Mišićna tenzijska disfonija

master's thesis

• Title (english): Muscle tension dysphonia
• Author: Gabriela Pandža
• Mentor: Ana Bonetti (mentor)
• Committee member: Ana Bonetti (predsjednik povjerenstva)
• Committee member: Ana Leko Krhen (član povjerenstva)
• Committee member: Iva Hrastinski (član povjerenstva)
• Granter: University of Zagreb; Faculty of Education and Rehabilitation Sciences; Zagreb
• Defense date and country: 2020-09-15, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Speech Therapy

Abstract

Mišićna tenzijska disfonija je poremećaj glasa kojeg karakterizira prekomjerna mišićna napetost, nepravilne vibracije glasnica te alternativan, nepravilan način produkcije glasa. Kod mišićne tenzijske disfonije (MTD) prisutno je odstupanje u uravnoteženosti napetosti unutarnjih i vanjskih mišića grkljana. Povećana napetost vanjskih mišića uzrokovat će nepravilnu posturu grkljana, koja onda dovodi do povećane napetosti glasnica i unutranjih mišića grkljana. Te napetosti kod osoba s MTD-om simptomatološki se očituju kao teškoće s gutanjem, disanjem i fonacijom. Mišićna tenzijska disfonija često je pogrešno dijagnosticirana kod vokalnih profesionalaca i vokalnih neprofesionalaca. MTD promatramo unutar skupine funkcionalnih poremećaja glasa.. Istraživanja potvrđuju multifaktorsku etiologiju, nejasne simptome i problematiku vezano za dijagnosticiranje MTD-a, a radi boljeg razumijevanja sam MTD s etiološke strane klasificiramo na primarni i sekundarni oblik. Dijagnostiku obavlja multidisciplinarni tim stručnjaka koji se obično sastoje od logopeda, fonijatra i fizijatra.
Provedbom različitih instrumentalnih i neinstrumentalnih metoda donosi se konačna dijagnoza poremećaja te dijeljenjem mišljenja tima stručnjaka. Ne postoji specificirana terapija za MTD, već prilagodbom različitih metoda i individualnim pristupom svakom pacijentu dolazi do konkretnih rezultata. Postoje različiti oblici vokalnih terapija koje primjenjuju logopedi, međutim, fokus je na onima koji se fokusiraju na opuštanje mišića glave i vrata.
Ovaj diplomski rad bavit će se pregledom recentnih istraživanja mišićne tenzijske disfonije iz kojih će se posebno izdvojiti definiranje i terminologija mišićne tenzijske disfonije, simptomi koji su vezani uz poremećaj, problematika vezana uz nejasnu etiologiju i dijagnostiku poremećaja te tretmanski pristupi koji daju pozitivne ishode kod MTD-a.

Abstract (english)

Muscle tension dysphonia is a voice disorder characterized by excessive muscle tension, irregular vocal cord vibrations, and an alternative, improper way of voice production.
In muscule tension dysphonia (MTD), there is an imbalanced tension of the internal and external muscles of the larynx. Increased tension of the external muscles will get the wrong posture of the larynx, which then leads to an increase in the tension of the vocal cords and internal muscles of the larynx. These tensions are symptomatically evident as problems with swallowing, breathing, and phonation. Muscle tension dysphonia is often misdiagnosed in vocal professionals and vocal nonprofessionals. MTD is observed within groups of functional voice disorders. Research confirms multifactorial etiology, unclear symptoms and problems related to MTD diagnosis, and for better understanding etiologicaly MTD is classified into two types: primary and secondary MTD. Diagnosis is performed by a multidisciplinary team of experts who usually consist of a speech therapist, phoniatrician and physiatrist. Proven different instrumental and non-instrumental methods bring definitive diagnoses of the disorder and consultation of experts. There is no specific therapy for MTD, but there are different methods and individual approach to each patient who comes to concrete results.
There are different types of vocal therapies used by speech therapists, however, the focus is on relaxing the muscles of head and neck.
This thesis will review recent research on muscle tension dysphonia, definition and terminology of muscular tension dysphonia, symptoms associated with the disorder, issues related to unclear etiology and diagnosis of the disorder and the treatment approach that offers positive results in MTD.

• Keywords: poremećaji glasa; mišićna tenzijska disfonija
• Keywords (english): voice disorders; muscle tension dysphonia
• Language: croatian
• URN:NBN: urn:nbn:hr:158:776894
• Study programme: Title: Graduate study of Speech and Language Pathology; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra logopedije (magistar/magistra logopedije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2020-10-26 13:00:23