Comunicação oral de laringectomizados com prótese traqueoesofágica: análise comparativa pré e pós-treino

Oliveira, Iára Bittante de; Costa, Cleinaldo de Almeida; Chagas, José Francisco de Sales; Rochetti, Elaine Cristina Gonçalves; Oliveira, Luciane Otranto De

doi:10.1590/s0104-56872005000200005

Cited by 6 publications

(6 citation statements)

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“…In the pre-training condition, most of the participants presented adequate pitch, with a minority being characterized as Gr1, as commonly observed in the literature, which demonstrates that the pitch of this population is more grave 2,4 . Because this is a new sound source and because it is necessary to understand its behavior during the emission of the different sounds, the vowels "a", "i" and "u" were contemplated for the analysis of the vocal parameters explored in the present study, based on the basic physiology of laryngeal phonation.…”

Section: Discussionsupporting

confidence: 70%

Effect of singing training on total laryngectomees wearing a tracheoesophageal voice prosthesis

Onofre¹,

Ricz²,

Takeshita-Monaretti³

et al. 2013

Acta Cir. Bras.

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PURPOSE:To assess the effect of a program of singing training on the voice of total laryngectomees wearing tracheoesophageal voice prosthesis, considering the quality of alaryngeal phonation, vocal extension and the musical elements of tunning and legato. METHODS:Five laryngectomees wearing tracheoesophageal voice prosthesis completed the singing training program over a period of three months, with exploration of the strengthening of the respiratory muscles and vocalization and with evaluation of perceptiveauditory and singing voice being performed before and after 12 sessions of singing therapy. RESULTS:After the program of singing voice training, the quality of tracheoesophageal voice showed improvement or the persistence of the general degree of dysphonia for the emitted vowels and for the parameters of roughness and breathiness. For the vowel "a", the pitch was displaced to grave in two participants and to acute in one, and remained adequate in the others. A similar situation was observed also for the vowel "i". After the singing program, all participants presented tunning and most of them showed a greater presence of legato. The vocal extension improved in all participants. CONCLUSION:Singing training seems to have a favorable effect on the quality of tracheoesophageal phonation and on singing voice.

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Section: Discussionsupporting

confidence: 70%

Effect of singing training on total laryngectomees wearing a tracheoesophageal voice prosthesis

Onofre¹,

Ricz²,

Takeshita-Monaretti³

et al. 2013

Acta Cir. Bras.

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“…Indivíduos submetidos à laringectomia total dispõem de alguns meios de produção de voz para a reabilitação da comunicação oral 9,16 . Vários estudos atualmente estão sendo desenvolvidos com o propósito de determinar qual a melhor opção de reabilitação vocal para os pacientes, baseados na inteligibilidade da fala, qualidade vocal, aspectos acústicos, capacidade de adaptação da prótese e uso da opção vocal escolhida 14,26,27 .…”

Section: Discussionunclassified

Comportamento dos músculos cervicais em indivíduos com fala esofágica e laringe artificial

et al. 2010

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RESUMOObjetivo: avaliar através da eletromiogra a de superfície o comportamento dos músculos esternocleidomastóideo e paraespinhais cervicais bilateralmente em pacientes que se comunicam por meio da fala esofágica e laringe arti cial, para determinar se o tipo de voz utilizada altera o comportamento dos músculos cervicais. Métodos: foram avaliados dez voluntários (duas mulheres e oito homens), idade média de 49,7 anos, com laringectomia total, tempo de pós-operatório médio de 2,6 anos, com limitação dos movimentos do pescoço, divididos em dois grupos: grupo 1: cinco voluntários (laringe arti cial); grupo 2: cinco voluntários (voz esofágica); grupo 3 controle (sete voluntários). Resultados: na fonação não houve alteração no padrão de ativação muscular dos indivíduos que utilizam a voz esofágica e a laringe arti cial, com relação ao grupo controle. No entanto, na condição de repouso houve diferença signi cativa, comparando-se os valores médios de Root Mean Square dos grupos 1 e 2 com o grupo 3, para o músculo esternocleidomastóideo direito e para os músculos paraespinhais cervicais direito. Conclusão: o tipo de opção vocal não interferiu no padrão de ativação muscular durante a fonação, bem como não existiu diferença no padrão de ativação muscular na fonação dos voluntários quando comparados a indivíduos sem intercorrências no aparelho fonador. cie mostrou ser um método favorável na avaliação terapêutica dos pacientes, porém são necessários novos estudos para se ter o per l mais completo destes aspectos. AGRADECIMENTOSAgradecemos à CNPQ pelo apoio nanceiro concedido para a realização dessa pesquisa.ABSTRACT Purpose: to evaluate by the surface electromyography the behavior of the sternocleidomastoid and cervical paraspinalis muscles, bilaterally in patients who use esofagic and arti cial larynx as alternative to talk and to determine if these conditions modify the cervical muscles behavior. Methods: ten volunteers were evaluated (two women, eight men), with average age: 49. 7 years, with total laryngectomy, average time of postoperative: 2.6 years, with neck movements limitation, divided in two groups: group 1 with ve volunteers (arti cial larynx); group 2 with ve volunteers (esofagic voice); and group 3 control (seven volunteers). Results: there was no signi cant difference in the muscular activation pattern during phonation in individuals with esofagic voice and the arti cial larynx compared to the control group, however, in the rest condition, there was a signi cant difference comparing the average values of Root Mean Square (RMS) of groups 1 and 2 with group 3, for the right sternocleidomastoid muscle and the right cervical paraspinalis muscles. Conclusion: the vocal option did not interfere on the muscular activation pattern during the phonation, as well as there was no difference in the muscular activation pattern comparing the experimental groups with the control group.

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“…The results indicate that for most of the children deficits were not identified. Oliveira et al (2005) presented a study about the effectiveness of speech-language training in laryngectomized patients with tracheoesophageal prostheses. The research was done with 17 participants and included the comparison between pre and post training.…”

Section: Claudia Regina Furquim De Andrade Professora Titular Departamentioning

confidence: 99%

Editorial

Andrade

2005

Pró-Fono R. Atual. Cient.

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Comunicação oral de laringectomizados com prótese traqueoesofágica: análise comparativa pré e pós-treino

Abstract: It can be concluded that the proposed training improved the speech patterns, including melody and singing.

Cited by 6 publications

References 6 publications

Effect of singing training on total laryngectomees wearing a tracheoesophageal voice prosthesis

Effect of singing training on total laryngectomees wearing a tracheoesophageal voice prosthesis

Comportamento dos músculos cervicais em indivíduos com fala esofágica e laringe artificial

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