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Randomized Controlled Trial
. 2020 Dec;72(4):1143-1149.
doi: 10.1007/s13304-020-00844-0. Epub 2020 Jul 11.

Posture and dysphonia associations in patients undergoing total thyroidectomy: stabilometric analysis

Galletti Bruno  1 , Sciumè Melissa  1 , Catalano Natalia  1 , Gazia Francesco  1 , Freni Francesco  1 , Bruno Rocco  1 , Longo Patrizia  1 , Pino Antonella  2 , Caruso Ettore  3 , Daqi Zhang  4 , Dionigi Gianlorenzo  2 , Galletti Francesco  1
Affiliations
Randomized Controlled Trial

Posture and dysphonia associations in patients undergoing total thyroidectomy: stabilometric analysis

Galletti Bruno et al. Updates Surg. 2020 Dec.

Erratum in

Abstract

The aim of this study is the analysis of postural changes of patients affected by vocal disorders post-thyroidectomy, in the absence of post-operative organ damage, through a stabilometry analysis, evaluating the effectiveness of a speech-language intensive treatment in phoniatric and postural quality recovery. 260 patients with vocal dysfunction after surgery without iatrogenic damage were enrolled. 130 patients were subject to post-surgical logopedic rehabilitative training (Group A); other 130 patients were not subject to any post-surgical treatment (Group B). For all patients, vocal and stabilometric parameters were evaluated before and after 2 days and 1 month from surgery. Vocal parameters evaluated were Voice Handicap Index-10, Maximum Phonation Time and objective evaluation of voice with Multidimensional Voice Program (MDVP). Stabilometric parameters evaluated were Sway area (mm2) and Sway velocity (mm/s) in firm surface and foam pad with eyes opened and closed. Regarding the stabilometric parameters, Group A obtained a statistically significant recovery of the correct posture statistically significant compared to Group B, after a month of speech therapy. Vocal parameters (VHI, MPT, MDVP) were statistically different between the two groups (p < 0.05), with a better improvement in Group A. Thanks to our study, we have shown that a logopedic rehabilitation therapy in patients with dysfunctional post-thyroidectomy dysphonia improves both the vocal and postural outcomes.

Keywords: Balance; Dysphonia; Posturographic analysis; Stabilometric; Thyroidectomy; Vocal disorders.

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