PURPOSE OF REVIEW To propose a pathway for expanding the understanding of potential mechanisms of action with laryngeal-based manual therapy (LMT) for muscle tension dysphonia (MTD). This review may help determine if current LMT literature has kept up with advances in the more general manual therapy (MT) findings. RECENT FINDINGS Studies over the past thirty years, including recently published articles, have confirmed the efficacy of various manual therapy interventions in treating MTD. However, gaps exist between current LMT literature and that being presented in the more general MT field. Instead of viewing peripheral manipulation's influences as a local cause/effect process, the MT literature paints a richer tapestry of centrally mediated impacts. SUMMARY Evidence from outside the LMT field has introduced a broad tapestry of factors that may contribute to the efficacy of MT, extending beyond the local effects reported in LMT literature. To better understand the effect and mechanism of action touch-based interventions have on a patient's voice and to potentially improve outcomes, it is necessary to broaden investigations to include a broader range of perspectives.

中文翻译：

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喉部手法治疗的作用机制：需要更新。


综述目的提出一种途径，以扩大对基于喉部的手法治疗（LMT）治疗肌张力性发声障碍（MTD）潜在作用机制的理解。这篇综述可能有助于确定当前的 LMT 文献是否跟上了更一般的手法治疗 (MT) 研究结果的进展。最近的发现 过去三十年的研究，包括最近发表的文章，已经证实了各种手法治疗干预措施在治疗 MTD 方面的功效。然而，当前的 LMT 文献与更一般的 MT 领域中的文献之间存在差距。机器翻译文献并没有将外围操纵的影响视为局部因果过程，而是描绘了一幅更丰富的中央调节影响的挂毯。摘要 来自 LMT 领域之外的证据介绍了可能有助于 MT 功效的广泛因素，超出了 LMT 文献中报告的局部影响。为了更好地了解基于触摸的干预措施对患者声音的影响和作用机制并潜在地改善结果，有必要扩大研究范围以涵盖更广泛的观点。