Course Description, Format, Methods of Instruction, and ...

Foundations in Manual Therapy: Balancing the Body Seminar (June 2021) 1

Course Description, Format, Methods of Instruction, and Marketing

The Foundations in Manual Therapy: Balancing the Body seminar introduces the Learner to a patient-centered manual therapy model. Intended to approach posture and body alignment from an evidence-based framework, we explore manual therapy's value in offering postural options to improve function regarding pain, voice, swallowing, breathing, movement, and performance. This course is a standalone, entry-level seminar that aligns and builds on the Foundations in Manual Therapy: Voice and Swallowing Disorders Seminar. Breaking from the traditional paternalistic models used in manual therapy, this class teaches one that relies on shared decision-making and will challenge you to think and act differently about evaluating and intervening.

Though taught from a slow, prolonged stretch-based model, resembling an MFR-style of work, this seminar will provide the Learner with access to an approach that can be broadly applied across manual therapies, exercise, and behavioral-based interventions. It also deepens content taught in the Voice and Swallowing Disorders Seminar by addressing aspects of head/neck/torso carriage and posture as they relate to breathing, swallowing, voice, movement, and pain. This 2-day seminar will sample the body from the neck through the torso and general engagements of the arms and legs. Also included will be area/symptom-specific techniques that Walt has used with success for decades.

The Foundations Approach is less about learning techniques but more about learning a deeper understanding of pain, therapeutic interaction, and ways we can utilize that alliance to introduce change. Older and other existing models of care will be discussed and compared with this newer model, but the clinician need not feel that they must abandon their current work to benefit from this seminar.

Foundations in Manual Therapy: Balancing the Body is designed for both beginner and advanced clinicians. Speech-language pathologists, registered dental hygienists, Orofacial Myofunctional Therapists, massage therapists, occupational therapists, physical therapists, voice professionals, and athletic trainers will find value in this seminar. Those who have taken other manual therapy (and myofascial release) seminars will find fresh approaches to evaluation and treatment. Advance your practice and your mind with plausible, enjoyable learning experiences.

This class is taught in a combination of lecture, demonstration, and lab practice, with an assurance of a thorough understanding of the content through one-on-one interaction and teaching. Walt Fritz, PT, personally teaches all the class lectures, demonstrations, and lab portions. If a class exceeds 14 participants, there will be an experienced lab assistant(s) to ensure adequate supervision.

This class is marketed/advertised via the website www.WaltFritz.com and on Facebook, Instagram, LinkedIn, and Twitter. There are no mailings done.

The Foundations in Manual Therapy: Balancing the Body Seminar is 14.0 contact hours/2.0-days, requires no prerequisites, and is/will be approved by ASHA CEUs (1.40) and NCBTMB (14.0 CEs). Many PT and OT CEU approvals will be in place, but please inquire early. Many individual state CEU approvals take 90+ days to gain approval.

Prerequisites: None

Successful completion of the class and awarding of continuing education credit requires completing 100% of the in-person class, successful demonstration of the techniques through observation and obtaining a passing grade of 75% or higher on the written quiz at the completion of the seminar.


Pricing: $450 if registered two months prior to the class date $500 if registered up to 3 weeks prior to the class date $550 if registered within the final three weeks Group Discounts: 10% off each registration if 2-3 register at the same time, 15% off each registration if four or more register at the same time. Prerequisites: None

Time-Ordered Agenda

Day One 8:30-9:00am (Registration) 9:00-10:30am Introduction and scientific underpinnings of manual therapy 10:30-10:45am (Break) 10:45-12:00 Evaluation demonstration and lab (Lower Neck and Upper Thorax) 12:00-1:00 Cervical-Occipital Lift 1:00-2:00pm (Lunch) 2:00-:315pm Shoulder Region 3:15-3:30pm (Break) 3:30-4:30pm Upper Body Engagement 4:30-5:30pm Thorax End Day One: 7.0 Contact Hours Day Two 9:00-10:30am Lower Thorax 10:30-10:45am (Break) 10:45-12:00 Lower Abdomen and Pelvis 12:00-1:00pm Focused Intervention 1:00-2:00om (Lunch) 2:00-3:00pm Pelvis 3:00-3:15pm (Break) 3:15-4:15pm Pelvis and Hip 4:15-5:00pm Posterior Pelvis and Hip 5:00-5:30pm Lower Body Engagement End Day Two: 7.0 Contact Hours Total Contact Hours =14.0

Please note: Timing may vary, depending on the class flow.

Foundations in Manual Therapy: Balancing the Body

Learning Objectives (ASHA) Learning Outcome (ASHA) After completing this seminar, the therapist will show the ability to understand and use manual therapy treatment in the context of posture and body alignment for the remediation of voice/swallowing and related disorders. Learning Objectives (ASHA) After successful completion of this workshop, the therapist will: 1. Be able to compare and contrast the traditional "tissue-based" explanatory model of change with

neurologically based models concerning manual therapy 2. Be able to describe the strengths and limitations of a postural/biomechanical evaluation and treatment-

based approach as they apply to voice and swallowing disorders.


3. Demonstrate the ability to apply an effective patient-directed method of manual therapy evaluation. 4. Describe and demonstrate the various treatment techniques and options in a postural and alignment-

based manual therapy session. 5. Describe options and apply effective treatment for the remediation of various voice/swallowing and

related disorders through postural and alignment-based intervention. Seminar Learning Objectives (NCBTMB) Learning Outcome (NCBTMB) After completing this seminar, the Learner will show the ability to understand and use manual therapy treatment to remediate pain, improve movement dysfunction conditions, including but not limited to swallowing, voice, and breathing, and address concerns related to posture and body carriage from patient-centered perspectives. Learning Objectives (NCBTMB) After successful completion of this workshop, the Learner will: 1. Be able to self-reflect on how past education and current beliefs (potentially) conflict with the

broader views of manual therapy impacts and effects. 2. Understand the strengths and limitations of the many traditional tissue-based and pathology-based

explanatory models. 3. Understand and explain various neurocentric explanations of manual therapy. 4. Understand how impacting posture and body carriage can influence balance, voice, swallowing,

breathing, and movement. 5. Appreciate the value of applying a filter of critical thinking to current and future practice. 6. Understand and name a few of the absolute and relative contraindications for manual therapy,

including the treatment of scar tissue. 7. Understand the strengths and limitations of a postural/biomechanical evaluation and treatment-

based approach. 8. Understand and apply an effective method of patient-centered evaluation. 9. Describe and demonstrate the various treatment options in a manual therapy session, including

cross-handed, single-handed, compression, gathering/lifting, and traction, as well as a range of other intervention styles.

10. Discuss options for and apply effective treatment to improve voice, swallowing, breathing, remediate pain, movement disorders, and potential autonomic dysfunction in the head and neck regions.

11. Discuss options for and apply effective treatment in the thoracic and shoulder regions. 12. Discuss options for and apply effective treatment in the lumbar and pelvic regions. 13. Be equipped to combine manual therapy with functional movement facilitation, as allowed by

individual scopes of practice. 14. Be able to critically assess, respect, and self-reflect on the concepts of professional boundaries and

scope of practice limitations in the manual therapy treatment setting. Participants will be observed and assessed during the hands-on lab portion of the class and monitored for participation and understanding during the lecture/demonstration portion of the course to determine whether the stated objectives have been successfully met. In addition, passing the post-workshop quiz (80% or greater score) is given to assure the Learner understands the content.


Foundations in Manual Therapy: Balancing the Body Seminar Quiz (ASHA)

Evaluation of skillset: Please circle the correct answer. A passing grade is 80% or higher (4 out of 5 questions answered correctly) 1. Hands-on manual therapy is useful because:

a. It targets specific muscles exhibiting high levels of muscle tension, reducing that tension locally.

b. It meets a patient's expectations, which itself can provide benefit. c. It creates the potential for neurological perception and brain-based changes to the periphery. d. Potentially, all the above.

2. As this model follows a diminished belief in singular tissue-based impacts, what should you tell a

patient about this approach? a. Changes may be partly due to a reduction in tissue-based problems. b. Changes may be partly due to changes processed through the central nervous system. c. Changes may be partly due to changes via their expectations being met. d. Potentially, all the above.

3. The correct level of pressure to use is:

a. The amount of pressure negotiated between the patient and therapist. b. What the therapist feels is most appropriate. c. Pressure as deep as the patient will tolerate. d. None of the above.

4. When working with your patient in a seated position, working in front of a mirror:

a. Decreases the chance of success, as having them lay on a table is superior. b. Allows you to be able to view your patient's non-verbal feedback. c. Allows your patient to see you, improving the chance of them feeling safe. d. Both b and c

5. Posture:

a. Is the position in space where all people should sit or stand. b. Is completely irrelevant. c. Is better viewed as being a range of possibilities. d. None of the above.

Foundations in Manual Therapy: Balancing the Body Seminar Quiz (NCBTMB)


a. It targets specific muscles exhibiting high levels of muscle tension, reducing that tension locally.

b. It reduces local trigger points in the soft tissues, allowing more freedom of movement for voice and swallowing.

c. It creates the potential for neurological perception and brain-based changes to the periphery.

d. Potentially, all the above.

2. As this model follows a diminished belief in singular tissue-based impacts, what should you tell a patient about this approach?

a. Changes may be partly due to a reduction in tissue-based problems. b. Changes may be partly due to changes processed through the central nervous system. c. Changes may be partly due to changes via their expectations being met.


d. Potentially, all the above.

3. Working over the top of your patient's hands: a. Should never be done. b. Should be used only when they are resistant to treatment. c. May be done to allow them an element of direct control over your pressure. d. Decreases the chance of treatment success.

4. Using a 0-10 scale allows you to:

a. Determine a safe level of pressure. b. Allows you to narrow in on whether your pressure is too aggressive. c. Allows your patient to fine-tune your pressure. d. All of the above.

5. A slow, sustained type of pressure/input:

a. Is more effective than all other types of pressure/input. b. Due to brain-based studies, it may increase patient response over shorter duration stretches. c. Should never be used with pain-related problems. d. None of the above.

6. Manual therapy may be performed:

a. Be performed over clothing. b. Directly on the skin. c. Over your patient's hands. d. All of the above.



8. Techniques should be followed:

a. Beginning as described in the syllabus. b. As you feel appropriate, based on patient feedback. c. As a guideline, the best technique may be a variation not shown in the syllabus. d. Potentially, all the above.

9. Posture:



a. Decreases the chance of success, as having them lay on a table is superior. b. Allows you to be able to view your patient's non-verbal feedback. c. Allows your patient to see you, improving the chance of them feeling safe. d. b and c

11. Protocols:

a. Must be followed precisely, or you are not working from an evidence-based model. b. Give you possible ideas on what sort of techniques to attempt. c. Do not belong in this work.

12. Lower thoracic/diaphragm region treatment is applied:

a. With one hand on each side of the lower ribs. b. With a single hand moving in a caudal direction. c. With a single hand on one side of the lower ribs.


d. Any of the above. 13. When treating the sternal region:

a. Pressure into the sternum should always be avoided. b. It might be useful to drag toward the feet from the sternal notch. c. You should always pull toward the head, not push toward the feet. d. All of the above.

14. When addressing issues that lie deep in the body:

a. More aggressive pressures will address these deeper structures. b. It is best to pre-book multiple sessions to ensure adequate time to reach these issues. c. May respond similarly as with any other issue, superficial or deep. d. None of the above.

15. Self-treatment:

a. Is best taught immediately after you make a positive connection to your patient's issues. b. Is a mandatory aspect of all successful interventions. c. Should be avoided out of fear of self-harm. d. Should be performed at a level of pressure that the clinician feels correct.

Foundations in Manual Therapy: Balancing the Body Seminar Quiz (ASHA)


e. It targets specific muscles exhibiting high levels of muscle tension, reducing that tension locally.

f. It meets a patient's expectations, which itself can provide benefit. g. It creates the potential for neurological perception and brain-based changes to the periphery. h. Potentially, all the above.

7. As this model follows a diminished belief in singular tissue-based impacts, what should you tell a

patient about this approach? a. Changes may be partly due to a reduction in tissue-based problems. b. Changes may be partly due to changes processed through the central nervous system. c. Changes may be partly due to changes via their expectations being met. d. Potentially, all the above.




a. Decreases the chance of success, as having them lay on a table is superior. b. Allows you to be able to view your patient's non-verbal feedback. c. Allows your patient to see you, improving the chance of them feeling safe. d. Both b and c

10. Posture:



WALT FRITZ, PT

Phone: (585-244-6180) [email protected]

Foundations in Manual Therapy Seminars DBA: Pain Relief Center

PO Box 548 7303 East Main St.

Lima, NY 14485

Education

BS University at Buffalo 1985 Physical Therapy (NYS License # 008719, expires 11/22) BA University at Buffalo 1984 Community Mental Health Currently enrolled in an MA in Professional Practice, University of Wales, Trinity St. David.

Professional Training

Walt has trained under the leading manual therapy, myofascial release, and dermoneuromodulation instructors since 1992, with additional manual therapy and related continuing education classes 1985-present. He has continued his education by deconstructing traditional tissue-based models of manual therapy and building a more neurological-based, patient-centered narrative model. Walt is considered a course-content expert in the field of manual therapy continuing education.

Magazine and Trade Publications 1. "Finding my voice: A patient-centered perspective." published in Massage &

Fitness Magazine, Summer 2019 (Vol. 18) 2. "Myofascial release/massage with the vocal athlete." published in Massage New

Zealand Magazine, Issue 1, 2019. 3. "Deconstruction of beliefs: A first-person account." published in the Fall 2018

edition of the Massage New Zealand magazine. 4. "The Vocal Athlete." published in the April 2019 edition of the Massage New Zealand

magazine. 5. "Myofascial release in the speech-language pathologist patient population."

self-published on the website/blog, www.WaltFritz.com. 6. "Rabbit holes: Recognizing the rabbit holes of bias," published in the Spring 2018

magazine, Canadian RMT Magazine. http://tinyurl.com/y7ogm7xn 7. "Swallow Your Pride" podcast: Featuring Walt Fritz, PT.

http://tinyurl.com/ycl79nrwhttps://www.mobiledysphagiadiagnostics.com/swallow-your-pride-episode-22/

8. Many more podcasts at www.WaltFritz.com. 9. "Using a Model of Myofascial Release with Spasmodic and Muscle Tension

Dysphonia," published in the newsletter of the National Spasmodic Dysphonia Association. http://tinyurl.com/y9qlxvzu

10. -"Fitting myofascial release into an evidence-based culture," Multibriefs: http://tinyurl.com/ycjqv3jh

11. -"Say Nothing" "all 2016 edition of Massage & Fitness magazine. 12. -"Let Your Stories Mature and Grow." Spring 2016 edition of Massage & Fitness

magazine. 13. -"Borborygmus." Terra Rosa e-magazine. No 12 (June 2013). 14. -"Pelvic Organ Prolapse." Terra Rosa e-magazine, No. 10 (June 2012). 15. -"Hip Flexor & Quadriceps-Myofascial Stretching." Terra Rosa e-magazine, No. 6,

(Dec. 2010). 16. -"Under your skin: a deep-tissue form of bodywork, myofascial release digs

down to provide pain relief that lasts, ""Marissa Lowenstein. Article in Natural


Health magazine highlighting myofascial release from Walt Fritz's approach. September 2006.

Presentations

Walt Fritz, PT - "Manual therapy for voice disorders: Appreciating the complexities of a seemingly simple model", presented at the 2021 Voice Foundations Symposium. - "Manual therapy in laryngeal injury and vocal rehabilitation", presented at the 2021 British Voice Association Voice Clinics Forum. - "Myofascial Release/Manual Therapy for Voice Disorders: A Patient-Directed Model." workshop presented at the 2019 Voice Foundations Symposium. -"Body Awareness and Voice: An Introduction to Myofascial Release for Vocal Dysfunction." workshop presented at the 2017 Voice Foundations Symposium. - Keynote address: "Research and Science Can Change Your Approach to Assessment and Treatment and Assist your Evolution as a Health Care Professional," "resented at the Registered Massage Therapists Association of British Columbia's Annual Therapy Conference, April 2016. - "Focus on Myofascial Release for Head and Neck Disorders for Speech Pathologists: Voice, Speech, and Swallowing." presented at the 18th Annual Head and Neck Conference: Focus on Rehabilitation at the Greater Baltimore Medical Center. Lecture and hands-on presentations. Oct. 2015 - "Myofascial Release: The Neck and Lower Back." presented to the Natural Health Practitioners of Canada, Sept. 2015.

Continuing Educations Presentations Foundations in Manual Therapy: Voice and Swallowing Disorders (Formerly Foundations in Myofascial Release Seminar for Neck, Voice, and Swallowing Disorders)

- Presented from 2013 to the present in the USA, Australia, Canada, Hong Kong, New Zealand, and Taiwan.

Foundations in Manual Therapy (Formerly Foundations in Myofascial Release Seminars): The Upper Body and Lower Body Classes

- Presented from 2006 to the present in the USA, Australia, Canada, Jamaica, Qatar, and the United Kingdom.

Professional Experience

Owner/Primary Lecturer – Foundations in Manual Therapy, 2006-present. (Formerly Foundations in Myofascial Release Seminars) Owner/Physical Therapist – Pain Relief Center, Lima, NY (2003-present)

Professional Affiliations Member: Voice Foundations (VF) Pan American Voice Association (PAVA), British Voice Association (BVA) Guest Reviewer, Journal of Voice

References Jan Potter Reed, SLP/Voice Specialist [email protected] Barbara M. Wilson Arboleda, MS CCC-SLP [email protected] Stephanie Siegrist, MD [email protected]


Walt Fritz, PT, has been a physical therapist since 1985 and has been using manual therapy (in a myofascial release-style of engagement) since 1992. After training and working with some of the well-known pioneers of the myofascial release (MFR) field, he began to move the traditional myofascial release narrative from its historical roots into a more biologically plausible explanation. The replacement of the term "myofascial release" with "manual therapy" in the course title represents a more accurate description of the work as presented. Walt has taught manual therapy workshops to PTs, OTs, and MTs since 2006 and in 2013 expanded his reach into the unique patient population of the speech-language pathologists and other voice professionals. Rather than trying to narrow this work to a sequence of suggested techniques for specific disorders, Walt teaches a more patient-directed approach wherein educated touch, pressures, and stretch attempts to connect the patient with relevant and familiar aspects of their condition and then allows this sustained engagement to enable change to occur. His approach to manual care is often seen as different in many other lines of training in that rather than teaching the perception of specificity of tissue impact, Walt speaks to the cascade of plausible factors eliciting change via manual therapy. He also de-emphasizes the ego of the clinician in favor of the elevation of patient-driven perspectives. This shift is in keeping with the current view of the equal weighting of the triad contained in the evidence-based model of practice (evidence, clinician experience, and patient perspectives and preferences). Touch and manual therapy have universal qualities that are explainable in a wide variety of perspectives, and these explanations form the core of the Foundations Approach. Walt sees patients at his physical therapy practice in Upstate, NY.


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Registration Details and Cancellation Policy

Enrollment at all seminars is limited. The registration fee includes the electronic course syllabus, which is distributed by email approximately two weeks prior to the class date, along with seminar instructions, directions to the venue, parking, etc. No meals, lodging, transportation, or parking are included in the registration fee are included. You have the option to download the syllabus to an electronic reader, laptop, iPad, etc., or print it out for use in the seminar. You will not be provided a hard copy at the time of the class unless you notify us in advance of the class.


An email confirmation will be sent to you after payment is received to our office. You may cancel your registration up to 14 days before the seminar with a $50 processing fee. If you need to cancel less than 14 days prior to the seminar, you may transfer your registration to another seminar of your choice. Otherwise, you will forfeit the full registration fee. Refunds will be processed within 30 days of the refund request and will be made through the payment source from which your payment was originally made. Refunds for payments made through PayPal will also be reduced by the actual PayPal Merchant Fees charged to merchants. This fee is not refunded to me by PayPal and is typically 3% of the purchase price. The actual PayPal transaction form, which shows your purchase and the fees paid by me, will be sent to you prior to processing the refund to allow you to view the aforementioned fee. We reserve the right to cancel any seminar based upon minimum class enrollment requirements, in which case the tuition fee will be returned in full. Foundations in Manual Therapy Seminars is not responsible for any guaranteed/prepaid airline/hotel reservation. Prior to booking your travel, you are advised to email or call to ensure the class is confirmed. Any grievances or concerns regarding the seminar should be made to Foundations in Manual Therapy Seminars, PO Box 548 Lima, NY 14485 585-244-6180 (fax: 1-866-413-9019) We strive to make your learning experience the best and will do our best to make you happy.

Foundations in Manual Therapy Seminar References The references listed below form the underlying narrative used in this seminar and other Foundations seminars.

Abdelaal Ashraf, A. A. (2015). Effect of diaphragmatic and costal manipulation on pulmonary function and

functional capacity in chronic obstructive pulmonary disease patients: Randomized control study. International Journal of Medical Research & Health Sciences.

Abhishek, A. a. (2016). Placebo, nocebo, and contextual effects. In M. H. Doherty, Oxford Textbook of Osteoarthritis and Crystal Arthropathy (3 ed.). Oxford University Press.

Abrahamsson, S. (2017). Neuroplasticity induced by exercise. The University of Skovde. Abrosimoff, M., & Rajendran, D. (2019). 'Tell me your story'' How osteopaths apply the BPS model when

managing low back pain - A qualitative study. International Journal of Osteopathic Medicine, 35, 13-21.

Adleberg, J. O. (2020). Detection of Muscle Tension Dysphonia Using Eulerian Video Magnification: A Pilot Study. Journal of Voice: Official Journal of the Voice Foundation, 34(4), 622-628.

Ajimsha, M. A.-M.-M. (2015, January). Effectiveness of myofascial release: Systematic review of randomized controlled trials. Journal of Bodywork and Movement Therapies, 19(1), 102-112.

Alghadir AH, Z. H.-E. (2017). Effect of posture on swallowing. Afri Health Sci, 133-137. Anderson, H. (2001). Postmodern collaborative and person-centred therapies: what would Carl Rogers say?

Journal of family therapy, 23(4), 339-360. Anjum, R. (2016). Evidence Based or Person Centered? An Ontological Debate. European Journal for

Person Centered Healthcare, 4(2), 421-429. Anjum, R. L. (2020). Dispositions and the Unique Patient. In R. Anjum, S. Copeland, & E. Rocca,

Rethinking Causality, Complexity, and the Unique Patient. Springer Open. Anjum, R. L. (2020, December 10). The CauseHealth Series: Chapter 1 - Why is Philosophy Relevant for

Clinical Practice? Words Matter Podcast. (O. Thomson, Interviewer) Anjum, R. L. (2020, December 10). The CauseHealth Series: Chapter 2. Words Matter Podcast. (O.

Thomson, Interviewer) Anjum, R. L., & King, S., Fritz, W.M. (2020, November 30). The Complex Patient. Retrieved from Walt

Fritz Seminars: https://waltfritzseminars.com/2021/01/19/complexity-simplified/ Anjum, R., Copeland, S., & Rocca, E. (Eds.). (2020). Rethinking Causality, Complexity, and the Unique

Patient. Springer Open. Aronson, A. (1990). Clinical Voice Disorders: An Interdisciplinary Approach. Thieme. Asher, B. (2013). Complementary and Integrative Treatments The Voice. Otolaryngol Clin N Am, 437-445. Ashok A, S. M. (2019). Comparison of myofascial release, muscle energy technique, and cervical manual

therapy in postural neck pain. Asian Journal of Orthopedic Research, 2(2), 1-6. Ateras, B. v. (2017). Integration of a neurodynamic approach into the treatment of dysarthria for patients

with idiopathic PaParkinson'sisease: A pilot study. Journal of Bodywork & Movement Therapies.


Avemarie, L. (2019, December 22). 7 therapist and lack of a patient-centered approach. Retrieved from LarsAvemarie.com: http://www.larsavemarie.com/7-therapist-and-a-lack-of-a-patient-centered-approach/

Bainbridge, L. A. (2006). Informed Shared Decision-Making: A Model for Physical Therapy Education and Practice? Physiotherapy Canada, 74-81.

Baisakhiya, N. e. (2017). Study the effect of osteopathic manipulation treatment in globus pharyngeus patients. Int J Otorhinolaryngol Head Neck Surg, 957-961.

Barnes, M. (1997, July). The basic science of myofascial release. Journal of Bodywork and Movement Sciences, 1(4), 231-238.

Bartoskova, M. (2021). The Role of the Psoas Major Muscle in Speaking and Singing. Voice and Speech Review.

Bedell SE, G. T. (2004, July 12). Words That Harm, Words That Heal. Arch Intern Med, 164, 1365-1368. Behlau, M. (2018, Sep). The 2016 G. Paul Moore Lecture: Lessons in Voice Rehabilitation: Journal of

Voice and Clinical Practice. Journal of Voice, 33(5), 669-681. Bekah Nice Wilson, S. (n.d.). Anatomy matters. Retrieved from Nice Speech Lady:

https://nicespeechlady.com/anatomy-matters-but-which-anatomy-blog-post/ Bialosky JE, B. M. (2011, Feb). Placebo response to manual therapy: something out of nothing? J Man

Manip Ther, 19(1), 11-19. Bialosky, J. B. (2009, October). The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal

Pain: A Comprehensive Model. Manual Therapy, 14(5), 531-538. Bialosky, J. B. (2010). Individual Expectation: An overlooked, but Pertinent, Factor in the Treatment of

Individuals Experiencing Musculoskeletal Pain. Physical Therapy, 1345-1355. Bialosky, J. E. (2018). Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. The

Journal of orthopaedic and sports physical therapy, 48(1), 8-18. Bishop, M. B. (2020). Riding a Tiger: Maximizing Effects of Manual Therapies for Pelvic Pain. Journal of

WoWomaen'sealth Physical Therapy, 32-38. Bizzarri, P. F. (2019). Manual Therapy: Art or Science? In Physical Therapy Effectiveness. Boachie-Adjei, O. M. (n.d.). Scoliosis In Adults: Symptoms, Diagnosis and Treatments. Retrieved from

HSS: https://www.hss.edu/conditions_scoliosis-adults.asp Boldoman, D. V. (2018). Physical Therapy Challenges in Head and Neck Cancer. In E. A. Maghami,

Multidisciplinary Care of the Head and Neck Cancer Patient. Boldoman, D. V. (2018). Physical Therapy Challenges in Head and Neck Cancer. In E. A. Maghami,

Multidisciplinary Care of the Head and Neck Cancer Patient, Cancer Treatment and Research (pp. 209-224).

Bordoni B, M. B. (2018, Dec 5). The Anatomical Relationships of the Tongue with the Body System. Cureus, 10(12).

Bordoni, B. M. (2016). Manual evaluation of the diaphragm muscle. International Journal of chronic obstructive pulmonary disease, 1949-1956.

Bordoni, B. M. (2016). The tongue after whiplash: case report and osteopathic treatment. International Medical Case Reports Journal, 179-182.

Bordoni, B. Z. (2013). Anatomic connections of the diaphragm:. Journal of Multidisciplinary Healthcare, 281-291.

Borrell-Carrió F, S. A. (2004). The Biopsychosocial Model 25 Years Later: Principles, Practice, and Scientific Inquiry (Vol. 2). Annals of Family Medicine.

Bove, G. C. (2017, Jun 2). Attenuation of postoperative adhesions using a modeled manual therapy. PLoS One, 12(6).

Braga, D. e. (2016). Manual therapy in diaphragm muscle: effect on respiratory muscle strength and chest mobility. Man Ther, Posture, & Rehab, 14..

Bunnel, W. (n.d.). Outcome of spinal screening. Retrieved from National scoliosis foundation: https://www.scoliosis.org/resources/medicalupdates/screeningoutcome.php

Bunnell, W. P. (1993). Outcome of Spinal Screening. Spine, 18(12), 1572-1580. Butler, D. (1989). Adverse mechanical tension in the nervous system: a model for assessment and

treatment. Australian Journal of Physiotherapy, 227-259. Butler, D. S. (2000). The Sensitive Nervous System. Adelaide, Australia: Noigroup Publicaitons. Calixtre, L. B.-S. (2015). Manual therapy for the management of pain and limited range of motion in

subjects with signs and symptoms of temporomandibular disorder: a systematic review of randomised controlled trials. Journal of Oral Rehabilitation, 847-861.

Cardoso, R. L.-O. (2017). Associations between Posture, Voice, and Dysphonia: A Systematic Review. Journal of Voice, 33(1).


Cardoso, R. L.-O. (2021). Associations Between Autonomic Nervous System Function, Voice, and Dysphonia: A Systematic Review. Journal of Voice: Official Journal of the Voice Foundation, 104-112.

Cardoso, R. M.-O. (2020). Associations between TeTeachers'osture, Muscle Tension and Voice Complaints. Journal of Voice: Official Journal of the Voice Foundation.

Cardoso, R. M.-O. (2021). Myofascial Release Effects in TeTeachers'osture, Muscle Tension and Voice Quality: A Randomized Controlled Trial. Journal of Voice: Official Journal of the Voice Foundation.

Castro-Sánchez AM, M.-P. G.-L.-R.-M.-L. (2011). A randomized controlled trial investigating the effects of craniosacral therapy on pain and heart rate variability in fibromyalgia patients. Clinical Rehabilitation, 25(1), 25-35.

Cerritelli, F. C. (2017, July 20). Effect of Continuous Touch on Brain Functional Connectivity Is Modified by the OpOperator'sactile Attention. Frontiers in Human Neuroscience, 11(368), 1-19.

Chaitow, L. (2017). Fascial well-being: Mechanotransduction in manual and movement therapies. Journal of Bodywork & Movement Therapies.

Chang, K. V. (2018). Ultrasound Imaging for the Cutaneous Nerves of the Extremities and Relevant Entrapment Syndromes: From Anatomy to Clinical Implications. Journal of clinical medicine, 457.

Charles, D. H. (2019). A systematic review of manual therapy techniques, dry cupping and dry needling in the reduction of myofascial pain and myofascial trigger points. Journal of bodywork and movement therapies, 23(3), 539-546.

Cherkin DC, S. K. (2013). A comparison of the effects of 2 types of massage and usual care on chronic low back pain: a randomized, controlled trial. Ann Intern Med., 155(1), 1-9.

Cohen, D. J. (2008, Nov). Fidelity versus flexibility. Translating Evidence-Based Research into Practice. American Journal of Preventative Medicine, 35(5).

Colloca L, F. D. (2012). Nocebo effects, patient-clinician communication, and therapeutic outcomes. JAMA, 307(6), 567-568.

Coronado, R. B. (2017). Manual physical therapy for chronic pain: the complex whole is greater than the sum of its parts. Journal of Manual & Manipulative Therapy, 25(3), 115-117.

Craig, J. T. (2015, May 19). Combining Voice Therapy and Physical Therapy: A Novel Approach to Treating Muscle Tension Dysphonia. J Commun Disord., 58, 169-178.

Craig, J. T. (2015). Combining voice therapy and physical therapy: A novel approach to treating muscle tension dysphonia. J. of Communication Disorders, 169-178.

Cruz-Montecinos, C. e. (2017). The immediate effect of soft tissue manual therapy intervention on lung function in severe chronic obstructive pulmonary disease. Int J of COPD, 691-696.

Czaprowski, D. S. (2018). Non-structural misalignments of body posture in the sagittal plane. Scoliosis, 13(6).

Dębski O, B. E. (2019). The parameters of foam rolling, self-myofascial release treatment: a review of the literature. Sciendo. Biomedical Human Kinetics, 11, 36-46.

da Silva, e. a. (2013). Increase of lower esophageal sphincter pressure after osteopathic intervention on the diaphragm in patients with gastroesophageal reflux. Dis Esophagus, 451-456.

D'D'AlessandroG. C. (2016). Sensitization and Interoception as Key Neurological Concepts in Osteopathy and Other Manual Medicines. Frontiers in neuroscience, 10, 1-12.

Dehqan, A. &. (2018). Positive Effects of Manual Circumlaryngeal Therapy in the Treatment of Muscle Tension Dysphonia (MTD): Long Term Treatment Outcomes. Journal of Voice.

DePietro, J. D. (2018). Laryngeal Manipulation for Dysphagia with Muscle Tension Dysphonia. Dysphagia, 468-473.

Dev, K. S. (2018). Effect of myofascial release in intercostal and paravertebral muscles on oxygen saturation, dyspnea, and respiratory rate among COPD patients. IJCRT, 1483-1487.

Dharmananda, S. (2002). Treatment of throat and voice disorders with Chinese medicine. ITMonline. Diener, I. K. (2016). Listening is therapy: Patient interviewing from a pain science perspective.

Physiotherapy Theory and Practice, 32(5), 356-367. D'D'haeseleerE. C. (2013). The effectiveness of manual circumlaryngeal therapy in future elite vocal

performers. The Laryngoscope, 123(8), 1937-1941. Diwan, S. J. (2014). Effect of anterior chest wall myofascial release on thoracic expansion in children with

spastic cerebral palsy. International Journal of Contemporary Pediatrics, 94-99. Djulbegovic, B., & Guyatt, G. (2017). Progress in evidence-based medicine: A quarter century on. The

Lancet, 390(10092), 415-423.


Driscoll, J. &. (2001). The potential of reflective practice to develop individual orthopaedic nurse practitioners and their practice. Journal of Orthopaedic Nursing, 95-103.

Dunphy, C. (2013). Critical Review: The Hands On Approach: Perilaryngeal Manual Therapies in the Treatment of Muscle Tension Dysphonia. Retrieved from Univ. of Western Ontario: https://www.uwo.ca/fhs/lwm/teaching/EBP/2012_13/Dunphy_C.pdf

Dutta, A. (2021). To Study the Efficacy of Soft Tissue Release Manual Therapy Techniques in Patients with Moderate COPD. International Journal of Life Science and Pharma Research, 172-179.

Dworkin, S. F. (1990, May). Assessing clinical signs of temporomandibular disorders: Reliability of clinical examiners. Journal of Prosthetic Dentistry, 63(5), 574-579.

Eguaras N, R.-L. E.-D.-S.-P.-V. (2019, Oct). Effects of Osteopathic Visceral Treatment in Patients with Gastroesophageal Reflux: A Randomized Controlled Trial. J Clin Med., 19(8).

Ellingsen, D. L. (2016, Jan 6). The Neurobiology Shaping Affective Touch: Expectation, Motivation, and Meaning in the Multisensory Context. Frontiers in Psychology, 6.

Ellwood, J. D.-R. (2020). Comparison of common interventions for the treatment of infantile colic: a systematic review of reviews and guidelines. BMJ Open, 1-13.

Ercole B, A. S. (2010, Oct). How much time is required to modify a fascial fibrosis? J Bodyw Mov Ther, 14(4), 318-325.

Fathollahnejad, K. L. (2019). The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC musculoskeletal disorders, 20(1).

Fathollahnejad, K. L. (2019). The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC musculoskeletal disorders, 86.

Fernández-de-Las-Peñas, C. &. (2019). Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm. Journal of pain research, 12, 1899-1911.

Fischera, M. G. (2009). Intensified voice therapy: a new model for the rehabilitation of patients suffering from functional dysphonias. Int J Rehab Research, 348-355.

Fisher, E. e. (2016). Hyoid bone fusion and bone density across the lifespan: prediction of age and sex. Forensic science, medicine, and pathology, 12(2), 146-157.

Fritz, W. (2020). Guidelines for Applying The Foundations Seminar Approach to Manual Therapy. Retrieved from Foundations in Manual Therapy Seminars: http://waltfritzseminars.com/wp-content/uploads/2019/12/Guidelines-for-Foundations-Approach-3.pdf

Fulton, B. (2015). The Placebo Effect in Manual Therapy: Improving Clinical Outcomes in Your Practice. Handspring Pub Ltd.

Furness, P. &.-S. (2020). A Qualitative Exploration of Experiences of Physiotherapy Among People with Fibromyalgia in the United Kingdom. Journal of Physiotherapy Pain Association, 37-47.

Geri, T. A. (2019, July 24). Manual therapy: Exploiting the role of human touch. Musculoskeletal Science and Practice, 44.

Gordon, K. R. (2018). The Role of the Pelvic Floor in Respiration: A Multidisciplinary Literature Review. Journal of Voice, 243-249.

Greenhalgh, T. H. (2014, June 13). Evidence based medicine: a movement in crisis? BMJ. Grouse, L. (2016, Jul). Post hoc ergo propter hoc. J Thorac Dis, 8(7), E511-E512. Gu, L. D. (1981). Effect of traditional massage on closure insufficiency of glottis in singers. An analysis of

16 cases. Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan, 1(1), 67-68. Gugliotti, M. (2011). The Use of Mobilization, Muscle Energy Technique, and Soft Tissue Mobilization

Following a Modified Radical Neck Dissection of a Patient with Head and Neck Cancer. Rehabilitation Oncology, 3-8.

Gupta, A. A. (2017). Recovery from temporomandibular joint dysfunction: An overview of different physiotherapy approaches. Int. J Yoga, Physiotherapy, and Phys. Ed. , 1260131.

Gustin, A. (2019). Shared decision-making. Anesthesiology Clin, 573-580. Häggström, M. (n.d.). Suprahyoid. Retrieved from Wikipedia:

https://en.wikipedia.org/wiki/Suprahyoid_muscles#/media/File:Suprahyoid_muscles.png Hall, A. F. (2010). The Influence of the Therapist-Patient Relationship on Treatment Outcome in Physical

Rehabilitation: A Systematic Review. Physical Therapy, 1099-1110. Hamdan, A.-L. Z. (2018). Prevalence of MTD among Patients with Functional Dysphagia. OTO Open. Hannon, J. C. (2014). Recognizing and Treating Breathing Disorders (2nd ed.). Churchill Livingstone. Hargrove, T. (2014). The Science of Placebo. Retrieved from Better Movement:

https://www.bettermovement.org/blog/2014/the-science-of-placebo


Hargrove, T. (n.d.). The REAL Truth About Pain Science & Body Mechanics: A Response to Criticism. Retrieved from PhysioNetwork: https://www.physio-network.com/the-real-truth-about-pain-science-and-body-mechanics-a-response-to-criticism/?fbclid=IwAR1CRyc3ckowtbNHylK15TAJLbGO8xqI_c3EN3O-ba0Kl-Yh2b_qfIFxQyI

Hartman, S. N. (2002). INTEREXAMINER RELIABILITY AND CRANIAL OSTEOPATHY. The Scientific Review of Alternative Medicine, 6(1), 23-34.

Hawk, C. M. (2018, Dec 12). Manual Interventions for Musculoskeletal Factors in Infants With Suboptimal Breastfeeding: A Scoping Review. J Evid Based Integr Med., 23.

Henderson AT, F. J. (2010). Effects of rib raising on the autonomic nervous system: a pilot study using noninvasive biomarkers. J Am Osteopath Assoc, 324-330.

Heo, S. Y. (2015). Immediate effects of Kinesio Taping on the movement of the hyoid bone and epiglottis during swallowing by stroke patients with dysphagia. Journal of Physical Therapy Science, 3355-3357.

Heredia-Rizo, A. M.-P.-V.-B.-P.-C.-M. (2013). Immediate Changes in Masticatory Mechanosensitivity, Mouth Opening, and Head Posture After Myofascial Techniques in Pain-Free Healthy Participants: A Randomized Controlled Trial. Journal of Manipulative and Physiological Therapeutics, 310-318.

Hodges, P. W. (2007). Postural and respiratory functions of the pelvic floor muscles. Neurourology and urodynamics, 362-371.

Hojan, K. M. (2013). Opportunities for rehabilitation of patients with radiation fibrosis syndrome. Rep Pract Oncol Radiother., 19(1), 1-6.

Hospital, U. B. (n.d.). Scoliosis treatment. Retrieved from Univ. of CA at SF: https://www.ucsfbenioffchildrens.org/conditions/scoliosis/treatment.html

Howard, J. M. (2011). Postural and Spinal Disorders: Do They Affect the Normal Swallow? Southern Illinois University Carbondale.

Hubbard, T. (1915). Papilloma of the Larynx. American Laryngological Association, (pp. 652-656). Niagara Falls.

Ingraham, P. (2018, Jun 13). Massage therapy for scalenes. Retrieved from Painscience.com: https://www.painscience.com/articles/spot-04-scalenes.php

Ingraham, P. (2020, Jan 19). Massage Therapy Side Effects. Retrieved from Painscience.com: https://www.painscience.com/articles/massage-therapy-side-effects.php

Ingraham, P. (2020). Pain is Weird. Retrieved from PainScience.com: https://www.painscience.com/articles/pain-is-weird.php

Jackson-Menaldi, M. C. (2019). Tongue stretches for singers. In W. D. Leborgne, The Vocal Athlete. Plural Publishing.

Jacobs, D. (2007). Retrieved from cstminnesota: http://www.cstminnesota.com/resources/dermoneuromodulation.pdf

Jacobs, D. (2016). DermoNeuroModulating. Tellwell Talent. Jacobs, D. (2021). The skin is the outside of the brain. Jap J of Phys Ther, 55(4). Jacobs, D. S. (2011, May). Therapist as operator or interactor? Moving beyond the technique. Journal of

Manual & Manipulative Therapy, 19(2), 120-121. Jafari, N. S. (2020). A Novel Laryngeal Palpatory Scale (LPS) in Patients with Muscle Tension Dysphonia.

Journal of Voice: Official Journal of the Voice Foundation, 34(3), 488.e9-488.e27. Johnson, K. (2001). The roles and functions of cutaneous mechanoreceptors. Current Opinion in

Neurobiology,, 455-461. Jones DL, M. T. (1998). The role of physical therapy in the multidisciplinary treatment of muscle tension

dysphonia. J Med Speech Lang Path, 6, 41-48. Jung, S. Y. (2017). Laryngeal myofascial pain syndrome as a new diagnostic entity of dysphonia. Auris,

nasus, larynx, 44(2), 182-187. Kalamir A, P. H. (2010). Intra-oral myofascial therapy for chronic myogenous temporomandibular

disorders: a randomized, controlled pilot study. The Journal of Manual & Manipulative Therapy, 139-146.

Kang, C. H. (2016). Muscle Tension Dysphagia: Symptomology and Theoretical Framework. Otolaryngology–Head and Neck Surgery, 837-842.

Katake, K. (1961). The strength for tension and bursting of human fascia. J. Kyoto Pref. Med. Univ, 69, 484-488.

Kendall, P. C. (2018, Dec 12). Implementing evidence-based treatment protocols: Flexibility within fidelity. Clin Psychol (New York).


Kennard, E. J. (2015). A Preliminary Comparison of Laryngeal Manipulation and Postural Treatment on Voice Quality in a Prospective Randomized Crossover Study. Journal of Voice, 751-754.

Kennedy, A. B. (2016). Clarifying Definitions for the Massage Therapy Profession: the Results of the Best Practices Symposium. International Journal of therapeutic massage & bodywork, 9(3), 15-26.

Kerry R, E. T. (2012). Causation and evidence-based practice: an ontological review. J Eval Clin Pract., 18(5), 1006-1012.

Khoddami SM, A. N. (2014). Review on Laryngeal Palpation Methods in Muscle Tension Dysphonia: Validity and reliability issues. J of Voice, 1-10.

Kim, J. K.–1. (2018). Effects of McKenzie exercises, Kineio taping, and myofascial release on forward head posture. Journal of physical therapy science, 1103-1107.

Kolb, W. H. (2020). The evolution of manual therapy education: what are we waiting for? Journal of Manual & Manipulative Therapy, 28(1), 1-3.

Kon, A. (2010). The Shared Decision-Making Continuum. JAMA, 903-904. Koseki, T. K. (2019). Effect of forward head posture on thoracic shape and respiratory function. Journal of

Physical Therapy Science, 63-68. Krisciunas, G. G. (2016). A novel manual therapy programme during radiation therapy for head and neck

cancer – our clinical experience with five patients. Clinical Otolaryngology, 425-431. Krisciunas, G. P. (2019). Application of Manual Therapy for Dysphagia in Head and Neck Cancer Patients:

A Preliminary National Survey of Treatment Trends and Adverse Events. Global Advances in Health and Medicine.

Laski, H. (2020). The Limitations of the Expert. Society. Lauffenburger JC, C. N. (2018). A Call for a Systems-Thinking Approach to Medication Adherence: Stop

Blaming the Patient. AMA Intern Med, 950-951. Lebert, R. (2017, Feb 11). Setting the groundwork for evidence-based massage. Retrieved from

RTMEDU.com: https://ecampusontario.pressbooks.pub/handbookformassagetherapists/part/setting-the-groundwork-for-evidence-based-massage/

Lederman, E. (2015, May). A process approach in manual and physical therapies: beyond the structural model. CPDO Online Journal, 1-18.

Lee JS, K. J. (2018, Nov). Effect of wound massage on neck discomfort and voice changes after thyroidectomy. Surgery, 164(5), 965-971.

Lehman, G. (2012, March). Are you sure your hip flexors are tight? If so, why and who cares? Retrieved from Reconciling Biomechanics with Pain Science: http://www.greglehman.ca/blog/2012/03/31/are-you-sure-your-hip-flexors-are-tight-if-so-why-and-who-cares

Leppänen K, I. I. (2010). One-year follow-up study of self-evaluated effects of voice massage, voice training, and voice hygiene lecture in female teachers. Logoped Phoniatr Vocol, 35(1), 13-18.

Leppänen, K. L. (2009). A comparison of the effects of Voice Massage and voice hygiene lecture on self-reported vocal well-being and acoustic and perceptual speech parameters in female teachers. Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP), 61(4), 227-238.

Lettinga, A. T. (2002). Diversity in Neurological Physiotherapy: A Content Analysis of the Brunnstrom/Bobath Controversy. Advances in Physiotherapy(4), 23-36.

Lewin, J. W. (2017). Manual Therapy: Integration into a Speech and Swallowing Rehabilitation Program for Head and Neck Cancer. Archives of Physical Medicine and Rehabilitation.

Lieberman, J., Rubin, J., Harris, T., & Fourcin, A. (2005). Laryngeal Manipulation. In R. Sataloff, Treatment of Voice Disorders (pp. 115-132). San Diego: Plural Publishing.

Lillie, P. B. (2011). The n-of-1 clinical trial: the ultimate strategy for individualizing medicine? Per Med, 8(2), 161-173.

Lin I, W. L. (2020). What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. British Journal of Sports Medicine, 54(79-86).

Logemann, J. A. (1994). Effects of postural change on aspiration in head and neck surgical patients. Otolaryngology--head and neck surgery: Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 222-227.

Lucas, N. M. (2009). Reliability of Physical Examination for Diagnosis of Myofascial Trigger Points. The Clinical Journal of Pain, 80-89.

Lumau, A. S. (2011). Influence of posture on swallowing. Europ J of Paediatric Dentistry, 171-174.


López-de-Uralde-Villanueva, I. C.-F.-D.-C.-C. (2018). The effectiveness of combining inspiratory muscle training with manual therapy and a therapeutic exercise program on maximum inspiratory pressure in adults with asthma: a randomized clinical trial. Clinical Rehabilitation, 752-765.

M. Shams El Deen, M. M.-S. (2020). oft Tissue Manipulation versus Traditional Physiotherapy Program on Spirometric Indices and Diaphragmatic Excursion in Asthmatic Patients. Arch Pharma Pract 2020, 11(3), 108-114.

Małgorzata, K. M. (2021). Investigation of the relationship between the diaphragm muscle relaxation therapy, voice emission and postural stability in amateur and professional singers of Academy of Music – preliminary study. Journal of Measurements in Engineering, 13-22.

Macefield, V. (2021). The roles of mechanoreceptors in muscle and skin in human proprioception. Current opinion in physiology, 48-56.

Mancini, F. N. (2014). Pain relief by touch: A quantitative approach. Pain, 155(3), 635-642. Marszalek S., P. P. (2015). Evaluation of manual myofascial release techniques in head and neck cancer

patients with trismus following extensive surgical treatment. Retrieved from http://www.fasciacongress.org/2015/Abstracts/95_Marszalek.pdf

Marszalek, S. N.-B.-K. (2012). Assessment of the influence of osteopathic myofascial techniques on normalization of the vocal tract functions in patients with occupational dysphonia. International Journal of Occupational Medicine and Environmental Health, 225-235.

Martínez-Hurtado, I. &.-N.-S.-G. (2019, May). Effects of diaphragmatic myofascial release on gastroesophageal reflux disease: a preliminary randomized controlled trial. Scientific Reports, 13(9).

Mathieson, L. (2011). The evidence for laryngeal manual therapies in the treatment of muscle tension dysphonia. Curr Opin Otolaryngol Head Neck Surg, 171-176.

Mathieson, L. H. (2009). Laryngeal manual therapy: a preliminary study to examine its treatment effects in the management of muscle tension dysphonia. J Voice, 353-366.

Mathur, H. K. (2019). Effect of forward head posture on swallowing: Review of Literature. International Journal of Physical Education, Sports and Health, 97-100.

McGarey, P. O. (2018). Comorbid Dysphagia and Dyspnea in Muscle Tension Dysphonia: A Global Laryngeal Musculoskeletal Problem. OTO Open, 2(3).

McLaughlin, L. (2009). Breathing evaluation and retraining in manual therapy. J Bodyw Mov Ther, 276-282.

Melis, M. D. (2019, Sep 17). Oral myofunctional therapy for the treatment of temporomandibular disorders: A systematic review. The Journal of Craniomandibular & Sleep Practice.

Moore, C., & Kaplan, S. (2018). A Framework and Resources for Shared Decision Making: Opportunities for Improved Physical Therapy Outcomes. Physical Therapy, 1022-1036.

Morrison MD, R. L. (1983). Muscular tension dysphonia. J Otolaryngol, 302-306. Morton, V. T. (2003). Effect of regression to the mean on decision making in health care. BMJ, 1083-1084. Moseley, L. (2015, January 20). The trigger point strikes … out! Retrieved from Body in Mind:

https://bodyinmind.org/trigger-point-evaluation/ Moyer, C. A. (2004). A Meta-Analysis of Massage Therapy Research. Psychological Bulletin, 130(1), 3-

18. Moyer, C. A. (2008). Affective Massage Therapy. INTERNATIONAL JOURNAL OF THERAPEUTIC

MASSAGE AND BODYWORK, 1(2), 3-5. Moyer, C. A. (2020, March 28). (W. Fritz, Interviewer) Myburgh C, L. A. (2008). A Systematic, Critical Review of Manual Palpation for Identifying Myofascial

Trigger Points: Evidence and Clinical Significance. Arch Phys Med Rehabil, 89, 1169-1176. Nacci, A. F. (2012, Apr). Posturographic analysis in patients with dysfunctional dysphonia before and after

speech therapy/rehabilitation treatment. Acta Otorhinolaryngol Ital., 32(2), 115-121. Nair A, A. G. (2019). Comparison of Diaphragmatic Stretch Technique and Manual Diaphragm Release

Technique on Diaphragmatic Excursion in Chronic Obstructive Pulmonary Disease: A Randomized Crossover Trial. Pulmonary Medicine, 2019.

Natália B. M. de França, F. S. (2019). Benefits of physical therapy in the quality of life of mouth breathing children: Literature review. Revista Hospital Universitário Pedro Ernesto., 55-63.

Naugle, K. F. (2012). A meta-analytic review of the hypoalgesic effects of exercise. J Pain, 1139-1150. Nee, R. B. (2006). Management of peripheral neuropathic pain: Integrating neurobiology, neurodynamics,

and clinical evidence. Phys Ther in Sport, 36-49. Nee, R. G. (2012). The validity of upper-limb neurodynamic tests for detecting peripheral neuropathic pain.

. J Orthop Sports Phys Ther., 413-424.


Nee, R. J. (2006). Management of peripheral neuropathic pain: Integrating neurobiology, neurodynamics, and clinical evidence. Physical Therapy in Sport, 36-49.

Nijs, J. L. (2015). Exercise therapy for chronic musculoskeletal pain: Innovation by altering pain memories. Manual Therapy, 20(1), 216-220.

Nijs, J. R. (2013). Thinking beyond muscles and joints: Therapist's and patient's and beliefs regarding chronic musculoskeletal pain are key to applying effective treatment. Manual Therapy, 96-102.

Norcross, J. C. (2018). A new therapy for each patient: Evidence‐based relationships and responsiveness. Journal of Clinical Psychology, 1-18.

O'O'ConnellN., Cook, C., Wand, B., & Ward, S. (2016, December). Clinical guidelines for low back pain: A critical review of consensus and inconsistencies across three major guidelines. Best Practice & Research Clinical Rheumatology, 30(6), 968-980.

Ouellet P, L. S. (2021). Region-specific exercises versus general exercises approaches in the management of spinal and peripheral musculoskeletal disorders: a systematic review with meta-analyses of randomized controlled trials. Arch Phys Med Rehabil.

Park, H. &. (2015). The effect of the correlation between the contraction of the pelvic floor muscles and diaphragmatic motion during breathing. Journal of physical therapy science, 2113-2115.

Perkowski, F. (1935). Massage of the Soft Palate. Journal of Exceptional Children, 1(3), 67-70. Peterson Kendall, F. K. (1993). Muscles Testing and Function, 4th Ed. Williams & Wilkins. Petty, N., Thomson, O., & Stew, G. [. (2012). Ready for a paradigm shift? Part 1: Introducing the

philosophy of qualitative research. Manual Therapy, 17(4), 267-274. Petty, N., Thomson, O., & Stew, G. [. (2012, October). Ready for a paradigm shift? Part 2: Introducing

qualitative research methodologies and methods. Manual Therapy, 17(5), 378-384. Quintner, J. L. (2015). A critical evaluation of the trigger point phenomenon. Rheumatology (Oxford,

England), 392-399. R S Jones, J. D. (1981). Mechanical inefficiency of the thoracic cage in scoliosis. Thorax, 36, 456-461. Rad, A. M. (2018). Efficacy of Manual Circumlaryngeal Therapy in Patients with Muscle Tension

Dysphonia. Shiraz E Medical Journal. Remvig L, E. R. (2008). Myofascial release: And evidence-based treatment approach? International

Musculoskeletal Medicine, 30(1), 29-35. Ribeiro, V. V. (2018). Laryngeal Manual Therapies for Behavioral Dysphonia: A Systematic Review and

Meta-analysis. Journal of Voice: Official Journal of the Voice Foundation, 32(5), 553-562. Rocca, E. (2020, December 17). The CauseHealth Series: Chapter 3. Words Matter Podcast. (O. Thomson,

Interviewer) Rogers, J. W. (1997, August 1). The Controversy of Cranial Bone Motion. Journal of Orthopedic & Sports

Physical Therapy, 26(2), 95-103. Ross, S. (1999). Dysphonia: osteopathic treatment. Journal of Bodywork and Movement Therapies, 3(3),

133-142. Roulstone, S. (2011). Evidence, expertise, and patient preference in speech-language pathology.

International Journal of Speech-Language Pathology,, 13(1), 43-48. Roy, N. (2008). Assessment and treatment of musculoskeletal tension in hyperfunctional voice disorders.

International Journal of speech-language pathology, 195-209. Roy, N. B. (1997). Manual Circumlaryngeal Therapy for Functional Dysphonia: An Evaluation of Short-

and Long-Term Treatment Outcomes. Journal of Voice, 11(3), 321-331. Roy, N. D. (2017, March 1). Exploring the Neural Bases of Primary Muscle Tension Dysphonia: A Case

Study Using Functional Magnetic Resonance Imaging. Journal of Voice, 33(2), 183-194. Roy, N. L. (1993). Effects of the Manual Laryngeal Musculoskeletal Tension Reduction Technique as a

Treatment for Functional Voice Disorders: Perceptual and Acoustic Measures. Journal of Voice, 7(3), 242-249.

Roy, N. N. (2009, Mar-Apr). Articulatory changes in muscle tension dysphonia: evidence of vowel space expansion following manual circumlaryngeal therapy. J Commun Disord, 42(2), 124-135.

Rubin, J. S. (2000). Laryngeal Manipulation. Otolaryngologic clinics of North America, 33(5), 1017-1034. Russell, B. (2010, Fall). Using Manual Tension Reduction Treatment in treating Pediatric Functional

Dysphonia. Contemp. Issues Commun. Science and Disorders, 37, 131-140. Salvi Shah, A. B. (2012). Myofascial Release. International Journal of Health Sciences and Research, 69-

77. Sataloff, R. T. (2005). Treatment of Voice Disorders. San Diego: Plural Publishing. Scheip, R. (2003, January). Fascial plasticity – a new neurobiological explanation: Part 1. Journal of

Bodywork and Movement Therapies, 7(1), 11-19.


Schleip R., G. G. (2019). Fascia Is Able to Actively Contract and May Thereby Influence Musculoskeletal Dynamics: A Histochemical and Mechanographic Investigation. Frontiers in Physiology, 336.

Schneider, C. D. (1997). Exercise Physiology Principles Applied to Vocal Performance: The Improvement of Postural Alignment. Journal of Voice, 332-337.

Sciascia, A. J. (2017). The degree of tissue injury in the shoulder does not correlate with pain perception. Journal of Shoulder and Elbow Surgery, 26(5), 151-152.

Sebastian. (2019). Principles of Manual Therapy. Jaypee Brothers Medical Pub Publication date: 03/31/2019 Edition description: 3rd ed. Pages: 370 Product dimensions: 6.75(w) x 9.51(h) x 0.00(d).

Shacklock, M. (1995). Neurodynamics. Physiotherapy, 81(1), 9-16. Shin, T. B. (2011, Nov 7). The Role of Massage in Scar Management: A Literature Review. Dermatologica

Surgery, 38(3), 414-423. Sivan Navot, E. C.-S. (2020, August 11). The Influence of Pelvic Floor Fascial (Manual) Mobilization in

Multiparous Women -A randomized controlled trial. Authorea. Smékal, D. V. (2008). The effectiveness of specific physiotherapy in the treatment of temporomandibular

disorders. Acta Universitatis Palackianae Olomucensis. Gymnica, 38(2), 45-53. Smith, A. (2007). Manual Therapy: The Historical, Current, and Future Role in the Treatment of Pain. The

Scientific World Journal, 7, 109-120. Spengler, F. B. (2017). Emotional Dysregulation in Psychogenic Voice Loss. Psychotherapy and

psychosomatics, 121-123. Staes, F. F. (2011). Physical Therapy as a Means to Optimize Posture and Voice Parameters in Student

Classical Singers. Journal of Voice, 25(3). Starmer, H. E. (2019). Clinical Decision Making with Head and Neck Cancer Patients with Dysphagia.

Semin Speech Lang, 40(3), 213-226. Stepp CA, H. J.-C. (2009). Comparison of neck tension palpation rating systems with surface

electromyographic and acoustic measures in vocal hyperfunction. J Voice, 25(1), 67-75. Stuhr, S. (2017). Neurodynamics. (W. Fritz, Interviewer) Szczygieł, E. B.-P. (2018). The Impact of Deep Muscle Training on the Quality of Posture and Breathing.

Journal of motor behavior, 219-227. Talasz, H. K. (2010). Breathing with the pelvic floor? Correlation of pelvic floor muscle function and

expiratory flows in healthy young nulliparous women. International Urogynecology Journal, 475-481.

Talebi GA, S. P. (2020). Comparison of two manual therapy techniques in patients with carpal tunnel syndrome: A randomized clinical trial. Caspian J Intern Med, 11(2), 163-170.

Ternström, S. A. (2000). An effect of body massage on voice loudness and phonation frequency in reading. Logopedics Phoniatrics Vocology, 25(4), 146-150.

Testa, M., & Rossettinni, G. (2016). Enhance placebo, avoid nocebo: How contextual factors affect physiotherapy outcomes. Manual Therapy, 24, 65-74.

Thomson, O. P. (2012). Reconsidering the patient-centeredness of osteopathy. International Journal of Osteopathic Medicine, 25-32.

Thomson, O. P. (2021, June 11). 'D'Don'tocus on the finger, look at the moon'' The importance of contextual factors for clinical practice and research. International Journal of Osteopathic Medicine.

Tomlinson C, C. K. (2013). Improving outcomes in patients with muscle tension dysphonia: A myofascial release and exercise program. Journal of Orthopaedic & Sports Physical Therapy, A1-A15.

Tomlinson, C. A. (2015). Manual Therapy and Exercise to Improve Outcomes in Patients With Muscle Tension Dysphonia: A Case Series. Physical Therapy, 95(1), 117-128.

Torraco, R. (2016). Writing Integrative Literature Reviews: Using the Past and Present to Explore the Future. Human Resource Development Review, 1-25.

Tousignant-Laflamme, C. S. (2017, July). Does shared decision making results in better health related outcomes for individuals with painful musculoskeletal disorders? A systematic review. J Man Manip Ther., 25(3), 144-150.

Tsai, F. H. (2010). Correlation Between Scoliosis and Breast Asymmetries in Women Undergoing Augmentation Mammaplasty. Aesth Plast Surg, 34(374-380).

Tsiligiannis, T. G. (2012, March 23). Pulmonary function in children with idiopathic scoliosis. Scoliosis, 7(7).

USC, K. M. (n.d.). Is it bad posture or scoliosis? Retrieved from Keck Medicine of USC: https://www.keckmedicine.org/is-it-bad-posture-or-scoliosis/


Van Houtte E, V. L. (2011, March). Pathophysiology and Treatment of Muscle Tension Dysphonia: A Review of the Current Knowledge.Journal of Voice, 25(2), 202-207.

Van Lierde, K. M. (2004). Outcome of laryngeal manual therapy in four Dutch adults with persistent moderate-to-severe vocal hyperfunction: a pilot study. Journal of Voice: Official Journal of the Voice Foundation, 18(4), 467-474.

Viera, J. D. (2019, Aug). Resistance Training with Repetition to Failure or Not on Muscle Strength and Perceptual Responses. ASEP, 22(4), 165-175.

von Piekartz, H. C. (2002). A Proposed Neurodynamic test of the Mandibular Nerve. Reliability and Reference Values. In Published in Manuelle Therapie (Chapter 2).

Walker, S. C. (2017). C-tactile afferents: Cutaneous mediators of oxytocin release during affiliative tactile interactions? Neuropeptides, 27-38.

Wallace, S. L., Miller, L. D., & Mishra, K. (2019). Pelvic floor physical therapy in the treatment of pelvic floor dysfunction in women. Current Opinion in Obstetrics and Gynecology, 31(6), 485-493.

Walt Fritz, P. (n.d.). Retrieved from YouTube: https://www.youtube.com/playlist?list=PLDCX700Gnp2RHvkK8WpJ1CREOyU96PqN8

Warpenburg, M. J. (2014). Deep Friction Massage in Treatment of Radiation-induced Fibrosis: Rehabilitative Care for Breast Cancer Survivors. Integr Med, 13(5), 32-36.

Webster, G. (1919). Early American Manual Therapy; Concerning Osteopathy. Retrieved 09 2020, from https://www.mcmillinmedia.com/eamt/files/webster1/webcont.html

Weppler, C. H. (2010). Increasing muscle extensibility: a matter of increasing length or modifying sensation? Physical Therapy, 438-449.

Willis, S. (2019). Taming the tension: addressing upper body issues for the singer. The University of Alabama.

Wilson Arboleda, B. M. (2008). Considerations for Maintenance of Postural Alignment for Voice Production. Journal of Voice, 90-99.

Wong, L. L. (2017). The Effect of Traction Position in Cervical Traction Therapy Based on Dynamic Simulation Models. J. Biomedical Science and Engineering, 243-256.

Won-tae, G. (2019). The Effects of Cervical Range of Motion and Forward Head Posture on Cervical Manual Traction in Normal Adults. The Journal of Korean Academy of Orthopedic Manual Physical Therapy, 1-7.

Yilmaz Yelvar GD, Ç. Y. (2016). Immediate effect of manual therapy on respiratory functions and inspiratory muscle strength in patients with COPD. Int J Chron Obstruct Pulmon Dis., 1353-1357.

Ziegler, A. D.-S. (2014). Perceptions of voice therapy from patients diagnosed with primary muscle tension dysphonia and benign mid-membranous vocal fold lesions. 28(6), 742-752.

Zollars, J. A. (2018). Visceral and Neural Manipulation in Children with Cerebral Palsy and Chronic Constipation: Five Case Reports. Explore.

(Updated June 2021)

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