title: [The application of the manual physiotherapy treatment for patient with after trauma dysphonia].
abstract: As a result of laryngeal injures an abnormal phonation is frequently observed. It is the consequence of structural and functional changes of the laryngeal tissues directly and indirectly responsible for the voice emission. Physiotherapy enables the normalization of the tension and function of the anatomical structures changed after trauma.
  
  
  OBJECTIVE
  Presentation of the results of the physiotherapy and voice rehabilitation treatment established for patient with voice disorders, occurred after cranio-cerebral trauma.
  
  
  METHODS
  The 47 year old man two years after cranio-cerebral trauma was presented, which voice was hoarse, produced with a strong neck and shoulder girdle muscle tension. Phonation time was significantly shortened. During the manual examination the abnormal of mobility, range of movement and soft tissue tension in neck, head and upper trunk area has been observed. The systematic rehabilitation program was started 2 years after injury and it was continued for four months. The individual program contains physiotherapy, osteopathic and speech therapy treatment. The phoniatric examination was performed before and after rehabilitation
  
  
  RESULTS
  After four months of treatment and after self-therapy exercises the significant changes were observed. Patient's voice became no more strain, but stronger and socially effective.
  
  
  CONCLUSIONS
  The application of an individual therapy which contained osteopathic manual muscle-fascial techniques allows a subjective and objective improvement of voice in a examined patient. This procedure is an effective complement to logopedic and phoniatric therapy for patients after trauma of the larynx.
authors: Zakład Lekkiej Atletyki, Akademia Wychowania Fizycznego im. E. Piaseckiego w Poznaniu. marszaleksi@wp.pl
authors: Sławomir
authors: S
authors: Marszałek
authors: Anna
authors: A
authors: Zebryk-Stopa
authors: Waldemar
authors: W
authors: Wojnowski
authors: Bożena
authors: B
authors: Wiskirska-Woźnica
authors: Wojciech
authors: W
authors: Golusiński
mesh_terms: D006259:Craniocerebral Trauma / Q000150:complications; D055154:Dysphonia / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013070:Speech Therapy / Q000379:methods*; D016896:Treatment Outcome; D014827:Vocal Cords / Q000503:physiopathology*; D014833:Voice Quality; D014834:Voice Training