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Andriollo DB, Frigo LF, Cielo CA. Effect of Pompage on Teachers Self-Assessment-Clinical Trial. J Voice 2023; 37:293.e25-293.e36. [PMID: 33446440 DOI: 10.1016/j.jvoice.2020.12.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Revised: 12/10/2020] [Accepted: 12/16/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To verify the results of self-assessments of teachers with vocal and musculoskeletal complaints and with the normal larynx, after myofascial release using pompage. METHODS Double-blind, controlled, and randomized clinical trial including 28 teachers in the study group and 28 teachers in the control group, totaling 56 participants. Anamnesis, video laryngoscopy, hearing screening, clinical and photogrammetric postural assessment, pain threshold in cervical muscles, sound pressure and maximum phonation time measurements, and manovacuometry were performed. Protocols for vocal self-assessment, neck pain, anxiety and depression, and musculoskeletal pain were filled out. Pompage therapy consisted of a total of 24 sessions (8 weeks) of 40 minutes each, three times a week. Afterward, the groups were reassessed. RESULTS In the study group, there was a significant improvement in the results of the following instruments: Hospital Anxiety and Depression Scale, Vocal Tract Discomfort Scale, Voice Symptoms Scale, Vocal Activity and Participation Profile, Vocal Handicap Index, Voice-Related Quality of Life, and Nordic Musculoskeletal Questionnaire. CONCLUSIONS After myofascial release using pompage in teachers, there was an improvement in the self-assessed aspects regarding characteristics and quality of life related to the voice, social participation related to the voice, anxiety and depression, and musculoskeletal symptoms.
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Affiliation(s)
| | | | - Carla Aparecida Cielo
- Department of Speech Therapy and Graduate Program in Human Communication Disorders, Federal University of Santa Maria, Santa Maria, RS, Brazil
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Andriollo DB, Frigo LF, Cielo CA. Effect of Pompage on Vocal and Respiratory Measurements from Female Teachers: A Randomized Clinical Trial. Folia Phoniatr Logop 2023; 75:295-305. [PMID: 36812904 DOI: 10.1159/000529832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 02/08/2023] [Indexed: 02/24/2023] Open
Abstract
INTRODUCTION Teachers stand out among occupational groups due to their contribution to modern societies, and their voice is the main form of interaction. OBJECTIVE The aim of the study was to verify the changes in vocal and respiratory measurements from teachers with vocal and musculoskeletal complaints and with normal larynx after applying a musculoskeletal manipulation protocol of myofascial release using pompage. METHODS Controlled and randomized clinical trial with 56 participants: 28 teachers in the study group and 28 teachers in the control group. Anamnesis, videolaryngoscopy, hearing screening, sound pressure and maximum phonation time measurements, and manovacuometry were performed. The musculoskeletal manipulation protocol of myofascial release using pompage consisted of a total of 24 sessions, 40 min for each session, three times a week, for 8 weeks. RESULTS There was a significant improvement in the maximum respiratory pressure in the study group after the intervention. The sound pressure level and the maximum phonation time did not change significantly. DISCUSSION AND CONCLUSION Musculoskeletal manipulation protocol of myofascial release using pompage had a direct effect on the respiratory measurements from female teachers, significantly increasing the maximum respiratory pressure but without affecting sound pressure level and the /a/ maximum phonation time.
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Affiliation(s)
- Débora Bonesso Andriollo
- Programa de Pós-graduação em Fonoaudiologia, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Universidade Federal de Santa Maria, Santa Maria, Brazil
| | | | - Carla Aparecida Cielo
- Departamento de Fonoaudiologia, Programa de Pós-graduação em Fonoaudiologia, Laboratório de Voz, Universidade Federal de Santa Maria, Santa Maria, Brazil
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Christmann MK, Gonçalves DDS, Cielo CA. Finger Kazoo Intensive Short-term Vocal Therapy: Vocal and Aerodynamic Measurements in Female Teachers. J Voice 2022:S0892-1997(22)00352-6. [PMID: 36517329 DOI: 10.1016/j.jvoice.2022.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 11/01/2022] [Accepted: 11/01/2022] [Indexed: 12/15/2022]
Abstract
OBJECTIVE to verify the effect after short-term intensive therapy with the Finger Kazoo technique on vocal and aerodynamic measures of dysphonic female teachers. METHOD blind randomized clinical trial. Fifteen female teachers without structural disorders of vocal folds and nine with vocal nodules participated in the study groups. Yet, nine female teachers without structural disorders and eight with vocal nodules in the control groups. The following variables were measured pre and post-therapy: minimum and maximum fundamental frequency: forced vital capacity; simple phonic coefficient; compound phonic coefficient; ratio between maximum phonation time of /a/ and expected maximum phonation time. RESULTS no statistical significance was observed in the intra and intergroup analyses in any of the measures. CONCLUSION in this group of female teachers, it was not possible to show a positive effect of short-term and intensive therapy with the Finger Kazoo technique on the vocal measures of minimum and maximum fundamental frequency, forced vital capacity, simple phonic coefficient, compound phonic coefficient, and the relationship between maximum phonation time of /a/ and expected maximum phonation time.
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Affiliation(s)
- Mara Keli Christmann
- Speech Therapy Departament, Voice Laboratory Voz, Federal University of Santa Maria, RS, Brazil; Universidade do Vale do Itajaí (UNIVALI), Itajaí, SC, Brazil; Associação Educacional Luterana Bom Jesus (IELUSC), Joinville, SC, Brazil
| | | | - Carla Aparecida Cielo
- Speech Therapy Departament, Voice Laboratory Voz, Federal University of Santa Maria, RS, Brazil
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Colla CN, Andriollo DB, Cielo CA. Self-assessment of teachers with normal larynges and vocal and osteomuscular complaints. J Voice 2022:S0892-1997(22)00105-9. [PMID: 35570174 DOI: 10.1016/j.jvoice.2022.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 04/01/2022] [Indexed: 10/18/2022]
Abstract
INTRODUCTION Teachers face vocal problems related to long periods of speech and increased sound pressure, as well as environmental noise, inadequate posture and tension of the cervical muscles. OBJECTIVE To verify the results of self-assessment of teachers with normal larynges and vocal and musculoskeletal complaints, and compare them with the reference values. METHODS Fifty-seven teachers, aged between 21 and 60 years (average 40.14 years) participated in the study. Anamnesis, otorhinolaryngological examination, hearing screening and self-assessment protocols were performed. RESULTS In the Nordic musculoskeletal questionnaire, the majority of teachers had discomfort in most parts of the body and in the situations evaluated; on the voice-related quality of life, the total and physical subscores were lower than the normative values while the emotional subscore was higher; regarding voice symptoms scale and vocal tract discomfort scale, the scores were higher than the normative values; in the hospital anxiety and depression scale, there was alteration in the total score; in the Vocal Activity and Participation Profile, the effects on work and emotion were above the normative values; on the University of Rhode Island change assessment-voice and on the voice handicap index there were no significant differences. CONCLUSION Most of the teachers presented vocal, musculoskeletal, and emotional complaints on the self-assessment results, what suggests excessive voice use as well as overload on the body muscles, including the larynx and vocal tract, and that they presented emotional changes. These aspects had an impact on their quality of life, but they showed no action in coping with the condition.
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Affiliation(s)
- Carla Nolasco Colla
- Speech Therapy Department, Voice Laboratory, Federal University of Santa Maria, Building 26E, Av. Roraima, 1000, Camobi, Santa Maria, Rio Grande do Sul 97105-900, Brazil.
| | | | - Carla Aparecida Cielo
- Department of Speech Therapy and at the Postgraduate Program in Human Communication Disorders, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
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Cardoso NSV, Lucena JA, de Lira ZS, de Vasconcelos SJ, Lopes LW, Gomes ADOC. Do Flexible Silicone Tubes Immersed in Water Combined With Vocalise Improve the Immediate Effect on Voice? JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2021; 64:4535-4562. [PMID: 34762812 DOI: 10.1044/2021_jslhr-20-00629] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
PURPOSE This study aimed to analyze the immediate effect on a singer's voice of a flexible silicone tube immersed in water combined with ascending and descending vocalise scales compared with ascending and descending vocalise scales alone. METHOD A pre- and post-intervention quasi-experimental study was conducted. Thirty adult singers between 18 and 45 years old with no laryngeal disorders performed the two techniques for 3 min each on different days. Acoustic measurements of frequency, jitter, shimmer, glottal-to-noise excitation ratio, noise, smoothed cepstral peak prominence (CPPS), maximum phonation time (MPT), voice range profile, and self-perceived vocal effort (Borg Category Ratio 10-BR Scale adapted for vocal effort) were assessed before and after performing the techniques. RESULTS The results indicated an increase in singers' CPPS and MPT values and a decrease in shimmer and noise when performing with a flexible silicone tube immersed in water combined with vocalise. The singers reported a perception of decreased vocal effort after both methods. However, the diminished perceived vocal effort became more pronounced with the tube phonation technique combined with vocalise. CONCLUSIONS Phonation in tubes combined with vocalise improved the vocal acoustic parameters (including cepstral measurements), increased MPT, and diminished perceived vocal effort. Although using vocalise alone diminished perceived vocal effort, this decrease was more pronounced in the tube phonation technique combined with vocalise.
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Affiliation(s)
- Nathália Suellen Valeriano Cardoso
- Graduate Program in Human Communication Health, Health Sciences Center, Speech-Language Pathology and Audiology Department, Federal University of Pernambuco, Recife, Brazil
| | - Jonia Alves Lucena
- Graduate Program in Human Communication Health, Health Sciences Center, Speech-Language Pathology and Audiology Department, Federal University of Pernambuco, Recife, Brazil
| | - Zulina Souza de Lira
- Graduate Program in Human Communication Health, Health Sciences Center, Speech-Language Pathology and Audiology Department, Federal University of Pernambuco, Recife, Brazil
| | | | - Leonardo Wanderley Lopes
- Graduate Program in Speech Therapy, Health Sciences Center, Speech-Language Pathology and Audiology Department, Federal University of Paraíba, João Pessoa, Brazil
| | - Adriana de Oliveira Camargo Gomes
- Graduate Program in Human Communication Health, Health Sciences Center, Speech-Language Pathology and Audiology Department, Federal University of Pernambuco, Recife, Brazil
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Christmann MK, Scapini F, Lima JPDM, Gonçalves BFDT, Bastilha GR, Cielo CA. Aerodynamic Vocal Measurements in Female Teachers: Finger Kazoo Intensive Short-Term Vocal Therapy. J Voice 2021; 35:259-270. [DOI: 10.1016/j.jvoice.2019.08.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Revised: 08/16/2019] [Accepted: 08/19/2019] [Indexed: 10/25/2022]
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Christmann MK, Scapini F, Lima JPDM, Gonçalves BFDT, Bastilha GR, Cielo CA. Voice-Related Quality of Life, Anxiety, and Depression in Female Teachers: Finger Kazoo Intensive Short-Term Vocal Therapy. J Voice 2020; 36:736.e1-736.e15. [PMID: 33032885 DOI: 10.1016/j.jvoice.2020.08.039] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Revised: 08/27/2020] [Accepted: 08/31/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Among professional voice users, teachers are subject to higher risks of developing occupational dysphonia due to their abusive use of the voice, usually under unfavorable conditions. OBJECTIVES Quantify the vocal self-perception, the voice-related quality of life, and the anxiety, and depression symptoms, of dysphonic female teachers, after a brief and intensive short-term voice therapy using the finger kazoo technique. METHODS Blinded, randomized, and controlled clinical trial. Questionnaires applied to two study groups (15 subjects without structural laryngeal disorder in one group, and nine subjects with vocal nodules in the other), and to two control groups (9 subjects without structural laryngeal disorder in one group, and eight subjects with vocal nodules in the other). RESULTS The Vocal Tract Discomfort Scale, the Voice Activity and Participation Profile, the Voice Symptom Scale, and the Voice-Related Quality of Life Protocol, showed significant improvement in both study groups. The Vocal Perception Protocol showed that negative vocal self-perception reduced significantly in subjects without structural alteration of the vocal folds in the study group. Anxiety symptoms improved significantly in subjects with vocal nodules in the study group; depression symptoms improved significantly in subjects with vocal nodules in the control group, and in subjects without structural alteration of the vocal folds in the study group. CONCLUSION Brief and intensive short-term voice therapy using the finger kazoo technique provided improvement in the vocal self-perception, the voice-related quality of life, and in the symptoms of anxiety and depression in dysphonic teachers, more evidently in teachers with vocal nodules.
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Affiliation(s)
- Mara Keli Christmann
- Universidade do Vale do Itajaí (UNIVALI), Itajaí, SC, Brazil; Associação Educacional Luterana Bom Jesus (IELUSC), Joinville, SC, Brazil; Departamento de Fonoaudiologia, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil.
| | - Fabricio Scapini
- Departamento de Clínica Médica, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
| | | | | | | | - Carla Aparecida Cielo
- Departamento de Fonoaudiologia, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
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Lira ZSD, Lemos ILLD, Cardoso NSV, Paulino CEB, Vieira ACC, Lucena JA, Gomes ADOC. Immediate Effect of the Finger-Kazoo Technique Associated with Glissandos in the Voice of Individuals with Parkinson's Disease. J Voice 2020; 36:585.e15-585.e25. [PMID: 32829982 DOI: 10.1016/j.jvoice.2020.07.027] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 07/16/2020] [Accepted: 07/21/2020] [Indexed: 11/18/2022]
Abstract
OBJECTIVE To verify the immediate effect of the Finger Kazoo technique associated with glissandos in the voice of individuals with Parkinson's disease. METHOD Thirty subjects with Parkinson's Disease comprised of 15 men and 15 women with a mean age of 63.8 years (± 6.88) and mean time of diagnosis of 97.33 (± 63.53) months, all with preserved cognition. The subjects' voice range profile (VRP), speech range profile (SRP), and the maximum phonation time were assessed, before and after applying the Finger Kazoo technique associated with ascending and descending glissando. After the technique, a vocal satisfaction questionnaire was completed. RESULTS After the applied technique there was an increase in the minimum and maximum fundamental frequency recorded respectively in the SRP and in the VRP; there was an increase in the vocal range (measured in Hertz and semitones) of the women, recorded in the VRP; in the male population, there was an increase in maximum phonation time. A higher percentage of positive references to vocal improvement was observed after the exercise. CONCLUSION In patients with Parkinson's Disease, the Finger Kazoo with glissando technique promoted an increase in the minimum fundamental frequency of the SRP and in the vocal extensions of women, as well as increasing the maximum phonatory time of men. In addition, patients reported satisfaction with the use of the technique and its results.
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Affiliation(s)
- Zulina Souza de Lira
- Health Sciences Center. Speech-Languague Pathology and Audiology Departament, Federal University of Pernambuco, Recife, Pernambuco, Brazil. (Programa de Pós-Graduação em Saúde da Comunicação Humana da Universidade Federal de Pernambuco - Centro de Ciências da Saúde - Departamento de Fonoaudiologia). Av. Prof. Artur de Sá, s/n - Cidade Universitária - Recife/PE,- CEP 50670-420, Brazil
| | - Izabela Lara Leite de Lemos
- Speech-Languague Pathology and Audiology Department at the Federal University of Pernambuco. Health Sciences Center. Recife, Pernambuco, Brazil
| | - Nathália Suellen Valeriano Cardoso
- Health Sciences Center. Speech-Languague Pathology and Audiology Departament, Federal University of Pernambuco, Recife, Pernambuco, Brazil. (Programa de Pós-Graduação em Saúde da Comunicação Humana da Universidade Federal de Pernambuco - Centro de Ciências da Saúde - Departamento de Fonoaudiologia). Av. Prof. Artur de Sá, s/n - Cidade Universitária - Recife/PE,- CEP 50670-420, Brazil
| | - Clarissa Evelyn Bandeira Paulino
- Health Sciences Center. Speech-Languague Pathology and Audiology Departament, Federal University of Pernambuco, Recife, Pernambuco, Brazil. (Programa de Pós-Graduação em Saúde da Comunicação Humana da Universidade Federal de Pernambuco - Centro de Ciências da Saúde - Departamento de Fonoaudiologia). Av. Prof. Artur de Sá, s/n - Cidade Universitária - Recife/PE,- CEP 50670-420, Brazil
| | - Ana Cláudia Carvalho Vieira
- Speech-Languague Pathology and Audiology Department at the Federal University of Pernambuco. Health Sciences Center. Recife, Pernambuco, Brazil
| | - Jonia Alves Lucena
- Health Sciences Center. Speech-Languague Pathology and Audiology Departament, Federal University of Pernambuco, Recife, Pernambuco, Brazil. (Programa de Pós-Graduação em Saúde da Comunicação Humana da Universidade Federal de Pernambuco - Centro de Ciências da Saúde - Departamento de Fonoaudiologia). Av. Prof. Artur de Sá, s/n - Cidade Universitária - Recife/PE,- CEP 50670-420, Brazil
| | - Adriana de Oliveira Camargo Gomes
- Health Sciences Center. Speech-Languague Pathology and Audiology Departament, Federal University of Pernambuco, Recife, Pernambuco, Brazil. (Programa de Pós-Graduação em Saúde da Comunicação Humana da Universidade Federal de Pernambuco - Centro de Ciências da Saúde - Departamento de Fonoaudiologia). Av. Prof. Artur de Sá, s/n - Cidade Universitária - Recife/PE,- CEP 50670-420, Brazil..
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Acoustic and Auditory Perception Effects of the Voice Therapy Technique Finger Kazoo in Adult Women. J Voice 2017; 31:390.e9-390.e15. [DOI: 10.1016/j.jvoice.2016.09.025] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2016] [Accepted: 09/23/2016] [Indexed: 11/20/2022]
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Pascotini FDS, Ribeiro VV, Christmann MK, Tomasi LL, Dellazzana AA, Haeffner LSB, Cielo CA. Respiratory Muscle Strength, Sound Pressure Level, and Vocal Acoustic Parameters and Waist Circumference of Children With Different Nutritional Status. J Voice 2015; 30:30-5. [PMID: 26685055 DOI: 10.1016/j.jvoice.2015.02.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2014] [Accepted: 02/12/2015] [Indexed: 10/22/2022]
Abstract
OBJECTIVE Relate respiratory muscle strength (RMS), sound pressure (SP) level, and vocal acoustic parameters to the abdominal circumference (AC) and nutritional status of children. STUDY DESIGN This is a cross-sectional study. METHODS Eighty-two school children aged between 8 and 10 years, grouped by nutritional states (eutrophic, overweight, or obese) and AC percentile (≤25, 25-75, and ≥75), were included in the study. Evaluations of maximal inspiratory pressure (IPmax) and maximal expiratory pressure (EPmax) were conducted using the manometer and SP and acoustic parameters through the Multi-Dimensional Voice Program Advanced (KayPENTAX, Montvale, New Jersey). RESULTS There were significant differences (P < 0.05) in the EPmax of children with AC between the 25th and 75th percentiles (72.4) and those less than or equal to the 25th percentile (61.9) and in the SP of those greater than or equal to the 75th percentile (73.4) and less than or equal to the 25th percentile (66.6). The IPmax, EPmax, SP levels, and acoustic variables were not different in relation to the nutritional states of the children. There was a strong and positive correlation between the coefficient of amplitude perturbations (shimmer), the harmonics-to-noise ratio and the variation of the fundamental frequency, respectively, 0.79 and 0.71. CONCLUSIONS RMS and acoustic voice characteristics in children do not appear to be influenced by nutritional states, and respiratory pressure does not interfere with acoustic voice characteristics. However, localized fat, represented by the AC, alters the EPmax and the SP, each of which increases as the AC increases.
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Affiliation(s)
| | - Vanessa Veis Ribeiro
- Human Communication Disorders, Federal University of Santa Maria/UFSM, Santa Maria, Rio Grande do Sul, Brazil
| | - Mara Keli Christmann
- Human Communication Disorders, Federal University of Santa Maria/UFSM, Santa Maria, Rio Grande do Sul, Brazil
| | - Lidia Lis Tomasi
- Federal University of Santa Maria/UFSM, Santa Maria, Rio Grande do Sul, Brazil
| | | | | | - Carla Aparecida Cielo
- Human Communication Disorders, Federal University of Santa Maria/UFSM, Santa Maria, Rio Grande do Sul, Brazil
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