Medidas perceptivo-auditivas e acústicas de voz e fala e autoavaliação da comunicação das disartrias

Padovani, Marina

doi:10.1590/s1516-80342011000300023

Cited by 6 publications

(14 citation statements)

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“…Although this protocol has not been validated, the original one or in Portuguese, the version used in this study was translated and culturally adapted for Brazilian Portuguese. An important aspect that allows to consider the results as at least suitable is that obtained an average 177 points, from a total of 300, which is similar to that found in the application of this questionnaire in one specific population (15,27) . In EG, comparing sections, average differences between the 10 sections are not significant, although the numerical values are very different (as seen in questions 1, 7, and 10, where Based on these results, one should not give attention only to vocal issues but also to covering the language and impairment in general communication, so we used this self-assessment questionnaire to help in the treatment.…”

Section: Discussionsupporting

confidence: 67%

“…Studies that have implemented self-assessment protocols for PD patients showed a decline in quality of life caused by vocal and communication disorders (15,(27)(28)(29) , showing that the greater the intensity of the disease, the greater the dissatisfaction with one's own voice (28) . However, this correlation does not occur with general communication (15) , which is changed regardless of disease progression.…”

Section: Discussionmentioning

confidence: 99%

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Aspectos comunicativos e enfrentamento da disfonia em pacientes com doença de Parkinson

Costa

Diaferia

Behlau

2016

CoDAS

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Purpose: To investigate, in patients with Parkinson's disease (PD), the coping strategies; the most reported vocal symptoms; and the relation between coping, voice symptoms, and communicative aspects. Methods: Seventythree subjects were included in the sample, 33 of which were participants in the experimental group (EG) with diagnosis of PD and 40 were control subjects, that is, healthy and without vocal complaints. They underwent the following procedures: application of Voice Symptoms Scale (VoiSS), Brazilian Version; Voice DisabilityCoping Questionnaire (VDCQ), Brazilian Version; and the questionnaire Living with Dysarthria (LwD). Results:The EG presented deviations in all protocols: VDCQ, with the most frequently coping strategy being "selfcontrol," VoiSS, with "Impairment" as the most prevalent domain, and LwD, presenting changes in all sections.Vocal signs and symptoms and communicative aspects were shown to have a regular correlation with coping.The correlation between vocal symptoms and communicative aspects was as follows: the greater the impairment in communication, the greater the VoiSS emotional scores and the more they complaint of voice-related signs and symptoms. Conclusion: Patients with PD use all kinds of coping strategies, but prefer using self-control.They present several vocal signs and symptoms, and "Impairment" was the most prevalent domain. There are difficulties in all aspects of communication. The higher the occurrence of vocal signs and symptoms, the more the patient reports the difficulties of living with dysarthria, particularly when deviations affect the emotional domain.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Aspectos comunicativos e enfrentamento da disfonia em pacientes com doença de Parkinson

Costa

Diaferia

Behlau

2016

CoDAS

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“…The overarticulation technique does not focus on voice, it promotes vocal tract adjustments, better definition of articulation points and greater awareness of breathing, as well as better breathing and speaking coordination, with more vocal projection (29) . This technique is an option for the rehabilitation of patients with PD (30) , including those submitted to DBS-STN.…”

Section: Discussionmentioning

confidence: 99%

Efeito da técnica de sobrearticulação na voz e na fala em indivíduos com doença de Parkinson após cirurgia de estimulação cerebral profunda

Bento

Diaferia

Fonoff

et al. 2019

Audiol., Commun. Res.

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Purpose: To verify the immediate and after 15 minutes effect of the overarticulation technique in individuals with Parkinson's disease, submitted to deep brain stimulation in subthalamic nucleus, in the voice, speech and facial movements. Methods: This study counted with 29 patients with the diagnosis of Parkinson Disease who were undergoing pharmacotherapy and were submitted to deep brain stimulation in the subthalamic nucleus, with and without prior speech therapy. Speech and voice samples were recorded in an audio and video file at three different moments: pre-intervention, immediate post intervention and 15 minutes post intervention. The intervention was the individual performance of 5 minutes exercise consisting of sequence of overarticulation techniques. The audio and video recordings were submitted to the perceptual-judgement of the voice quality and facial movements. Results: The technique produced positive results in 69% of the cases after 15 minutes of its application when compared to the other moments. Articulation was the parameter that most contributed in the perceptual-judgment of the best voice quality (69%); it was significantly higher than the other parameters, except speech rate. After 15 minutes of the technique, 58.6% of the patients had improvement in the facial movements, according to the perceptual-judgment which was also significantly better when compared to other moments. The parameter with greater provement was movement of the mouth, eyebrows and eyes. Conclusion: The overarticulation technique produces an immediate positive effect on vocal aspects and greater facial expressiveness, especially after 15 minutes. RESUMOObjetivo: Verificar o efeito imediato e após 15 minutos da técnica de sobrearticulação de fala em indivíduos com doença de Parkinson, submetidos à estimulação cerebral profunda em núcleo subtalâmico, nos parâmetros de voz, fala e mímica facial. Métodos: Participaram 29 sujeitos com diagnóstico médico de doença de Parkinson, sob tratamento medicamentoso e submetidos à estimulação cerebral profunda em núcleo subtalâmico, com e sem reabilitação fonoaudiológica prévia. Realizou-se gravação em áudio e vídeo de amostra de fala e voz em três momentos: pré-intervenção, pós-imediato e após 15 minutos da realização individual de cinco minutos de uma sequência de exercícios de sobrearticulação de fala. As gravações foram submetidas à avaliação perceptivo-auditiva da voz e perceptivo-visual da mímica facial. Resultados: A técnica produziu resultados positivos em 69% dos casos, após 15 minutos de aplicação, em relação aos demais momentos. O parâmetro que mais contribuiu para a identificação da melhor emissão na avaliação perceptivo-auditiva foi articulação (69%), significativamente maior que os demais parâmetros, exceto velocidade de fala. A análise perceptivo-visual mostrou melhora em 58,6% dos casos após 15 minutos, também significativamente melhor que os demais momentos. O parâmetro em que se observou maior proporção de melhora foi na movimentação de boca, sobrancelhas e olhos. Conclu...

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“…Regarding voice and speech difficulties, patients with MS may show articulatory changes, hypernasality, excessive or reduced pitch variation, breathiness, hoarseness and impaired loudness control, which are typical signs of dysarthria (8,9) .…”

Section: Introductionmentioning

confidence: 99%

“…In a study on patients with MS, 70% of the subjects showed vocal symptoms associated with each other and with the disease, which occurs because neurological control of the voice is quite refined and involves several regions of the central nervous system (10) . In addition, dysarthria due to neurological diseases may compromise the communication skills and functioning of individuals and their participation in communication tasks, leading to psychological and social impacts (9,10) .…”

Section: Introductionmentioning

confidence: 99%

Relação entre medidas perceptivo-auditivas e de autoavaliação em pacientes com esclerose múltipla

Lima

Augusto

Medeiros

et al. 2018

Audiol., Commun. Res.

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RESUMO Objetivo Verificar se existe relação entre medidas perceptivo-auditivas e de autoavaliação em pacientes portadores de esclerose múltipla, com e sem queixa vocal. Métodos Participaram 18 sujeitos com diagnóstico de esclerose múltipla, com idades entre 21 e 67 anos, sendo 12 mulheres e seis homens. Foram aplicados uma breve anamnese, a Escala de Sintomas Vocais e o protocolo Vivendo com Disartria, seguidos da gravação da vogal /ԑ/ sustentada. A intensidade do desvio vocal e os graus de rugosidade, soprosidade, tensão e instabilidade foram avaliados por três fonoaudiólogos, utilizando-se uma escala analógico-visual de 100 mm. Resultados Os pacientes com esclerose múltipla com queixa vocal apresentaram maiores escores nos domínios total (p= 0,026) e limitação (p= 0,042) da Escala de Sintomas Vocais; na seção um (p= 0,041), seção quatro (p= 0,030) e seção dez (p= 0,050) do protocolo Vivendo com Disartria. Houve correlação positiva forte entre os escores da Escala de Sintomas Vocais, domínios total e limitação e os escores da seção um, quatro e nove do protocolo Vivendo com Disartria. Conclusão Pacientes com esclerose múltipla com queixa vocal possuem maior frequência de ocorrência de sintomas e maior impacto da disartria na comunicação. Não há relação entre as medidas perceptivo-auditivas e de autoavaliação em pacientes portadores de esclerose múltipla. No entanto, os escores dos dois instrumentos de autoavaliação utilizados são fortemente correlacionados.

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Medidas perceptivo-auditivas e acústicas de voz e fala e autoavaliação da comunicação das disartrias

Cited by 6 publications

References 0 publications

Aspectos comunicativos e enfrentamento da disfonia em pacientes com doença de Parkinson

Aspectos comunicativos e enfrentamento da disfonia em pacientes com doença de Parkinson

Efeito da técnica de sobrearticulação na voz e na fala em indivíduos com doença de Parkinson após cirurgia de estimulação cerebral profunda

Relação entre medidas perceptivo-auditivas e de autoavaliação em pacientes com esclerose múltipla

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