Postural and craniocervical dysfunctions and their relationship to the voice of women with cervical pain

Authors

DOI:

https://doi.org/10.33448/rsd-v9i11.7826

Keywords:

Posture; Phonation; Photogrammetry; Neck pain; Musculoskeletal pain; Voice.

Abstract

Introduction: Altered body alignment may contribute to the onset of muscle hypertension in the cervical region. Alterations in the cervical region can generate several complications, including pain and hypertension during phonation. Objective: To relate the postural with functional alterations of the craniocervical region and the voice of women complaining of musculoskeletal pain in the cervical region. Methods: Case study with ten women complaining of cervical pain. Assessments: Craniocervical Dysfunction Index, photogrammetry, maximum vowel phonation time of the vowel /a/, and sound pressure level. Results: Craniocervical Dysfunction Index: 100% dysfunction. Maximum phonation time /a/: 100% decreased. There was a moderate significant positive correlation between these variables. Photogrammetry: all participants presented alterations in the calculated alignments. Sound pressure level: 90% altered. Conclusion: There were postural and functional dysfunctions in the craniocervical region and vocal alteration, suggesting that vocal imbalances are more related to functional than postural alterations of the craniocervical region.

References

Behlau, M., Madazio, G., Feijó, D. & Pontes, P. (2013). Avaliação de voz. In: Behlau M. S. (org.). Voz: o livro do especialista (pp. 85-245). Rio de Janeiro: Revinter.

Beirão, F. A. D. (2014). Impact of chronic pain on family system: The perspective of clinical psychologists and researchers (Dissertação de Mestrado). Universidade de Coimbra, Portugal.

Bigaton, D. R., Silvério, K. C. A, Berni, K. C. S., Disfenato, G., Forti, F., & Guirro, R. R. J. (2010). Craniocervical posture in dysphonic women. Revista da Sociedade Brasileira de Fonoaudiologia, 15(3), 329-334. doi: https://doi.org/10.1590/S1516-80342010000300004

Cardoso, R., Lumini-Oliveira, J., & Meneses, R. F (2019). Associations between posture, voice, and dysphonia: a systematic review. Journal of Voice, 33(1), 1-12. doi: 10.1016/j.jvoice.2017.08.030

Cardoso, R., Meneses, R. F., Lumini-Oliveira, J., Pestana, P., & Guimarães, B. (2020). Associations between Teachers’ Posture, Muscle Tension and Voice Complaints. Journal of Voice. doi:10.1016/j.jvoice.2020.02.011

Carneiro, P. R. (2013). The influence of diferente postures of cervical spine in the vocal signal analysis. (Tese de doutourado). Universidade de São Paulo, São Paulo, SP.

Carneiro, P. R., Teles, L. C. S., Cunha, C. M., & Cardoso, B. S. (2014). Intra- and inter-examiner reliability of the head postural assessment by computerized photogrammetry. Revista Fisioterapia e Pesquisa, 21(3), 217-222. DOI: 10.590/1809-2950/40221032014

Carneiro, P. R., Teles, L. C. S (2012). Influence of postural alterations, followed by computadorized photogrammetry, in the voice production. Fisioterapia e Movimento, 25(1), 13-20. doi: 10.1590/S0103-51502012000100002

Carrasco, E. R., Oliveira, G., Behlau, M. (2010). Análise perceptivo-auditiva e acústica da voz de indivíduos gagos. Revista CEFAC, 12(6), 925-935. doi: 10.1590/S1516-18462010005000058

Cielo, C. A., Lasch, S. S., Miglioranzi, S. L., Conterno, G. (2011). Maximum phonation time and vocal acoustic characteristics for women with vocal fold nodule. Revista CEFAC, 13(3), 37-443. doi: 10.1590/S1516-18462011005000002

Cielo, C. A., Frigo, L. F., Christmann, M. K. (2013). Sound pressure level and maximum phonation time after finger kazoo technique. Revista CEFAC, 15(4):994-1000. doi: 10.1590/S1516-18462013000400029

Cielo, C. A., Christmann, M. K., Ribeiro, V. V., Hoffmannm C. F., Padilha, J. F., Steidl, E. M. S., … Frigo, L. F. (2014). Musculoskeletal stress syndrome, extrinsic laryngeal muscles and body posture: theoretical considerations. Revista CEFAC, 16(5), 1639-1649. doi: 10.1590/1982-0216201410613

Dias, A. C. M, Doi, M. Y., Mesas, A. E., Fillis, M. M. A., Branco-Barreiro, F. C. A., & Marchiori, L. L. M. (2018). Translation to brazilian portuguese and cultural adaptation of the Craniocervical Dysfunction Index. International Archives of Otorhinolaryngology, 22(3), 291-296. doi: https://doi.org/10.1055/s-0037-1621743.

Fachinatto, A. P. A., Duprat, A. C., Silva, M. A, Sawaya, E., Bracher, B., Benedicto, C. C., … Fonseca, B. S. G. (2015). Effect of Spinal Manipulative Therapy on the Singing voice. Journal of Voice, 29(5): 645.e33-9. doi: 10.1016/j.jvoice.2014.10.005

Farias, N. C., Albuquerque, C. E., & Rech, I. (2011). Correlation of balance and functionality in hemiparetic - influence of the proprioception. Arquivos de Ciências da Saúde da UNIPAR. 15(1), 37-43.

Ferreira, L. P., Penha, P. J., Caporossi, C., & Fernandes, A. C. N (2011). Professores universitários: descrição de características vocais e posturais. Distúrbios da Comunicação, 23(1), 43-49.

Fiusa, J. M., Fréz, A. R., & Pereira, W. M (2015). Analysis after stabilometric proprioceptive exercises: a randomized controlled clinical study. Journal of Human Growth and Development, 25(1), 63-67. doi:10.7322/jhgd.96769

Kooijman, P. G. C., de Jong, F. I. C. R. S., Oudes, M. J., Huinck, W., Van Acht, H., & Graamans, K. (2005). Muscular tension and body posture in relation to voice handicap and voice quality in teachers with persistent voice complaints. Folia Phoniatrica et Logopaedica, 57(3), 134-47. doi: 10.1159/000084134

Macêdo, M. C., Patrício, N. A., & Sá, K.N (2015). Confiabilidade dos instrumentos de avaliação postural computadorizada: uma revisão de literatura. Revista Diálogos Possíveis, 14(1), 26-45.

Machado, E. C., Frigo, L. F., Bresolin, F. A., Lima, J. P. M., Cielo, C. A. (2020). Immediate effects of cervical stimulation and diaphragmatic release on vocal production. Fisioterapia em Movimento, 33, e003337. doi:10.1590/1980-5918.033

Machado, P. G., Hammes, M. H., Cielo, C. A., Rodrigues, A. L. (2011) Postural habits and vocal behavior of physical education professionals in the hydro-gymnastics modality. Revista CEFAC, 13(2), 299-313. doi: 10.1590/S1516-18462010005000084

Mendonça, R. A., Sampaio, T. M. M., & Provenzano, L. (2012). Medida do tempo máximo de fonação de professoras do Município de Niterói/RJ. Revista CEFAC, 14(6), 1204-1208. doi: 10.1590/S1516-18462012005000103.

Menoncin, L. C. M., Jurkiewicz, A. L., Silvério, K. C. A., Camargo, P. M., & Wolff, N. M. M (2010). Muscular and skeletal changes in cervical dysphonic in women. International Archives Otorrinolaringology, 14(4), 461-466. doi: 10.1590/S1809-48722010000400014

Nelli, E. A. N. (2006). Investigation of the body posture of indivíduals with dysphonia. (Tese de doutourado). Universidade de São Paulo, São Paulo, SP.

Pestana, M. H., Gageiro, J. N. (2014) Análise de dados para ciências sociais: a complementaridade do SPSS (p.1240). Lisboa: Silabo.

Ramos, A. C., Floro, R. L., Ribeiro, V. V., Ribeiro, V. R., Brasolotto, A. G., & Alves Silverio, K. C. (2018). Musculoskeletal pain and voice related quality of life in dysphonic and non-dysphonic subjects. Journal of Voice, 32(3), 307-313. doi: 10.1016/j.jvoice.2017.05.019

Ribeiro, V. V., Santos, A. B., Bonki, E., Prestes, T., & Dassie-Leite (2012). Identification of vocal problems experienced by church singers. Revista CEFAC, 14(1), 90-96.

Rubin, J. S., Blake, E, Mathieson, L. (2007). Musculoskeletal patterns in patients with voice disorders. Journal of Voice, 21(4), 477-484. doi: 10.1016/j.jvoice.2005.02.001

Rubira, A. P. F. A., Martins, M. S. E., Denti, C. B. S., Naiara, G. G., Tomaz, C. & Rubira, M. C (2010). Efficiency of stabilometry and static baropodometry in the assessment of balance in patients with vestibular disorders. Revista Neurobiologia, 73(2), 57-64.

Santos, A. P., Silverio, K. C. A., Dassie-Leite, A. P., Costa, C. da C., & Siqueira, L. T. D (2018). Relation between musculoskeletal pain and voice self-assessment in tele-operators. Journal of Voice, 33(6), 1-11. doi:10.1016/j.jvoice.2018.07.006

Silverio, K. C. A., Siqueira, L. T. D., Lauris, J. R. P., & Brasolotto, A. G. (2014). Muscleskeletal pain in dysphonic women. CoDAS, 26(5), 374-381. doi: 10.1590/2317-1782/20142013064

Speyer, R., Bogaardt, H. C. A., Passos, V. L., Roodenburg, N. P. H. D., Zumach, A., Heijnen, M. A. M. … Brunings, J. W. (2010). Maximum phonation time: variability and reliability. Journal of Voice, 24(3), 281-284. doi: 10.1016/j.jvoice.2008.10.004

Souza, J. A., Pasinato, F., Basso, D., Corrêa, E. C. R., & Silva, A. M. T. (2011). Biophotogrammetry: reliability of measurements obtained with a posture assessment software (SAPo). Revista Brasileira de Cineantropometria e Desempenho Humano; 13(4), 299-305. doi: 10.5007/1980-0037.2011v13n4p299

Vieira, R. H., Gadenz, C. D., & Cassol, M. (2015). Longitudinal study of vocal characterization in choral singing. Revista CEFAC. 17(6), 1781-1791. doi: 10.1590/1982-021620151761515

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Published

03/11/2020

How to Cite

SILVA, C. A. da .; FRIGO, L. F. .; SANTOS, S. S. dos; CIELO, C. A. . Postural and craniocervical dysfunctions and their relationship to the voice of women with cervical pain. Research, Society and Development, [S. l.], v. 9, n. 11, p. e479117826, 2020. DOI: 10.33448/rsd-v9i11.7826. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/7826. Acesso em: 22 nov. 2024.

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Section

Health Sciences