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寻求治疗的发音障碍教师的嗓音疲劳

Vocal fatigue in dysphonic teachers who seek treatment.

作者信息

Abou-Rafée Mirna, Zambon Fabiana, Badaró Flávia, Behlau Mara

机构信息

Centro de Estudos da Voz - CEV - São Paulo (SP), Brasil.

Sindicato dos Professores de São Paulo - SinproSP - São Paulo (SP), Brasil.

出版信息

Codas. 2019 Jun 6;31(3):e20180120. doi: 10.1590/2317-1782/20182018120.

DOI:10.1590/2317-1782/20182018120
PMID:31188907
Abstract

PURPOSE

to verify the self-perception of vocal fatigue of dysphonic teachers in school year activity who sought speech-language pathology assistance.

METHODS

Sixty teachers with voice complaints participated in the study, 30 of whom sought treatment in the Programa de Saúde Vocal do Sindicato dos Professores de São Paulo (SinproSP), and 30 volunteers' teachers who did not seek treatment (G2). All the participants answered a personal identification protocol and work characterization, vocal self-assessment, vocal signs and symptoms checklist, Vocal Fatigue Index protocol (VFI). In addition, a number counting from 1 to 10 and sustained vowel "e" were registered for the definition of the mean vocal deviation using perceptual-auditory judgment.

RESULTS

Teachers who sought treatment (G1) obtained worst scores in the VFI, more numbers of signs and symptoms, and worst self-evaluation of the voice when compared with those who did not seek treatment (G2). In addition, teachers in both groups had light to moderate vocal deviation.

CONCLUSION

Dysphonic teachers who sought vocal treatment presented greater sensation of vocal fatigue, especially in the factors of tiredness of voice and voice avoidance and related to physical discomfort associated with voicing of the VFI. In addition, they reported greater number of symptoms and worse vocal self-assessment in relation to those who did not seek treatment, although both groups present deviated voices.

摘要

目的

验证在学年活动中寻求言语病理学帮助的嗓音障碍教师的嗓音疲劳自我认知。

方法

60名有嗓音问题的教师参与了该研究,其中30名在圣保罗教师工会嗓音健康项目(SinproSP)寻求治疗,另外30名未寻求治疗的志愿者教师(G2组)。所有参与者都回答了个人身份识别协议和工作特征、嗓音自我评估、嗓音体征和症状清单、嗓音疲劳指数协议(VFI)。此外,通过感知听觉判断记录从1到10的数字计数和持续元音“e”,以定义平均嗓音偏差。

结果

与未寻求治疗的教师(G2组)相比,寻求治疗的教师(G1组)在VFI中得分更低,体征和症状数量更多,嗓音自我评估更差。此外,两组教师都有轻度至中度的嗓音偏差。

结论

寻求嗓音治疗的嗓音障碍教师表现出更大的嗓音疲劳感,尤其是在嗓音疲劳和嗓音回避因素方面,并且与VFI中发声相关的身体不适有关。此外,与未寻求治疗的教师相比,他们报告的症状更多,嗓音自我评估更差,尽管两组都存在嗓音偏差。

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