SoftNew

1. Multimodal Physiotherapy
Approach for Benign Vocal Fold
Lesions
Therapeutic Ultrasound + TENS +
Incentive Spirometry + Voice Therapy
Muhammad Abrar, M.Phil.
Psychology

2. Background
• • Benign vocal fold lesions (nodules, polyps,
cysts) cause dysphonia and fatigue.
• • Standard care: voice therapy, vocal hygiene,
surgery if needed.
• • Physiotherapy-based modalities remain
underexplored in voice rehabilitation.
• • Novel approach: Ultrasound + TENS +
Incentive Spirometry.

3. Intervention Protocol
• 1. Therapeutic Ultrasound
• - 1–3 MHz, pulsed mode, 3–5 min
• 2. TENS (Neuromuscular Stimulation)
• - 80–100 Hz, 10–15 min, peri-laryngeal
placement
• 3. Incentive Spirometry
• - 3 sets × 10 breaths, diaphragmatic

4. Outcomes
• • Improved vocal quality (GRBAS scale).
• • Reduced jitter, shimmer, increased HNR.
• • Decreased patient-reported vocal fatigue.
• • Improved respiratory control and phonation.
• • Enhanced vocal endurance.