Impact of Manual Therapy on Laryngeal Function Following Total Thyroidectomy

Exclusion Criteria

• •Participants will be excluded if they have completed voice therapy prior
• •are current smokers
• •have organic vocal fold pathology or clear mucosal changes to the vocal folds that can affect vibration (e.g., vocal fold scar, polyp, or nodules),
• •pre-existing unilateral or bilateral vocal fold paralysis
• •have had prior surgical neck or chest history including central or lateral neck dissection
• •pre- or post-operative abscess or inflammation
• •have a history of radiation, chronic cervical pain or cervicalgia, abnormal baseline swallowing
• •have underlying and, or plan to change supplemental hormones
• •greater than 10% otherwise unexplained weight loss
• •had a recent aspiration pneumonia
• •history of esophageal interventions or surgeries