ReviewJournal of speech, language, and hearing research : JSLHR2022
Integrative Review and Framework of Suggested Mechanisms in Primary Muscle Tension Dysphonia.
Review in Journal of speech, language, and hearing research : JSLHR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- Effects of Respiratory Lung Volume Training on Speech Breathing, Voice, and Vocal Function: A Randomized Controlled Trial.American journal of speech-language pathology · 2025Trial
- Voice over time: long-term effects of therapy in muscle tension dysphonia with a 24-month follow-up.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Massage Therapy for a Voice Student with Behavioral Dysphonia When Singing: A Case Report.International journal of therapeutic massage & bodywork · 2026Article
- Relationships Between Laryngoscopic Analysis Metrics of Supraglottic Compression and Vocal Effort in Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2025Article
- The Reliability and Validity of a New Laryngeal Palpation Tool for Static and Dynamic Examination.Journal of clinical medicine · 2025Article
- Simplified Vocal Efficiency Metrics Normalize Following Voice Therapy in Subgroups of Patients With Nonphonotraumatic Vocal Hyperfunction.American journal of speech-language pathology · 2025Article
- Relationships Between Aerodynamics and Voice Symptoms in Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2025Article
- Hyolaryngeal Kinematics in Primary Muscle Tension Dysphonia Determined by Ultrasound.Journal of voice : official journal of the Voice Foundation · 2024Article
- Comparing ambulatory voice measures during daily life with brief laboratory assessments in speakers with and without vocal hyperfunction.Interspeech · 2024Article
- Asymmetric triangular body-cover model of the vocal folds with bilateral intrinsic muscle activation.The Journal of the Acoustical Society of America · 2024Article
- Optical Flow Analysis of Paralaryngeal Muscle Movement.The Laryngoscope · 2024Article
- Asymmetric triangular body-cover model of the VFs with bilateral intrinsic muscle activation.bioRxiv : the preprint server for biology · 2024Article
- Extrinsic Laryngeal Muscle Tension in Primary Muscle Tension Dysphonia with Shear Wave Elastography.The Laryngoscope · 2023Article
- Quantification of False Vocal Fold Hyperfunction During Quiet Breathing in Muscle Tension Dysphonia.The Laryngoscope · 2023Article
- A mixed-method feasibility study of the use of the Complete Vocal Technique (CVT), a pedagogic method to improve the voice and vocal function in singers and actors, in the treatment of patients with muscle tension dysphonia: a study protocol.Pilot and feasibility studies · 2023Article
- Effects of Cognitive Stress on Voice Acoustics in Individuals With Hyperfunctional Voice Disorders.American journal of speech-language pathology · 2023Article
- Surface electromyographic (sEMG) activity of the suprahyoid and sternocleidomastoid muscles in pitch and loudness control.Frontiers in physiology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
purposeDespite the high prevalence of primary muscle tension dysphonia (MTD-1), its underlying mechanisms and their interrelationships have yet to be fully identified. The objectives of this integrative review were (a) to describe and classify the suggested underlying mechanisms for MTD-1, (b) to appraise the empirical evidence supporting each of the proposed mechanisms, and (c) to summarize the information in an integrative model.
methodPubMed, Scopus, and CINAHL were searched for all publications pertaining to muscle tension dysphonia. Papers were retained if they included theoretical or empirical data pertaining to underlying mechanisms of MTD-1. A total of 921 papers initially qualified for screening, of which 100 remained for consideration in this review. Underlying mechanisms of MTD-1 were extracted using a consensus approach.
resultsSeven broad categories of putative mechanisms involved in MTD-1 were identified: psychosocial, autonomic, sensorimotor, respiratory, postural, inflammatory, and neuromuscular. These categories were further divided into 19 subcategories detailed in the body of this review article. Based on the reviewed evidence, our proposed integrative model presents MTD-1 as an idiosyncratic motor adaptation to physiological perturbation or perceived threat. Under this model, physiologically or psychologically aversive stimuli can instigate a series of motor adaptations at multiple levels of the nervous system, ultimately disturbing muscle activation patterns and their biomechanical outcomes. Importantly, these adaptations appear to have the potential to become chronic even after threatening stimuli are withdrawn.
conclusionsThe proposed model highlights the importance of personalized rehabilitation in MTD-1 treatment. Limitations of the literature are discussed to provide guidance for future research aimed at improving our understanding of MTD-1. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.19586065.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.