Muscleskeletal pain in dysphonic women

Abstract

Objective:To investigate the location, frequency and intensity of muscle pain in dysphonic functional/organofunctional women in comparison to women with healthy voices.Methods:Sixty women, ranging in age from 18 to 45 years, divided into two groups: Dysphonic Group (DG) – 30 women with functional or organofunctional dysphonia; Non-Dysphonic Group (NDG) – 30 women without vocal complaints, and with adapted voices. All answered a protocol, marking the localization, frequency and intensity symptoms of pain on the temporal area, masseters, submandibular areas, larynx/pharynx, front and back of the neck, shoulders, upper back, lower back, elbows, fists/hands/fingers, hip/this, knees and ankles/feet. The volunteer should report the frequency in which pain was present in the last 12 months: no, rarely, frequently or always. The intensity of pain was measured by visual-analogue scales. The DG and NDG groups were compared using the Mann-Whitney test (p<0.05).Results:The women of the DG reported significantly greater frequency of submandibular area (p=0.008), laryngeal pain (p<0.001), front of the neck (p=0.015), back of the neck (p=0.001), shoulder pain (p=0.027), upper back (p=0.027) and also reported significant greater intensity of pain in the larynx/pharynx (p=0.022) and back of the neck (p=0.003).Conclusion:The frequency and intensity of musculoskeletal pain was more frequent and more intense in dysphonic women than in women without vocal complaints, showing that pain may be related to functional and organofunctional dysphonia in women.

Sinais e sintomas de desordem temporomandibular em mulheres e homens

“…In this sample, women showed 2.21 times more chances of presenting dysphonia complaint than men. However, in a previous study, dysphonic women did not present more pain in the muscles of mastication than the control group (26) . Furthermore, dysphonia in TMD patients might be due to the limited amplitude of the mandibular movements during speech production, with a consequent change in the resonance and compensatory adjustments (27) .…”

Cervical Spine Disability in Correlation with Subjective Voice Handicap in Patients With Voice Disorders: A Retrospective Analysis

“…[10][11][12] As Silverio et al (2014) reported in a study of 30 women with dysphonia, these had a statistically significant higher frequency of neck pain as compared to 30 nondysphonic women. 13 Furthermore, pain intensity at the back of the neck was significantly higher than in other areas of the body. 10,13 In turn it has been suggested that neck pain is one risk factor, which may contribute to the development of voice disorders.…”

“…13 Furthermore, pain intensity at the back of the neck was significantly higher than in other areas of the body. 10,13 In turn it has been suggested that neck pain is one risk factor, which may contribute to the development of voice disorders. 14 Neck pain, in conjunction with low back pain, is one of the leading causes for disability in high-income countries.…”

“…Silverio and colleagues investigated in 30 vocally healthy women and 30 women with voice disorders in which body area they had additional pain, and how often they experienced it. 13 The dysphonic women reported pain more often in the back of the neck than in any other body region. Furthermore, the pain intensity was higher.…”

“…Based on this it was suggested that women with dysphonia have more changes in the cervical range of motion, pain while moving and palpation of the neck, and damaged cervical joint function. 13 In the present study, we focused on subjective disability during daily life activities additionally to neck pain. 45.8% of women had moderate to severe neck disability, while in average the men did not present with such intense neck dysfunction.…”