Fonoterapia em grupo e sua eficácia para tratamento da disfonia: uma revisão sistemática

Almeida, Larissa Nadjara Alves; Fahning, Ana Karina Cascudo Alves; Trajano, Flávia Maiele Pedroza; Anjos, Ulisses Umbelino dos; Almeida, Anna Alice

doi:10.1590/1982-021620151765815

Cited by 12 publications

(15 citation statements)

References 13 publications

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“…Table 4 shows the modification of URICA-Voice questionnaire items by comparison of the responses given by the patients in the pre-and post-therapy stages. The items on the questionnaire that showed the most significant change in the responses between the two stages were: 3,16,17,19,21,24, and 28. In each of these questions, post-therapy responses had a number equal to or significantly less than the pre-therapy stage among patients with behavioral dysphonia.…”

Section: Resultsmentioning

confidence: 99%

“…A recently published literature review examined group vocal therapy and its effects in patients with dysphonia (3) . After considering their limitations and suggestions, the authors found most of the selected studies indicated group vocal therapy to be effective at all ages, and not only promoted vocal health, but also prevented dysphonia (3) . Unfortunately, there are few studies, in the literature, that have evaluated the patient's stage of readiness to speech therapy in the voice area (10,15,22) .…”

Section: Discussionmentioning

confidence: 99%

“…Studies show that group therapy offers a significant contribution to the allocation of resources in health care, favors better time management, decreases waiting time for the health service in public service attendance, and is more cost effective when compared to individual therapy (3,4) .…”

Section: Introductionmentioning

confidence: 99%

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Estágio de prontidão de pacientes com disfonia comportamental pré e pós-terapia de voz de grupo

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Silva

Pinheiro

et al. 2017

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RESUMO Objetivo Verificar a efetividade da terapia de grupo no estágio de prontidão de pacientes com disfonia comportamental, bem como identificar que itens da Escala URICA-Voz são mais sensíveis a mudanças pós-terapia de grupo em pacientes com disfonia comportamental. Método Trata-se de um estudo de intervenção realizado com 49 pacientes com disfonia comportamental. A terapia de grupo ocorreu em oito sessões, sendo a primeira e a última de avaliação e as outras seis terapêuticas, com abordagem eclética. A escala URICA-Voz foi utilizada para avaliar o estágio de prontidão em que o paciente se encontra nos momentos pré e pós-terapia de grupo para voz. Foi realizada uma análise estatística descritiva e inferencial para a análise dos resultados. Resultados A maioria dos pacientes que participaram deste estudo era do gênero feminino, não faziam uso profissional da voz e tinham lesão membranosa da prega vocal. A maior parte estava no estágio de Contemplação tanto no momento pré quanto pós-terapia. Houve mudança significativa na comparação do pré e pós-terapia, a maioria dos pacientes apresentou redução no estágio de prontidão e poucos avançaram para um estágio maior. Na comparação dos itens da Escala URICA-V, sete questões apresentaram respostas iguais ou inferiores no momento pós-terapia. Conclusão Não houve diferença estatística ao se comparar as médias do escore total URICA-V no pré e pós-terapia de grupo. Houve mudanças significativas dos estágios de prontidão dos pacientes nos momentos pré e pós-terapia fonoaudiológica de grupo. Sete itens da URICA-V tiveram número igual ou menor no momento pós-intervenção entre os pacientes avaliados.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Estágio de prontidão de pacientes com disfonia comportamental pré e pós-terapia de voz de grupo

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Silva

Pinheiro

et al. 2017

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“…Professionals have highlighted that group therapy is a strong method of intervention in the treatment of dysphonia as it allows for an interactive dynamic session. 26 Furthermore, the advantage of the group over individual interventions includes knowing that others share the same difficulties and challenges and promotes support within the group. 27 Thus, this intervention approach presumptively had a positive effect on the favorable outcome of the voice care program among the primary school teachers.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of a Voice Care Program Among Primary School Teachers in Northeastern Malaysia

et al. 2019

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ObjectivesWe sought to determine the effectiveness of a voice care program among primary school teachers in a northeastern district in Malaysia.MethodsWe conducted a randomized community trial in eight primary schools in a northeastern district in Malaysia. The self-administered and validated Malay-Voice Handicap Index-10 (M-VHI-10) questionnaire was used to assess overall voice handicap scores pre-intervention and eight weeks post-intervention. Teachers with a score of five or more (n = 86) were randomized into intervention (n = 41) and control groups (n = 45). The intervention group received portable voice amplifiers and vocal hygiene instruction, which was delivered by lectures and a booklet. The control group was not prescribed any intervention.ResultsThe sociodemographic, lifestyle, and occupational characteristics of the teachers (except maximum number of students per class) were similar between both groups. The baseline M-VHI-10 scores between both groups were also comparable. After the intervention phase, there was a significant effect observed in the total M-VHI-10 scores (p = 0.021, F-stat (df): 5.33 (1,79)) between both groups after controlling for the maximum number of students per class.ConclusionsOur results support the use of voice amplification in adjunct with vocal hygiene instruction as a prevention and treatment modality to reduce voice handicap among teachers. Our study demonstrated encouraging evidence on the low-cost voice care program as well as the success of group and workplace-based approaches in the school setting.

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“…Group therapy has been quite an effective strategy for treating the voice 34 , since it has given patients the ability for self-perception and for identifying vocal symptoms, as well as strategies for resolving voice problems. Thus, working together and sharing with other people who present the same problem or some other similar one makes patients develop more strategies to confront dysphonias and makes them more active in the rehabilitation process 35 .…”

Section: Discussionmentioning

confidence: 99%

Sintomas vocais auditivos e proprioceptivos pré e pós-terapia de grupo de pacientes com disfonia

et al. 2016

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Purpose: to compare auditory, proprioceptive and total symptoms in dysphonia patients pre-and postgroup therapy, and associate the number of vocal symptoms with gender, age, professional use of voice, and laryngeal diagnosis variables. Methods: the sample included 27 patients enrolled in therapeutic groups. All had auditory, proprioceptive, and total vocal symptoms from the Vocal Screening Protocol (VSP), pre-and post-group therapy, which consisted of eight meetings, with the first and last being for the implementation of the VSP; in the second to seventh, speech therapy sessions were performed using an eclectic approach. Results: the participants were adults, mostly female, and predominantly with laryngeal diagnoses involving lesions in the membranous portion of the vocal folds. There was a significant reduction in proprioceptive and total vocal symptoms when pre-and post-therapy was compared. The following vocal symptoms were significantly minimized post-therapy: vocal fatigue, dry throat, lumps in the throat, effort and discomfort when speaking. There was a connection between post group therapy (proprioceptive, auditory, and total) vocal symptoms and the female and laryngeal diagnosis involving mass lesions in the membranous portion of the vocal folds variables. There was no connection between post-therapy vocal symptoms and age or professional use of voice. Conclusion: there was a reduction in total and proprioceptive vocal symptoms reported by patients, comparing pre-and post-therapy. There was a connection between females and diagnoses of mass lesions in the membranous portion of the vocal folds and total, proprioceptive, and auditory symptoms post-voice therapy. Age and professional use of voice were not associated with reduced vocal symptoms. Keywords: Voice; Dysphonia; Signs and Symptoms; Speech Therapy; Voice Training; Group Processes RESUMO Objetivo: comparar os sintomas auditivos, proprioceptivos e os totais pré e pós-terapia de grupo de pacientes com disfonia, além de associar o número de sintomas vocais às variáveis sexo, faixa etária, uso profissional da voz e diagnóstico laríngeo. Métodos: participaram 27 pacientes inseridos em grupos terapêuticos. Todos responderam aos sintomas vocais auditivos, proprioceptivos e totais do Protocolo de Triagem Vocal (PTV) pré e pós-terapia de grupo, que constou de oito encontros, sendo o primeiro e último para aplicação do PTV; do segundo ao sétimo foram realizadas sessões terapêuticas fonoaudiológicas de abordagem eclética. Resultados: os participantes eram adultos, maioria do sexo feminino e diagnóstico laríngeo predominante de lesão na porção membranosa das pregas vocais. Pôde-se perceber que houve redução significante dos sintomas vocais proprioceptivos e totais quando se comparou pré e pós-terapia. Minimizaram significantemente pós-terapia os sintomas vocais: fadiga vocal, garganta seca, bolo na garganta, esforço e desconforto ao falar. Houve associação entre sintomas vocais (proprioceptivos, auditivos e totais) pós--terapia de grupo com as variávei...

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Fonoterapia em grupo e sua eficácia para tratamento da disfonia: uma revisão sistemática

Cited by 12 publications

References 13 publications

Estágio de prontidão de pacientes com disfonia comportamental pré e pós-terapia de voz de grupo

Estágio de prontidão de pacientes com disfonia comportamental pré e pós-terapia de voz de grupo

The Effectiveness of a Voice Care Program Among Primary School Teachers in Northeastern Malaysia

Sintomas vocais auditivos e proprioceptivos pré e pós-terapia de grupo de pacientes com disfonia

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