RECRUITING

Impact of Manual Therapy on Laryngeal Function Following Total Thyroidectomy

Conditions

Total Thyroidectomy manual pain neuroscience education Speech Pathology

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

In this clinical trial, the investigators are seeking to learn if a course of voice therapy, including neck massage, stretches and pain science education in addition to voice exercise and scar massage will effectively treatment patient complaints of swallowing or voice changes after total thyroidectomy as compared to voice exercise and scar massage alone. The main questions it aims to answer are: Will neck massage, stretches and pain science education reduce patient complaints of swallowing changes after total thyroidectomy? Will neck massage, stretches and pain science education reduce patient complaints of voice changes after total thyroidectomy? Will neck massage, stretches and pain science education reduce patient complaints of scar tethering and quality changes after total thyroidectomy? Will neck massage, stretches and pain science education improve quality of life after total thyroidectomy? Participants will: Participate in 4 visits with the participant's endocrine/laryngology surgeon. One prior and 3 after surgery for endoscopic evaluation and tests. Participate in 5 Speech-Language Pathology Sessions for intervention exercises and tests. One prior and 4 after surgery. Complete a journal of the participant's Home Exercise Practice

Official Title

Impact of Manual Therapy on Laryngeal Function Following Total Thyroidectomy

Quick Facts

Study Start:2024-06-03

Study Completion:2026-12

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:RECRUITING

Study ID

NCT06383091

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:ADULT, OLDER_ADULT

Inclusion Criteria	Exclusion Criteria
* The study population consists of individuals with malignant or benign thyroid disease scheduled to undergo total thyroidectomy * native speakers of English * All patients will be greater than or equal to 18 years of age	* 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

Inclusion Criteria

Exclusion Criteria

* The study population consists of individuals with malignant or benign thyroid disease scheduled to undergo total thyroidectomy
* native speakers of English
* All patients will be greater than or equal to 18 years of age

* 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

Contacts and Locations

Study Contact

Claire W Ligon, M.Ed.

CONTACT

434-390-6387

Cligon4@jhmi.edu

Vaninder Dhillon, MD

CONTACT

925-360-5939

vdhillo2@jhmi.edu

Principal Investigator

Vaninder Dhillon, MD

PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Study Locations (Sites)

Johns Hopkins Hospital

Baltimore, Maryland, 21287

United States

Suburban Hospital

Bethesda, Maryland, 20817

United States

Collaborators and Investigators

Sponsor: Johns Hopkins University

Vaninder Dhillon, MD, PRINCIPAL_INVESTIGATOR, Johns Hopkins University

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-06-03

Study Completion Date2026-12

Study Record Updates

Study Start Date2024-06-03

Study Completion Date2026-12

Terms related to this study

Keywords Provided by Researchers

manual
pain neuroscience education
total thyroidectomy
Speech Pathology

Additional Relevant MeSH Terms

Total Thyroidectomy