Mauriceia Cassol - Academia.edu (original) (raw)

Papers by Mauriceia Cassol

Swallowing, a stomatognathic function, is characterized by a complex mechanism that requires the ... more Swallowing, a stomatognathic function, is characterized by a complex mechanism that requires the involvement of many structures that must be coordinated to occur effectively. The main functional condition that needs to be considered is the

Audiology - Communication Research

RESUMO Objetivo Verificar os efeitos de um programa fonoaudiológico de aprimoramento das habilida... more RESUMO Objetivo Verificar os efeitos de um programa fonoaudiológico de aprimoramento das habilidades de comunicação oral, por meio da mensuração dos índices autorreferidos de ansiedade e estresse. Métodos Trata-se de um ensaio clínico randomizado controlado. Os participantes da pesquisa foram divididos aleatoriamente em dois grupos: grupo intervenção (GI) e grupo controle (GC). O GI participou de seis oficinas de aprimoramento das habilidades de comunicação oral. O GC participou de uma única oficina sobre saúde vocal. Foram aplicados, antes da primeira e após a última oficina, os protocolos: Questionário de caracterização da amostra, Self Statements During Public-Speaking Scale (SSPS), Perceived Stress Scale (PSS) e o Cuestinário de Ansiedad Social para Adultos (CASO). Após seis meses, foi realizado um follow-up. Resultados O GI apresentou, após o aprimoramento, redução significativa dos escores de ansiedade no CASO, de forma geral, e em todos os parâmetros do protocolo. Os valores ...

Purpose: The purpose of this study is to verify possible changes in depression and vocal quality ... more Purpose: The purpose of this study is to verify possible changes in depression and vocal quality in older-adults who engaged in a two-year choir singing activity. Methods: This study has a longitudinal and experimental design. The study group consisted of older-adults, 8 males and 36 females, ranging from 60 to 80 years of age, with an average of 67 years. Depression symptoms and voice quality were measured on each of the four evaluations: at the beginning of their participation in a choir singing activity (baseline) and three other evaluations: after 8 months, after 3 months (intermission), and 21 months. Depressive symptoms were questioned using the Yesavage Geriatric Depression Scale (GDS) and Vocal Quality (VQ) was measured using the GRBAS scale, two-way Analysis of Variance tested the statistical significance of the differences in GDS and VQ averages among the four evaluations. Pearson correlation coefficients assessed the association between changes in depression and changes i...

CoDAS, 2021

PURPOSE To identify muscle tension dysphonia (MTD) signs and symptoms, as well as to analyze the ... more PURPOSE To identify muscle tension dysphonia (MTD) signs and symptoms, as well as to analyze the results of vocal parameters, the physical clinical examination of muscle palpation, the self-perception of vocal symptoms, vocal pain, and fatigue of women with MTD and compare them with women with healthy voices. METHODS a cross-sectional study with 45 women (23 with MTD and 22 controls), similar median age between groups. The speech-language and otorhinolaryngological evaluation determined the diagnosis of MTD. All participants responded to the Voice Symptoms Scale (VoiSS), Vocal Fatigue Index (VFI), and Nordic Musculoskeletal Questionnaire (NMQ) protocols. They were also assessed by a palpatory evaluation of the perilaryngeal musculature, auditory-perceptual evaluation, and acoustic analysis of the voice fundamental frequency. The speech sample included sustained vowels "a", "i" and "e" and connected speech, recorded in a silent environment, and submitted...

Purpose: The aim of this work is to verify the efficacy of direct and indirect vocal intervention... more Purpose: The aim of this work is to verify the efficacy of direct and indirect vocal interventions in preventing voice disorders, with specific and combined strategies, by a systematic review of the literature. Research strategies: Articles published from January, 1980 to April, 2013 were searched in the electronic databases MEDLINE (accessed through PubMed), PubMed, LILACS, SciELO, Scopus and Web of Science. Selection criteria: All the articles that presented randomized controlled studies with some type of vocal intervention with teachers as their primary aim were included. Articles that presented subjects with larynx and voice alterations were excluded. Results: As a result of the initial search, 677 studies were identified, five of which followed the inclusion criteria. Four more articles, found in the references of the studies selected for reading of the full text, were included. Conclusion: The combined intervention (direct and indirect) presented a significant improvement in v...

International Physical Medicine & Rehabilitation Journal

Resumo: Este estudo objetiva identificar a importância do questionario Hearing Handicap Inventory... more Resumo: Este estudo objetiva identificar a importância do questionario Hearing Handicap Inventory for the Elderly — Screening Version (HHIE-S) como indicador da necessidade de avaliacao audiologica em um grupo de idosos, relacionando as perdas auditivas as possiveis alteracoes vocais. Fizeram parte deste estudo cinco individuos idosos do genero feminino, na faixa etaria de 57 a 75 anos. Primeiramente, foi aplicado o questionario HHIE-S seguido da avaliacao audiologica basica e da avaliacao perceptivo-auditiva da voz. Nos resultados, os cinco individuos idosos apresentaram alteracao em um ou mais aspectos vocais. As alteracoes das caracteristicas vocais puderam ser correlacionadas as perdas auditivas em tres dos cinco casos. Salienta-se a importância da avaliacao vocal e da utilizacao de escalas de auto-avaliacao, como o questionario HHIE-S, como indicadores da identificacao precoce da deficiencia auditiva. Palavras-chave: Perda Auditiva. Presbiacusia. Saude do Idoso. Qualidade Vocal...

OBJECTIVE This paper aims to systematically review the application methods and clinical outcomes ... more OBJECTIVE This paper aims to systematically review the application methods and clinical outcomes of transcutaneous electrical nerve stimulation (TENS) in the rehabilitation of dysphonic patients. METHODS The study consists of a systematic review performed in the Medline (via PubMed), Cochrane Library, Scopus and Lilacs databases, using a search strategy related to the research theme. Inclusion criteria involve experimental studies that investigated the effects of TENS on dysphonic patients, published in the last 15 years in Portuguese, English or Spanish. The Physiotherapy Evidence-Based Database was used to evaluate the methodological quality of the articles. RESULTS In the first search, 100 publications were found, 57 of which were duplicated and 23 did not address TENS as an intervention. According to the exclusion criteria of the remaining 20 studies, eight were selected for this review. The studies showed a pattern regarding the application of TENS. Of the studies analyzed, 87....

Purpose: Verifying the effectiveness of the Finnish resonance tube method in a group of elderly s... more Purpose: Verifying the effectiveness of the Finnish resonance tube method in a group of elderly subjects with complaints of vocal and respiratory changes. Methods: The sample was made up of dwellers from a long-term care institution (LTCI) who were equally distributed into Research Group (G1) and Control Group (G2). 42 elderly, 30 of whom female, between 62 and 93 years old took part in the research. A sociodemographic survey was applied followed by spirometry and voice recording both prior to and after the intervention. G1 attended six resonance tube sessions, while G2 attended six vocal health workshops. The voices recorded were analyzed following the GRBASI scale. Results: G1 significantly improved while G2 did not have any significant voice change. Spiromety improved in G1 and worsened in G2. Conclusion: The Finnish resonance tube technique was effective in treating the elderly with presbyphonia symptoms and aided in improving their vocal quality and vital capacity.

CoDAS

RESUMO Objetivo Analisar o índice de desvantagem vocal para o canto de coristas idosos e verifica... more RESUMO Objetivo Analisar o índice de desvantagem vocal para o canto de coristas idosos e verificar a sua relação com perfil, hábitos e condições de saúde dos participantes. Método Foram incluídos 110 indivíduos com 60 anos ou mais, participantes de coros amadores. Os coristas foram entrevistados a fim de verificar dados como idade, tempo de canto coral, classificação vocal e a presença de hábitos e condições de saúde adversas à produção vocal. Posteriormente, responderam o questionário “Índice de Desvantagem Vocal para o Canto (IDV-C)” que avalia a autopercepção do indivíduo em relação às experiências no uso da voz cantada. Resultados O escore do IDV-C teve uma mediana de 25, sendo a pontuação mínima 0 e a máxima 86. Os itens mais pontuados estavam relacionados aos aspectos físicos no uso da voz cantada: “Não consigo cantar agudo” (Q10) e “Minha garganta fica seca quando canto” (Q13). Verificou-se que os idosos com mais de 75 anos apresentaram maior desvantagem vocal para o canto ao...

Estudos Interdisciplinares sobre o Envelhecimento

Resumo: Este estudo objetiva identificar a importância do questionário Hearing Handicap Inventory... more Resumo: Este estudo objetiva identificar a importância do questionário Hearing Handicap Inventory for the Elderly — Screening Version (HHIE-S) como indicador da necessidade de avaliação audiológica em um grupo de idosos, relacionando as perdas auditivas às possíveis alterações vocais. Fizeram parte deste estudo cinco indivíduos idosos do gênero feminino, na faixa etária de 57 a 75 anos. Primeiramente, foi aplicado o questionário HHIE-S seguido da avaliação audiológica básica e da avaliação perceptivo-auditiva da voz. Nos resultados, os cinco indivíduos idosos apresentaram alteração em um ou mais aspectos vocais. As alterações das características vocais puderam ser correlacionadas às perdas auditivas em três dos cinco casos. Salienta-se a importância da avaliação vocal e da utilização de escalas de auto-avaliação, como o questionário HHIE-S, como indicadores da identificação precoce da deficiência auditiva. Palavras-chave: Perda Auditiva. Presbiacusia. Saúde do Idoso. Qualidade Vocal...

Folia Phoniatrica et Logopaedica

Objective: To analyze the applicability of the University of Rhode Island Change Assessment (URIC... more Objective: To analyze the applicability of the University of Rhode Island Change Assessment (URICA)-VOICE scale before and after a therapeutic program for functional balance in voice production. Patients and Methods: The sample comprised 26 adult participants (18 female) from the Brazilian Public Healthcare System. The URICA-VOICE scale was applied prior to the intervention and after 10 sessions of a therapeutic program. Results: The motivational stage values were significantly increased after the intervention compared with the first application of the scale. Precontemplation and action were the stages most commonly reported by the participants. Significant differences were found in 6 statements of the URICA-VOICE scale after voice therapy. Conclusions: The motivational stage of the participants improved after voice therapy. Being motivated is important for adherence to behavioral changes regarding the voice, and this study shows that using the URICA-VOICE scale in clinical practice is essential to measure patient performance in the voice therapy process, as well as to determine the ideal moment of discharge.

Journal of Voice

Adherence expresses the patient's degree of commitment to the therapeutic process. It's n... more Adherence expresses the patient's degree of commitment to the therapeutic process. It's necessary for professionals to know how to evaluate it in order to plan more effective conducts. This study aims to perform a systematic review of the adherence of patients with a dysphonia setting to voice therapy programs. This review was carried out on the PubMed, Lilacs, Scopus, and Cochrane Library databases, using a search strategy related to the subject of the study. The selection included studies that assessed the adherence of patients with dysphonia to voice therapy using an instrument created for the study or previously validated. Of 1987 publications, 35 were included, of which 14 were excluded for not fitting the eligibility criteria of this review, leaving a total of 21 papers, which were analyzed in full and went through qualitative analysis. The strategies found for the assessment of adherence were the conclusion of the therapy plan, patient self-report, and the use of the URICA-VOICE scale. Therapy conclusion was the most commonly used of the strategies, which showed low adherence to voice therapy. This result shows that instruments like the URICA-VOICE scale measure in a more detailed manner which stage the patient finds himself at the moment of the evaluation.

Journal of Voice

OBJECTIVES This study aims to assess the effectiveness of the EASE-BR (Evaluation of the Ability ... more OBJECTIVES This study aims to assess the effectiveness of the EASE-BR (Evaluation of the Ability to Sing Easily for Brazil) protocol in the development of a vocal warm-up program for members of an amateur choir. STUDY DESIGN This is a prospective cross-sectional study measuring pre- and postintervention results at two moments. METHODS Forty-four subjects filled out a questionnaire to characterize the sample and underwent two major applications of the EASE-BR scale-the first to determine the group's vocal requirements and the second to assess the performance after the application of a customized vocal warm-up routine. RESULTS Overall reduction of the scores in the postintervention moment has been determined. The score of 16 of the questions (72.7%) showed a statistically relevant reduction after the intervention. CONCLUSIONS The EASE-BR scale proved a valuable assessment tool and its use may help develop customized vocal warm-up programs for different types of singers.

CoDAS, Jan 4, 2017

Verify whether voice modification after swallowing is associated with videofluoroscopic examinati... more Verify whether voice modification after swallowing is associated with videofluoroscopic examination data. 27 patients with oropharyngeal dysphagia underwent recording of sustained phonation of vowel /a/ before and after swallowing during videofluoroscopy. The GRBAS scale and the wet voice parameter were used to evaluate the data. Videofluoroscopy results showed stasis of food in the valleculae and piriform recesses, laryngeal penetration, tracheal aspiration, and degree of dysphagia. Decreased dysphonia grade and asthenia and increased strain were observed after swallowing, with no difference for the wet voice parameter. Sensitivity and specificity of ± 50% were observed for food stasis in the valleculae and piriform recesses. Sensitivity values of 80 and 66-75% were observed for detection of laryngeal penetration and tracheal aspiration and modification of vocal strain, respectively. Negative predictive values of 77-91% were found for the three assessment parameters with no correla...

Journal of Voice

The present study aimed to carry out a systematic review of the effects of voice therapy on indiv... more The present study aimed to carry out a systematic review of the effects of voice therapy on individuals diagnosed with muscle tension dysphonia (MTD) or hyperfunctional dysphonia. This is a systematic literature review on the databases Medline (via PubMed), Cochrane Library, Scopus, and Lilacs using a search strategy related to the theme of the study. The selection included clinical trials that assessed the effects of speech therapy intervention on patients diagnosed with MTD or hyperfunctional dysphonia published over the last 10 years in Portuguese, English, or Spanish. The Physiotherapy Evidence-Based Database (PEDro) Scale was used to assess the methodology of the studies. Of the 634 publications, 12 studies were included in this review, of which three were excluded due to a low score on the PEDro Scale, resulting in a final number of nine publications. Regarding the techniques approached, semioccluded vocal tract exercises (22.22%), nasal sound and frequency modulation (22.22%), maximum phonation time (MPT) technique and vocal hygiene (11.11%), vocal function exercises (11.11%), respiratory exercises along with phonoarticulatory sounds (11.11%), manual laryngeal therapy (11.11%), and manual laryngeal therapy associated with respiratory exercises (11.11%) were identified. These techniques promoted the following effects: improvement in intraoral and subglottal pressure, positive alterations in the glottal contact quotient, significant changes in fundamental frequency measures, increased MPT, and reduced voice roughness. Methodology was identified to be a shortcoming in the studies. The clinical trials reviewed showed positive results in using the therapeutic techniques selected in the speech therapy approach.

International Archives of Otorhinolaryngology

Introduction Dysphagia causes changes in the laryngeal and stomatognathic structures; however, th... more Introduction Dysphagia causes changes in the laryngeal and stomatognathic structures; however, the use of vocal exercises is poorly described. Objective To verify whether the therapy consisting of myofunctional exercises associated with vocal exercises is more effective in rehabilitating deglutition in stroke patients. Methods This is a pilot study made up of two distinct groups: a control group, which performed only myofunctional exercises, and an experimental group, which performed myofunctional and vocal exercises. The assessment used for oral intake was the functional oral intake scale (FOIS). Results The FOIS levels reveal that the pre-therapy median of the experimental group was 4, and increased to 7 after therapy, while in the control group the values were 5 and 6 respectively. Thus, the experimental group had a statistically significant difference between the pre- and post-therapy assessments (p = 0.039), which indicates that the combination of myofunctional and vocal exerci...

Swallowing, a stomatognathic function, is characterized by a complex mechanism that requires the ... more Swallowing, a stomatognathic function, is characterized by a complex mechanism that requires the involvement of many structures that must be coordinated to occur effectively. The main functional condition that needs to be considered is the

Audiology - Communication Research

RESUMO Objetivo Verificar os efeitos de um programa fonoaudiológico de aprimoramento das habilida... more RESUMO Objetivo Verificar os efeitos de um programa fonoaudiológico de aprimoramento das habilidades de comunicação oral, por meio da mensuração dos índices autorreferidos de ansiedade e estresse. Métodos Trata-se de um ensaio clínico randomizado controlado. Os participantes da pesquisa foram divididos aleatoriamente em dois grupos: grupo intervenção (GI) e grupo controle (GC). O GI participou de seis oficinas de aprimoramento das habilidades de comunicação oral. O GC participou de uma única oficina sobre saúde vocal. Foram aplicados, antes da primeira e após a última oficina, os protocolos: Questionário de caracterização da amostra, Self Statements During Public-Speaking Scale (SSPS), Perceived Stress Scale (PSS) e o Cuestinário de Ansiedad Social para Adultos (CASO). Após seis meses, foi realizado um follow-up. Resultados O GI apresentou, após o aprimoramento, redução significativa dos escores de ansiedade no CASO, de forma geral, e em todos os parâmetros do protocolo. Os valores ...

Purpose: The purpose of this study is to verify possible changes in depression and vocal quality ... more Purpose: The purpose of this study is to verify possible changes in depression and vocal quality in older-adults who engaged in a two-year choir singing activity. Methods: This study has a longitudinal and experimental design. The study group consisted of older-adults, 8 males and 36 females, ranging from 60 to 80 years of age, with an average of 67 years. Depression symptoms and voice quality were measured on each of the four evaluations: at the beginning of their participation in a choir singing activity (baseline) and three other evaluations: after 8 months, after 3 months (intermission), and 21 months. Depressive symptoms were questioned using the Yesavage Geriatric Depression Scale (GDS) and Vocal Quality (VQ) was measured using the GRBAS scale, two-way Analysis of Variance tested the statistical significance of the differences in GDS and VQ averages among the four evaluations. Pearson correlation coefficients assessed the association between changes in depression and changes i...

CoDAS, 2021

PURPOSE To identify muscle tension dysphonia (MTD) signs and symptoms, as well as to analyze the ... more PURPOSE To identify muscle tension dysphonia (MTD) signs and symptoms, as well as to analyze the results of vocal parameters, the physical clinical examination of muscle palpation, the self-perception of vocal symptoms, vocal pain, and fatigue of women with MTD and compare them with women with healthy voices. METHODS a cross-sectional study with 45 women (23 with MTD and 22 controls), similar median age between groups. The speech-language and otorhinolaryngological evaluation determined the diagnosis of MTD. All participants responded to the Voice Symptoms Scale (VoiSS), Vocal Fatigue Index (VFI), and Nordic Musculoskeletal Questionnaire (NMQ) protocols. They were also assessed by a palpatory evaluation of the perilaryngeal musculature, auditory-perceptual evaluation, and acoustic analysis of the voice fundamental frequency. The speech sample included sustained vowels "a", "i" and "e" and connected speech, recorded in a silent environment, and submitted...

Purpose: The aim of this work is to verify the efficacy of direct and indirect vocal intervention... more Purpose: The aim of this work is to verify the efficacy of direct and indirect vocal interventions in preventing voice disorders, with specific and combined strategies, by a systematic review of the literature. Research strategies: Articles published from January, 1980 to April, 2013 were searched in the electronic databases MEDLINE (accessed through PubMed), PubMed, LILACS, SciELO, Scopus and Web of Science. Selection criteria: All the articles that presented randomized controlled studies with some type of vocal intervention with teachers as their primary aim were included. Articles that presented subjects with larynx and voice alterations were excluded. Results: As a result of the initial search, 677 studies were identified, five of which followed the inclusion criteria. Four more articles, found in the references of the studies selected for reading of the full text, were included. Conclusion: The combined intervention (direct and indirect) presented a significant improvement in v...

International Physical Medicine & Rehabilitation Journal

Resumo: Este estudo objetiva identificar a importância do questionario Hearing Handicap Inventory... more Resumo: Este estudo objetiva identificar a importância do questionario Hearing Handicap Inventory for the Elderly — Screening Version (HHIE-S) como indicador da necessidade de avaliacao audiologica em um grupo de idosos, relacionando as perdas auditivas as possiveis alteracoes vocais. Fizeram parte deste estudo cinco individuos idosos do genero feminino, na faixa etaria de 57 a 75 anos. Primeiramente, foi aplicado o questionario HHIE-S seguido da avaliacao audiologica basica e da avaliacao perceptivo-auditiva da voz. Nos resultados, os cinco individuos idosos apresentaram alteracao em um ou mais aspectos vocais. As alteracoes das caracteristicas vocais puderam ser correlacionadas as perdas auditivas em tres dos cinco casos. Salienta-se a importância da avaliacao vocal e da utilizacao de escalas de auto-avaliacao, como o questionario HHIE-S, como indicadores da identificacao precoce da deficiencia auditiva. Palavras-chave: Perda Auditiva. Presbiacusia. Saude do Idoso. Qualidade Vocal...

OBJECTIVE This paper aims to systematically review the application methods and clinical outcomes ... more OBJECTIVE This paper aims to systematically review the application methods and clinical outcomes of transcutaneous electrical nerve stimulation (TENS) in the rehabilitation of dysphonic patients. METHODS The study consists of a systematic review performed in the Medline (via PubMed), Cochrane Library, Scopus and Lilacs databases, using a search strategy related to the research theme. Inclusion criteria involve experimental studies that investigated the effects of TENS on dysphonic patients, published in the last 15 years in Portuguese, English or Spanish. The Physiotherapy Evidence-Based Database was used to evaluate the methodological quality of the articles. RESULTS In the first search, 100 publications were found, 57 of which were duplicated and 23 did not address TENS as an intervention. According to the exclusion criteria of the remaining 20 studies, eight were selected for this review. The studies showed a pattern regarding the application of TENS. Of the studies analyzed, 87....

Purpose: Verifying the effectiveness of the Finnish resonance tube method in a group of elderly s... more Purpose: Verifying the effectiveness of the Finnish resonance tube method in a group of elderly subjects with complaints of vocal and respiratory changes. Methods: The sample was made up of dwellers from a long-term care institution (LTCI) who were equally distributed into Research Group (G1) and Control Group (G2). 42 elderly, 30 of whom female, between 62 and 93 years old took part in the research. A sociodemographic survey was applied followed by spirometry and voice recording both prior to and after the intervention. G1 attended six resonance tube sessions, while G2 attended six vocal health workshops. The voices recorded were analyzed following the GRBASI scale. Results: G1 significantly improved while G2 did not have any significant voice change. Spiromety improved in G1 and worsened in G2. Conclusion: The Finnish resonance tube technique was effective in treating the elderly with presbyphonia symptoms and aided in improving their vocal quality and vital capacity.

CoDAS

RESUMO Objetivo Analisar o índice de desvantagem vocal para o canto de coristas idosos e verifica... more RESUMO Objetivo Analisar o índice de desvantagem vocal para o canto de coristas idosos e verificar a sua relação com perfil, hábitos e condições de saúde dos participantes. Método Foram incluídos 110 indivíduos com 60 anos ou mais, participantes de coros amadores. Os coristas foram entrevistados a fim de verificar dados como idade, tempo de canto coral, classificação vocal e a presença de hábitos e condições de saúde adversas à produção vocal. Posteriormente, responderam o questionário “Índice de Desvantagem Vocal para o Canto (IDV-C)” que avalia a autopercepção do indivíduo em relação às experiências no uso da voz cantada. Resultados O escore do IDV-C teve uma mediana de 25, sendo a pontuação mínima 0 e a máxima 86. Os itens mais pontuados estavam relacionados aos aspectos físicos no uso da voz cantada: “Não consigo cantar agudo” (Q10) e “Minha garganta fica seca quando canto” (Q13). Verificou-se que os idosos com mais de 75 anos apresentaram maior desvantagem vocal para o canto ao...

Estudos Interdisciplinares sobre o Envelhecimento

Resumo: Este estudo objetiva identificar a importância do questionário Hearing Handicap Inventory... more Resumo: Este estudo objetiva identificar a importância do questionário Hearing Handicap Inventory for the Elderly — Screening Version (HHIE-S) como indicador da necessidade de avaliação audiológica em um grupo de idosos, relacionando as perdas auditivas às possíveis alterações vocais. Fizeram parte deste estudo cinco indivíduos idosos do gênero feminino, na faixa etária de 57 a 75 anos. Primeiramente, foi aplicado o questionário HHIE-S seguido da avaliação audiológica básica e da avaliação perceptivo-auditiva da voz. Nos resultados, os cinco indivíduos idosos apresentaram alteração em um ou mais aspectos vocais. As alterações das características vocais puderam ser correlacionadas às perdas auditivas em três dos cinco casos. Salienta-se a importância da avaliação vocal e da utilização de escalas de auto-avaliação, como o questionário HHIE-S, como indicadores da identificação precoce da deficiência auditiva. Palavras-chave: Perda Auditiva. Presbiacusia. Saúde do Idoso. Qualidade Vocal...

Folia Phoniatrica et Logopaedica

Objective: To analyze the applicability of the University of Rhode Island Change Assessment (URIC... more Objective: To analyze the applicability of the University of Rhode Island Change Assessment (URICA)-VOICE scale before and after a therapeutic program for functional balance in voice production. Patients and Methods: The sample comprised 26 adult participants (18 female) from the Brazilian Public Healthcare System. The URICA-VOICE scale was applied prior to the intervention and after 10 sessions of a therapeutic program. Results: The motivational stage values were significantly increased after the intervention compared with the first application of the scale. Precontemplation and action were the stages most commonly reported by the participants. Significant differences were found in 6 statements of the URICA-VOICE scale after voice therapy. Conclusions: The motivational stage of the participants improved after voice therapy. Being motivated is important for adherence to behavioral changes regarding the voice, and this study shows that using the URICA-VOICE scale in clinical practice is essential to measure patient performance in the voice therapy process, as well as to determine the ideal moment of discharge.

Journal of Voice

Adherence expresses the patient's degree of commitment to the therapeutic process. It's n... more Adherence expresses the patient's degree of commitment to the therapeutic process. It's necessary for professionals to know how to evaluate it in order to plan more effective conducts. This study aims to perform a systematic review of the adherence of patients with a dysphonia setting to voice therapy programs. This review was carried out on the PubMed, Lilacs, Scopus, and Cochrane Library databases, using a search strategy related to the subject of the study. The selection included studies that assessed the adherence of patients with dysphonia to voice therapy using an instrument created for the study or previously validated. Of 1987 publications, 35 were included, of which 14 were excluded for not fitting the eligibility criteria of this review, leaving a total of 21 papers, which were analyzed in full and went through qualitative analysis. The strategies found for the assessment of adherence were the conclusion of the therapy plan, patient self-report, and the use of the URICA-VOICE scale. Therapy conclusion was the most commonly used of the strategies, which showed low adherence to voice therapy. This result shows that instruments like the URICA-VOICE scale measure in a more detailed manner which stage the patient finds himself at the moment of the evaluation.

Journal of Voice

OBJECTIVES This study aims to assess the effectiveness of the EASE-BR (Evaluation of the Ability ... more OBJECTIVES This study aims to assess the effectiveness of the EASE-BR (Evaluation of the Ability to Sing Easily for Brazil) protocol in the development of a vocal warm-up program for members of an amateur choir. STUDY DESIGN This is a prospective cross-sectional study measuring pre- and postintervention results at two moments. METHODS Forty-four subjects filled out a questionnaire to characterize the sample and underwent two major applications of the EASE-BR scale-the first to determine the group's vocal requirements and the second to assess the performance after the application of a customized vocal warm-up routine. RESULTS Overall reduction of the scores in the postintervention moment has been determined. The score of 16 of the questions (72.7%) showed a statistically relevant reduction after the intervention. CONCLUSIONS The EASE-BR scale proved a valuable assessment tool and its use may help develop customized vocal warm-up programs for different types of singers.

CoDAS, Jan 4, 2017

Verify whether voice modification after swallowing is associated with videofluoroscopic examinati... more Verify whether voice modification after swallowing is associated with videofluoroscopic examination data. 27 patients with oropharyngeal dysphagia underwent recording of sustained phonation of vowel /a/ before and after swallowing during videofluoroscopy. The GRBAS scale and the wet voice parameter were used to evaluate the data. Videofluoroscopy results showed stasis of food in the valleculae and piriform recesses, laryngeal penetration, tracheal aspiration, and degree of dysphagia. Decreased dysphonia grade and asthenia and increased strain were observed after swallowing, with no difference for the wet voice parameter. Sensitivity and specificity of ± 50% were observed for food stasis in the valleculae and piriform recesses. Sensitivity values of 80 and 66-75% were observed for detection of laryngeal penetration and tracheal aspiration and modification of vocal strain, respectively. Negative predictive values of 77-91% were found for the three assessment parameters with no correla...

Journal of Voice

The present study aimed to carry out a systematic review of the effects of voice therapy on indiv... more The present study aimed to carry out a systematic review of the effects of voice therapy on individuals diagnosed with muscle tension dysphonia (MTD) or hyperfunctional dysphonia. This is a systematic literature review on the databases Medline (via PubMed), Cochrane Library, Scopus, and Lilacs using a search strategy related to the theme of the study. The selection included clinical trials that assessed the effects of speech therapy intervention on patients diagnosed with MTD or hyperfunctional dysphonia published over the last 10 years in Portuguese, English, or Spanish. The Physiotherapy Evidence-Based Database (PEDro) Scale was used to assess the methodology of the studies. Of the 634 publications, 12 studies were included in this review, of which three were excluded due to a low score on the PEDro Scale, resulting in a final number of nine publications. Regarding the techniques approached, semioccluded vocal tract exercises (22.22%), nasal sound and frequency modulation (22.22%), maximum phonation time (MPT) technique and vocal hygiene (11.11%), vocal function exercises (11.11%), respiratory exercises along with phonoarticulatory sounds (11.11%), manual laryngeal therapy (11.11%), and manual laryngeal therapy associated with respiratory exercises (11.11%) were identified. These techniques promoted the following effects: improvement in intraoral and subglottal pressure, positive alterations in the glottal contact quotient, significant changes in fundamental frequency measures, increased MPT, and reduced voice roughness. Methodology was identified to be a shortcoming in the studies. The clinical trials reviewed showed positive results in using the therapeutic techniques selected in the speech therapy approach.

International Archives of Otorhinolaryngology

Introduction Dysphagia causes changes in the laryngeal and stomatognathic structures; however, th... more Introduction Dysphagia causes changes in the laryngeal and stomatognathic structures; however, the use of vocal exercises is poorly described. Objective To verify whether the therapy consisting of myofunctional exercises associated with vocal exercises is more effective in rehabilitating deglutition in stroke patients. Methods This is a pilot study made up of two distinct groups: a control group, which performed only myofunctional exercises, and an experimental group, which performed myofunctional and vocal exercises. The assessment used for oral intake was the functional oral intake scale (FOIS). Results The FOIS levels reveal that the pre-therapy median of the experimental group was 4, and increased to 7 after therapy, while in the control group the values were 5 and 6 respectively. Thus, the experimental group had a statistically significant difference between the pre- and post-therapy assessments (p = 0.039), which indicates that the combination of myofunctional and vocal exerci...