Osteopathic Laryngology
Course curriculum: 2022
The Application of Osteopathic Medicine in the management
of Muscle Tension Dysphonia, Dysphagia and Associated
Symptoms
Jacob Lieberman DO MA Reg Osteopath and
Psychotherapist
Specialist
Management Vocal Crisis
With added knowledge from research and clinical corporation with
Prof Markus Hess ENT Surgeon, Otolaryngologist
Phonosurgeon,
Specialist in office based procedures Stimmklinik Hamburg Germany
The
aim being the development of sensitive palpatory skills so that
examination and treatment becomes “tissue specific
”
to the level of the individual muscle or joint.
The
final aim: for participants to have a good knowledge and understanding of the
laryngeal mechanisms, and to be
able to physically examine and treat the larynx.
The course includes:
1.
Introduction Osteopathic part:
1.1 Muscle physiology and
the rationale behind Osteopathic manual therapy.
1.2 Osteopathic principles
what is causing the onset of symptoms
1.3 Osteopathic physical examination
of laryngeal muscles and joints and functional diagnosis
2.
Voice part:
2.1 The requirements of
professional voice production
2.2 The mechanics of voice
production why and what goes wrong
2.3 History taking
specific for muscle and joint dysfunction
2.4
Vocal folds examination what professional
singers need
2.5 Bed-side diagnosis things to listen to in the absence of
camera
3.
Examination breathing and laryngeal function
(standing / sitting):
3.1 The principle of
physical examination static and dynamic
3.2 Practicing specific
examination of laryngeal structures, breathing mechanics and posture
3.3 Arriving a functional diagnosis , the basis for
treatment
4.
Introduction to psychological aspects of voice
and swallowing complains using specific
markers taking
from the history taking, palpation and
looking for psychological markers
focus on:
4.1
Globus
4.2 Pubophonia
4.3 Hi pitch conversion
4.4 Voice over use
5.
Safety consideration when applying physical
therapy
5.1 Anatomy of safety
structures to be avoided
5.2 Considerations to alter techniques or avoiding
one
5.3
Good clinical practice
6.
Basic treatment techniques. Intensive closely
supervised hands-on practicing.
The
course combines theory, years of clinical experience in practice. It covers
detailed review
of the functional anatomy of the Larynx and breathing apparatus.
Special
history taking that helps to identify psychological underlying makers and referral
criteria
to Otolaryngologist,
Tricks
for differential diagnosis for the emotional vs mechanical vs inflammatory
complaints.
The
course demonstrates how “touch” therapy can be used for: examination,
diagnosis, treatment and an additional
tool to gather insights and understanding of the patient’s emotional
states of mind
The
course is based on frontal lectures and good deal of hands-on practice of
Laryngeal examination and
introduction
to basic treatment techniques.
,
Note
that once palpatory skills are at a satisfactory level, specific techniques
become much more efficient, tissue specific,
SAFE
and most important, can be tolerated by the patient.
3.
The venue provides a didactic: laptop, audio amplifying room big enough for
participants to move around for the practice part,
sitting and/or lying (on plinths or on yoga mats on the floor, for
breathing practice).
Lunch
and coffee for breaks is included.
4.
The subjects covered in
details:
4.1 Posture related voice problems,
4.2 TMJ complex,
4.3 Supra-Hyoid mechanism
4.4 Floor of mouth,
4.5 Base of tongue,
4.6 Middle constrictor,
4.7 The hyoid bone,
4.8 Inferior constrictors,
4.9 Thyro-hyoid mechanism,
4.10 Crico-thyroid muscles and joint,
4.11 Inferior straps
4.12 Breathing mechanism.
If
time is allowed, dependent on participants’ experience, basic procedures will
be practiced: pubophonia,
Globus,
diaphragmatic breathing.
The basic course is 2 days normally, (2 very
intensive days).
A
teaching day is two 3 hours sessions. 1hr lunch break and 2 coffee breaks
Size
of group is limited and open for: practitioners (Laryngologists, SLP, Osteopaths,
and Massage therapists’ Physiotherapists
None
practitioners who are interested in practical singing physiology like voice coaches,
and professional voice users singers,
will find this course useful for the diagnostic part and referral
criteria.
This
course provides a certificate and was qualified for CEU if the organization can
issue those