Managing dysphonia in occupational voice users

Behlau, Mara; Zambon, Fabiana; Madazio, Glaucya

doi:10.1097/moo.0000000000000047

Cited by 45 publications

(32 citation statements)

References 57 publications

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“…Entretanto, a alteração no comportamental vocal, devido ao mau uso e/ou uso abusivo da voz somada a fatores ambientais precisam ser mais bem investigadas em futuros estudos, uma vez que os problemas de voz são multifatoriais 18,25 . A tabela 3 mostra que houve associação da qualidade vocal alterada com grau de alteração leve.…”

Section: Discussionunclassified

Análise perceptivo-auditiva e autopercepção da voz em pastores evangélicos

2017

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ResumoObjetivo: verificar a associação entre a qualidade da voz e queixa vocal com as variáveis, gênero, idade, tempo de ministério, horas de trabalho, parâmetros vocais e autopercepção vocal em pastores evangélicos. Método: estudo descritivo, analítico de delineamento transversal. Amostra de 52 religiosos, entre 20 a 69 anos; 38 homens e 14 mulheres, média de 8 horas de trabalho, entre 1 a 32 anos de ministério. Foram incluídos pastores ou pastoras, entre 20 a 69 anos, em exercício ministerial e excluídos pastores gagos ou que estivessem resfriados. Procedimentos: gravação das vozes dos participantes, com a emissão da vogal sustentada /a/, dos dias da semana e a leitura de um trecho aleatório do livro de salmos da Bíblia Sagrada. Em seguida, três fonoaudiólogas especialistas em voz, e por consenso, realizaram análise perceptivo auditiva da voz. Houve também aplicação de um questionário com identificação dos dados sociodemográficos e autopercepção da voz e de aspectos da fala em público. Foi realizada análise descritiva dos dados e os testes de associação Qui Quadrado de Pearson e Exato de Fisher. O nível de * Universidade Federal de Minas Gerais, UFMG, Minas Gerais, Brasil. Contribuição dos autores:FBS: coleta de dados, elaboração e construção do projeto de pesquisa, concepção e delineamento do estudo, análise e interpretação dos dados, elaboração do manuscrito, redação e aprovação final da versão a ser publicada. ACFM: elaboração e construção do projeto de pesquisa, análise e interpretação dos dados, redação e aprovação final da versão a ser publicada. LCT: elaboração e construção do projeto de pesquisa, concepção e delineamento do estudo, análise e interpretação dos dados, orientação, redação, revisão e aprovação final da versão a ser publicada.

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Section: Discussionunclassified

Análise perceptivo-auditiva e autopercepção da voz em pastores evangélicos

2017

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“…Despite being frequently used, most protocols, and their respective translations, cultural adaptations (3) , and validation to Brazilian Portuguese (4)(5)(6)(7)(8)(9) , are still addressed to specific conditions. Therefore, they are not adequate for individuals with healthy voices, such as voice professionals, who deserve specific evaluation (10)(11)(12) . To fill this gap, the protocol Evaluation of the Ability to Sing Easily (EASE) was created (13) to assess the perception of the singers about the status of their singing voice after a performance, thus promoting the immediate overview about the use of voice.…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation of the Brazilian version of the protocol Evaluation of the Ability to Sing Easily

Rocha¹,

Moreti²,

Amin³

et al. 2014

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Study carried out at the Center of Voice Studies -CEV -São Paulo (SP), Brazil.(1) Center of Voice Studies -CEV -São Paulo (SP), Brazil. Conflict of interests: nothing to declare. translated to Brazilian Portuguese, the back-translation into English was done. The items of the translated version were compared with the original instrument and the discrepancies were modified by consensus of a committee composed of five speech language pathologists. The Evaluation of the Ability to Sing Easily for Brazil (EASE-BR) has 22 questions with four alternatives: "no," "mildly," "moderately," and "extremely."The score is obtained by the simple sum of all answers. The three positive items (6, 12, and 21) require reverse score. For cultural equivalence, the EASE-BR was applied with 41 Brazilian singers, with an extra item in the answer key -"not applicable." The aim of this extra key was to identify issues that might not have been understood or were not appropriate for the target population and the Brazilian culture. Results: Of the 32 singers, 5 who were initially evaluated had difficulties to answer 3 of the 22 questions. Therefore, the adaptation of those sentences was necessary. Afterward, the modified EASE-BR was applied to nine singers, and no more cultural and/or conceptual barriers were found. Conclusion: Cultural equivalence was observed between EASE and its translated version to the Brazilian Portuguese, the EASE-BR. Validation of the EASE for Brazilian Portuguese is in progress. RESUMO Objetivo: Realizar a equivalência cultural da versão brasileira do protocolo Evaluation of the Ability to Sing Easily(EASE), por meio de sua adaptação cultural e linguística. Métodos: Após tradução do EASE para o Português brasileiro e retrotradução para o Inglês, realizou-se a comparação dos itens com o instrumento original, sendo as discrepâncias existentes modificadas por consenso por um comitê composto por cinco fonoaudiólogos, chegandose ao Evaluation of the Ability to Sing Easily para o Brasil (EASE-BR), com 22 questões e quatro alternativas na chave de resposta: "não", "um pouco", "moderadamente" e "muito". A pontuação é a soma simples de todas as respostas, sendo que os três itens com aspectos positivos (6, 12 e 21) exigem pontuação reversa. Para a equivalência cultural, o EASE-BR foi aplicado em um total de 41 cantores brasileiros, com acréscimo da opção "não aplicável" na chave de respostas, para identificação de questões não compreendidas ou não apropriadas para a população-alvo e a cultura brasileira.

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“…In other study, which involved 675 teachers of both sexes, it was observed that 16.4% of them were undergoing vocal treatment, 71% had sought medical otolaryngologist (ENT), 36.2% went on leave for voice problems and more than half of the sample (52.2%) had never received specific training for the voice (3) . Faced with such evidence on the vocal conditions of teachers and the high dysphonia index, the literature reinforces the need to conduct randomized clinical trials with this population to test different types of interventions by checking which ones are most effective (6,7) . Scientific evidence about the different types of intervention will work so that they can be used more appropriately and safely by speech and language therapists, with the certainty of generating benefits for patients and, thus, indirectly, to society in general (6,7) .…”

Section: Introductionmentioning

confidence: 99%

“…Faced with such evidence on the vocal conditions of teachers and the high dysphonia index, the literature reinforces the need to conduct randomized clinical trials with this population to test different types of interventions by checking which ones are most effective (6,7) . Scientific evidence about the different types of intervention will work so that they can be used more appropriately and safely by speech and language therapists, with the certainty of generating benefits for patients and, thus, indirectly, to society in general (6,7) . Knowledge about effective techniques provided by randomized clinical trials will contribute to the prevention/treatment of work-related voice disorder (WRVD) as well as to the health promotion of teachers (1,6) .…”

Section: Introductionmentioning

confidence: 99%

“…Scientific evidence about the different types of intervention will work so that they can be used more appropriately and safely by speech and language therapists, with the certainty of generating benefits for patients and, thus, indirectly, to society in general (6,7) . Knowledge about effective techniques provided by randomized clinical trials will contribute to the prevention/treatment of work-related voice disorder (WRVD) as well as to the health promotion of teachers (1,6) . There are currently still gaps in speech science in relation to therapy, especially with regard to the number of repetitions of the vocal techniques, Voice Therapy time required for the rehabilitation of different types of dysphonia or laryngeal conditions and number of weekly therapy sessions (6,7,8) .…”

Section: Introductionmentioning

confidence: 99%

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Ensaio clínico controlado e randomizado de terapia breve e intensiva com finger kazzo em professoras: estudo preliminar

Christmann

Cielo

Scapini

et al. 2017

Audiol., Commun. Res.

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Introduction: Knowledge about effective vocal techniques will contributes to the prevention/treatment of work-related voice disorder. Purpose: Verifying acoustic vocal, auditory-perceptive and videolaryngostroboscopic measures in dysphonic teachers of two groups before and after a brief and intensive therapy program with finger kazoo technique, comparing to their control groups, and comparing the study groups between themselves. Methods: Randomized study, pre-test and post-test, with control group, blind to the evaluator. Two study groups, with and without structural laryngeal affection (24 dysphonic teachers) performed15 sessions of a brief and intensive care with finger kazoo over three weeks and they were compared to two control groups (17 dysphonic teachers), who did not do therapy, in a total of 41 subjects. We carried out vocal acoustic analysis (Multi-Dimensional Voice Program Advanced), perceptual analysis (by three speech therapists) and videolaryngostroboscopy analysis (by three otolaryngologists) to compare the results obtained by each group. Results: Significant reduction in harmonic-noise ratio in the study group with alteration after therapy was observed. In the comparison between the study group without affection with the respective control, there was a significant decrease in jitter, shimmer and voiceless segments in favor of the study group. It was also observed a significant reduction in dysphonia, hoarseness, breathiness and tension levels, as well as a lower incidence of triangular slit -level II -and higher amplitude of vibration of the vocal folds in the study group with alteration. Conclusion: The brief and intensive care with finger kazoo provided voice, glottal closure and amplitude of mucosal wave vibration of the vocal folds improvements in dysphonic teachers with and without structural alterations of the vocal folds, especially in teachers without structural alterations.

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Managing dysphonia in occupational voice users

Cited by 45 publications

References 57 publications

Análise perceptivo-auditiva e autopercepção da voz em pastores evangélicos

Análise perceptivo-auditiva e autopercepção da voz em pastores evangélicos

Cross-cultural adaptation of the Brazilian version of the protocol Evaluation of the Ability to Sing Easily

Ensaio clínico controlado e randomizado de terapia breve e intensiva com finger kazzo em professoras: estudo preliminar

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