Associação entre distúrbio de voz e alteração da respiração em crianças

Detalhes bibliográficos
Autor(a) principal: Oliveira, Cristiane Marangom de
Data de Publicação: 2011
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
Texto Completo: https://tede2.pucsp.br/handle/handle/11883
Resumo: Introduction: Children are immersed in noisy and competitive environments, and are thus subject to developing vocal disorders. Therefore, this is the best moment to identify possible disorders in an early stage, and to plan actions which promote healthy communication habits, focusing on vocal well-being. However, there has been little emphasis on voice disorders associated to breathing in children. Aim: To analyze the association between vocal disorder and respiratory mode (lip posture and nasal flow) aspects in children, according to sex. Methods: 250 children in between six and nine years of age were selected from a public school in the city of São Paulo. The collected data consisted of a spontaneous speech sample and the retelling of a story base don a picture-book. Computer software Audacity and a headset microphone were used for voice recording. The children s respiratory mode was analyzed according to lip posture while producing a drawing, and the nasal flow was assessed using a Glatzel mirror. Lip posture disorder was considered when the lips where part-time open and part time closed, and also when they remained open or partly open. Nasal flow disorder was characterized by reduced flow or nasal obstruction. Three judges who were speech-language pathologists specialized in voice listened to the recordings and performed a perceptual-auditory assessment of the children s vocal qualities using the GIRBAS scale. Voice disorder was characterized by general grade (G) 2 and 3 (moderate or intense). The results were submitted to statistical analysis and associated using the chi-square test (p≤0.05). Results: Of the 250 children, 126 (50,4%) were female, and 124 (49,6%) were male. As for the General Grade (G), 32 (12,8%) had vocal quality disorders, and these were 16 (6,4%) males, and 16 (6,4%) females. For the variable respiratory mode, 92 (36,8%) children had lip posture disorders. Of these, 57 (22,8%) were male and 35 (14%) were female. 178 (71.2%) children had nasal flow disorders, 91 (36,4%) male, and 87 (34,8%) females. There was no statistical association between voice disorder and variables sex (p= 0,96), lip posture (p=0,38) and nasal flow (p=0,18), or between nasal flow disorder and sex (p=0,449). The association between lip posture and sex proved to be statistically significant in favor of males (p=0,003). Conclusion: There was no association between vocal and breathing disorders. When considering lip posture disorders, there was a statistically significant association with male children
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spelling Ferreira, Leslie Piccolottohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4467146U0Oliveira, Cristiane Marangom de2016-04-27T18:11:50Z2011-03-172011-02-22Oliveira, Cristiane Marangom de. Association between vocal and breathing disorders in children. 2011. 72 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2011.https://tede2.pucsp.br/handle/handle/11883Introduction: Children are immersed in noisy and competitive environments, and are thus subject to developing vocal disorders. Therefore, this is the best moment to identify possible disorders in an early stage, and to plan actions which promote healthy communication habits, focusing on vocal well-being. However, there has been little emphasis on voice disorders associated to breathing in children. Aim: To analyze the association between vocal disorder and respiratory mode (lip posture and nasal flow) aspects in children, according to sex. Methods: 250 children in between six and nine years of age were selected from a public school in the city of São Paulo. The collected data consisted of a spontaneous speech sample and the retelling of a story base don a picture-book. Computer software Audacity and a headset microphone were used for voice recording. The children s respiratory mode was analyzed according to lip posture while producing a drawing, and the nasal flow was assessed using a Glatzel mirror. Lip posture disorder was considered when the lips where part-time open and part time closed, and also when they remained open or partly open. Nasal flow disorder was characterized by reduced flow or nasal obstruction. Three judges who were speech-language pathologists specialized in voice listened to the recordings and performed a perceptual-auditory assessment of the children s vocal qualities using the GIRBAS scale. Voice disorder was characterized by general grade (G) 2 and 3 (moderate or intense). The results were submitted to statistical analysis and associated using the chi-square test (p≤0.05). Results: Of the 250 children, 126 (50,4%) were female, and 124 (49,6%) were male. As for the General Grade (G), 32 (12,8%) had vocal quality disorders, and these were 16 (6,4%) males, and 16 (6,4%) females. For the variable respiratory mode, 92 (36,8%) children had lip posture disorders. Of these, 57 (22,8%) were male and 35 (14%) were female. 178 (71.2%) children had nasal flow disorders, 91 (36,4%) male, and 87 (34,8%) females. There was no statistical association between voice disorder and variables sex (p= 0,96), lip posture (p=0,38) and nasal flow (p=0,18), or between nasal flow disorder and sex (p=0,449). The association between lip posture and sex proved to be statistically significant in favor of males (p=0,003). Conclusion: There was no association between vocal and breathing disorders. When considering lip posture disorders, there was a statistically significant association with male childrenIntrodução: Inseridas em ambientes ruidosos, em contexto de competição, as crianças podem desenvolver distúrbios vocais. Portanto, esta é a melhor fase para a detecção precoce de possíveis alterações e ações de planejamento que visem à sensibilização da comunicação, com atenção especial ao bem-estar vocal. No entanto, pouco tem sido enfatizado quanto à presença de distúrbio de voz associado à respiração, na criança. Objetivo: Analisar, em crianças, a associação entre distúrbio de voz e aspectos referentes ao modo respiratório (postura labial e fluxo nasal), segundo sexo. Métodos: Foram selecionadas 250 crianças, na faixa etária de seis a nove anos, de uma escola pública da cidade de São Paulo. A coleta conteve amostras de fala espontânea, por história em gravuras. Para a gravação das vozes, utilizou-se o programa de software Audacity e microfone de cabeça. O modo respiratório foi avaliado quanto à postura de lábios, durante atividade de desenho, e fluxo nasal, utilizando-se o espelho de Glatzel. Para alteração da postura labial considerou-se a postura de lábios, ora abertos, ora fechados, abertos e entreabertos. Para a alteração do fluxo nasal a presença de fluxo reduzido e obstruído. Três juízas fonoaudiólogas, especialistas em voz, realizaram a avaliação perceptivo-auditiva das vozes quanto à qualidade vocal, com o auxílio da escala GIRBAS. Adotou-se, como critério para distúrbio de voz, a presença de qualidade vocal em graus 2 e 3 (moderado e intenso) da referida escala, considerando o grau geral da disfonia (G). Os resultados foram analisados estatisticamente e associados, utilizando-se o teste do qui-quadrado (p≤0,05). Resultados: Das 250 crianças, 126 (50,4%) eram do sexo feminino e 124 (49,6%) do sexo masculino. Quanto ao grau geral (G), 32 (12,8%) apresentaram distúrbio de voz com relação à qualidade vocal, sendo 16 (6,4%) do sexo masculino e 16 (6,4%) do sexo feminino. No modo respiratório, 92 (36,8%) crianças apresentaram alteração quanto à postura labial, sendo 57 (22,8%) do sexo masculino e 35 (14%) do sexo feminino. No fluxo nasal, 178 (71,2%) apresentaram alteração quanto a este aspecto, sendo 91 (36,4%) do sexo masculino e 87 (34,8%) do sexo feminino. Não foi confirmada a associação entre distúrbio da voz e as variáveis sexo (p= 0,96), postura de lábios (p=0,38) e fluxo nasal (p=0,18), assim como entre alteração do fluxo nasal e sexo (p=0,449). A associação entre postura labial e a variável sexo evidenciou diferença significativa a favor do masculino (p=0,003). Conclusão: Não houve associação do distúrbio de voz com a alteração da respiração. Na presença de alteração da postura labial, houve evidência estatística significativa no sexo masculinoCoordenação de Aperfeiçoamento de Pessoal de Nível Superiorapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/24697/Cristiane%20Marangom%20de%20Oliveira.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em FonoaudiologiaPUC-SPBRFonoaudiologiavozDistúrbio de vozRespiraçãoCriançaVoiceVoice disorderBreathing, childCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAAssociação entre distúrbio de voz e alteração da respiração em criançasAssociation between vocal and breathing disorders in childreninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPTEXTCristiane Marangom de Oliveira.pdf.txtCristiane Marangom de Oliveira.pdf.txtExtracted texttext/plain117538https://repositorio.pucsp.br/xmlui/bitstream/handle/11883/3/Cristiane%20Marangom%20de%20Oliveira.pdf.txt96cf8c1c6708070315cf9e70b44d8396MD53ORIGINALCristiane Marangom de Oliveira.pdfapplication/pdf444067https://repositorio.pucsp.br/xmlui/bitstream/handle/11883/1/Cristiane%20Marangom%20de%20Oliveira.pdfd9cf1ebb50b9c9c0bef97ffcd00a2ba9MD51THUMBNAILCristiane Marangom de Oliveira.pdf.jpgCristiane Marangom de Oliveira.pdf.jpgGenerated Thumbnailimage/jpeg2559https://repositorio.pucsp.br/xmlui/bitstream/handle/11883/2/Cristiane%20Marangom%20de%20Oliveira.pdf.jpg19173a2ab850330c62dc67657bd852c6MD52handle/118832023-11-24 12:17:38.218oai:repositorio.pucsp.br:handle/11883Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2023-11-24T15:17:38Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false
dc.title.por.fl_str_mv Associação entre distúrbio de voz e alteração da respiração em crianças
dc.title.alternative.eng.fl_str_mv Association between vocal and breathing disorders in children
title Associação entre distúrbio de voz e alteração da respiração em crianças
spellingShingle Associação entre distúrbio de voz e alteração da respiração em crianças
Oliveira, Cristiane Marangom de
voz
Distúrbio de voz
Respiração
Criança
Voice
Voice disorder
Breathing, child
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
title_short Associação entre distúrbio de voz e alteração da respiração em crianças
title_full Associação entre distúrbio de voz e alteração da respiração em crianças
title_fullStr Associação entre distúrbio de voz e alteração da respiração em crianças
title_full_unstemmed Associação entre distúrbio de voz e alteração da respiração em crianças
title_sort Associação entre distúrbio de voz e alteração da respiração em crianças
author Oliveira, Cristiane Marangom de
author_facet Oliveira, Cristiane Marangom de
author_role author
dc.contributor.advisor1.fl_str_mv Ferreira, Leslie Piccolotto
dc.contributor.authorLattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4467146U0
dc.contributor.author.fl_str_mv Oliveira, Cristiane Marangom de
contributor_str_mv Ferreira, Leslie Piccolotto
dc.subject.por.fl_str_mv voz
Distúrbio de voz
Respiração
Criança
topic voz
Distúrbio de voz
Respiração
Criança
Voice
Voice disorder
Breathing, child
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
dc.subject.eng.fl_str_mv Voice
Voice disorder
Breathing, child
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
description Introduction: Children are immersed in noisy and competitive environments, and are thus subject to developing vocal disorders. Therefore, this is the best moment to identify possible disorders in an early stage, and to plan actions which promote healthy communication habits, focusing on vocal well-being. However, there has been little emphasis on voice disorders associated to breathing in children. Aim: To analyze the association between vocal disorder and respiratory mode (lip posture and nasal flow) aspects in children, according to sex. Methods: 250 children in between six and nine years of age were selected from a public school in the city of São Paulo. The collected data consisted of a spontaneous speech sample and the retelling of a story base don a picture-book. Computer software Audacity and a headset microphone were used for voice recording. The children s respiratory mode was analyzed according to lip posture while producing a drawing, and the nasal flow was assessed using a Glatzel mirror. Lip posture disorder was considered when the lips where part-time open and part time closed, and also when they remained open or partly open. Nasal flow disorder was characterized by reduced flow or nasal obstruction. Three judges who were speech-language pathologists specialized in voice listened to the recordings and performed a perceptual-auditory assessment of the children s vocal qualities using the GIRBAS scale. Voice disorder was characterized by general grade (G) 2 and 3 (moderate or intense). The results were submitted to statistical analysis and associated using the chi-square test (p≤0.05). Results: Of the 250 children, 126 (50,4%) were female, and 124 (49,6%) were male. As for the General Grade (G), 32 (12,8%) had vocal quality disorders, and these were 16 (6,4%) males, and 16 (6,4%) females. For the variable respiratory mode, 92 (36,8%) children had lip posture disorders. Of these, 57 (22,8%) were male and 35 (14%) were female. 178 (71.2%) children had nasal flow disorders, 91 (36,4%) male, and 87 (34,8%) females. There was no statistical association between voice disorder and variables sex (p= 0,96), lip posture (p=0,38) and nasal flow (p=0,18), or between nasal flow disorder and sex (p=0,449). The association between lip posture and sex proved to be statistically significant in favor of males (p=0,003). Conclusion: There was no association between vocal and breathing disorders. When considering lip posture disorders, there was a statistically significant association with male children
publishDate 2011
dc.date.available.fl_str_mv 2011-03-17
dc.date.issued.fl_str_mv 2011-02-22
dc.date.accessioned.fl_str_mv 2016-04-27T18:11:50Z
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dc.identifier.citation.fl_str_mv Oliveira, Cristiane Marangom de. Association between vocal and breathing disorders in children. 2011. 72 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2011.
dc.identifier.uri.fl_str_mv https://tede2.pucsp.br/handle/handle/11883
identifier_str_mv Oliveira, Cristiane Marangom de. Association between vocal and breathing disorders in children. 2011. 72 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2011.
url https://tede2.pucsp.br/handle/handle/11883
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