Multidimensional assessment of vocal changes in benign vocal fold lesions after voice therapy

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

“…However, the study does not clarify which techniques were used because the authors report that the therapy ranged according to each case, not being unified for all subjects (9) . The absence of significant differences between SG2 with its respective control can be seen as a sign that in the presence of structural laryngeal disorder, might become higher time needed therapy to promote changes in the larynx and thereby, positive effects more pronounced on the voice.…”

“…Using forms of traditional therapy, other studies showed positive effects on perceptive hearing aspects in subjects with hyperfunctional dysphonia (2,8) , including in subjects with structural conditions in the larynx (9,11,23) . This makes it clear that vocal therapy, traditional or LSVT, is the method of primary choice for treating hyperfunctional dysphonia with or without secondary laryngeal lesion.…”

“…Likewise, the first person who showed structural laryngeal disease was for the Study Group 2 (SG2) and next to the Control Group 2 (CG2) and so on (9) . Sixty-eight volunteers contacted the researchers, of which only fifty-three showed up, in fact, to the evaluation.…”

“…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) . Investigations with therapy in dysphonic subjects which were used different approaches, including vocals and different technical guidelines, showed positive results, however it is not possible to identify the effective role of each approach within the benefits shown at the end of therapy (1,7,8,9,10,11) . Therefore, for the current scan, it was decided to use only an exercise throughout therapy with standard number of repetitions.…”

Terapia breve e intensiva com finger kazoo em caso de disfonia orgânica pós-intubação orotraqueal

“…Outro estudo, em que os pacientes realizaram apenas um minuto de treino com o FK, não evidenciou modificações na avaliação perceptivo auditiva 10 . Utilizando outras técnicas vocais, outros trabalhos mostraram melhoras sobre os aspectos perceptivo auditivos em pacientes com afecções estruturais na laringe usando a modalidade de TBI 8 , assim como utilizando outras modalidades de terapia 32 . É importante salientar que a rouquidão e a tensão foram os dois parâmetros com maior diferença entre pré e pós-fonoterapia e pode-se fazer uma relação entre a diminuição da rouquidão, a diminuição das medidas acústicas de ruído e de jitter ( Tabela 3) 18 e entre a diminuição da tensão com o aumento das medidas de shimmer, VTI, DUV e NUV que sugerem menor força de fechamento glótico ou menor contato entre as pregas vocais durante a fonação 18 .…”