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Risk of fibromyalgia in patients with primary muscle tension dysphonia: a possible local manifestation of a musculoskeletal systemic disorder

Published online by Cambridge University Press:  07 July 2023

Abdul-Latif Hamdan
Affiliation:
Otolaryngology Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
Elie Alam
Affiliation:
Otolaryngology Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
Patrick A R Feghali
Affiliation:
Otolaryngology Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
Charbel Fadel
Affiliation:
Otolaryngology Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
Christopher Jabbour
Affiliation:
Otolaryngology Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
Anthony Ghanem*
Affiliation:
Otolaryngology Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
*
Corresponding author: Anthony Ghanem; Email: anthonyghanem01@gmail.com

Abstract

Objective

To investigate the risk of fibromyalgia in patients with primary muscle tension dysphonia.

Methods

A retrospective review was conducted of patients with primary muscle tension dysphonia, diagnosed based on history of dysphonia with evidence of laryngeal muscle tension on examination. Fibromyalgia was assessed using the Fibromyalgia Rapid Screening Tool (‘FiRST’).

Results

Fifty patients were enrolled: 25 with primary muscle tension dysphonia (study group) and 25 matched controls. The mean age of the study group was 50.7 ± 15.2 years versus 49.5 ± 18.6 years for the controls, with a male to female ratio of 3:2 for both groups. Fifty-six per cent tested positive for fibromyalgia in the study group versus 4 per cent in the controls (p < 0.001). The mean Voice Handicap Index 10 score in the study group was significantly higher for those who screened positive for fibromyalgia compared to those who screened negative. There was a positive, strong point-biserial correlation between Fibromyalgia Rapid Screening Tool and Voice Handicap Index 10 scores (r = 0.39; p = 0.09).

Conclusion

These results suggest that fibromyalgia is a significant co-morbid condition in primary muscle tension dysphonia.

Type
Main Article
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Anthony Ghanem takes responsibility for the integrity of the content of the paper

References

Altman, KW, Atkinson, C, Lazarus, C. Current and emerging concepts in muscle tension dysphonia: a 30-month review. J Voice 2005;19:261–7CrossRefGoogle ScholarPubMed
Koufman, JA, Blalock, PD. Functional voice disorders. Otolaryngol Clin North Am 1991;24:1059–73CrossRefGoogle ScholarPubMed
Van Lawrence, L. Suggested criteria for fibre-optic diagnosis of vocal hyperfunction. Care of the Professional Voice Symposium. London: British Voice Association, 1987Google Scholar
Morrison, MD, Nichol, H, Rammage, LA. Diagnostic criteria in functional dysphonia. Laryngoscope 1986;96:18CrossRefGoogle ScholarPubMed
Garaycochea, O, Navarrete, JMA, Del Río, B, Fernández, S. Muscle tension dysphonia: which laryngoscopic features can we rely on for diagnosis? J Voice 2019;33:812.e15–18CrossRefGoogle ScholarPubMed
Koufman, JA, Amin, MR, Panetti, M. Prevalence of reflux in 113 consecutive patients with laryngeal and voice disorders. Otolaryngol Head Neck Surg 2000;123:385–8CrossRefGoogle ScholarPubMed
Gerritsma, E. An investigation into some personality characteristics of patients with psychogenic aphonia and dysphonia. Folia Phoniatr (Basel) 1991;43:1320CrossRefGoogle ScholarPubMed
McGrory, JJ, Tasko, SM, Bless, DM, Heisey, D, Ford, CN. Psychological correlates of functional dysphonia: an investigation using the Minnesota Multiphasic Personality Inventory. J Voice 1997;11:443–51CrossRefGoogle Scholar
Roy, N, Bless, DM. Personality traits and psychological factors in voice pathology: a foundation for future research. J Speech Lang Hear Res 2000;43:737–48CrossRefGoogle Scholar
Neuman Taylor, AJ. ABC of allergies. Asthma and allergy. BMJ 1998;316:997–9CrossRefGoogle ScholarPubMed
Vertigan, AE, Kapela, SL, Gibson, PG. Laryngeal dysfunction in severe asthma: a cross-sectional observational study. J Allergy Clin Immunol Pract 2021;9:897905CrossRefGoogle ScholarPubMed
Craig, J, Tomlinson, C, Stevens, K, Kotagal, K, Fornadley, J, Jacobson, B et al. Combining voice therapy and physical therapy: a novel approach to treating muscle tension dysphonia. J Commun Disord 2015;58:169–78CrossRefGoogle ScholarPubMed
McGarey, PO Jr, Barone, NA, Freeman, M, Daniero, JJ. Comorbid dysphagia and dyspnea in muscle tension dysphonia: a global laryngeal musculoskeletal problem. OTO Open 2018;2:2473974X18795671CrossRefGoogle ScholarPubMed
Kryshtopava, M, Van Lierde, K, Meerschman, I, D'haeseleer, E, Vandemaele, P, Vingerhoets, G et al. Brain activity during phonation in women with muscle tension dysphonia: an fMRI study. J Voice 2017;31:675–90CrossRefGoogle ScholarPubMed
Perrot, S, Bouhassira, D, Fermanian, J. Development and validation of the fibromyalgia rapid screening tool (FiRST). Pain 2010;150:250–6CrossRefGoogle ScholarPubMed
Rosen, CA, Lee, AS, Osborne, J, Zullo, T, Murry, T. Development and validation of the voice handicap index-10. Laryngoscope 2004;114:1549–56CrossRefGoogle ScholarPubMed
Kalichman, L. Association between fibromyalgia and sexual dysfunction in women. Clin Rheumatol 2009;28:365–9CrossRefGoogle ScholarPubMed
Sandıkçı, SC, Özbalkan, Z. Fatigue in rheumatic diseases. Eur J Rheumatol 2015;2:109–13CrossRefGoogle ScholarPubMed
Bennett, RM, Jones, J, Turk, DC, Russell, IJ, Matallana, L. An internet survey of 2,596 people with fibromyalgia. BMC Musculoskelet Disord 2007;8:27CrossRefGoogle Scholar
Kleinman, L, Mannix, S, Arnold, LM, Burbridge, C, Howard, K, McQuarrie, K et al. Assessment of sleep in patients with fibromyalgia: qualitative development of the fibromyalgia sleep diary. Health Qual Life Outcomes 2014;12:111CrossRefGoogle ScholarPubMed
Borchers, AT, Gershwin, ME. Fibromyalgia: a critical and comprehensive review. Clin Rev Allergy Immunol 2015;49:100–51CrossRefGoogle ScholarPubMed
Wolfe, F, Clauw, DJ, Fitzcharles, MA, Goldenberg, DL, Katz, RS, Mease, P et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken) 2010;62:600–10CrossRefGoogle ScholarPubMed
Lachaine, J, Beauchemin, C, Landry, P-A. Clinical and economic characteristics of patients with fibromyalgia syndrome. Clin J Pain 2010;26:284–90CrossRefGoogle ScholarPubMed
Spaeth, M, Briley, M. Fibromyalgia: a complex syndrome requiring a multidisciplinary approach. Hum Psychopharmacol 2009;24:S310CrossRefGoogle ScholarPubMed
Queiroz, LP. Worldwide epidemiology of fibromyalgia. Curr Pain Headache Rep 2013;17:356CrossRefGoogle ScholarPubMed
Jones, GT, Atzeni, F, Beasley, M, Flüß, E, Sarzi-Puttini, P, Macfarlane, GJ. The prevalence of fibromyalgia in the general population: a comparison of the American College of Rheumatology 1990, 2010, and modified 2010 classification criteria. Arthritis Rheumatol 2015;67:568–75CrossRefGoogle ScholarPubMed
Nijs, J, Malfliet, A, Ickmans, K, Baert, I, Meeus, M. Treatment of central sensitization in patients with ‘unexplained’ chronic pain: an update. Expert Opin Pharmacother 2014;15:1671–83CrossRefGoogle ScholarPubMed
Lorenz, J, Grasedyck, K, Bromm, B. Middle and long latency somatosensory evoked potentials after painful laser stimulation in patients with fibromyalgia syndrome. Electroencephalogr Clin Neurophysiol 1996;100:165–8CrossRefGoogle ScholarPubMed
Vaeroy, H, Helle, R, Førre, O, Kåss, E, Terenius, L. Cerebrospinal fluid levels of beta-endorphin in patients with fibromyalgia (fibrositis syndrome). J Rheumatol 1988;15:1804–6Google ScholarPubMed
Xu, X-J, Dalsgaard, C-J, Wiesenfeld-Hallin, Z. Spinal substance P and N-methyl-D-aspartate receptors are coactivated in the induction of central sensitization of the nociceptive flexor reflex. Neuroscience 1992;51:641–8CrossRefGoogle ScholarPubMed
Bradley, L, Alberts, K, Alarcon, G, Alexander, M, Mountz, J, Weigent, D et al. Abnormal brain regional cerebral blood flow (rCBF) and cerebrospinal fluid (CSF) levels of substance P (SP) in patients and non-patients with fibromyalgia (FM). Arthritis Rheum 1996;39:1109–1109Google Scholar
Inanici, FF, Yunus, MB. History of fibromyalgia: past to present. Curr Pain Headache Rep 2004;8:369–78CrossRefGoogle ScholarPubMed
Theoharides, TC, Tsilioni, I, Arbetman, L, Panagiotidou, S, Stewart, JM, Gleason, RM et al. Fibromyalgia syndrome in need of effective treatments. J Pharmacol Exp Ther 2015;355:255–63CrossRefGoogle ScholarPubMed
Bair, MJ, Krebs, EE. Fibromyalgia. Ann Intern Med 2020;172:ITC3348CrossRefGoogle ScholarPubMed
Roy, N, Bless, DM, Heisey, D. Personality and voice disorders: a multitrait-multidisorder analysis. J Voice 2000;14:521–48CrossRefGoogle ScholarPubMed
González, E, Elorza, J, Failde, I. Fibromyalgia and psychiatric comorbidity: their effect on the quality of life patients. Actas Esp Psiquiatr 2010;38:295300Google ScholarPubMed
Hudson, JI, Pope, HG Jr. Fibromyalgia and psychopathology: is fibromyalgia a form of “affective spectrum disorder”? J Rheumatol Suppl 1989;19:1522Google ScholarPubMed
Clauw, DJ. Fibromyalgia: more than just a musculoskeletal disease. Am Fam Physician 1995;52:843–51, 53Google ScholarPubMed
Van Houdenhove, B, Luyten, P. Stress, depression and fibromyalgia. Acta Neurol Belg 2006;106:149–56Google ScholarPubMed
Yuan, SLK, Matsutani, LA, Marques, AP. Effectiveness of different styles of massage therapy in fibromyalgia: a systematic review and meta-analysis. Man Ther 2015;20:257–64CrossRefGoogle ScholarPubMed