Departamento de Fonoaudiologia, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Faculdade de Odontologia de Bauru, Universidade de São Paulo, São Paulo, Brazil.
J Voice. 2019 Sep;33(5):809.e19-809.e26. doi: 10.1016/j.jvoice.2018.03.017. Epub 2018 May 21.
The aim of this study was to verify the effects of the method Vocal Therapy for the Elderly and the differences in treatment efficacy when it was administered intensively or in the conventional way.
Twenty-seven elderly individuals were randomized into two groups and referred for 16 sessions of vocal therapy. The Intensive Group (IG) had therapy four times a week, whereas the Conventional Group had it twice a week. The effects of the therapy were assessed by auditory-perceptual analysis, the Voice-Related Quality of Life protocol, and visual-perceptive analysis of laryngoscopy examinations. The first stage consisted of evaluating the vocal quality and self-assessment of 15 subjects before and after a time period equal to that which they would undergo in vocal therapy. The second stage consisted of comparing the assessments of all participants in the week preceding the beginning of treatment, in the week following the end of treatment, and 1 month after that.
There was no difference between perceptual voice parameters and self-assessment when the subjects were not undergoing therapy. When comparing the periods immediately before and after therapy, there was improvement in vocal quality and Voice-Related Quality of Life. One month later, the benefits that had been revealed through the self-assessment protocol, and some of the improvements in vocal parameters were maintained. There was no difference between the IG and Conventional Group with the exception of vocal fold bowing, which decreased in the IG group.
The Vocal Therapy for the Elderly program is effective for treating voice presbyphonia. An intensive approach may be superior with regard to vocal fold bowing.
本研究旨在验证老年声乐疗法的效果，以及密集治疗与常规治疗在疗效上的差异。
将 27 名老年人随机分为两组，并接受 16 次声乐治疗。密集组（IG）每周接受 4 次治疗，常规组每周接受 2 次治疗。通过听觉感知分析、嗓音相关生活质量协议和喉镜检查的视觉感知分析来评估治疗效果。第一阶段包括对 15 名受试者在接受治疗前和治疗后相等时间内的嗓音质量和自我评估进行评估。第二阶段包括比较所有参与者在治疗开始前一周、治疗结束后一周和治疗结束后一个月的评估。
在受试者未接受治疗时，感知嗓音参数和自我评估之间没有差异。在比较治疗前后的时期时，嗓音质量和嗓音相关生活质量得到了改善。一个月后，自我评估方案揭示的益处和一些嗓音参数的改善得以维持。IG 组和常规组之间除了声带弯曲程度有所改善外，没有差异。
老年声乐疗法方案对治疗声音老化是有效的。密集治疗方法在声带弯曲方面可能更优。
