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Assessment of the influence of osteopathic myofascial techniques on normalization of the vocal tract functions in patients with occupational dysphonia

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Marszałek S., Niebudek-Bogusz E., Woźnicka E., Malińska J., Golusiński W., Śliwińska-Kowalska M.

International Journal of Occupational Medicine and Environmental Health

2012

vol. 25

issue 3

225-235

Objectives: Occupational voice disorders are accompanied by increased tension of the external laryngeal muscle which changes the position of the larynx and consequently disturbs the conditions of functioning of the vocal tract. The aim of the study is to assess the use of osteopathic procedures in the diagnosis and treatment of occupational dysphonia. Material and Methods: Study subjects included 40 teachers with chronic diseases of the voice organ (38 women and 2 men) aged from 39 to 59 (mean age: 48.25). Before and after the voice therapy the osteopathic examination according to Libermann’s protocol was performed as well as phoniatric examination including laryngovideostroboscopy (LVSS), assessment of the maximum phonation time (MPT) and the Voice Handicap Index (VHI) score. The voice therapy, scheduled and supervised by a laryngologist-phoniatrician and conducted by a speech-language pathologist, was supplemented with osteopathic myofascial rehabilitation of the larynx. The chisquare McNemar test and non-parametric Wilcoxon matched pairs test were applied in the statistical assessment. Results: The applied interdisciplinary treatment including osteopathic and vocal therapy resulted in a statistically significant decrease in tenderness of muscles raising the larynx (cricothyroid ligament, sternocleidomastoid muscles, and pharyngeal constrictor muscles) and in lowering the tonus (geniohyoid muscles, pharyngeal constrictor muscles and sternocleidomastoid muscles). A significant improvement was also observed in the case of dysfunction of the cricothyroid joint examined during glissando and yawning, as well as in asymmetry of the thyrohyoid apparatus. Moreover, the therapy resulted in significantly better normalization of the head position and better control of the centre of gravity of the body. Statistically significant post-therapy improvement was observed in the phoniatric examination, including VHI scores, MPT results and parameters of videostroboscopic examination. Conclusions: The use of osteopathic therapy helps significantly improve the functions of the vocal tract in patients with occupational dysphonia.

Keeping going, why osteopaths of retiring age still practice – a qualitative study

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Hamilton F., Ponto M.

Progress in Health Sciences

2014

vol. 4

issue 1

165-171

Introduction: Osteopathy is a manual healthcare practice which has its roots in alternative and complementary medicine. The last thirty years have seen significant political, educational and professional developments in osteopathy in the UK. Against this changing landscape, perhaps it is not surprising that only 8% of the profession are over 60. However to take Antonovsky’s salutogenic approach , the question is not so much why most osteopaths retire, but why some do not. Purpose: To explore the perceptions and experiences of a group of osteopaths who remain in practice past state retirement age. Materials and methods: Semi-structured interviews were conducted with seven mature osteopaths. An interpretive phenomenological approach was used to analyse the data. A brief validated personality questionnaire was also completed to derive trait characteristics of the group. Results: Four themes emerged, with Finance and Health represented thus supporting existing literature. Career as a theme was strongly evident, with sub-themes of autonomy, generativity, helping others, success, relationships and regulation also apparent. The last theme Self, incorporated identity, interests, personal relationships and perceptions of work and retirement. Personality profiles were in line with those expected of contented employees and longevity, but at odds with the osteopathic profession as a whole. Conclusion: Making sense of ‘not retiring’ is completely coherent for mature osteopaths who enjoy career satisfaction, good health, and high self-esteem. Whilst, for the most part, they have financial and social ‘buffers’ to cope with retirement, it is their choice to remain in work, beyond the retirement age.

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1 International Journal of Occupational Medicine and Environmental Health

1 Progress in Health Sciences

1 2014

1 2012

1 Golusiński W.

1 Hamilton F.

1 Malińska J.

1 Marszałek S.

1 Niebudek-Bogusz E.

1 Ponto M.

1 Woźnicka E.

1 Śliwińska-Kowalska M.

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Assessment of the influence of osteopathic myofascial techniques on normalization of the vocal tract functions in patients with occupational dysphonia

Keeping going, why osteopaths of retiring age still practice – a qualitative study