text
stringlengths 0
512
|
---|
encing due to their vocal condition (Figure 8, Quotation 2) |
Fifteen of the respondents cited using cannabinoids for |
unrelated reasons such as for recreation, for anxiety or |
depression, or for other unrelated medical conditions but |
subsequently noticed improvements in their vocal dystonia |
as well (Figure 8, Quotation 3) |
Participants described the |
effects of cannabinoids as more immediate than Botox in- |
jections though shorter lasting than the effects of Botox |
(Figure 8, Quotation 4) |
Multiple participants described |
cannabinoid products as an adjunct treatment that elon- |
gated the effects of BTX injections (Figure 8, Quotation 5) or alleviated symptoms between Botox injections (Figure 8, |
Quotation 6] |
Respondents also reported the limitations of |
using cannabinoid products for their vocal condition spe- |
cifically noting the unwanted altered mental status when |
using THC-derived products (Figure 8, Quotation 7), po- |
tential cognitive slowing they experienced with long-term |
use of THC (Figure 8, Quotation 8), and the inconsistent |
effects of cannabinoid products due to the variable pre- |
parations of products among innumerable providers in the |
marketplace (Figure 8, Quotation 9) |
Participants who ranked cannabinoid products as “in- |
effective” frequently stated that cannabinoids had no effect |
on their vocal condition (Figure 8, Quotation 10), that |
Botox was the only consistent treatment that addressed |
their vocal condition (Figure 8, Quotation 11), or that there |
was no treatment that alleviated the symptoms of their |
dystonia (Figure 8, Quotation 12) |
DISCUSSION |
Cannabinoids are compounds found in the cannabis plant |
that interact with the body’s endocannabinoid system, which |
plays a role in regulating a wide range of physiological |
processes, including pain, inflammation, and mood (Huestis |
2007).15 They have also been found to have antispasmodic |
effects (Huestis 2007).15 A systematic review and meta- |
analysis of 17 studies conducted by Brighina et al |
(2020) |
found that while cannabinoids show promise as a treatment |
for dystonia, there is still insufficient evidence to support |
their use as a regularly utilized medical treatment option.16 |
With this in mind, the utility of cannabinoid products as a |
FIGURE 7 |
Bar chart displaying commonly cited improvements in voice quality after taking cannabinoids |
Journal of Voice, Vol |
xx, No |
xx, xxxx 6 |
Downloaded for Anonymous User (n/a) at McMaster University from ClinicalKey.com by Elsevier on September 08, |
2023 |
For personal use only |
No other uses without permission |
Copyright ©2023 |
Elsevier Inc |
All rights reserved |
potential treatment for vocal dystonia has gained attention |
in recent years, with some patients have reported anecdotal |
benefits from using these products |
Vocal dystonia is a neurological condition that affects |
the muscles involved in voice production, resulting in in- |
voluntary spasms, or contractions that interfere with |
speech |
In this study, we collected data from a total of 158 |
participants with vocal dystonia, vocal tremor, or muscle |
tension dysphonia seeking to evaluate the prevalence and |
patterns of use |
Over one-half of the participants had tried |
using cannabinoid products to treat their laryngeal dys- |
tonia |
Furthermore, roughly half (53.8%) of the re- |
spondents in this group were currently using cannabinoids |
as part of their treatment |
Notably, most of those who |
reported using cannabinoids did so without the guidance of |
a medical professional, and only 9.4% of respondents had |
learned about this option from their care team |
With the majority of participants ranked cannabinoid |
products as “ineffective” or “somewhat effective”, canna - |
binoids appear ill-suited to serve as a stand-alone treat - |
ment |
This is supported by the fact that 55.6% of |
respondents were using cannabinoids alongside another |
treatment rather than cannabinoids by themselves |
A large |
proportion of participants who had previously tried using |
cannabinoid products to treat their vocal dystonia had |
discontinued their use often citing the ineffectiveness of the |
products as their reason for discontinuation |
Furthermore, in comparison to other treatments they had tried, half of |
the participants polled perceived cannabinoids to represent |
a less effective treatment |
This study found that the majority of participants who |
used cannabinoid products did so as a supplementary |
treatment alongside conventional treatments provided by |
healthcare professionals, such as laryngeal BTX and voice |
therapy |
When applied in conjunction with BTX, partici - |
pants frequently perceived the combination of BTX and |
cannabinoids as more effective than BTX alone |
It is im- |