May 04, 2017 · Vocal warm ups with voice pathologist Aaron Low - The Gracie Note - Duration: 9:34. The Gracie Note 42,454 views What does a functional voice disorder present with. ... Good therapy for person with MTD. ... Focal sights of tension during focal laryngeal massage are to evoke. The more negative the patient's index, the worse is his or her vocal quality. 11 Given the growing interest of laryngeal manual therapy in Europe as a component of voice therapy for patients with increased laryngeal muscle tension and MTD and the poverty of data (in a modified pretest–posttest design using a controlled comparison of ... Traditional approaches include techniques such as the yawn-sign, chewing, and progressive relaxation (Roy & Leeper, 1993). Another approach involves the direct manipulation of the laryngeal muscles through massage, known under the umbrella term of laryngeal manual therapies (LMTs) (Mathieson et al., 2009). Voice therapy is an evidence-based treatment for improving vocal quality and function. Voice therapy involves you and your voice therapist working together to form and implement a plan that will help you reach your vocal goals. This plan typically consists of changes in vocal behaviors and lifestyle ... Massage of tense, painful muscles has long been recognized as a method of relaxing them and reducing discomfort 17. The term Laryngeal Manual Therapy (LMT) has been employed throughout this study as it is an ‘umbrella’ term which can be used to refer to any therapeutic handling of the laryngeal and perilaryngeal structures by a clinician.