The Effect of Laryngeal Manual Therapy as a Management of Globus

The Effect of Laryngeal Manual Therapy as a Management of Globus(Sensation of a Lump in the Throat )- COMPARATIVE PROSPECTIVE STUDY

The purpose of this study is to assess the effect of laryngeal manual therapies in the treatment of globus (sensation of a lump in the throat).

This is a prospective study that include patients who met the inclusion criteria.

Data collection includes patients age,gender,clinical manifistations,laboratory parameters and treatment.

An endoscopic examination will be done by an expert Otolaryngologist. for each patients we will perform one session of laryngeal manual massage therapy by an expert in the field .

Inclusion Criteria:

• patients more than 18 years old
• male and females
• patients complaning from Globus without an organic cause
• patients who underwent throat endoscopy and was normal.
• Patients who received conventional drug therapy without benefit.
• Globus complaints more than two months .

Exclusion Criteria:

• below 18
• Patients diagnosed with reflux(as a cause to globus)
• Patients who considered at high risk of reflux according to REFLUX SYMPTOM INDEX (RSI) more than 13
• patients who diagnosed with reflux and improved after anti-reflux manegment .
• patients with laryngeal disease/finding that can explain the globus.
• patients with organic cause that can explain the globus .