Vocal auditory-perceptual analysis in the flu-like syndrome caused by SARS-CoV-2: case series

Authors

DOI:

https://doi.org/10.33448/rsd-v10i15.22615

Keywords:

Coronavirus infections; COVID-19 ; SARS virus; Voice; Speech, language and hearing sciences.

Abstract

The flu-like syndrome caused by the new coronavirus creates clinical manifestations of both upper and lower respiratory airways, which can impact the vocal production. Objective: To describe the vocal changes produced by the flu syndrome caused by SARS-CoV-2 during and after the cure of the disease. Methodology: Retrospective study, consisting of a convenience sample of four clinical cases (one with a clinical diagnosis and the other three with a laboratory diagnosis of COVID-19), of subjects between 56 and 81 years of age, three female and one male, in which samples of spontaneous speech were obtained through a social media application and a vocal perceptual-auditory analysis was performed. The research was approved by the ethics committee. Results: The common vocal manifestations during the infection presented lower pitch, slightly weaker loudness at the beginning of the infection, pneumophonoarticulatory incoordination, presence of breathiness, tension and fluctuation in the vocal quality, in addition to the complaint of difficulty in maintaining a pattern of respiratory normality which reflected in glottic efficiency. Conclusion: The vocal parameters were altered in the clinical cases reported with SAR-CoV-2, and health professionals must be also aware of this possibility for identification and therapeutic action so that with an increase number of samples can make possible further discussions on whether or not vocal changes can be included in the COVID-19 identification and rehabilitation protocols.

References

Anderson, R. M., Heesterbeek, H., Klinkenberg, D., & Hollingsworth, T. D. (2020). How will country-based mitigation measures influence the course of the COVID-19 epidemic? The Lancet, 395, 931-934. https://doi.org/10.1016/S0140-6736(20)30567-5.

Behlau, M. S. (2013). Voz, o livro do especialista, 2. Revinter.

Behlau, M. S., Azevedo, R. & Pontes, P. (2001). Conceito de voz normal e classificação das disfonias, In: Behlau, M. S. (Org.), Voz: o livro do especialista. 1, (56-84). Revinter.

Behlau, M. S., Madazio, G., Feijó, D. & Pontes, P. (2001). Avaliação de voz, In: Behlau, M. S. (Org.), Voz: o livro do especialista. 1, (85-246). Revinter.

Bello, J. Z. (2018). Escala de sintomas vocais pré e pós terapia fonoaudiológica em pacientes disfônicos [Dissertação de Mestrado]. Universidade Federal de Ciências da Saúde]. https://repositorio.ufcspa.edu.br/jspui/handle/123456789/723.

Besser, A., Lotem, S. & Zeigler-Hill, V. (2020). Psychological stress and vocal symptoms among University Professors in Israel: implications of the shift to online synchronous teaching during the COVID-19 pandemic. J. Voice. https://doi.org/10.1016/j.jvoice.2020.05.028.

Brito, W. G. F. & Silva, J. P. D. O. (2020). Neuropathological impacts of COVID-19. Braz. J. H. Rev, 3, 4227-4235. https://dx.doi.org/10.34119/bjhrv3n3-026.

Carréra, C. M. D., Araujo, A. N. B. & Lucena, J. A. (2016). Correlation between slow vital capacity and the maximum phonation time in elderly. Rev. CEFAC, 18, 1389-1394. https://doi.org/10.1590/1982-021620161860616.

Case, J. B., Winkler, E. S., Errico, J. M., & Diamond, M. S. On the road to ending the COVID-19 pandemic: Are we there yet? Virology, 557, 70-85. https://doi: 10.1016/j.virol.2021.02.003.

Chate, R. C., Fonseca, E. K. U. N., Passos, R. B. D., Teles, G. B. S., Shoji, H. & Szarf, G. (2020). Presentation of pulmonary infection on CT in COVID-19: initial experience in Brazil. J Bras Pneumol, 46. https://dx.doi.org/10.36416/1806-3756/e20200121.

Chen, X., & Yu, B. (2020). First two months of the 2019 coronavírus disease (COVID-19) epidemic in China: real-time surveillance and evaluation with a second derivative model. Glob Health Res Policy, 5, 7. https://doi.org/10.1186/s41256-020-00137-4.

Chen, X., Zhao, B., Qu, Y., Chen, Y., Xiong, J., Feng, Y., Men, D., Huang, Q. et al. (2020). Detectable serum SARS-CoV-2 viral load (RNAaemia) is closely associated with drastically elevated interleukin 6 (IL-6) level in critically ill with coronavirus disease. Clinical Infectious Diseases, 71, 1937–1942. https://doi.org/10.1093/cid/ciaa449.

Cohen, J., & Normile, D. (2020). New SARS‐like virus in China triggers alarm. Science, 367(6475), 234‐235. https://doi.org/10.1126/science.367.6475.234.

Conselho Federal de Fonoaudiologia (2020). Recomendação n° 19 de 19 de março de 2020, que dispõe sobre orientações aos fonoaudiólogos para atuação profissional durante a quarentena em curso, Brasília, CFFa. https://www.fonoaudiologia.org.br/resolucoes/

Dejonckere, P. H., Remacle, M., Fresnel-Elbaz, E., Woisard, V., CrevierBuchman, L. & Millet, B. (1996). Differentiated perceptual evaluation of pathological voice quality: reliability and correlations with acoustic measurements. Rev Laryngol Otol Rhinol. 117(3), 219-224.

Egypto Teixeira, C. M., Madruga, G. A. M., Medeiros, G. B. S., Leite Filho, J. G. T. M. & Duarte, S. S. M. (2020). Análise comparativa das pandemias COVID-19 e H1N1, Braz. J. Hea. Rev., 3, 3591-3595. https://doi.org/10.34119/bjhrv3n2-188.

Felippe, A. C. N., Grillo, M. H. M. M. & Grechi, T. H. (2006). Normatização de medidas acústicas para vozes normais. Rev. Bras. Otorrinolaringol. 72, 659-664. https://doi.org/10.1590/S0034-72992006000500013.

Ferreira, L. P. Santos, J. G. & Lima, M. F. B. (2009). Sintoma vocal e sua provável causa: levantamento de dados em uma população. Rev. CEFAC, 11, 110-118. https://doi.org/10.1590/S1516-18462009000100015.

Forni, G., & Mantovani, A. (2021). COVID-19 vaccines: where we stand and challenges ahead. Cell Death Differ, 557, 70-85. https://doi: 10.1016 /j.virol.2021.02.003.

Guo, Y.-R., Cao, Q.-D, Hong, Z.-S., Tan, Y.-Y., Chen, S.-D.,Jin, H.-J., Tan, K.-S., Wang, D.-Y. & Yan, Y. (2020). The origin, transmission and clinical therapies on coronavírus disease 2019 (COVID-19) outbreak–an update on the status. Mil. med. res., 7, 1-10. https://doi.org/10.1186/s40779-020-00240-0.

Gutiérrez-Gómez, E., Rodríguez-Ruiz, M. T. & Fandiño, L. H. J. (2020). Lineamientos ante el COVID-19 para la práctica de la otorrinolaringología: procedimientos quirúrgicos y no quirúrgicos. Acta otorrinolaringol. cir. cabeza cuello, 25-31. http://www.revistaacorl.org/index.php/acorl/article/view/477.

Hirano, M. (1981). Clinical examination of voice. Springer Verlag.

Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., Zhang, L., Fan, G. et al. (2020). Clinical features of patients infected with 2019 novel coronavírus in Wuhan, China. Lancet, 395, 497-506. https://doi.org/10.1016/S0140-6736(20)30183-5.

Lechien, J. R., Chiesa-Estomba, C. M., Cabaraux, P., Mat, Q., Huet, K., Harmegnies, B., Horoi, M., Bon, S. D. Le et al. (2020). Features of mild-to-moderate COVID-19 patients with dysphonia. J. Voice. https://doi.org/10.1016/j.jvoice.2020.05.012.

Mao, L., Wang, M., Chen, S., He, Q., Chang, J., Hong, C., Zhou, Y., Wang, D. et al. (2020). Neurological manifestations of hospitalized patients with COVID-19 in Wuhan, China: a retrospective case series study. MedRxiv, in press. https://doi.org/10.1101/2020.02.22.20026500.

Mattei, A., Bretèque, B. A. de la., Crestani, S., Crevier-Buchman, L., Galant, C., Hans, S., Julien-Laferrière, A., Lagierf, A. et al, (2020). Guidelines of clinical practice for the management of swallowing disorders and recent dysphonia in the contexte of the COVID-19 pandemic. Eur. ann. otorhinolaryngol. head neck dis, 137, 173-175. https://doi.org/10.1016/j.anorl.2020.04.011.

Ministério da Saúde (2020). Plano de contingência da Fiocruz diante da pandemia da doença pelo SARS-CoV-2 (Covid 19): versão 1.3 de 30 de março de 2020, Brasil, Ministério da Saúde, 2020.

Ministério da Saúde (2020b). Protocolo de manejo do coronavírus (Covid 19) na atenção primária à saúde, versão 7, Brasília, Ministério da Saúde, 2020. https://www.unasus.gov.br/especial/covid19/profissionais.

Moriguchi, T., Harii, N., Goto, J., Harada, D., Sugawara, H., Takamino, J., Ueno, M, Sakata, H. et al. (2020). A first case of meningitis/encephalitis associated with SARS-Coronavírus-2. Int. j. infect. dis., 34, 55-58. https://doi.org/10.1016/j.ijid.2020.03.062.

Organização Panamericana de Saúde (2020). Brasil, Folha informativa – COVID-19 (doença causada pelo novo coronavírus) 06 de maio de 2020. https://www.paho.org/bra/index.php?option=com_content&view=article&id=6101:covid19&Itemid=875.

Ortiz, E., Costa, E. A., Spina, A. L. & Crespo, N. (2004). Multidisciplinary protocol proposal for professional dysphonia: preliminary study. Rev. Bras. Otorrinolaringol, 70, 590-596. https://doi.org/10.1590/S0034-72992004000500003.

Ozamiz-Etxebarria, N., Dosil-Santamaria, M., Picaza-Gorrochategui, N. & Idoiaga-Mondragon, N. (2020). Níveis de estresse, ansiedade e depressão na primeira fase do surto de COVID-19 em uma amostra no norte da Espanha. Cad. saúde pública. 36. http://dx.doi.org/10.1590/0102-311X00054020.

Pereira, A. M., Dassie-Leite, A. P., Pereira, E.C., Cavichiolo, J. B., Rosa, M. O. & Fugmann, E. A. (2018). Percepção auditiva de juízes leigos quanto ao gênero de mulheres com edema de Reinke. CoDAS, 30. http://dx.doi.org/10.1590/2317-1782/20182017046.

Pinho, S. M. R. (2003). Avaliação e tratamento da voz, In: Pinho, S. M. R. (Org) Fundamentos em fonoaudiologia: tratando os distúrbios da voz (1-37). Rio de Janeiro, Guanabara-Koogan.

Ribeiro, A. C. C. C. (2017). Desenvolvimento e validação de um protocolo de avaliação perceptivo-auditiva da voz de deficientes auditivos usuários de implante coclear [Tese de doutorado] Universidade de Brasília. Repositório Unb. https://repositorio.unb.br/handle/10482/31678.

Rodrigues, A. L. V., Medeiros, A. M. & Teixeira, L. C. (2017). Impact of the teacher’s voice in the classroom: a literature review. Distúrb. comun. 29, 2-9. http://dx.doi.org/10.23925/2176-2724.2017v29i1p2-9.

Rosas, M. R. (2008). Gripe y resfriado: clínica y tratamento. Offarm, 7(2), 46-51. https://www.elsevier.es/es-revista-offarm-4-pdf-13116051

Seah, I., & Agrawal, R. (2020). Can the coronavirus disease 2019 (COVID-19) affect the eyes? A review of coronaviruses and ocular implications in humans and animals. Ocul immunol. inflamm, 28, 391-395. https://doi.org/10.1080/09273948.2020.1738501.

Silva e Silva, C. M., Andrade, A. N. Nepomuceno, B., Xavier, D. S., Lima, E., Gonzalez, I., Esquivel, M. S., Novais, M. C. M. et al. (2020). Evidence-based physiotherapy and functionality in adult and pediatric patients with COVID-19. Rev. bras. crescimento desenvolv. hum, 30, 148-155. http://doi.org/10.7322/jhgd.v30.10086.

Souza, C. L., Carvalho, F. M., Araújo, T. M., Reis, E. J. F. B, Lima, V. M. C., & Porto, L. A. (2011). Factors associated with vocal fold pathologies in teachers. Rev. Saúde Pública, 45, 914-921. http://www.scielo.br/scielo.php?pid=S0034-89102011005000055&script=sci_arttext&tlng=pt.

Spazzapan, E. A., Marino, V. C. C., Cardoso, V. M., Berti, L. C. & Fabron, E. M. G. (2019). Acoustic characteristics of voice in different cycles of life: an integrative literature review. Rev. CEFAC, 21. https://doi.org/10.1590/1982-0216/201921315018.

Vaira, L. A., Salzano, G., Deiana, G., & De Riu. G. (2020). Anosmia and ageusia: common findings in COVID‐19 patients. Laryngoscope, 130, 1787. https://doi.org/10.1002/lary.28692.

Venites, J. P., Bertachini, L. & Ramos, L. R. (2004). Atuação fonoaudiológica na presbifonia: a efetividade de uma proposta terapêutica, Pró Fono. 4, 1-8.

World Health Organization (WHO) (2020b). Rational use of personal protective equipment for coronavírus disease (COVID-19): interim guidance, March 19 2020. https://apps.who.int/iris/handle/10665/331215.

World Health Organization (WHO). (2020a). Coronavírus disease 2019 (COVID-19) situation report—87, April 16, 2020. https://www.who.int/emergencies/diseases/novel-coronavírus-2019/situation-reports.

Wu, P., Duan, F., Luo, C., Liu, Q., Qu, X., Liang, L. & Wu, K. (2020). Characteristics of ocular findings of patients with coronavírus disease 2019 (COVID-19) in Hubei Province, China. JAMA ophthalmol, 138, 575-578. https://doi.org/10.1001/jamaophthalmol.2020.1291.

Wu, Z. & Mcgoogan, J. M. (2020). Characteristics of and important lessons from the coronavírus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. Jama, 323, 1239-1242. https://doi: 10.1001 / jama.2020.2648.

Zhang, L., & Liu, Y. (2020). Potential interventions for novel coronavírus in China: a systemic review. J Med Virol, 92, 479–490. https://doi.org/10.1002/jmv.25707.

Published

21/11/2021

How to Cite

CÉSAR, C. P. H. A. R. .; SANTOS, L. dos .; PELLICANI, A. D. .; SANTOS, N. M.; IRINEU, R. de A. . Vocal auditory-perceptual analysis in the flu-like syndrome caused by SARS-CoV-2: case series. Research, Society and Development, [S. l.], v. 10, n. 15, p. e112101522615, 2021. DOI: 10.33448/rsd-v10i15.22615. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/22615. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences