia, treatment, physiotherapy, neuromuscular electrophonopedic stimulation, videolaryngoscopy, videolaryngostroboscopy, psychoemotional status. For citation:
Stepanova Yu. E., Gotovyakhina T. V., Makhotkina N. N. Methods of nondrug therapy of functional voice disorders. Russian Otorhinolaryngology. 2024;23(2):59-65. https://doi.org/10.18692/1810-4800-2024-2-59-65