Introduction
The Vocal Physiotherapy Masterclass, taught by Annie Straunch & Catherine Etty-Leal provides a complete overview of Vocal Disorders. This Executive Summary provides clinically relevant, actionable information that may be useful to health professionals.
Part 1 - The Larynx & Voice Disorders
The larynx protects the airway and plays a key role in voice production, yet voice disorders are often overlooked and can affect many aspects of health. These conditions are common, long lasting and arise from varied causes. Physiotherapists and speech pathologists can work together to support patients through assessment and holistic care.
- Ask about swallowing or choking to help identify possible laryngeal involvement.
- Consider biomechanical and musculoskeletal contributors when assessing voice issues.
- Collaborate with speech pathologists and understand relevant medications to support holistic care.
Part 2 - Core Concepts in Voice Mechanics
The larynx is a complex structure influenced by anatomy, posture, and muscle synergy. Effective voice function relies on vocal fold integrity, dynamic posture, breath control, and endurance. Multidisciplinary care, including physiotherapy and speech pathology, ensures holistic management, addressing both musculoskeletal and functional factors. Understanding individual variability is key to optimising voice health.
- Assess the patient’s head, neck, and shoulder posture to identify factors affecting laryngeal mechanics.
- Evaluate muscle function and synergy around the larynx and shoulder girdle for stability and control.
- Use subjective cues to determine where the patient is within the maladaptive voice cycle and guide intervention.
Masterclass Preview
Enjoy this free preview of Annie & Catherine talking voice production & larynx anatomy.
Part 3 - Assessment & Landmark Orientation
The assessment of voice related issues blends a thorough history with a careful physical examination. Key considerations include symptoms, lifestyle factors, previous treatment and potential cervical involvement. Safety screening is essential, especially for patients with cancer history. Objective findings rely on observation, gentle palpation and movement assessment performed in functional positions.
- Screen for red, yellow and blue flags and confirm medical clearance when needed.
- Observe symmetry, posture and movement throughout the interview and exam.
- Approach palpation calmly and respectfully to avoid creating discomfort or intimidation.
Part 4 - Treatment
Treatment focuses on gentle soft tissue work and targeted mobilisation to support voice function without overloading sensitive structures. Key areas include the suprahyoids, scalenes and pectoral region, with careful technique to protect joints and maintain clinician longevity. Management also involves mobility work, including thoracic movement, to support overall function.
- Use soft tissue techniques along full muscle lengths with low allergen cream for comfort.
- Apply laryngeal and cervical mobilisations with care to avoid excessive joint stress.
- Prescribe mobility exercises, including thoracic movement, to support ongoing management.
