The Relationship Between Voice and Breathing in the Assessment and Treatment of Voice Disorders

Lewandowski, Ali; Gillespie, Amanda I.

doi:10.1044/persp1.sig3.94

Cited by 15 publications

(5 citation statements)

References 59 publications

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“…It is clear that lower and upper airway functions are critical for both ventilation and communication, often simultaneously. Further, a breakdown in one function can impact the other (Lewandowski et al 2016). 24 When speaking with a face mask, an obstruction of the upper airway occurs, as both the nose, and mouth are covered by the face mask material.…”

Section: Discussionmentioning

confidence: 99%

“…Further, a breakdown in one function can impact the other (Lewandowski et al 2016). 24 When speaking with a face mask, an obstruction of the upper airway occurs, as both the nose, and mouth are covered by the face mask material. This could possibly lead to changes in the amount of the inhaled air, and the speaker may feel the need to compensate by increasing the frequency of inhalations.…”

Section: Discussionmentioning

confidence: 99%

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The Effects of the Use of Protective Face Mask on the Voice and Its Relation to Self-Perceived Voice Changes

Karagkouni¹

2023

Journal of Voice

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Objectives. The purpose of this study was to investigate the effects that the use of protective face mask has over the voice and to search for associations between the self-reported voice changes and the levels of discomfort experienced by the participants. Also, to detect any change it the phonatory patterns while speaking with face mask. Methods. This was a cross-sectional, observational study, conducted by distributing an online questionnaire. From a total of 155 people who participated in the study, 143 of them wore protective face mask during their working hours and qualified. Five groups of questions were used to measure the Speech Difficulties, the Mask Related Behaviors caused by the use of face mask, alterations in the Voice Perceptual Features, the Vocal Tract Discomfort levels and the Greek version of the Voice Handicap Index. The participants self-evaluated their voice and stated the frequency and severity of the symptoms they experienced during the mask usage period. Results. The results showed that the use of protective face mask increases the self-perception of changes in the voice, especially in the voice-breathing coordination and has great effect on the intelligibility and overall communication. The majority of people stated that they have to speak louder and that they have noticed alterations in the perceptual features of their voice, with hoarseness, and volume being the most frequently affected. Almost every symptom on the Vocal Tract Discomfort Group was present with Dry, Lump in Throat, Tight, and Short Breath being the most severe, and Dry and Short breath being the most common among them. Physical, Functional, and Emotional affectations were also observed through the Voice Handicap Index. Conclusion. The use of protective face mask increases the vocal effort of the speaker, affects the voice-breathing coordination, limits the overall communication, alters the perceptual features of the voice, increases vocal track discomfort levels and results in psychosocial and socioemotional difficulties. All these affectations may result to the establishment of a voice disorder, especially in high-risk population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effects of the Use of Protective Face Mask on the Voice and Its Relation to Self-Perceived Voice Changes

Karagkouni¹

2023

Journal of Voice

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“…The relationship between Table 1 The differences in the outcome measures before and after decannulation breathing and voice are essential as any obstruction in the airway leads to loss of the laryngeal fine-tuning capabilities. A rise in the respiratory effort makes it difficult to sustain adequate speech pressure level [14]. There is an association between the volume of the lung and subglottic pressure (Psub), and Psub is greater at high lung volume than at low volume.…”

Section: Discussionmentioning

confidence: 99%

Aerodynamic measures of patients with tracheostomy capping before and after decannulation

Youssef

Abdulla

Khalil

2022

Egypt J Otolaryngol

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Background Gradually stepped decannulation, such as capping with fenestrated tubes or tube downsizing, is likely to prolong the decannulation process. The purpose of the study is to determine the differences in laryngeal aerodynamic measures, expiratory peak flow, and dyspnea index when breathing through the upper airway before and after decannulation. The study recruited sixteen adult patients with a tracheostomy who were fit for decannulation. Measurement of peak flow rate, aerodynamic measures, and dyspnea index has been done at two settings: first during capping and second after decannulation by 2 h using finger support to close the stoma and prevent air leak. Results Changes in outcome measures after decannulation revealed a significant increase in peak flow rate, vital capacity, maximum phonation, and phonatory speech pressure level; the glottal resistance significantly decreased after decannulation. The dyspnea severity index scores improved from 22.35 during capping to 13.37 after decannulation. Conclusions The results of our study showed that tracheostomy tube capping causes a significant reduction in peak flow and aerodynamic measures which improved after tracheostomy decannulation.

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“…Lewandowski und Gillespie schlussfolgerten aus deren Erfahrung zum Zusammenhang zwischen Atmung und Stimmstörungen: "It is clear that lower and upper airway functions are critical for both ventilation and communication, often simultaneously. Further, a breakdown in one function can impact the other" [19]. Unklar ist, ob die andauernde Maskennutzung einen Einfluss auf die Befeuchtung der Vokaltraktschleimhaut und damit auf die Schwingungsfähigkeit der Stimmlippen hat [20] oderdurch selteneres Trinkeneine Dehydration mit Einfluss auf die Stimmfunktion auftreten könnte [21].…”

Section: Hintergrundunclassified

Vokaltraktbeschwerden und Gesundheitserleben von Pflegenden in Senioreneinrichtungen in der Pandemie

Schuster

Deitmerg

Gantner³

2022

Laryngorhinootologie

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ZusammenfassungDie SARS-CoV-2-Pandemie bedeutet für Berufstätige im Gesundheitswesen eine besondere Belastung in mehreren Bereichen, u.a. durch das Tragen einer Mund-Nasen-Bedeckung und damit veränderter Kommunikation. In einer prospektiven Studie wurde die Belastung des Vokaltrakts und das psychisch-körperliche Wohlbefinden hier am Beispiel von Tätigen in der Altenpflege mittels Fragebogen erfasst. Methoden In 2 Altenpflegeeinrichtungen wurden die standardisierten Fragebogen Symptom-Checkliste 90 in der Kurzversion (Mini-SCL) und die Vocal Tract Discomfort Scale (VTDS) in deutscher Übersetzung eingesetzt, kombiniert mit Fragen zu Alter, Komorbidität, Stimme und bereits erfolgter SARS-CoV-2-Infektion. Ergebnis Bei einer Rückmeldung von 67 von 100 ausgeteilten Fragebogen zeigten sich bei den teilnehmenden Mitarbeitern (56 Frauen und 11 Männer, 45,2 ± 11,5 Jahre alt) erhöhte Werte für beide Fragebogen. Im Mini-SCL wiesen in der Skala Depressivität 23,8% erhöhte Werte auf, in der Skala Ängstlichkeit 49,3%, in der Skala Somatisierung 55,2% und in der Gesamtskala 44,7%. Bei 52% der Teilnehmer ergaben sich erhöhte Werte im VTDS. Zwischen dem VTDS und den Einzelskalen des Mini-SCL sowie zu Stimmbeschwerden bestand jeweils ein signifikanter Zusammenhang. Diskussion In der Altenpflege Tätige leiden während der Pandemie vermehrt unter psychischen und physischen Beschwerden. Es bestehen Zusammenhänge zwischen Missempfindungen im Vokaltrakt und Stimmsymptomen sowie dem emotionalen und körperlichen Wohlbefinden. Stimmhygienische Schulungen können bei den aktuell erhöhten kommunikativen Anforderungen hilfreich sein.

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The Relationship Between Voice and Breathing in the Assessment and Treatment of Voice Disorders

Cited by 15 publications

References 59 publications

The Effects of the Use of Protective Face Mask on the Voice and Its Relation to Self-Perceived Voice Changes

The Effects of the Use of Protective Face Mask on the Voice and Its Relation to Self-Perceived Voice Changes

Aerodynamic measures of patients with tracheostomy capping before and after decannulation

Vokaltraktbeschwerden und Gesundheitserleben von Pflegenden in Senioreneinrichtungen in der Pandemie

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