Impact of Manual Therapy on Laryngeal Function Following Total Thyroidectomy
ConditionTotal Thyroidectomy
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorJohns Hopkins University
About this trial
In this clinical trial, the investigators are seeking to learn if a course of voice therapy, including neck massage, stretches and pain science education in addition to voice exercise and scar massage will effectively treatment patient complaints of swallowing or voice changes after total thyroidectomy as compared to voice exercise and scar massage alone.
The main questions it aims to answer are:
Will neck massage, stretches and pain science education reduce patient complaints of swallowing changes after total thyroidectomy?
Will neck massage, stretches and pain science education reduce patient complaints of voice changes after total thyroidectomy?
Will neck massage, stretches and pain science education reduce patient complaints of scar tethering and quality changes after total thyroidectomy?
Will neck massage, stretches and pain science education improve quality of life after total thyroidectomy?
Participants will:
Participate in 4 visits with the participant's endocrine/laryngology surgeon. One prior and 3 after surgery for endoscopic evaluation and tests.
Participate in 5 Speech-Language Pathology Sessions for intervention exercises and tests. One prior and 4 after surgery.
Complete a journal of the participant's Home Exercise Practice
Eligibility criteria
Qualifiers
The study population consists of individuals with malignant or benign thyroid disease scheduled to undergo total thyroidectomy
native speakers of English
All patients will be greater than or equal to 18 years of age
Disqualifiers
Participants will be excluded if they have completed voice therapy prior
are current smokers
have organic vocal fold pathology or clear mucosal changes to the vocal folds that can affect vibration (e.g., vocal fold scar, polyp, or nodules),
pre-existing unilateral or bilateral vocal fold paralysis
Trial design
Treatments tested in this trial
- Anterior Neck Manual Therapy
- Pain Neuroscience Education
- Neck Stretches
- Scar massage
- Voice Exercises
- Placebo Anterior Neck Manual Therapy
- Placebo Pain Neuroscience Education
- Placebo Neck Stretches
Treatment groups
20 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov