Universidade Estadual de Ciências da Saúde de Alagoas - UNCISAL - Maceió (AL), Brasil.
Centro de Estudos da Voz - CEV - São Paulo (SP), Brasil.
Codas. 2021 Jun 21;33(4):e20200067. doi: 10.1590/2317-1782/20202020067. eCollection 2021.
Investigate vocal fatigue and its relationship with the sensation of phonatory effort and discomfort in the vocal tract of teachers after a week of activity.
Cross-sectional, quantitative study, involving 40 teachers with complaints of vocal fatigue. Procedures performed at the beginning and end of the week, before the classes start were Vocal Fatigue Index, Borg Scale, Vocal Tract Discomfort Scale, and voice recording for perceptual analysis.
There were no changes in phonatory effort and in frequency and intensity of discomfort in vocal tract. In relation to the VFI, in the domains of fatigue and vocal limitation and physical discomfort associated with the voice, teachers started and ended the week with values compatible with dysphonia. In the vocal restriction domain, they started the week with values compatible with vocal healthy individuals and at the end of the week they had scores compatible with dysphonia. In recovery with vocal rest, the pre and post values were below the cut-off score, meaning less vocal recovery. The greater the sensation of vocal fatigue, the greater the perception of phonatory effort; more frequent is the sensation of tightness, dryness, sore, sensitive and irritated throat and more intense the sensations of discomfort in the vocal tract: tightness, dryness, itching, sensitive and irritated throat.
Teachers perceive an increase in vocal fatigue, without changes in phonatory effort and vocal tract discomfort after one week of class. The greater the perception of vocal fatigue, the greater the sensation of effort and phonatory discomfort.
研究教师在一周的活动后出现的发声疲劳及其与发声费力感和声道不适的关系。
横断面、定量研究,共纳入 40 名有发声疲劳主诉的教师。在课程开始前和一周结束时进行了嗓音疲劳指数、Borg 量表、声道不适量表和嗓音感知分析录音。
发声费力感和声道不适的频率和强度均无变化。就 VFI 而言,在疲劳和嗓音受限以及与嗓音相关的身体不适等领域,教师在开始和结束周时的评分与声嘶相符。在嗓音受限领域,他们在开始周时的评分与嗓音正常个体相符,而在结束周时的评分与声嘶相符。在嗓音休息后的恢复方面,前后两次的评分均低于临界值,这意味着嗓音恢复不足。发声疲劳感越强烈,发声费力感的感知就越强烈;咽喉发紧、干燥、疼痛、敏感和刺痛的感觉越频繁,声道不适的感觉就越强烈:咽喉发紧、干燥、瘙痒、敏感和刺痛。
教师在一周的课程后会感到发声疲劳增加,但发声费力感和声道不适没有变化。发声疲劳感越强烈,发声费力感和发音不适的感觉就越强烈。