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强化训练对教师自我评估的影响——临床试验

Effect of Pompage on Teachers Self-Assessment-Clinical Trial.

作者信息

Andriollo Débora Bonesso, Frigo Letícia Fernandez, Cielo Carla Aparecida

机构信息

Federal University of Santa Maria, Santa Maria, RS, Brazil.

Franciscan University, Santa Maria, RS, Brazil.

出版信息

J Voice. 2023 Mar;37(2):293.e25-293.e36. doi: 10.1016/j.jvoice.2020.12.023. Epub 2021 Jan 11.

DOI:10.1016/j.jvoice.2020.12.023
PMID:33446440
Abstract

OBJECTIVE

To verify the results of self-assessments of teachers with vocal and musculoskeletal complaints and with the normal larynx, after myofascial release using pompage.

METHODS

Double-blind, controlled, and randomized clinical trial including 28 teachers in the study group and 28 teachers in the control group, totaling 56 participants. Anamnesis, video laryngoscopy, hearing screening, clinical and photogrammetric postural assessment, pain threshold in cervical muscles, sound pressure and maximum phonation time measurements, and manovacuometry were performed. Protocols for vocal self-assessment, neck pain, anxiety and depression, and musculoskeletal pain were filled out. Pompage therapy consisted of a total of 24 sessions (8 weeks) of 40 minutes each, three times a week. Afterward, the groups were reassessed.

RESULTS

In the study group, there was a significant improvement in the results of the following instruments: Hospital Anxiety and Depression Scale, Vocal Tract Discomfort Scale, Voice Symptoms Scale, Vocal Activity and Participation Profile, Vocal Handicap Index, Voice-Related Quality of Life, and Nordic Musculoskeletal Questionnaire.

CONCLUSIONS

After myofascial release using pompage in teachers, there was an improvement in the self-assessed aspects regarding characteristics and quality of life related to the voice, social participation related to the voice, anxiety and depression, and musculoskeletal symptoms.

摘要

目的

验证采用泵吸法进行肌筋膜松解后,有嗓音及肌肉骨骼问题主诉的教师以及喉部正常的教师的自我评估结果。

方法

双盲、对照、随机临床试验,研究组包括28名教师,对照组包括28名教师,共56名参与者。进行了问诊、视频喉镜检查、听力筛查、临床及摄影测量姿势评估、颈部肌肉疼痛阈值、声压及最大发声时间测量以及食管测压。填写了嗓音自我评估、颈部疼痛、焦虑和抑郁以及肌肉骨骼疼痛的问卷。泵吸疗法共24次疗程(8周),每次40分钟,每周三次。之后,对两组进行重新评估。

结果

在研究组中,以下工具的结果有显著改善:医院焦虑抑郁量表、声道不适量表、嗓音症状量表、嗓音活动与参与情况量表、嗓音障碍指数、嗓音相关生活质量以及北欧肌肉骨骼问卷。

结论

教师采用泵吸法进行肌筋膜松解后,在与嗓音相关的特征和生活质量、与嗓音相关的社会参与、焦虑和抑郁以及肌肉骨骼症状等自我评估方面有改善。

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