RESUMO
OBJECTIVE: The present study aimed at observing the influence of tube phonation into water on objective voice characteristics in elderly subjects. METHODS: Thirty elderly subjects with presbyphonia were randomly assigned to one of two voice exercise groups: (1) voice exercises with water resistance therapy at 4 and 8 cm of water depth (experimental group), and (2) voice exercises with vowel [a:]. Aerodynamic, electroglottographic, and acoustic voice assessments were conducted before and after exercises. RESULTS: The experimental group showed a significant increase in contact quotient, subglottic pressure (Psub), glottal resistance, and sound pressure level (SPL) when comparing the pre-post 8 cm and the post 4 cm-post 8 cm conditions. No significant differences were found for the control group. Moreover, significant differences for all variables (except for glottal airflow) when comparing condition post (for the control group) and condition post 8 cm (for the experimental group) were found. CONCLUSION: Tube phonation into water might improve vocal function in the geriatric population. This semioccluded vocal tract exercise seems to promote an increase in Psub and vocal fold adduction immediately after exercise. This in turn might cause an increase in SPL. The effect should become manifest when a deep level of submersion (e.g., 8 cm water) is used. Shallower submersion produced negligible or no effects.
Assuntos
Disfonia/terapia , Treinamento Resistido/métodos , Prega Vocal/fisiopatologia , Treinamento da Voz , Idoso , Ar , Disfonia/fisiopatologia , Fenômenos Eletrofisiológicos , Feminino , Humanos , Masculino , Pressão , Software , Acústica da Fala , Qualidade da Voz , ÁguaRESUMO
INTRODUCTION AND OBJECTIVES: Vocal fatigue is one of the most common voice symptoms. It usually refers to the sensation of vocal tiredness after a long period of speaking or singing. The purpose of this study was to compare the acoustic characteristics of the voice before and after a long period of voice use in a group of radio broadcasters. METHODS: Eight radio broadcasters with normal voices were assessed. We used cepstrum, energy ratio, noise to harmonic ratio and soft phonation index as acoustic variables to assess the possible pre-post vocal loading changes objectively. RESULTS: There were no statistically significant pre-post differences in any of the acoustic parameters. Although cepstrum at high pitch did not show a significant difference, it obtained the greatest difference among the acoustic variables. CONCLUSIONS: The acoustic measurements used in the present study might not be sensitive enough or appropriate for detecting vocal changes after a long period of voice use, whether in reading (as reported in previous research) or speaking tasks. Moreover, a longer period of vocal loading would eventually reveal more evident and consistent acoustic voice changes.
Assuntos
Doenças Profissionais/diagnóstico , Doenças Profissionais/fisiopatologia , Rádio , Distúrbios da Voz/diagnóstico , Distúrbios da Voz/fisiopatologia , Voz , Acústica , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Introducción y objetivos: En la clínica de voz, uno de los síntomas más frecuentes es la fatiga vocal, la cual usualmente se refiere a la sensación de cansancio de la voz posterior al uso prolongado de esta durante las tareas de habla o canto. El propósito de este estudio fue comparar las características acústicas de la voz antes y después de un periodo prolongado de uso de la misma en una población de locutores de radio. Métodos: Ocho locutores de radio con voces normales, fueron evaluados. Cepstrum, energy ratio, índice ruido-armónico e índice de fonación suave fueron los parámetros acústicos utilizados para valorar objetivamente el posible cambio pre y poslocución. Resultados: Ninguno de los parámetros evaluados mostró una diferencia estadísticamente significativa entre las muestras pre y poslocución. A pesar de no ser significativo, el parámetro que obtuvo mayor diferencia fue el cepstrum durante la fonación de frecuencia fundamental aguda. Conclusiones: Posiblemente las medidas acústicas utilizadas no son lo suficientemente sensibles o adecuadas para detectar eventuales cambios vocales después de un periodo vocal prolongado, ya sea mediante tareas de lecturas como ha sido proporcionado por estudios previos, como tampoco en tareas de locución. Además, eventualmente un periodo de tiempo de carga vocal mayor al utilizado en esta investigación podría revelar cambios acústicos más evidentes y consistentes (AU)
Introduction and objectives: Vocal fatigue is one of the most common voice symptoms. It usually refers to the sensation of vocal tiredness after a long period of speaking or singing. The purpose of this study was to compare the acoustic characteristics of the voice before and after a long period of voice use in a group of radio broadcasters. Methods: Eight radio broadcasters with normal voices were assessed. We used cepstrum, energy ratio, noise to harmonic ratio and soft phonation index as acoustic variables to assess the possible pre-post vocal loading changes objectively. Results: There were no statistically significant pre-post differences in any of the acoustic parameters. Although cepstrum at high pitch did not show a significant difference, it obtained the greatest difference among the acoustic variables. Conclusions: The acoustic measurements used in the present study might not be sensitive enough or appropriate for detecting vocal changes after a long period of voice use, whether in reading (as reported in previous research) or speaking tasks. Moreover, a longer period of vocal loading would eventually reveal more evident and consistent acoustic voice changes (AU)