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艺术专业学生发生声音障碍和嗓音质量受损的风险。

Risk of dysphonia and voice quality in performing arts students.

机构信息

Faculdade de Medicina, Universidade de São Paulo - USP - São Paulo (SP), Brasil.

Instituto de Artes, Universidade Estadual Paulista de Júlio Mesquita Filho - UNESP - São Paulo (SP), Brasil.

出版信息

Codas. 2023 Aug 21;35(4):e20220036. doi: 10.1590/2317-1782/20232022036pt. eCollection 2023.

Abstract

PURPOSE

To analyse the relationship between the risk of dysphonia and vocal quality in undergraduate performing arts students.

METHODS

Observational cross-sectional study with 38 undergraduate students in Performing Arts. We applied screening protocols for general and specific risk of dysphonia for actors and made recordings of sustained emission of the vowel /a/, spontaneous speech and reading a text, used for perceptual analysis performed by three evaluators using the GRBASI scale. After intra and inter-rater reliability tests it was obtained final classification of the general degree of vocal deviation parameter for each participant. Comparisons were made considering groups that had or did not have other profession/activity with the use of voice, and the groups were formed from the general grade.

RESULTS

Most students were at high risk for dysphonia. All had vocal alteration, with a predominance of mild degree. Students who had another profession/activity with voice use scored higher in the specific protocol for actors, and in the sum of this protocol with the general screening protocol. There was no relationship between the degree of vocal alteration and the risk of dysphonia. Students who did not yet work professionally had more moderate or severe vocal alterations, and those who did work professionally had a higher frequency of mild vocal alterations.

CONCLUSION

Most students were at high risk for dysphonia. All had vocal alteration, with a predominance of mild alteration. There was no relationship between the risk of dysphonia and the degree of vocal alteration.

摘要

目的

分析表演艺术专业本科生发生声音障碍的风险与嗓音质量之间的关系。

方法

这是一项观察性的横断面研究,共纳入 38 名表演艺术专业的本科生。我们对演员的一般和特定声音障碍风险应用了筛查方案,并对/a/元音的持续发音、自发言语和朗读文本进行了录音,用于由三位评估员使用 GRBASI 量表进行感知分析。经过内部和外部评估者的可靠性测试后,为每个参与者获得了最终的总体嗓音偏差参数的分类。考虑到有或没有其他使用声音的职业/活动的组,进行了比较,并根据总体等级来分组。

结果

大多数学生存在声音障碍的高风险。所有人都有嗓音改变,以轻度为主。有其他使用声音的职业/活动的学生在演员特定的筛查方案以及该方案与一般筛查方案的总和中得分更高。嗓音改变的程度与声音障碍的风险之间没有关系。尚未从事专业工作的学生的嗓音改变更倾向于中度或重度,而已经从事专业工作的学生的嗓音改变更倾向于轻度。

结论

大多数学生存在声音障碍的高风险。所有人都有嗓音改变,以轻度改变为主。声音障碍的风险与嗓音改变的程度之间没有关系。

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