Objective: to conduct an integrative literature review on the effect of group speech-language pathology actions related to teachers’ vocal health, and to identify, evaluate and discuss therapeutic approaches, assessment instruments, duration of actions, number of meetings, and their effectiveness, from articles published between 2007 and 2017. Methods: this research was conducted using the “voice”, “faculty”, “psychotherapy group” and “voice training” descriptors, and their corresponding descriptors in Portuguese, using the databases: LILACS, SciELO and PubMed. Results: the search resulted in 1,944 papers. After the selection, 9 studies fulfilled the inclusion and exclusion criteria. Conclusion: the group speech-language pathology actions related to teachers’ vocal health have an effect on the voice-related quality of life, reducing the vocal and emotional symptoms caused by work-related factors. The eclectic therapeutic approach was the most used one, and there were variations in the duration of actions and number of meetings among the studies. In terms of assessment instruments, the self-assessment of voice and the auditory-perceptual analysis were the most highlighted ones. Furthermore, most studies considered the results of their actions as effective.
RESUMO Objetivo Verificar se existe relação entre medidas perceptivo-auditivas e de autoavaliação em pacientes portadores de esclerose múltipla, com e sem queixa vocal. Métodos Participaram 18 sujeitos com diagnóstico de esclerose múltipla, com idades entre 21 e 67 anos, sendo 12 mulheres e seis homens. Foram aplicados uma breve anamnese, a Escala de Sintomas Vocais e o protocolo Vivendo com Disartria, seguidos da gravação da vogal /ԑ/ sustentada. A intensidade do desvio vocal e os graus de rugosidade, soprosidade, tensão e instabilidade foram avaliados por três fonoaudiólogos, utilizando-se uma escala analógico-visual de 100 mm. Resultados Os pacientes com esclerose múltipla com queixa vocal apresentaram maiores escores nos domínios total (p= 0,026) e limitação (p= 0,042) da Escala de Sintomas Vocais; na seção um (p= 0,041), seção quatro (p= 0,030) e seção dez (p= 0,050) do protocolo Vivendo com Disartria. Houve correlação positiva forte entre os escores da Escala de Sintomas Vocais, domínios total e limitação e os escores da seção um, quatro e nove do protocolo Vivendo com Disartria. Conclusão Pacientes com esclerose múltipla com queixa vocal possuem maior frequência de ocorrência de sintomas e maior impacto da disartria na comunicação. Não há relação entre as medidas perceptivo-auditivas e de autoavaliação em pacientes portadores de esclerose múltipla. No entanto, os escores dos dois instrumentos de autoavaliação utilizados são fortemente correlacionados.
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