Videolaringoestroboscopic characteristics of female teachers with vocal complaints

Authors

DOI:

https://doi.org/10.33448/rsd-v9i7.4397

Keywords:

Dysphonia; Laringoscopy; Stroboscopy; Teachers; Voice.

Abstract

Objective: to verify the videolaryngostroboscopic characteristics of teachers with vocal complaints. Methods: 32 teachers with a mean of 39.15 years old underwent a medical examination of videolaryngostroboscopy. Videolaryngostroboscopies were evaluated by consensus and simultaneously by three otorhinolaryngologists using a specific protocol. Data were analyzed descriptively and by Spearman's Correlation test, with a significance level of 5% (p≤0.05). Results: most teachers had normal glottic closure (65.62%). All of them presented: high symmetry of vocal fold vibration (92.18%), high amplitude of mucosal wave vibration (90.31%), and high presence of mucous wave (90.93%). There was a significant positive correlation between normal glottic closure and amplitude of vibration (p=0.008) and between amplitude of vibration and mucosal wave (p=0). There was a significant negative correlation between altered glottic closure and amplitude of vibration (p=0.003); between altered glottic closure and normal closure (p=0); and between symmetry of vibration and global constriction of the laryngeal vestibule (p=0). Conclusion: the majority of teachers, even with vocal complaints and some with the presence of vocal nodules, had normal glottal closure and all had averages above 90% in the parameters: symmetry of vocal fold vibration, amplitude of mucosal wave vibration, and presence of mucous wave. In this group, the greater the normal glottic closure, the greater the amplitude of vibration of the mucous wave, and what the greater the presence of the wave, and the less the global constriction of the laryngeal vestibule, the greater the symmetry of vocal fold vibration.

References

Andrade, S.R., Cielo, C.A., Schwarz, K., & Ribeiro, V.V. (2016). Vocal therapy and nasal sounds: effects on hyperfunctional dysphonia. Revista CEFAC, 18(1), 263-272.

Anhaia, T.C., Klahr, P.S., Ourique, A.A.B., Gadenz, C.D., Fernandes, R.A., Spagnol, P.E., … Cassol, M. (2014). Effects of two interventions in teachers with voice complaints. Audiology Communication Research, 19(2), 186-193.

Banjara, H., Mungutwar, V., Singh, D., Gupta, A., & Singh, S. (2012). Demographic and videostroboscopic assessment of vocal pathologies. Indian Journal of Otolaryngology and Head Neck Surgery, 64(2), 150–157.

Bodt, M.D., Clement, G., Wuyts, F., Borghs, C., & Van Lierde, K.M. (2012). The impact of phonation mode and vocal technique on vocal fold closure in young females with normal voice quality. Journal of Voice, 26(6), 818.e1-818.e4.

Braga, J.N., Oliveira, D.S.F., Atherino, C.C.T., Schott, T.C.A., & Silva, J.C. (2006). Vocal nodules: functional and anatomical analysis. Revista CEFAC, 8(2), 223-229.

Brasolotto, A.G., & Rehder, M.I. (2011). Diagnóstico vocal fonoaudiológico. In: Rehder, M.I., & Branco, A.A.O. (Org.). Disfonia e Disfagia: interface, atualização e prática. Rio de Janeiro: Revinter, 6-7.

Brunings, J.W., Vanbelle, S., Akkermans, A., Heesmskerk, N.M.M., Kremmer, B., Stokroos, R.J., & Baijens, L.W.J. (2017). Observer agreement for measurements in videolaryngostroboscopy. Journal of Voice, 32(6), 756-762.

Castelblanco, L., Habib, M., Stein, D.J., Quadros, A., Cohen, S.M., & Noordzij, J.P. (2014). Singing voice handicap and videostrobolaryngoscopy in healthy professional singers. Journal of Voice, 28(5), 608-613.

Chistmann, M.K, Gonçalves, B.F.T, Lima, J.P.M, Bastilha, G.R, Scapini, F., & Cielo, C.A. (2017). Short and intensive therapy with finger kazoo in patient with organic dysphonia post-orotracheal intubation. Revista Distúrbios da Comunicação, 29(1), 41-54.

Cielo, C. A., & Christmann, M. K. (2014). Finger kazoo: spectrographic acoustic modifications and vocal self-assessment. Revista CEFAC, 16(4), 1239-1254.

Cielo, C.A. Ribeiro, V.V., & Bastilha, G.R. (2015). Spectrographic voice measures, vocal complaints and occupational data of elementary school teachers Revista Distúrbios da Comunicação, 27(2), 299-308.

Cielo, C.A., Schwarz, K., Finger, L.S., Lima, J.M., & Christmann, M.K. (2019). Glottal closure in women with no voice complaints or laryngeal disorders. International Archives of Otorhinolaryngology, 23(4), e384-e388.

D’haeseleer, E., Claeys, S., Meerschman, I., Bettens, K., Degeest, S., Dijckmans, …Van Lierde, K. (2017). Vocal characteristics and laryngoscopic findings in future musical theater performers. Journal of Voice, 31(4), 462-469.

Dagli, M., Sati, I., Acar, A., Stone JR, R.E., Dursun, G., & Eryilmaz, A. (2008). Mutational falsetto: intervention outcomes in 45 patients. The Journal of Laryngology & Otology, 122(3), 277-281.

Dedivitis R.A. (2002). Estroboscopia. In: Dedivitis R.A, & BarroS A.P.B, editores. (Org.). Métodos de avaliação e diagnóstico de laringe e voz. São Paulo: Lovise, 71-88.

Ferreira, L.P., Giannini, S.P.P., Alves, N.L.L., Brito, A.L., Andrade, B.M.R., & Latorre, M.R.D.O. (2016). Voice disorder and teaching work ability. Revista CEFAC, 18(4), 932-940.

Fillis, M.M.A., Andrade, S.M., González, A.D., Melanda, F.N., & Mesas, A.E. (2016). Frequency of self-reported vocal problems and associated occupational factors in primary schoolteachers in Londrina, Paraná State, Brazil. Cadernos de Saúde Pública, 32(1), e00026015.

Fu, S., Theodoros, D.G., & Ward, E.C. (2015). Delivery of intensive voice therapy for vocal fold nodules via telepractice: A pilot feasibility and efficacy study. Journal of Voice, 29(6), 696-706.

Fu, S., Theodoros, D. G., & Ward, E. C. (2014). Intensive versus traditional voice therapy for vocal nodules: perceptual, physiological, acoustic and aerodynamic changes. Journal of Voice, 29(2), 260. p. e31-260.e44.

Giannini, S.P.P., Latorre, M.R.D.O., & Ferreira, L. P. (2012). Distúrbio de voz e estresse no trabalho docente: um estudo caso-controle. Cadernos de Saúde Pública, 28(11), 2115-2124.

Guzmán, M., Laukkanen, A., Krupa, P., Horáček, J., Švec, J.G., & Geneid, A. (2013). Vocal tract and glottal function during and after vocal exercising with resonance tube and straw. Journal of Voice, 27(4), 523.e19-523.e34.

Halawa, W.E., Garcia, A.C., & Perez, S.S. (2013). Effectiveness of laryngostroboscopy for monitoring the evolution of vocal nodules after rehabilitator treatment. Auris Nasus Larynx, 40(1), 204-206.

Hirano, M. & Bless, D.M. Julgamento e interpretação do padrão vibratório. In: Hirano, M., & Bless, D.M. Exame videoestroboscópico da laringe. São Paulo: Artes Médicas, 125-134.

Kryshtopava, M., Van Lierde, K., Meerschman, I., D’haeseleer, E., Vandemaele, P., Vingerhoets, G., & Claeys, S. (2017). Brain activity during phonation in women with muscle tension dysphonia: An FMRI study. Journal of Voice, 31(6), 675-690.

Lima, J.P.M., Cielo, C.A., & Scapini, F. (2015). Phonation into a glass tube immerse in water: analysis perceptiveauditory vocal and videolaryngostroboscopy in women without laryngeal disorders, complaints or vocal alterations. Revista CEFAC, 17(6), 1760-1772.

Lima-Silva, M.F.B., Ferreira, L.P., Oliveira, I.B., Silva, M.A.A., & Ghirardi, A.C.A.M. (2012). Voice disorders in teachers: self-report, auditory-perceptive assessment of voice and vocal fold assessment. Revista Sociedade Brasileira de Fonoaudiologia, 17(4), 391-397.

Lopes, L.W., Cavalcante, D.P., & Costa. P.O. (2014). Severity of voice disorders: integration of perceptual and acoustic data in dysphonic patients. Communication Disorders, Audiology and Swallowing, 26(5), 382-388.

Luchesi, K.F., Mourão, L.F., & Kitamura, S. (2012). Effectiveness of a vocal improvement program for teachers. Revista CEFAC, 14(3), 459-470.

Marçal, C.C.B., & Peres, M.A. (2011). Self-reported voice problems among teachers: prevalence and associated factors. Revista de Saúde Pública, 45(3), 503-511.

Maxfield, L., Titze, I., Hunter, E., & Kapsner-Smith, M. (2015). Intraoral pressures produced by thirteen semi-occluded vocal tract gestures. Logopedics Phoniatrics Vocology, 40(2), 86-92.

Menezes, E.M., Luz, T.A.P, Bastilha, G.R., Christmann, M.K., & Cielo, C.A. Intensive short-term vocal therapy with Finger Kazoo in male teachers – case study. Research, Society and Development, 9(7):1-18, e177973863.

Mobarsa, V., Samdani S.K., & Gurjar, V.S. (2018). Outcome analysis of microlaryngeal surgery for benign lesions of vocal cord using videostroboscopy and Voice Handicap Index. Indian Journal Otolaryngology and Head Neck Surgery, 71 (Suppl 1), 327-332.

Niebudek-Bogusz, E., Sznurowska-Przygocka, B., F,P., Kotyło, M., Sinkiewicz, A., Modrzewska, M., & Sliwinska-Kowalska, M. (2008). The effectiveness of voice therapy for teachers with dysphonia. Folia Phoniatrica et Logopaedica, 60(3), 134-141.

Pastana, S. G., Gomes, E., & Castro, L. (2007). Speech therapy and stroboscopy evaluation in cyst differential diagnosis. Revista CEFAC. 9(3), 383-396.

Pedrosa, V., Pontes, A., Pontes, P., Behlau, M., & Peccin, S.M. (2015). The effectiveness of the comprehensive voice rehabilitation program compared with the vocal function exercises method in behavioral dysphonia: a randomized clinical trial. Journal of Voice, 30(3), 377 e 11-9.

Pereira, E.C., Silvério, K.C.A., Marques, J.M., & Camargo, P.A.M. (2011). Immediate effect of vocal techniques in women without vocal complaint. Revista CEFAC, 13(5), 886-894.

Pimenta, R. A., Dájer, M.E., Hachiya, A., Cordeiro, G.F., Tsuji, D.H., & Montagnoli, A.N. (2013). High-speed kymography identifies the immediate effects of voiced vibration in healthy vocal folds. International Archives of Otorhinolaryngology, 17(1), 74-79.

Rodriguez-Parra, M. J., Adian, J. A., & Casado, J. C. (2011). Comparing voice-therapy and vocal-hygiene treatments in dysphonia using a limited multidimensional evaluation protocol. Journal Communication Disorders, 44(6), 615-630.

Sataloff, R.T., Hawkshaw, M.J., Johson, J.L., Ruel, B., Wilhelm, A., & Lurie, D. (2012). Prevalence of abnormal laryngeal findings in healthy singing teachers. Journal of Voice, 26(5), 577-583.

Serey, J.P., & Araya V.O. (2013). Instruments used in the evaluation of teachers’ voice: literature review. Revista CEFAC, 15(5), 1357-1363.

Stepp, C.E., Merchant, G.R., Heaton, J.T., & Hillman, R.E. (2011). Effects of voice therapy on relative fundamental frequency during voicing offset and onset in patients with vocal hyperfunction. Journal of Speech, Language, and Hearing Research, 54(5), 1260-1266.

Sulica, L. (2013). Laryngoscopy, stroboscopy and other tools for the evaluation of voice desorders. Otolaryngologic Clinics of North America, 46(1), 21-30.

Timmermans, B., Coveliers, Y., Meeus, W., Vandenabeele, F., Van Looy, L., & Wuyts, F. (2011). The effect of a short voice training program in future teachers. Journal of Voice. 25(4), e191-e198.

Tsuji, D.H., Hachiya, A., Dajer, M.E., Ishikawa, C.C., Takahashi, M.T., & Montagnoli, A.N. (2014). Improvement of vocal pathologies diagnosis using high-speed videolaryngoscopy. International Archives of Otorhinolaryngology, 18(3), 294–302.

Vivek, S., Sabah, M., Nidhi, M., & Neethu, S.G. (2018). Study of pre and postoperative videostroboscopic evaluation of benign vocal cord lesions. Indian Journal of Otolaryngology and Head & Neck Surgery, 71(Suppl 1), 327–332.

Watts, C.R., Diviney, S.S., Hamilton, A., Toles, L., Childs, L., & Mau, T. (2014). The effect of stretch-and-flow voice therapy on measures of vocal function and handicap. Journal of Voice, 29(2), 191-199.

Wenke, R.J., Stabler, P., Walton, C., Coman, L., Lawrie, M., O’neill, J., … Cardell, E. (2014). Is more intensive better? Client and service provider outcomes for intensive versus standard therapy schedules for functional voice disorders. Journal of Voice, 28(5), 652.e31-652.e43.

Woźnicka, E., Niebudek-Bogusz, E., Morawiska, J., & Śliwińska-Kowalska, M. (2017). Laryngeal manual therapy palpatory evaluation scale: A preliminary study to examine its usefulness in diagnosis of occupational dysphonia

Published

30/05/2020

How to Cite

GONÇALVES, D. da S.; BASTILHA, G. R.; CHRISTMANN, M. K.; SCAPINI, F.; CIELO, C. A. Videolaringoestroboscopic characteristics of female teachers with vocal complaints. Research, Society and Development, [S. l.], v. 9, n. 7, p. e584974397, 2020. DOI: 10.33448/rsd-v9i7.4397. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/4397. Acesso em: 23 apr. 2024.

Issue

Section

Health Sciences