title: [An influence of myofascial release techniques on the esophagus pressure for patients after total laryngectomy].
abstract: The increase of patients after total laryngectomy myofascial neck and arms area tension might be observed. Via fascial continuity it has an adverse impact on superior oesophageal constrictor, forming the "mouth of oesophagus", which hinders learning oesophagus speech.
  
  
  OBJECTIVE
  The assessment of manual myofascial release techniques influence on the patients' oesophagus pressure after total laryngectomy.
  
  
  METHODS
  40 patients (12 F, 28 M), aged 43-75 (middle 56, 8 years), 9 months to 13 years (average 3 years) after total laryngectomy, 35 patients (87.5%) after neck lymph node's resection, 38 patients (95%) after radiotherapy.
  
  
  METHODS
  The oesophagus pressure was checked by modified Seeman's method. Manual myofascial release techniques were applied within head, neck, arms, upper trunk and upper limbs area. Wilcoxon and Shapiro-Wilk's test was used for the purpose of statistical analysis.
  
  
  RESULTS
  A statistical significant decrease of the mean of oesophagus pressure was observed after physiotherapy treatment. The average pressure among the examined group decreased from 37.9 to 26.6 mm Hg.
  
  
  CONCLUSIONS
  The application of myofascial manual techniques decreased an oesophagus pressure which allows patients to obtain faster oesophagus speech.
authors.affiliation: Zakład Lekkiej Atletyki Akademii Wychowania Fizycznego w Poznaniu.
authors.forename: Sławomir
authors.initials: S
authors.lastname: Marszałek
authors.forename: Anna
authors.initials: A
authors.lastname: Zebryk-Stopa
authors.forename: Jacek
authors.initials: J
authors.lastname: Kraśny
authors.forename: Andrzej
authors.initials: A
authors.lastname: Obrebowski
authors.forename: Wojciech
authors.initials: W
authors.lastname: Golusiński
mesh_terms: D000328:Adult; D000368:Aged; D004943:Esophagogastric Junction / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D010609:Pharyngeal Muscles / Q000503:physiopathology*; D011044:Poland; D011312:Pressure; D013070:Speech Therapy / Q000379:methods; D013072:Speech, Esophageal / Q000379:methods*; D016896:Treatment Outcome; D014833:Voice Quality; D014834:Voice Training