Ramos Ana Carolina, Floro Rebeca Liaschi, Ribeiro Vanessa Veis, Brasolotto Alcione Ghedini, Silverio Kelly Cristina Alves
Speech-Language Pathology and Audiology Department, Bauru School of Dentistry, University of São Paulo-FOB/USP, Bauru, São Paulo, Brazil.
Speech-Language Pathology and Audiology Department, Bauru School of Dentistry, University of São Paulo-FOB/USP, Bauru, São Paulo, Brazil.
J Voice. 2018 May;32(3):307-313. doi: 10.1016/j.jvoice.2017.05.019. Epub 2017 Jun 21.
This study aimed to compare and correlate musculoskeletal pain and voice-related quality of life of dysphonic and non-dysphonic individuals.
This is a retrospective case-control study. A total of 74 adults were divided into two groups: the experimental group (EG) comprising 37 individuals with vocal complaints and hyperfunctional dysphonia, and the control group (CG) comprising 37 individuals without vocal complaints and with healthy voices. Both groups presented similar gender and age (28 females and 9 males for each group; average age = 31.5). All the participants answered the protocols: Voice-Related Quality of Life and Musculoskeletal Pain Questionnaire. Statistical data were analyzed by Mann-Whitney U test (P ≤ 0.05) and Spearman correlation test (P ≤ 0.05).
It was observed that the EG presented significantly lower scores of voice-related quality of life in the social-emotional (P < 0.001), physical (P < 0.001), and total (P < 0.001) fields. Concerning musculoskeletal pain, it was observed in the EG that there was a higher intensity in pain in the region of the larynx (P < 0.001), and a higher frequency of pain in the submandibular (P = 0.013), larynx (P < 0.001), and front of the neck (P = 0.002) regions, when compared with the CG.
In the group of individuals studied, worst indexes of voice-related quality of life and higher frequency and intensity of pain in the larynx were observed, in addition to higher frequency of pain in regions near the larynx in dysphonic subjects. There was correlation between voice-related quality of life and the frequency and intensity of musculoskeletal pain.
本研究旨在比较并关联发声障碍者与非发声障碍者的肌肉骨骼疼痛及与嗓音相关的生活质量。
这是一项回顾性病例对照研究。共74名成年人被分为两组：实验组（EG），由37名有嗓音问题及发声功能亢进性发声障碍的个体组成；对照组（CG），由37名无嗓音问题且嗓音健康的个体组成。两组在性别和年龄方面相似（每组28名女性和9名男性；平均年龄 = 31.5岁）。所有参与者均回答了以下问卷：《与嗓音相关的生活质量问卷》和《肌肉骨骼疼痛问卷》。统计数据采用曼 - 惠特尼U检验（P≤0.05）和斯皮尔曼相关性检验（P≤0.05）进行分析。
观察发现，实验组在社会情感（P < 0.001）、身体（P < 0.001）及总体（P < 0.001）领域的嗓音相关生活质量得分显著更低。关于肌肉骨骼疼痛，与对照组相比，实验组在喉部区域疼痛强度更高（P < 0.001），且在下颌下（P = 0.013）、喉部（P < 0.001）及颈部前方（P = 0.002）区域疼痛频率更高。
在所研究的个体组中，除了发声障碍者喉部附近区域疼痛频率更高外，还观察到嗓音相关生活质量指标更差，以及喉部疼痛频率和强度更高。嗓音相关生活质量与肌肉骨骼疼痛的频率和强度之间存在相关性。
