Vocal Function Exercises for Presbylaryngis: A Multidimensional Assessment of Treatment Outcomes

Sauder, Cara; Roy, Nelson; Tanner, Kristine; Houtz, Daniel R.; Smith, Marshall E.

doi:10.1177/000348941011900706

Cited by 118 publications

(76 citation statements)

References 20 publications

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“…There was also noticed an improvement in respiratory patterns 18 , aerodynamic forces 16 , the vital capacity 22 , pneumo-phono-articulatory coordination 21 and maximum phonation times 17,21 .…”

Section: Discussionmentioning

confidence: 92%

“…The literature that was consulted during the period from 2004 to 2014 showed only 11 research on vocal phonotherapy in healthy elderly people: one through vocal orientation 9 ; three with specific vocal exercises, such as, TMF support of vowels and musical scales with vowels and words 18 , sounded blowing 5 and the Finnish method of resonance tubes 22 ; two carried out a review of medical records of elderly who underwent voice therapy for presbyphonia, regardless of the kind of intervention 23,24 ; five of them applied therapeutic programs: the Lee Silverman 20 method, the Vocal Cognitive Program 21 , the program of vocal function exercises of Stemple 16,17 , and the comparison between the vocal function method and the PhoRTE 19 . The results of speech therapy with elderly people showed an improvement in voice quality in relation to the aspects of roughness 17,22 , breathiness 20,22 , asthenia 20,22 , instability 22 , tension 22 , loudness 20,21 and the general level of the vocal disorder 15,18,20,21,22,24 ; a decrease in effort phonation 18 , an improvement in resonance 18 and articulation clarity 21 . There was also verified an improvement of acoustic measures, reducing jitter 17,20,21 e shimmer 17,20 , an improvement in harmonic-noise ratio 17,20,21 and f0 20,21 .…”

Section: Discussionmentioning

confidence: 99%

“…The exercises were the support the TMF of vowels and musical scales with vowels and words. After therapy, it was observed a decrease of the vocal effort, an improvement in resonance, in respiration and also in phonation, reducing the severity of voice disorders as well as reducing the voice handicap index 18 .…”

Section: Phonotherapy With Elderly Peoplementioning

confidence: 93%

“…Therapy programs that consist of vocal exercises have been proposed for favoring the glottal closure, increasing subglottic and sound pressure, producing normotensive voice, as well as stabilizing vocal quality and f0, besides providing an improvement in pneumo-phono-articulatory coordination and vocal strength 3,10,11,[15][16][17][18] . Studies show that trained voices can delay or reduce the effect of age on the larynx and orofacial organs 3,15 .…”

Section: Phonotherapy With Elderly Peoplementioning

confidence: 99%

“…There are studies that analyzed the immediate and prolonged effect of vocal exercises on the voice of the elderly subjects 15,18,22 . A voice therapy program for elderly people with presbyphonic voice was performed once a day for six weeks.…”

Section: Phonotherapy With Elderly Peoplementioning

confidence: 99%

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Fonoterapia vocal e fisioterapia respiratória com idosos saudáveis: revisão de literatura

et al. 2016

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This study is subject to vocal therapy and breathing physical therapy in the healthy elderly. The aim of this study was to review the literature on vocal therapy and respiratory therapy in healthy elderly. It was done a literature review of articles published between 2004 and 2014 in the databases Lilacs, Bireme, MedLine, PubMed and Scielo. Descriptors used: physical therapy specialty; breathing; speech therapy; aged; therapeutics and voice. The literature on vocal therapy with healthy elderly showed that the interventions have been made through vocal hygiene; traditional vocal therapy for the presbyphonia, regardless of the type of intervention; specific vocal exercises; and standardized treatment programs, there is evidence of improvement of the measures vocals perceptual-auditory, acoustic, self-assessment and laryngeal image. As for respiratory therapy, the literature showed that the techniques or procedures used whit healthy elderly were: used of Thershould machine, manual therapy techniques, incentive spirometry, respiratory exercises associated with the movement of the trunk and lower extremities and physical activity in general, with evidence of improvement in respiratory muscle strength, lung functional and functional autonomy of the elderly. Keywords: Physiotherapy; Speech Therapy; Aged; Breathing; Therapeutics; Voice RESUMO Este estudo tem como tema a fonoterapia vocal e a fisioterapia respiratória no idoso saudável. O objetivo do presente estudo foi revisar a literatura sobre fonoterapia vocal e sobre fisioterapia respiratória com idosos saudáveis. Foi realizado um levantamento bibliográfico de artigos publicados entre 2004 e 2014 nas bases de dados Lilacs, Bireme, MedLine, PubMed e Scielo. Descritores utilizados: physical therapy specialty; breathing; speech therapy; aged; therapeutics e voice. A literatura sobre fonoterapia vocal com idosos saudáveis mostrou que as intervenções têm sido feitas por meio de orientação vocal; terapia vocal tradicional para presbifonia, independente do tipo de intervenção; exercícios vocais específicos; e programas terapêuticos padronizados, havendo evidências de melhora de medidas vocais perceptivoauditivas, acústicas, de autoavaliação vocal e de imagem laríngea. Quanto à fisioterapia respiratória, a literatura evidenciou que as técnicas ou procedimentos utilizados com idosos saudáveis foram: uso do aparelho Threshold, técnicas de terapia manual, espirometria de incentivo, exercícios respiratórios associados ao movimento do tronco e membros inferiores e atividade física em geral, apresentando evidências de melhora na força muscular respiratória, função pulmonar e autonomia funcional dos idosos.

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