Voice problems among teachers: Differences by gender and teaching characteristics

Smith, Elaine; Kirchner, Holger; Taylor, Margaretta; Hoffman, Henry T.; Lemke, Jon H.

doi:10.1016/s0892-1997(98)80022-2

Cited by 224 publications

(210 citation statements)

References 6 publications

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“…10,11,13 This is a worrying situation, since such absences were of the order of 30%. The mean number of days off work or absent appears to be sufficient time for the voice to return to the minimum condition for working, but probably without full recovery, which may make it easier for new alterations to emerge.…”

Section: Discussionmentioning

confidence: 99%

“…4,7,[10][11][12] Educators of children who attended crèches perform teaching activities, but there are no Brazilian studies on voice alterations among this group. Therefore, the objective of the present work was to investigate the prevalence of voice alterations among crèche educators and their relationship with self-reported voice alterations.…”

Section: Introductionmentioning

confidence: 99%

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Prevalência de alteração vocal em educadoras e sua relação com a auto-percepção

Simões

Latorre

2006

Rev. Saúde Pública

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OBJECTIVE: To verify the prevalence of self-reported voice alteration among educators in crèches, and associated factors. METHODS:This was a cross-sectional observational study carried out in 2000, in eight crèches in the city of São Paulo at which actions within the Crèche Program were being developed. This program formed part of the health promotion activities of a speech therapy investigation laboratory. The data collection was done by means of a questionnaire that was filled out by 93 educators, with questions on sociodemographic characteristics, aspects of the organization and physical environment of the work, habitual voice utilization, history of illnesses, lifestyle and perceptions regarding voice alterations. Assessment of hearing perception was done on the participants' voices. The statistical analysis utilized proportions, central trend measurements, Chisquare test with Yates correction and multiple logistic regression analysis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalência de alteração vocal em educadoras e sua relação com a auto-percepção

Simões

Latorre

2006

Rev. Saúde Pública

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“…3,[5][6][7][8] Há estudos que demonstram a ocorrência de mudanças significativas na configuração glótica das mulheres, durante a fonação prolongada com loudness elevado, possivelmente por diferenças constituci- onais e anatômicas. 9 Justifica-se, também, o maior contingente feminino devido a área pedagógica ser tradicionalmente do domínio feminino.…”

Section: Discussionunclassified

“…Observa-se que há maior risco de ocorrência das disfonias nesses grupos profisionais, embora a prevalência e incidência sejam extremamente variáveis, entre 3 e 90%. [1][2][3][4][5][6] Os estudos ora realizados têm sido freqüentemente direcionados aos aspectos clínicos e orgânicos das disfonias em profissionais que utilizam a voz como instrumento de trabalho. Há evidências de que os nódulos de pregas vocais sejam a doença mais freqüente nesses profissionais, mas existe uma diversidade de outras alterações orgânicas e funcionais na laringe e trato respiratório que também podem causar disfonia 2 .…”

Section: Introductionunclassified

Proposta de modelo de atendimento multidisciplinar para disfonias relacionadas ao trabalho: estudo preliminar

Ortiz

Costa

Spina

et al. 2004

Rev. Bras. Otorrinolaringol.

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A disfonia tem recebido um enfoque ocupacional crescente e torna-se necessário, ao otorrinolaringologista, atualizar a abordagem clínica dos trabalhadores que usam a voz como instrumento de trabalho, onde novas catagorias profissionais têm surgido e, com elas, as disfunções vocais conseqüentes às condições de trabalho. Hoje, há grandes preocupações com o prejuízo econômico e produtivo que o ditúrbio vocal possa gerar. Sabe-se que a disfunção vocal tem como característica a multicausalidade e, por isso, a avaliação, conclusão e emissão de relatórios médicos tornam-se incertos. Objetivo: Para melhor avaliar estes profissionais e garantir um atendimento com respaldo científico adequado, estabeleceu-se um protocolo multidisciplinar, que consiste em anamnese dirigida, exame físico, endoscopia laríngea, análise perceptiva da voz e aplicação do Voice Handicap Index (VHI). Forma de estudo: Coorte histó-rica transversal. Material e método: Para testar o uso do méto-do, em caráter preliminar, o protocolo foi aplicado em 15 profissionais que usavam a voz para trabalhar. Então, realizou-se um estudo retrospectivo com estes pacientes. Resultado: Demonstrou-se que 13,3% dos profissionais apresentaram performance vocal normal; 33,3%, disfonia funcional e 46%, disfonia orgânico-funcional. A disfunção vocal foi relacionada ao exercício do trabalho em 40% dos pacientes e em 46,6% ela foi descartada. Conclusão: Concluiu-se que o método é suficientemente abrangente e pode ser de utilidade ao otorrinolaringologista, para a avaliação clínico-ocupacional deste grupo de pacientes. Dysphoni a has an occupational view nowadays. A shift in the voice-oriented professional's clinical approach has been required. New voice-oriented job categories have emerged and, as a result, the voice disorder in the professional enviroment has increased. The economic and productivity harm due to voice disorders are a preocupation. Dysphonia has multiple causes and its evaluation, ethiological conclusion and occupational reports aren't defined yet. Aim: In order to obtain a more accurate and comprehensive evaluation, a multidisciplinary protocol was elaborated to ensure proper medical scientific support. It consists of anamnesis, physical exam, laryngeal endoscopy, perceptive voice analysis and Voice Handicap Index application (VHI). Study design: Transversal historic cohort. Material e método: In this preliminary study, the protocol was applied on 15 voice professionals with dysphonia. Results: 13,3% with normal voice performance; 33,3% with functional dysphonia; 46% with organic dysphonia. Dysphonia was related to the voice-oriented job in 40% cases and it was ruled out in 46,6%. Conclusion: We concluded that the protocol is complete enough to help otolaryngologists evaluate this workers' category. EricaPalavras-chave: disfonia, ocupacional, multidisciplinar.

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“…Different investigations have associated the professional activity of physical education to complaints of hoarseness or other vocal problems. 7,12,21 Music has been an important didactic resource, since it stimulates students to practice and is helpful in prescribing the intensity of the activity. Wilsont & Herbstein 25 (2003) observed the importance attributed to music in terms of appreciation and motivation for exertion as well as the lack of awareness of the deleterious effects of exposure to elevated levels of sound pressure among practitioners of aerobic gymnastics.…”

Section: Acceptable Values For Acoustic Comfort Are Up To 55 Db(a) Imentioning

confidence: 99%

Nível de ruído no ambiente de trabalho do professor de educação física em aulas de ciclismo indoor

et al. 2009

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OBJECTIVE:To analyze identify the level of noise at the workplace environment among Physical Education teachers during indoor bike classes and its association with some aspects of health. METHODS:Cross-sectional study carried out in 15 different gyms with 15 teachers in Rio de Janeiro (Southeastern Brazil) in 2007. A standardized questionnaire, tested in relation to its replication, was used in order to fi nd out the characteristics of the process and the way this job is organized, as well as complaints related to health reported by these teachers. The SRQ-20 (SelfReport Questionnaire) was utilized in order to verify the existence of minor psychiatric disturbances. The levels of sound pressure were measured by a portable appliance. The level of pressure was verifi ed in dB(A) at equivalent energy levels (Leq) in different places of the room at different moments during the class. ANOVA, chi-square and Pearson's correlation analyses were performed. RESULTS:The levels of sound pressure varied from 74.4 dB(A) to 101.6 dB(A). The results during the class were: a) warm-up (mean=88.45 dB(A)); b) main part (mean= 95.86 dB(A)); and, closure (mean= 85.12 dB(A)). The mean background noise was 66.89 dB(A)). There were signifi cant differences (p<0.001) among the background noise levels within different moments of the class. The noise was not related to minor psychiatric disturbances. CONCLUSIONS:Physical education professionals working with indoor bike classes are under high levels of sound pressure during their classes. This physical agent has been related to several health problems and should therefore be more controlled.

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Voice problems among teachers: Differences by gender and teaching characteristics

Cited by 224 publications

References 6 publications

Prevalência de alteração vocal em educadoras e sua relação com a auto-percepção

Prevalência de alteração vocal em educadoras e sua relação com a auto-percepção

Proposta de modelo de atendimento multidisciplinar para disfonias relacionadas ao trabalho: estudo preliminar

Nível de ruído no ambiente de trabalho do professor de educação física em aulas de ciclismo indoor

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