Immediate Effects of Combining Kinesio Tape with Voice Therapy in Patients with Muscle Tension Dysphonia

Published:October 22, 2022DOI:



      The present study investigated the immediate effect of adding Kinesio taping along with voice therapy for the treatment of muscle tension dysphonia patients.

      Materials and Methods

      Twenty patients with primary muscle tension dysphonia (MTD) (12 males and 8 females) with a mean age of 36.95 ± 9.58 years participated in the study. Participants were assigned to two groups: one group (6 males and 4 females) received only traditional voice therapy (VT) and the other group (6 males and 4 females) received Kinesio taping (KT) and voice therapy (VT). The VT group received laryngeal manual therapy (LMT) (for 15 minutes) and voice therapy techniques including humming, chewing, and yawn-sigh (for 15 minutes). The VT + KT group received both KT and the same VT as the first group. KT was applied to the sternocleidomastoid, infralaryngeal, and supralaryngeal muscles of the neck. Auditory-perceptual assessments using CAPE-V, acoustic voice analysis, and assessments of vocal tract discomfort and pain were used to evaluate the effects of a single treatment session. The Wilcoxon and Mann-Whitney U tests were used for data analysis.


      The results of within-group comparison of the auditory-perceptual assessment (overall severity, roughness, breathiness, and strain) in both sustained vowels and connected speech tasks showed a significant reduction in all mentioned items in both groups (P < 0.05). Acoustic voice analysis showed significant improvement of HNR in the KT + VT group for both sustained vowels and connected speech tasks, and significant improvement of jitter in the VT group for sustained vowels (P < 0.05). Regarding vocal tract discomfort, the symptom of tightness in the KT + VT group, irritability and pain in the VT group, and the overall score of vocal tract discomfort in both groups, significantly decreased (P < 0.05). A significant decrease in pain severity in the front of the neck, throat, and larynx was reported by MTD patients in both groups (P < 0.05). Between-group comparisons indicated a significant difference only in the pain item of the VTD scale (P < 0.05) with greater pain decrease for the VT group. Comparison of the mean of differences showed that the VT group reduced irritability more than the KT + VT group (P < 0.05).


      The present study showed that voice therapy with and without Kinesio taping can improve patients' voice quality (auditory-perceptual and acoustic voice analysis) and reduce vocal tract discomfort and pain in MTD patients after one therapy session. Moreover, MTD patients treated with KT + VT did not experience more significant improvements compared to those treated with VT alone. More studies in this area are recommended to better determine the effects of KT in MTD patients especially for long term effects of KT.

      Key words

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        • Rubin JS
        • Lieberman J
        • Harris TM
        Laryngeal manipulation.
        Otolaryngol Clin North Am. 2000; 33: 1017-1034
        • Angsuwarangsee T
        • Morrison M
        Extrinsic laryngeal muscular tension in patients with voice disorders.
        J Voice. 2002; 16: 333-343
        • Van Houtte E
        • Van Lierde K
        • Claeys S
        Pathophysiology and treatment of muscle tension dysphonia: a review of the current knowledge.
        J Voice. 2011; 25: 202-207
        • Roy N
        Functional dysphonia.
        Curr Opin Otolaryngol Head Neck Surg. 2003; 11: 144-148
        • Roy N
        • Bless DM
        Personality traits and psychological factors in voice pathology: a foundation for future research.
        J Speech Lang Hear Res. 2000; 43: 737-748
        • Verdolini K
        • Rosen CA
        • Branski RC
        Classification manual for voice disorders-I.
        Lawrence Erlbaum Associates, Inc., Mahwah, NJ2006
        • Altman KW
        • Atkinson C
        • Lazarus C
        Current and emerging concepts in muscle tension dysphonia: a 30-month review.
        J Voice. 2005; 19: 261-267
        • Kunduk M
        • Fink DS
        • McWhorter AJ
        Primary muscle tension dysphonia.
        Curr Otorhinolaryngol Rep. 2016; 4: 175-182
        • Mathieson L
        • Hirani S
        • Epstein R
        • et al.
        Laryngeal manual therapy: a preliminary study to examine its treatment effects in the management of muscle tension dysphonia.
        J Voice. 2009; 23: 353-366
        • Roy N
        • Whitchurch M
        • Merrill RM
        • et al.
        Differential diagnosis of adductor spasmodic dysphonia and muscle tension dysphonia using phonatory break analysis.
        Laryngoscope. 2008; 118: 2245-2253
        • Schindler A
        • Mozzanica F
        • Vedrody M
        • et al.
        Correlation between the voice handicap index and voice measurements in four groups of patients with dysphonia.
        Otolaryngol Head Neck Sur. 2009; 141: 762-769
        • Mansuri B
        • Torabinezhad F
        • Jamshidi A-A
        • et al.
        Effects of voice therapy on vocal tract discomfort in muscle tension dysphonia.
        Iran J Otorhinolaryngol. 2019; 31: 297-304
        • Jafari N
        • Salehi A
        • Izadi F
        • et al.
        Vocal function exercises for muscle tension dysphonia: auditory-perceptual evaluation and self-assessment rating.
        J Voice. 2017; 31: 506.e25-506.e31
        • Aronson AE
        • Bless D
        Clinical Voice Disorders.
        Thieme Stratton, New York1990
        • Roy N
        • Leeper HA
        Effects of the manual laryngeal musculoskeletal tension reduction technique as a treatment for functional voice disorders: perceptual and acoustic measures.
        J Voice. 1993; 7: 2429
        • Laukkanen A-M
        • Leppänen K
        • Tyrmi J
        • et al.
        Immediate effects of ‘voice massage'treatment on the speaking voice of healthy subjects.
        Folia Phoniatr  Logop. 2005; 57: 163-172
        • Mezzedimi C
        • Livi W
        • Spinosi MC
        Kinesio taping in dysphonic patients.
        J Voice. 2017; 31: 589-593
        • Mezzedimi C
        • Spinosi M
        • Mannino V
        • et al.
        Kinesio taping application in dysphonic singers.
        J Voice. 2020; 34: 487.e11-487.e20
      1. K. Matoga. A M. oddzialywanie fizjologiczne kinesiotapingu. W kinesiotaping red. Warszawa: SBM s.p. z o.o; 2015.

        • Pelosin E
        • Avanzino L
        • Marchese R
        • et al.
        Kinesiotaping reduces pain and modulates sensory function in patients with focal dystonia: a randomized crossover pilot study.
        Neurorehabil Neural Repair. 2013; 27: 722-731
        • Mokhlesin M
        • Mirmohammadkhani M
        • Tohidast SA
        The effect of Kinesio taping on drooling in children with intellectual disability: a double-blind randomized controlled study.
        Int J Pediatr Otorhinolaryngo. 2022; 153111017
      2. Pinrattana S, Kanlayanaphotporn R, Pensri P. Immediate and short-term effects of kinesiotaping and lower extremity stretching on pain and disability in individuals with plantar fasciitis: a pilot randomized, controlled trial. Physiother Theory Pract. 2021:1–12.

        • Kase k HT
        • Okane T
        Kinesio Taping Perfect Manual.
        Kinesio Taping Associaton, Tokyo1998
        • Wilhelmsen K
        • Szkiełkowska A
        • Zając-Ratajczak I
        The influence of kinesiotaping on the loosening of the laryngeal muscles in hyperfunctional dysphones.
        Otolaryngol Pol. 2019; 73: 6-10
        • Dejonckere PH
        • Bradley P
        • Clemente P
        • et al.
        A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques.
        Eur Arch Otorhinolaryngol. 2001; 258: 77-82
        • Zraick RI
        • Kempster GB
        • Connor NP
        • et al.
        Establishing validity of the consensus auditory-perceptual evaluation of voice (CAPE-V).
        Am J Speech Lang Pathol. 2011; 20: 14-22
        • Torabi H
        • Khoddami SM
        • Ansari NN
        • et al.
        The vocal tract discomfort scale: validity and reliability of the persian version in the assessment of patients with muscle tension dysphonia.
        J Voice. 2016; 30: 711-716
        • Tohidast SA
        • Mansuri B
        • Dabirmoghadam P
        • et al.
        Development and preliminary validation of a pain scale specific to patients with voice disorders: the voice-related pain cale (VRPS).
        J Voice. 2020; (in press)
        • Meerschman I
        • D'haeseleer E
        • Catry T
        • et al.
        Effect of two isolated vocal facilitating techniques glottal fry and yawn-sigh on the phonation of female speech-language pathology students: a pilot study.
        J Commun Disord. 2017; 66: 40-50
        • Rodríguez-Parra MJ
        • Adrián JA
        • Casado JC
        Comparing voice-therapy and vocal-hygiene treatments in dysphonia using a limited multidimensional evaluation protocol.
        J Commun Disord. 2011; 44: 615-630
        • Ogawa M
        • Hosokawa K
        • Yoshida M
        • et al.
        Immediate effectiveness of humming on the supraglottic compression in subjects with muscle tension dysphonia.
        Folia Phoniatri Logop. 2013; 65: 123-128
        • MdCM Conde
        • Siqueira LTD
        • Vendramini JE
        • et al.
        Transcutaneous electrical nerve stimulation (TENS) and laryngeal manual therapy (LMT): immediate effects in women with dysphonia.
        J Voice. 2018; 32: 385.e17-385.e25
        • Das L
        • Majumdar A
        • Chatterjee I
        • et al.
        Determining the outcome of laryngeal manual therapy in female subjects with muscle tension dysphonia: an experimental study.
        International Journal of Phonosurgery & Laryngology. 2021; 11: 10-15
        • Reimann AP
        • Siqueira LTD
        • Rondon AV
        • et al.
        Immediate effect of laryngeal manual therapy in dysphonic individuals.
        CoDAS. 2016; 28: 59-65
        • Atar S
        • Atar Y
        • Sari H
        • et al.
        Efficacy of Kinesio taping on mutational falsetto: a double blind, randomized, sham-controlled trial.
        J Voice. 2021; (in press)
        • Fancello V
        • Natale E
        • Guerzoni A
        • et al.
        Laryngeal Taping as a supportive tool to relieve phonasthenia in singers: a preliminary report.
        J Voice. 2021; (in press)
        • Van Houtte E
        • Claeys S
        • Wuyts F
        • et al.
        The impact of voice disorders among teachers: vocal complaints, treatment-seeking behavior, knowledge of vocal care, and voice-related absenteeism.
        J Voice. 2011; 25: 570-575
        • Silverio KCA
        • Siqueira LTD
        • Lauris JRP
        • et al.
        editors. Muscleskeletal pain in dysphonic women.
        CoDAS. 2014; 26: 374-381