Management of Functional Aphonia and Related Severe Muscle Tension Disorders: A Practical Approach with Historical Underpinnings Management of functional aphonia and severe muscle tension dysphonia requires a skilled and flexible treatment approach. Key components of management include accurate diagnosis, clinical probing, and targeting underlying physiological processes inherent in voice production. Diagnostic factors include laryngeal imaging, acoustic and aerodynamic testing (when appropriate), as well as perceptual and ... Article
Article  |   July 01, 2014
Management of Functional Aphonia and Related Severe Muscle Tension Disorders: A Practical Approach with Historical Underpinnings
Author Affiliations & Notes
  • Rebecca Hancock
    University of Kentucky, Lexington, KY
  • Disclosure: Financial: Rebecca Hancock has no financial interests to disclose.
    Disclosure: Financial: Rebecca Hancock has no financial interests to disclose.×
  • Nonfinancial: Rebecca Hancock has no nonfinancial interests to disclose.
    Nonfinancial: Rebecca Hancock has no nonfinancial interests to disclose.×
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Speech, Voice & Prosody / Articles
Article   |   July 01, 2014
Management of Functional Aphonia and Related Severe Muscle Tension Disorders: A Practical Approach with Historical Underpinnings
SIG 3 Perspectives on Voice and Voice Disorders, July 2014, Vol. 24, 55-63. doi:10.1044/vvd24.2.55
SIG 3 Perspectives on Voice and Voice Disorders, July 2014, Vol. 24, 55-63. doi:10.1044/vvd24.2.55

Management of functional aphonia and severe muscle tension dysphonia requires a skilled and flexible treatment approach. Key components of management include accurate diagnosis, clinical probing, and targeting underlying physiological processes inherent in voice production. Diagnostic factors include laryngeal imaging, acoustic and aerodynamic testing (when appropriate), as well as perceptual and therapeutic potential assessment. This article explores historical management techniques in the context of modern approaches, demonstrating management approaches that focus on balancing respiration and phonation while decreasing overlying inappropriate muscle tension. Patient-focused treatment approaches are critical, as is considering the impact on quality of life, generalization, and interdisciplinary care. Limited data exist detailing efficacy; however, a multivariate and dynamic approach is key for successful management of this population.

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