Circumlaryngeal Massaging (CMT) Flashcards

1
Q

What is Circumlaryngeal Massage Therapy?

A

Direct manual intervention for reducing excessive tension in laryngeal muscles (Mathieson, 2011)

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2
Q

What is the goal of CMT?

A

To restore the natural resting position of the larynx in the neck, reduce overall muscle tension and vocal hyperfunction (Milstein, 2011)

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3
Q

Who is CMT for?

A

Patients with muscle tension dysphonia

Patients with elevated laryngeal positioning
Reposturing of larynx
Transgender, puberphonia

Can allow for differential diagnosis of MTD versus SD

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4
Q

Is there one universal method of CMT?

A

No, they vary slightly in the literature. There is the laryngeal manual therapy and circumlaryngeal therapy.

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5
Q

How many main laryngeal re-posturing techniques are there?

A

three

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6
Q

What are the three main laryngeal re-posturing techniques?

A

Push-back maneuver—place a forefinger on thyroid cartilage and push back to change shape of glottis.

Pull-down maneuver—place thumb and forefinger in the thyrohyoid space and pull the larynx downward.

Medial compression and downward traction—place thumb and forefinger in the thyrohyoid space, and apply medial compression.

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7
Q

What should the patient due during the massage?

A

They should phonate on /a/ or /uh/ at an easy pitch to listen for quality change.

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