Effects of Group Speech-Language Pathology Therapy for Teachers With Voice Disorders.

IF 2.4 4区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Journal of Voice Pub Date : 2025-03-07 DOI:10.1016/j.jvoice.2025.02.019
Mariane Maião Pereira, Léslie Piccolotto Ferreira, Emilse Aparecida Merlin Servilha, Maria Cristina de Menezes Borrego, Marta Assumpção de Andrada E Silva, Susana Pimentel Pinto Giannini
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Abstract

Purpose: To analyze the effects of implementing a Voice Program in a group setting, focusing on the record of vocal symptoms and self-reporting by teachers with voice disorders.

Method: This is a longitudinal study with preintervention and postintervention assessments. The study included 23 female teachers with voice disorders who participated in the Voice Program at a municipal hospital. All participants underwent otorhinolaryngological assessment (diagnosis) and speech-language evaluation of voice (assessment of health aspects and treatments, GRBAS Scale (classifies hoarseness, roughness, breathiness, asthenia [weakness] and tension), pitch, loudness, resonance, respiratory type, and pneumophonoarticulatory coordination) and completed the Voice Handicap Index (VHI-10) and Vocal Production Condition-Teacher instruments. The Screening Index for Voice Disorder (SIVD), Vocal Fatigue Index (VFI), and Voice Self-Report (VSR-Initial and VSR-Final) instruments were used for group comparison of preintervention and postintervention data collection. Effects were recorded by analyzing these instruments and participant self-reports. Statistical analysis compared SIVD and VFI scores before and after the intervention. The VSR-I and VSR-F analysis was conducted by reviewing the material to establish objective categories for record classification.

Results: Preintervention and postintervention data analysis showed a statistically significant reduction in SIVD scores postintervention and a decrease in the total symptoms reported (notably for clearing throat, dry cough, cough with secretion, and pain while swallowing), as well as in the overall average of VFI domains. Upon completing the program, self-reports showed that teachers noted changes in their voices, reporting aspects related to their vocal care and habits.

Conclusion: The analyzed program proved effective in reducing vocal symptoms, especially those related to vocal fatigue, accompanied by positive self-reports on habit changes.

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群体言语病理治疗对嗓音障碍教师的效果。
目的:分析在小组环境下实施声音项目的效果,重点关注声音障碍教师的声音症状记录和自我报告。方法:采用干预前和干预后评估的纵向研究。该研究包括23名患有声音障碍的女教师,她们参加了一家市立医院的“声音项目”。所有参与者都接受了耳鼻喉科评估(诊断)和语音语言评估(健康方面和治疗评估,GRBAS量表(对声音嘶哑、粗糙、呼吸、虚弱和紧张进行分类)、音高、响度、共振、呼吸类型和气音-发音协调进行分类),并完成了声音障碍指数(VHI-10)和发声条件-教师仪器。采用声音障碍筛查指数(SIVD)、声音疲劳指数(VFI)和声音自我报告(VSR-Initial和VSR-Final)仪器进行干预前和干预后数据收集的组比较。通过分析这些工具和参与者的自我报告来记录效果。统计分析干预前后SIVD和VFI评分。对材料进行VSR-I和VSR-F分析,建立客观的分类进行记录分类。结果:干预前和干预后的数据分析显示,干预后SIVD评分和报告的总症状(特别是清喉咙、干咳、带分泌物的咳嗽和吞咽时疼痛)以及VFI域的总体平均值均有统计学意义的降低。在完成课程后,自我报告显示,教师注意到他们的声音发生了变化,报告了与他们的声音护理和习惯有关的方面。结论:所分析的程序证明有效减轻声乐症状,特别是与声乐疲劳有关的症状,并伴有积极的习惯改变自我报告。
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来源期刊
Journal of Voice
Journal of Voice 医学-耳鼻喉科学
CiteScore
4.00
自引率
13.60%
发文量
395
审稿时长
59 days
期刊介绍: The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.
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