Cognitive Vocal Program applied to individuals with signals presbylarynx: preliminary results

Abstract

Descritorescoordination between breathing and speaking, accuracy in articulatory movements, jitter, and harmonics-to-noise ratio improved with parameters within the expected range for the age group. Three female participants were observed for better vocal quality, higher fundamental frequency, and better maximum phonation time. In two cases, tension related to loudness elevation and better scores on SPRD was observed. Using by high-speed laryngeal image, we also observed reduction of presbylarynx signs, and remarkable improvement in glottis closure competence and mucosal wave movement of the patients with and without vocal complaints. Conclusion:The preliminary results suggest encouraging prospects for the proposal with improvement in the aspects analyzed.This program was well designed and did not require any further adjustments. programa, loudness, coordenação pneumofonoarticulatória, clareza articulatória, jitter e proporção harmônico-ruído melhoraram, ficando dentro do esperado para a faixa etária. Nas três participantes observou-se melhora da qualidade vocal, aumento da frequência fundamental e melhora dos tempos máximos de fonação. Em duas observou-se tensão associada à elevação da loudness e melhora no escore PRRD. Observou-se nas participantes redução dos sinais de presbilaringe observados ao exame de laringoscopia, com melhora da coaptação glótica e movimentação da onda mucosa. Conclusão: Os resultados preliminares apontam perspectivas animadoras em relação à proposta com melhora dos aspectos analisados. O programa proposto mostrou-se exequível e bem delineado, não sendo necessários ajustes para continuidade do projeto. RESUMO

An Analysis on Aerodynamic and Acoustic Changes After Thyroidectomy

“…However, in 1994, this method was simplified to The Roughness, Breathiness, Hoarseness (RBH) Scale through the omission of Asthenia and Strain by Hussein Gaber et al 16 In 2002, another scale called The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) was developed by the American Speech-Language-Hearing Association. 17 Perceptual tests have been used for a long time. However, perceptual evaluation has some difficulties, and an experienced staff is mandatory for appropriate application of the test.…”

Terapia vocal para idosos com progressão de intensidade, frequência e duração do tempo de fonação: estudo de casos

“…Perception of strain deviation indicated that its values, although small, increased after the voice therapy -a fact probably caused by the progression of intensity that usually develops throughout the therapeutic exercises. Another case report also indicated maintenance of mildly deviant strain in vocal quality (8) . With regards to the pitch parameter, the deviations found demonstrate a tendency of using a slightly higher voice for I1 and a slightly lower voice for I2 after therapy -a fact caused by progression of the exercises with voice frequency.…”

“…Studies on the physiological changes of the larynx in the elderly, prevalence of vocal impairments, their vocal quality, and voice involvement in their psychosocial conditions were reported in a literature review (1) . In addition, studies seeking scientific evidence of voice therapy for the elderly have been conducted (2)(3)(4)(5)(6)(7)(8)(9)(10) . The methodologies used in these studies, as well as the sample sizes and interventions applied, varied greatly.…”

“…The methodologies used in these studies, as well as the sample sizes and interventions applied, varied greatly. Among the interventions for vocal rehabilitation, it is worth highlighting studies with closed therapy proposals, such as the Vocal Function Exercises (VFE) (2)(3)(4) , the Lee Silverman Voice Treatment (LSVT) method adapted to the elderly (5,6) ; the Phonation Resistance Training Exercise (PhoRTE) method (7) ; the Cognitive Vocal Program (CVP) (8) ; the Vocal Therapy for Elderlies (VTE) (9) , as well as a therapeutic proposal, based on exercise physiology, with electrical stimulation as adjuvant (10) .Training based on exercise physiology should be discussed on the basis of five principles, namely,adaptation, overload, specificity, progression, and reversibility. The overload principle refers to increased habitual use of a system, whereas the progression principle is the continuous use of load increase, so that the desired habitual change is achieved (11) .…”

Comparação do impacto imediato das técnicas de oscilação oral de alta frequência sonorizada e sopro sonorizado com tubo de ressonância em idosas vocalmente saudáveis

“…No studies that investigated the acoustic assessment changes in the elderly population immediately after performing a vocal exercise were found. The closer to this was a brief communication about cognitive therapy in three elderly individuals (24) who performed six vocal therapy sessions including different vocal exercises; the outcomes showed improvement in jitter and HNR.…”