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1.
Altern Ther Health Med ; 27(2): 32-33, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33711821

RESUMO

Voice tremor is a common symptom in the elderly, as well as in patients who have had Parkinson's disease and related disorders, and other neurologic conditions. In this study, we analyzed 26 patients whose essential tremor symptoms involved phonation alone and were treated in our clinic alone as essential voice tremor. Kampo medicine yokukansan was found to be effective in the treatment of essential voice tremor compared with clonazepam. We suggest that yokukansan may be one of the best choices for first-line treatment of essential voice tremor.


Assuntos
Doença de Parkinson , Distúrbios da Voz , Idoso , Humanos , Medicina Kampo , Doença de Parkinson/tratamento farmacológico , Qualidade da Voz
2.
Clinics (Sao Paulo) ; 76: e2641, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33787658

RESUMO

OBJECTIVES: We aimed to analyze the vocal self-perception of Brazilian teachers and their communication needs, vocal signs and symptoms, and voice-related lifestyles during the coronavirus disease (COVID-19) pandemic and, based on this information, to develop guidance materials intended for dissemination to these teachers and the general community. METHODS: An online questionnaire designed for this survey was distributed via the researchers' networks and was available for completion by any teacher, except those who were not working at the time. There were 1,253 teachers from all over Brazil, of both sexes, covering a wide age range, working at different levels of education, and most with more than ten years of experience. Descriptive and inferential analyses of the data were performed. RESULTS: On comparing the prepandemic period with the current one, participants indicated voice improvements. In contrast, they presented symptoms such as dry throat, effort in addressing remote classes, hoarseness after classes, and difficulties with the use of headphones, among others. They further indicated stress, general fatigue, impact of the pandemic on mental health, and the overlapping of many home tasks with professional tasks. Some smoked, and others hydrated insufficiently. CONCLUSION: Although teachers generally noticed voice improvements during the pandemic, a proportion of them perceived worsening of voices. Many indicated several factors in which speech-language pathologists could guide them with the aim of improving performance and comfort during remote and hybrid classes, an initiative that will positively impact not only their voice and communication but also their quality of life.


Assuntos
Coronavirus , Doenças Profissionais , Distúrbios da Voz , Brasil , Criança , Comunicação , Feminino , Humanos , Masculino , Doenças Profissionais/epidemiologia , Doenças Profissionais/terapia , Pandemias , Qualidade de Vida , Autoimagem , Fonoterapia , Distúrbios da Voz/epidemiologia , Distúrbios da Voz/terapia , Qualidade da Voz
3.
J Laryngol Otol ; 135(3): 264-268, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33632350

RESUMO

OBJECTIVES: This study aimed to report the pre- and post-operative laryngeal endoscopic findings in patients referred by non-otolaryngologists who are undergoing thyroid and/or parathyroid surgery, and to determine the number and nature of referrals before and after the release of the clinical practice guideline for improving voice outcomes after thyroid surgery. METHODS: This retrospective cohort study, conducted at a tertiary care academic hospital, comprised adult patients referred by the endocrine surgery service for laryngoscopy from 2007 to 2018 (n = 166). Data regarding patient demographics, reason for referral and endoscopic findings were recorded. RESULTS: The number of referrals increased significantly after the release of the practice guideline. The most common indication for referral pre- and post-operatively was voice change. The most common finding during laryngoscopy was normal examination findings (pre-operatively) and unilateral vocal fold immobility (post-operatively). CONCLUSION: Peri-operative thyroid and/or parathyroid patients have laryngoscopic findings other than vocal fold immobility. Laryngoscopy to detect structural and functional pathology is warranted.


Assuntos
Laringoscopia/estatística & dados numéricos , Otolaringologia/estatística & dados numéricos , Glândulas Paratireoides/cirurgia , Encaminhamento e Consulta/estatística & dados numéricos , Glândula Tireoide/cirurgia , Adulto , Feminino , Humanos , Laringoscopia/normas , Laringe/patologia , Laringe/cirurgia , Masculino , Pessoa de Meia-Idade , Otolaringologia/normas , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/etiologia , Período Pós-Operatório , Guias de Prática Clínica como Assunto , Período Pré-Operatório , Encaminhamento e Consulta/normas , Estudos Retrospectivos , Paralisia das Pregas Vocais/diagnóstico , Paralisia das Pregas Vocais/etiologia , Prega Vocal/patologia , Prega Vocal/cirurgia , Voz , Distúrbios da Voz/diagnóstico , Distúrbios da Voz/etiologia
4.
Semin Speech Lang ; 42(1): 54-63, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33596604

RESUMO

For children with voice disorders, access to care has long been a challenge. Reasons for this include the challenge of qualifying children with isolated voice disorders for services within the public-school system as well as a family's geographic proximity to experienced clinicians who are in the healthcare system. Over the past decade, there have been both formal and informal investigations into the use of telepractice to deliver services to communicatively disordered children and adults, including those with voice disorders. Although barriers and obstacles existed, use of telepractice to deliver such services demonstrated both feasibility and, in some studies, effective outcomes. However, prior to spring of 2020, use of telepractice to deliver speech pathology services was not mainstream. This changed when the nation was forced to shut down many of its in-person healthcare and educational delivery due to the COVID-19 pandemic. This article summarizes select relevant literature pertaining to the use of telepractice in speech language pathology over the past decade and provides a case-based discussion of how it was and is currently being used to deliver pediatric voice care.


Assuntos
Prática Psicológica , Telerreabilitação/métodos , Resultado do Tratamento , Interface Usuário-Computador , Distúrbios da Voz/reabilitação , /complicações , Criança , Acesso aos Serviços de Saúde , Humanos , Inclusão Escolar/métodos , Estados Unidos
5.
Semin Speech Lang ; 42(1): 64-72, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33596605

RESUMO

Telemedicine-conveying medical information virtually for planning, diagnosis, or treatment-has been a part of the American medical system for over 100 years. A constantly evolving modality, telepractice was a supplemental care delivery system for most speech-language pathologists (SLPs) until March 2020 when the COVID-19 pandemic forced clinical operations to halt in-person activities and convert as much as possible to virtual platforms. The purpose of this article is to provide an overview of the need for telepractice prior to and beyond the current pandemic, the efficacy of telepractice for the voice-specialized SLP, limitations of telepractice, and best practices for providing care over telepractice with a specific focus on voice disorder diagnosis and treatment.


Assuntos
Prática Psicológica , Centros de Reabilitação , Telerreabilitação/métodos , Interface Usuário-Computador , Distúrbios da Voz/reabilitação , Criança , Humanos
6.
Eur Arch Otorhinolaryngol ; 278(3): 839-841, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33392763

RESUMO

INTRODUCTION: Spasmodic dysphonia (SD), a form of focal dystonia, has been defined as a neurogenic, task-specific disorder characterized by abrupt spasms of intrinsic laryngeal muscles that result in phonatory breaks. There are three classic types of SD: adductor SD, abductor (ABSD) and mixed SD. Compared with the more common adductor form, treatment of ABSD with botulinum toxin injection is related to a shorter efficacy and improvement in only about 70% of patients [Blitzer et al. in Laryngoscope 108:1435-1441, 1998]. Moreover, due to the possible loss of efficacy over time or patient refusal for repeated injections, surgical solutions for permanent or at least long-term results must be considered. METHOD: The surgical technique we propose is based on transoral bilateral posterior cricoarytenoid muscle (PCA) coagulation by radiofrequency (Celon, pro surg 250-T30, Olympus, Germany, 10 W, in 3 spots, each side) under a microscope or rigid scope control. The procedure is performed in two sessions distant of 2-3 weeks to avoid the risk of bilateral vocal fold temporary paralysis in adduction. A 52-year-old female patient with no audible voicing, resistant to botulinum toxin and after failure of relaxation thyroplasty type III according to lssihki [Saito et al. in Case Rep Otolaryngol 2018:4280381, 2018] showed an improvement of the Voice Handicap Index (VHI-10) from 35/40 to 19/40. The patient was rated G2R3B2A1S2 according to GRABS scale. CONCLUSION: PCA coagulation for ABSD is a safe and reusable surgical option. It is less invasive than other techniques described before. To the best of our knowledge, this technique was never reported before in this type of SD.


Assuntos
Disfonia , Disfonia/tratamento farmacológico , Feminino , Alemanha , Humanos , Músculos Laríngeos , Pessoa de Meia-Idade , Fonação , Resultado do Tratamento , Distúrbios da Voz
7.
Am J Speech Lang Pathol ; 30(1): 63-74, 2021 01 27.
Artigo em Inglês | MEDLINE | ID: mdl-33332145

RESUMO

Purpose Evaluation and management of voice and upper airway disorders in adults and children, by speech-language pathologists worldwide, have been significantly altered by the COVID-19 pandemic. Secondary to the pathogenic nature of the virus in the respiratory tract and upper airway, it is essential that speech-language pathologists who specialize in these disorders are knowledgeable of current practices to provide evidence-based care while minimizing viral transmission. Understanding how and when SARS-CoV-2 spreads is critical to the development of effective infection prevention within clinical practices. Method We established an evidence-based clinical practice guide for clinicians working with voice and upper airway through a comprehensive evaluation of peer-reviewed journals, non-peer-reviewed manuscripts on preprint servers, national health guidelines, and published and online consensus statements and emerging data. Emphasis was placed on risk mitigation for viral transmission via safe clinical practices, including evaluative procedures, therapy including telehealth, personal protective equipment, room, staffing, and distancing considerations. Results/Conclusions While knowledge relevant to viral transmission of SARS-CoV-2 is rapidly evolving, there is a paucity of literature specific to the evaluation and treatment of voice and upper airway disorders. Within these confines and given the potentially significant high risk of infection secondary to the nature of COVID-19, we summarize current considerations and recommend best practices that maximize risk mitigation whereby ensuring patient and provider safety.


Assuntos
Obstrução das Vias Respiratórias/diagnóstico , Distúrbios da Fala/diagnóstico , Distúrbios da Voz/diagnóstico , Adulto , Obstrução das Vias Respiratórias/terapia , Criança , Humanos , Guias de Prática Clínica como Assunto , Fatores de Risco , Distúrbios da Fala/terapia , Distúrbios da Voz/terapia
8.
Bol. méd. postgrado ; 36(2): 48-52, dic.2020. tab, graf
Artigo em Espanhol | LILACS, LIVECS | ID: biblio-1117900

RESUMO

Se realizó un estudio retrospectivo de revisión de 95 historias clínicas con el objetivo de determinar los factores predisponentes a la disfonía por hiperfunción laríngea en pacientes adultos que asistieron a la consulta de Otorrinolaringología del Hospital Universitario Dr. Luis Gómez López durante el lapso enero-diciembre 2016 a Junio 2017. Entre los resultados se encontró una predominancia del sexo masculino (82,4%) y una edad entre 37 a 44 años en 96,8% de los casos; 38% de los pacientes son profesionales expuestos a contaminación ambiental, 25% son profesionales de la voz; 79% no refiere tener hábito tabáquico; 38% refirió abusar de la voz, siendo las principales causas el hablar en exceso, cantar y gritar. El 67,4% de los pacientes están expuestos a vapores tóxicos, 86,3% al humo del tabaco y 82,1% al humo de la leña. El grado de disfonía más frecuente diagnosticado por nasofibrolaringoscopía fue grado II (60%). Es importante la detección temprana de los factores predisponentes asociados a la disfonía por hiperfunción laríngea de forma de implementar acciones que favorezcan las condiciones laborales y ambientales y mitiguen su influencia en la fisiología de la voz(AU)


A retrospective review of 95 medical charts was carried out with the objective of determining the predisposing factors for laryngeal hyperfunction dysphonia in adult patients attending the otorhinolaryngology consult of the Hospital Universitario Dr. Luis Gómez López, during the period January-December 2016 to June 2017. The results show a male predominance (82.4%) and an age between 37 to 44 years in 96.8% of cases; 38% of patients are professionals exposed to environmental pollution and 25% are voice professionals; 79% of patients don't smoke; 38% of cases abuse voice by speaking frequently, singing and shouting. 67.4% of patients have been exposed to vapors, 86.3% to tobacco smoke and 82.1% to firewood. Degree of dysphonia diagnosed by nasofibrolaryngoscopy was grade II (60%). Early detection of predisposing factors associated to laryngeal hyperfunction dysphonia is important in order to implement environmental actions to mitigate their influence in voice physiology(AU)


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Qualidade de Vida , Distúrbios da Voz , Doenças da Laringe , Disfonia/diagnóstico , Disfonia/etiologia , Otolaringologia , Estresse Psicológico , Qualidade da Voz
9.
Braz. j. otorhinolaryngol. (Impr.) ; 86(6): 669-675, Nov.-Dec. 2020. tab
Artigo em Inglês | LILACS | ID: biblio-1142589

RESUMO

Abstract Introduction: Difficulties or limitations in producing high-pitched sounds while singing may be due to the vocal technique used or organic factor. The observation of such difficulty or limitation by singing teachers is one of the main reasons affected individuals are referred to otolaryngologists. Objective: To evaluate the laryngostroboscopic and electromyographic changes in the cricothyroid muscles of singers with difficulties or limitations producing high-pitched sounds. Methods: This is a cross-sectional study. Ten singers with difficulty producing high-pitched sounds underwent voice, laryngostroboscopic, and electromyographic evaluations. Results: None of the evaluated singers presented signs of impairment of the superior laryngeal nerve on laryngostroboscopy. The electromyographic findings for the cricothyroid muscle were normal for all singers. Six singers presented vocal fold lesions, seven had signs suggestive of laryngopharyngeal reflux, and two presented vascular changes. Conclusion: No signs suggestive of superior laryngeal nerve paresis or paralysis were observed on laryngostroboscopy and electromyography of the cricothyroid muscle in singers with difficulties or limitations producing high-pitched sounds. The presence of vocal fold lesions should be investigated in this population.


Resumo Introdução: Dificuldades ou limitações na produção de sons agudos durante o canto podem ser decorrentes da técnica vocal utilizada ou de fatores orgânicos. A observação dessa dificuldade ou limitação pelos professores de canto é uma das principais razões pelas quais os indivíduos afetados são encaminhados aos otorrinolaringologistas. Objetivo: Avaliar as alterações laringoestroboscópicas e eletromiográficas no músculo cricotireóideo de cantores com dificuldades ou limitações na produção de sons agudos. Método: Estudo de coorte transversal. Dez cantores com dificuldade de produzir sons agudos foram submetidos a avaliações de voz, laringoestroboscópicas e eletromiográficas. Resultados: Nenhum dos cantores avaliados apresentou sinais de comprometimento do nervo laríngeo superior na laringoestroboscopia. Os achados eletromiográficos para o músculo cricotireóideo foram normais para todos os cantores. Seis cantores apresentaram lesões nas pregas vocais, sete apresentaram sinais sugestivos de refluxo laringofaríngeo e dois apresentaram alterações vasculares. Conclusão: Não foram observados sinais sugestivos de paresia ou paralisia do nervo laríngeo superior na laringoestroboscopia e eletromiografia do músculo cricotireóideo em cantores com dificuldades ou limitações na produção de sons agudos. A presença de lesões nas pregas vocais deve ser investigada nessa população.


Assuntos
Humanos , Distúrbios da Voz , Canto , Qualidade da Voz , Estudos Transversais , Estroboscopia , Eletromiografia
10.
Codas ; 32(5): e20190204, 2020.
Artigo em Espanhol, Inglês | MEDLINE | ID: mdl-33174989

RESUMO

PURPOSE: To adapt the Australian singing voice protocol, Evaluation of Ability to Sing Easily (EASE) to Chilean Spanish. METHODS: A translation of the EASE to Chilean Spanish was performed and later back translated; these were reviewed by a committee made up of 4 Speech-Language pathologists who created the first version in Chilean Spanish (EASE-CL). The EASE-CL is made up of 22 items, the same as the original, which are answered according to a Likert frequency scale, to which, during its adaptation, the option 'not applicable' was added in order to identify the instructions that were not understood or inappropriate for the vocabulary of Chilean singers. This version was applied to 21 professional singers in the Valparaiso Region. During this application there were no suggestions to change any of the instructions. RESULTS: The EASE-CL reflects the original English both in the number of items and in the domains. CONCLUSION: The cultural and linguistic equivalence of the EASE protocol in Chilean Spanish was demonstrated and the EASE-CL version came to be.


Assuntos
Canto , Distúrbios da Voz , Austrália , Chile , Comparação Transcultural , Humanos , Inquéritos e Questionários , Traduções , Distúrbios da Voz/diagnóstico
11.
Rev. chil. fonoaudiol. (En línea) ; 19: 1-9, nov. 2020. ilus
Artigo em Espanhol | LILACS | ID: biblio-1148401

RESUMO

La enfermedad COVID-19 fue declarada pandemia por la Organización Mundial de la Salud. Su presentación más severa genera una condición que requiere tratamiento en unidades de cuidados intensivos, condición que al prolongarse en el tiempo requiere la implementación de una traqueostomía para facilitar la entrega de soporte ventilatorio invasivo. Si bien este dispositivo posee importantes ventajas que favorecen la recuperación y rehabilitación, también es cierto que genera diversas complicaciones en la comunicación de las personas, condición que se suma a los efectos propios del COVID-19 y la frecuente historia de intubación endotraqueal previa. El objetivo de este artículo es proveer orientaciones y herramientas clínicas para el tratamiento de la fonación para la comunicación en personas con traqueostomía y COVID-19. Se considera para ello las recomendaciones de la literatura existentes a la fecha, bajo un análisis pragmático y basado en nuestra experiencia de atender a más de 561 personas con esta condición. Se exponen las características de la comunicación en esta población, su tratamiento, consideraciones para el uso de técnicas específicas y orientaciones para la mejora de la calidad de vida. Siempre con un enfoque orientado al cuidado y protección de las/os usuarias/os y el equipo de salud, en particular fonoaudiólogas y fonoaudiólogos del país.


The COVID-19 disease was declared a pandemic by the World Health Organization. When most severe, it generates a condition that requires treatment in intensive care units, which, when extended in time, requires implementing of a tracheostomy to facilitate invasive ventilatory support. Although ventilatory support has important advantages that favor recovery and rehabilitation, it generates various complications for patients' communication, a condition that adds to the effects of COVID-19 and the frequent history of previous endotracheal intubation. The aim of this article is to provide guidance and clinical tools for the treatment of phonation to facilitate communication in people with tracheostomy and COVID-19. For this, the recommendations of the existing available literature are considered, under a pragmatic analysis and based on our experience of treating more than 561 infected patients. The characteristics of communication in this population, its treatment, considerations for the use of specific techniques and guidelines to improve quality of life are exposed. Always with an approach oriented to the care and protection of users and the health team, in particular speech-language pathologists in the country.


Assuntos
Humanos , Pneumonia Viral/cirurgia , Traqueostomia/efeitos adversos , Distúrbios da Voz/etiologia , Infecções por Coronavirus/cirurgia , Transtornos da Comunicação/etiologia , Fonoaudiologia/normas , Fonação , Pneumonia Viral/complicações , Pneumonia Viral/reabilitação , Qualidade de Vida , Relações Hospital-Paciente , Distúrbios da Voz/reabilitação , Infecções por Coronavirus/complicações , Infecções por Coronavirus/reabilitação , Comunicação , Transtornos da Comunicação/reabilitação , Cuidados Críticos , Fonoaudiologia/métodos , Pandemias , Betacoronavirus , Intubação Intratraqueal
12.
PLoS One ; 15(7): e0236348, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32735560

RESUMO

Vocal folds are a viscoelastic multilayered structure responsible for voice production. Vocal fold epithelial damage may weaken the protection of deeper layers of lamina propria and thyroarytenoid muscle and impair voice production. Systemic dehydration can adversely affect vocal function by creating suboptimal biomechanical conditions for vocal fold vibration. However, the molecular pathobiology of systemically dehydrated vocal folds is poorly understood. We used an in vivo rabbit model to investigate the complete gene expression profile of systemically dehydrated vocal folds. The RNA-Seq based transcriptome revealed 203 differentially expressed (DE) vocal fold genes due to systemic dehydration. Interestingly, function enrichment analysis showed downregulation of genes involved in cell adhesion, cell junction, inflammation, and upregulation of genes involved in cell proliferation. RT-qPCR validation was performed for a subset of DE genes and confirmed the downregulation of DSG1, CDH3, NECTIN1, SDC1, S100A9, SPINK5, ECM1, IL1A, and IL36A genes. In addition, the upregulation of the transcription factor NR4A3 gene involved in epithelial cell proliferation was validated. Taken together, these results suggest an alteration of the vocal fold epithelial barrier independent of inflammation, which could indicate a disruption and remodeling of the epithelial barrier integrity. This transcriptome provides a first global picture of the molecular changes in vocal fold tissue in response to systemic dehydration. The alterations observed at the transcriptional level help to understand the pathobiology of dehydration in voice function and highlight the benefits of hydration in voice therapy.


Assuntos
Desidratação/genética , Músculos Laríngeos/metabolismo , Prega Vocal/metabolismo , Distúrbios da Voz/genética , Animais , Fenômenos Biomecânicos , Adesão Celular/genética , Proliferação de Células/genética , Desidratação/metabolismo , Desidratação/patologia , Modelos Animais de Doenças , Células Epiteliais/metabolismo , Células Epiteliais/patologia , Regulação da Expressão Gênica/genética , Humanos , Junções Intercelulares/genética , Músculos Laríngeos/patologia , Membrana Mucosa/metabolismo , Membrana Mucosa/patologia , Coelhos , Prega Vocal/patologia , Distúrbios da Voz/patologia
13.
Braz. j. otorhinolaryngol. (Impr.) ; 86(4): 497-501, July-Aug. 2020. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1132611

RESUMO

Abstract Introduction There are no official diagnostic protocols for singing voice assessment. In this publication, on the basis of a literature review, standards for the singing voice handicap index exclusively dedicated to voice disorders in singing have been given. Objective The study aims to determine the normative values for the singing voice handicap index. Methods The study is a systematic review and a meta-analysis. A systematic literature search was performed using PubMed to access relevant databases and to locate outcome studies. The "inclusion" criteria were as follows: English language, original papers and human studies retrospective and prospective papers, cross-sectional and case-control studies. Results Eight articles were included for the final analysis. The normative value for the singing voice handicap index was 20.35 with a confidential range of 10.6-30.1 for a group of 729 healthy subjects whose voices were judged as normal, with an age range of 16-64 years. Conclusion The mean normative value of the singing voice handicap index was 20.35 with the confidence levels between 10.6 and 30.1.


Resumo Introdução Não há protocolos diagnósticos oficiais para avaliação de voz no canto. Neste estudo baseado em uma revisão de literatura, são fornecidos padrões para o índice de desvantagem vocal no canto exclusivamente dedicado a distúrbios vocais no canto. Objetivo Determinar os valores normativos para o índice de desvantagem vocal no canto. Método O estudo é uma revisão sistemática com metanálise. Uma busca sistemática da literatura foi feito no PubMed para acessar bancos de dados relevantes e para localizar estudos de desfecho. Os critérios de inclusão foram: estudos escritos em inglês, artigos originais e estudos em seres humanos, retrospectivos e prospectivos, estudos transversais e de caso-controle. Resultados Oito artigos foram incluídos na análise final. O valor normativo para o índice de desvantagem vocal no canto foi de 20,35 com intervalo de confiança de 10,6 a 30,1 em um grupo de 729 indivíduos saudáveis cujas vozes foram consideradas normais, de 16 a 64 anos. Conclusões O valor normativo médio do índice de desvantagem vocal no canto foi de 20,35 com intervalo de confiança entre 10,6 e 30,1.


Assuntos
Humanos , Adolescente , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Voz , Distúrbios da Voz , Canto , Qualidade da Voz , Estudos Transversais , Estudos Prospectivos , Estudos Retrospectivos
14.
Codas ; 32(3): e20180304, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32638826

RESUMO

PURPOSE: Verify the perception of popular and classical singers in relation to vocal symptoms and their possible relations regarding knowledge of health and vocal hygiene. METHOD: This study was composed of 242 singers, aged between 17 and 60, of both sexes. A total of 56 singers were selected, with 186 singers, divided into 104 Popular Singers Group (PSG) and 82 Classical Singers Group (CSG). All participants answered the questionnaire for identification and also vocal self-assessment, and two protocols were applied, namely: Brazilian validated version of Voice Symptom Scale - VoiSS (Escala de Sintomas Vocais - ESV) and Questionário de Saúde e Higiene Vocal (QSHV). RESULTS: The largest number of participants was female. The classical singers presented more time of singing class than the popular ones. Show hours of 1-2 hours was higher in the number of subjects responding to both groups of singers. Classical singers presented greater perception of vocal symptoms when compared to the popular ones for total and emotional scores of the Brazilian validated version of VoiSS. The popular and classical groups do not make any difference regarding health and vocal hygiene, even though the groups obtained values above the QSHV normality score. There was no correlation between knowledge about vocal health and hygiene and vocal symptoms in singers. CONCLUSION: Classical singers are more affected by vocal changes, especially women. The singers obtained a good degree of knowledge in vocal hygiene, not differing about the styles. The perception of vocal alteration in popular and classical singers seems to have no relation with the degree of health knowledge and vocal hygiene.


Assuntos
Higiene , Autoimagem , Canto , Distúrbios da Voz , Adolescente , Adulto , Brasil , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Qualidade da Voz , Adulto Jovem
15.
J Laryngol Otol ; 134(8): 661-664, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32613918

RESUMO

BACKGROUND: The following position statement from the Union of the European Phoniatricians, updated on 25th May 2020 (superseding the previous statement issued on 21st April 2020), contains a series of recommendations for phoniatricians and ENT surgeons who provide and/or run voice, swallowing, speech and language, or paediatric audiology services. OBJECTIVES: This material specifically aims to inform clinical practices in countries where clinics and operating theatres are reopening for elective work. It endeavours to present a current European view in relation to common procedures, many of which fall under the aegis of aerosol generating procedures. CONCLUSION: As evidence continues to build, some of the recommended practices will undoubtedly evolve, but it is hoped that the updated position statement will offer clinicians precepts on safe clinical practice.


Assuntos
Audiologia/métodos , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/prevenção & controle , Otolaringologia/métodos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Audiologia/normas , Criança , Pré-Escolar , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/cirurgia , Transtornos de Deglutição/virologia , Europa (Continente)/epidemiologia , Humanos , Testes Obrigatórios/normas , Otolaringologia/normas , Pediatria/normas , Equipamento de Proteção Individual/normas , Equipamento de Proteção Individual/provisão & distribução , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Guias de Prática Clínica como Assunto , Sociedades Médicas/organização & administração , Distúrbios da Voz/diagnóstico , Distúrbios da Voz/cirurgia , Distúrbios da Voz/virologia
17.
Sci Data ; 7(1): 186, 2020 06 19.
Artigo em Inglês | MEDLINE | ID: mdl-32561845

RESUMO

Laryngeal videoendoscopy is one of the main tools in clinical examinations for voice disorders and voice research. Using high-speed videoendoscopy, it is possible to fully capture the vocal fold oscillations, however, processing the recordings typically involves a time-consuming segmentation of the glottal area by trained experts. Even though automatic methods have been proposed and the task is particularly suited for deep learning methods, there are no public datasets and benchmarks available to compare methods and to allow training of generalizing deep learning models. In an international collaboration of researchers from seven institutions from the EU and USA, we have created BAGLS, a large, multihospital dataset of 59,250 high-speed videoendoscopy frames with individually annotated segmentation masks. The frames are based on 640 recordings of healthy and disordered subjects that were recorded with varying technical equipment by numerous clinicians. The BAGLS dataset will allow an objective comparison of glottis segmentation methods and will enable interested researchers to train their own models and compare their methods.


Assuntos
Endoscopia , Glote/fisiologia , Gravação em Vídeo , Prega Vocal/fisiologia , Distúrbios da Voz/diagnóstico , Glote/diagnóstico por imagem , Humanos , Prega Vocal/diagnóstico por imagem
18.
Rev. logop. foniatr. audiol. (Ed. impr.) ; 40(2): 48-54, abr.-jun. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-193697

RESUMO

INTRODUCCIÓN: Los cantantes son uno de los grupos de profesionales de la voz con mayor prevalencia de patología vocal y están expuestos a muchos factores de riesgo. Esto se acrecienta en el caso de los cantantes de coros amateurs que no suelen recibir nociones de técnica vocal. MÉTODO: Se estudiaron las características vocales y los factores de riesgo de 39 cantantes de coros amateur mediante el índice de incapacidad vocal abreviado (VHI-10), el índice de incapacidad vocal para el canto (S-VHI), laringoestroboscopia y análisis vocal. RESULTADOS: Los cantantes que no habían recibido clases de técnica vocal obtuvieron puntuaciones más altas tanto en el VHI-10 (10.5; p=.001) como en el S-VHI (55.9; p=.010) frente a los que sí (4 en el VHI-10 y 31.4 en el S-VHI). Respecto al sexo, encontramos que las mujeres alcanzan puntuaciones más altas (51.6) que los hombres (35) en el S-VHI (p=.019). En la muestra encontramos 9 sujetos (23.1%) con signos de fatiga vocal y 6 (15.4%) con reflujo. En el análisis acústico la frecuencia es más alta en la voz cantada (278.1HZ) que en la hablada (168.4Hz), los armónicos también son mayores en voz cantada (28dB) que en voz hablada (22dB), los valores de jitter son más altos en la voz hablada (0.24) que en la cantada (0.14) y los del shimmer también son más altos en la voz hablada (1.71) que en la cantada (1.23). CONCLUSIONES: La falta de nociones de técnica vocal en cantantes de coros amateur condiciona una mayor puntuación en los test VHI-10 y S-VHI, así como alteraciones en la laringe


INTRODUCTION: Singers are one of the groups of voice professionals with a higher incidence of vocal disorders which expose them to many risk factors. These risks are even higher in singers in amateur choirs, who usually lack vocal technique. METHOD: Vocal traits and risk factors of 39 amateur choir singers were studied using the VHI-10, the S-VHI, laryngeal examination and acoustic analysis. RESULTS: The singers who had not received lessons in vocal technique obtained higher marks in VHI-10 (10.5; P=.001) as well as in S-VHI (55.9; P=.010) compared to those who had (4 in VHI-10 and 31.4 in S-VHI). As regards sex, we find that women achieve higher marks (51.6) than men (35) in the S-VHI (P=.019). In the sample we find 9 subjects (23.1%) with evidence of vocal fatigue and 6 (15.4%) with reflux. In the acoustic analysis we observe that the frequency is higher in the singing voice (278.1HZ) than in the speaking voice (168.4Hz), the harmonics are also higher in the singing voice (28dB) than in the speaking voice (22dB), the jitter values are higher in the speaking voice (.24) than in the singing voice (.14), and shimmer values are also higher in the speaking voice (1.71) than in the singing voice (1.23). CONCLUSION: The lack of vocal technique in amateur choir singers determines a higher mark in the VHI-10 and S-VHI tests together with alterations to the larynx


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Disfunção da Prega Vocal/diagnóstico , Disfunção da Prega Vocal/etiologia , Distúrbios da Voz/etiologia , Distúrbios da Voz/diagnóstico , Canto/fisiologia , Inquéritos e Questionários , Fatores de Risco
19.
Artigo em Inglês | MEDLINE | ID: mdl-32354173

RESUMO

Background: Early childhood teachers consist of kindergarten and elementary school teachers in the lower grades. Young children at school may increase the vocal load of these teachers. Therefore, the objectives of this study were to determine the prevalence of voice disorders and the associated factors in early childhood teachers, and to determine if differences exist between kindergarten and elementary school teachers. Method: A cross-sectional survey was performed in July 2019 as a network questionnaire. Through cluster sampling, teachers (n = 414) from all five public kindergartens (n = 211) in the urban area of Yancheng, China, and four public elementary schools (n = 203) in the same school district participated in this study. Multivariate logistic regression models were used to analyze the associations among the prevalence of voice disorders in the teachers, school type, and relevant factors. Results: Our results indicated, based on the Voice Handicap Index scale (VHI-10, China), that the prevalence of voice disorders in early childhood teachers was 59.7%, while that in elementary school teachers (65.5%) was significantly higher than that in kindergarten teachers (54.0%) during the previous semester. Contributing factors included daily class hours, classroom air humidity, and speaking loudly during teaching. Additionally, certain types of voice usage in teaching such as falsetto speak, speaking more than other teachers, not using vocal techniques, and habitual voice clearing, were significantly associated with voice disorders. Conclusion: Most early childhood teachers have voice disorders. Compared with the kindergarten teachers, the elementary school teachers experienced a significantly higher prevalence of voice disorders. Several factors among work organization, work environment, and types of voice usage in teaching were associated with the voice disorders in early childhood teachers. The finding suggests that voice training should be provided for early childhood teachers, classroom teaching time should be decreased, and the number of teachers in basic subjects should be increased in the lower grades of elementary schools.


Assuntos
Doenças Profissionais , Professores Escolares , Distúrbios da Voz , Adulto , Criança , Pré-Escolar , China , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
20.
Am J Otolaryngol ; 41(4): 102532, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32409162

RESUMO

OBJECTIVE: The aging larynx undergoes structural changes that have functional consequences for voice production known as presbyphonia. Treatment of presbyphonia includes voice therapy and surgery. This review seeks to examine voice outcomes after surgery for presbyphonia. DATA SOURCES: Three electronic databases (PreMed, ScienceDirect, Embase) were reviewed for articles published between 1 January 1900 and 1 June 2019. REVIEW METHODS: Original English-language studies examining surgical treatment of presbyphonia in elderly patients (≥65 years) were included according to PRISMA. Two researchers independently analyzed articles. Outcome measures were extracted from and qualitatively compared across studies. RESULTS: Of the 118 articles identified, five satisfied eligibility criteria. In all studies, diagnosis of presbyphonia was based on videostroboscopy. 85 patients (61M, 21F) were evaluated. 37.6% underwent implantation thyroplasty (IT), 48.2% underwent injection augmentation (IA), 7.1% underwent both, and 7.1% underwent basic-fibroblastic growth factor (b-FGF) injection. Average patient age was 71.3 years. Average follow-up time was 5.4 months. Three months post-intervention, IT patients self-reported greater improvement in quality of life (QoL) metrics compared to IA patients. Aerodynamic measures, like mean phonation time, were significantly improved in IT and IA, but not b-FGF-injected patients. All patients experienced improvements in the auditory perception of voice three months post-intervention. CONCLUSION: Surgical modalities currently utilized for presbyphonia include IT and IA, with bFGF-injection being trialed abroad. IT patients reported enhanced QoL relative to IA and bFGF-injected patients. Overall there is a paucity of high-power, prospective studies that explore the efficacy of these modalities. Moreover, wide variability exists in reported outcomes among published studies.


Assuntos
Laringoplastia/métodos , Distúrbios da Voz/cirurgia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Envelhecimento , Percepção Auditiva , Feminino , Fator 2 de Crescimento de Fibroblastos/administração & dosagem , Seguimentos , Humanos , Injeções , Masculino , Fonação , Qualidade de Vida , Resultado do Tratamento , Voz , Distúrbios da Voz/fisiopatologia
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