The Speech-Language Pathology Department, Universidade Estadual do Centro-Oeste - UNICENTRO, Irati, PR, Brazil.
The Centro de Estudos da Voz - CEV, São Paulo, SP, Brazil; The Speech-Language Pathology Department, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, Brazil.
J Voice. 2020 Nov;34(6):962.e19-962.e25. doi: 10.1016/j.jvoice.2019.06.020. Epub 2019 Aug 8.
To analyze the immediate effects of semioccluded vocal tract exercises on vocal quality and vocal self-assessment using resonance tube phonation in water in women without voice complaints, and to compare these results with those obtained using tongue trills and unvoiced fricative exercises.
This was a quasi-experimental study. The participants were 30 women aged 18-39 years and without vocal complaints. All participants performed three exercises for 3 minutes: experimental exercise (EE: phonation into a resonance flexible tube in water exercise), control exercise (tongue trill exercise), and placebo exercise (PE: unvoiced fricative exercise). Three outcomes were analyzed-vocal self-assessment, auditory-perceptual evaluation, and acoustic analysis.
The vocal self-assessment showed significantly greater improvement after EE than after the other exercises. There were no significant differences in auditory-perceptual evaluation or acoustic analyses in any of the voice exercises.
The EE promoted an immediate positive effect in the subjective self-assessment, with better results compared with PE. However, the clinical vocal evaluation did not indicate immediate positive effects after 3 minutes of EE, control exercise, or PE.
分析半封闭声道练习对无嗓音抱怨的女性使用水共鸣管发声时嗓音质量和嗓音自我评估的即时影响,并将这些结果与使用舌颤音和清音摩擦练习的结果进行比较。
这是一项准实验研究。参与者为 30 名年龄在 18-39 岁之间且无嗓音抱怨的女性。所有参与者均进行 3 分钟的三种练习:实验组练习(EE:在水中通过共鸣灵活管发声练习)、对照组练习(舌颤音练习)和安慰剂组练习(PE:清音摩擦练习)。分析了三个结果——嗓音自我评估、听觉感知评估和声学分析。
EE 后嗓音自我评估的改善明显大于其他练习。在任何一种嗓音练习中,听觉感知评估或声学分析均无显著差异。
EE 在主观自我评估中产生了即时的积极影响,效果优于 PE。然而,在 3 分钟的 EE、对照组练习或 PE 后,临床嗓音评估并未显示出即时的积极效果。