Proposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínico

Detalhes bibliográficos
Autor(a) principal: Felisette, Roberto Correia de Mello
Data de Publicação: 2012
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/11928
Resumo: Introduction: in the clinical practice of Speech-Language Pathologists, the patient with Parkinson disease (PD) is submitted to methods which focus on the physiological aspects of the voice. Aim: to analyze, through a clinical case study, the stages of a Speech-Language Pathology therapeutic process with theater games in a patient with PD. Method: this descriptive, retrospective, exploratory study had the participation of a male, 63 year old subject, who was medically diagnosed with PD at age 59. Twenty therapy sessions (total of 20 hours) were conducted in the period in between March and October 2010, which were divided into two separate moments: vocal training techniques and activities involving Theater Games. Speech samples consisted of audio and video recordings of the utterance of a sustained vowel /a/, naming days of the week, and the patient s comments about his voice. These samples were collected in three different moments: before the intervention, during the 10th therapy session and after the intervention. The recordings were submitted to perceptual auditory assessment where vocal quality parameters of pitch, loudness, general level of tension, speech speed, articulation and facial expressions were considered. The therapy process was registered in both audio and video recordings and also relying on accounts from the therapist s memory. The data were analyzed according to the proposal of Theater Games in five steps: complaint, understanding of the signs and symptoms of PD, compliance to treatment, expressiveness techniques and daily-life experiences. Clinical Case Presentation: the patient complained, over the past months, of isolation from conversational situations and from contact with people. During the therapy sessions, activities related to improving vocal projection, extension and sound articulation were performed in alternation with dynamics that involved theater games. The employment of strategies with relational focus allowed the Speech- Language Therapeutic intervention to be carried out while it was making sense for the patient. He performed several exercises in order to improve voice and articulation and worked in a relational and dialogical context which was similar to his daily life experiences. The use of Theater Games favored this possibility. Switching roles in the moment when the Theater Games were performed reinforced the context of the situation proposed by the game (player and audience). Speech assessment suggests a better communication pattern of the patient, with his accounts of an increasing communicative and social insertion. Final Remarks: The proposition of a method which used both a physiological focus of vocal production alongside relational communication activities through Theater Games suggests positive effects on the patient who participated in this study
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spelling Ferreira, Leslie Piccolottohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4221120A0Felisette, Roberto Correia de Mello2016-04-27T18:11:56Z2012-07-182012-06-12Felisette, Roberto Correia de Mello. Proposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínico. 2012. 113 f. Dissertação (Mestrado em Fonoaudiologia) - Programa de Estudos Pós-Graduados em Fonoaudiologia, Pontifícia Universidade Católica de São Paulo, São Paulo, 2012.https://tede2.pucsp.br/handle/handle/11928Introduction: in the clinical practice of Speech-Language Pathologists, the patient with Parkinson disease (PD) is submitted to methods which focus on the physiological aspects of the voice. Aim: to analyze, through a clinical case study, the stages of a Speech-Language Pathology therapeutic process with theater games in a patient with PD. Method: this descriptive, retrospective, exploratory study had the participation of a male, 63 year old subject, who was medically diagnosed with PD at age 59. Twenty therapy sessions (total of 20 hours) were conducted in the period in between March and October 2010, which were divided into two separate moments: vocal training techniques and activities involving Theater Games. Speech samples consisted of audio and video recordings of the utterance of a sustained vowel /a/, naming days of the week, and the patient s comments about his voice. These samples were collected in three different moments: before the intervention, during the 10th therapy session and after the intervention. The recordings were submitted to perceptual auditory assessment where vocal quality parameters of pitch, loudness, general level of tension, speech speed, articulation and facial expressions were considered. The therapy process was registered in both audio and video recordings and also relying on accounts from the therapist s memory. The data were analyzed according to the proposal of Theater Games in five steps: complaint, understanding of the signs and symptoms of PD, compliance to treatment, expressiveness techniques and daily-life experiences. Clinical Case Presentation: the patient complained, over the past months, of isolation from conversational situations and from contact with people. During the therapy sessions, activities related to improving vocal projection, extension and sound articulation were performed in alternation with dynamics that involved theater games. The employment of strategies with relational focus allowed the Speech- Language Therapeutic intervention to be carried out while it was making sense for the patient. He performed several exercises in order to improve voice and articulation and worked in a relational and dialogical context which was similar to his daily life experiences. The use of Theater Games favored this possibility. Switching roles in the moment when the Theater Games were performed reinforced the context of the situation proposed by the game (player and audience). Speech assessment suggests a better communication pattern of the patient, with his accounts of an increasing communicative and social insertion. Final Remarks: The proposition of a method which used both a physiological focus of vocal production alongside relational communication activities through Theater Games suggests positive effects on the patient who participated in this studyIntrodução: na clinica fonoaudiologica, o paciente com Doença de Parkinson (DP) normalmente é submetido a métodos que focalizam a parte fisiológica da voz. Objetivo: analisar por meio de estudo de caso clínico as etapas de um processo terapêutico de intervenção fonoaudiologica com Jogos Teatrais em paciente com DP. Método: este estudo de natureza descritivo, retrospectivo e exploratório contou com a participação de um paciente do sexo masculino com 63 anos, e diagnóstico médico de DP aos 59 anos. Foram realizadas 20 sessões de terapia (total de 20hs), no período de março a outubro de 2010, divididas em dois momentos: técnicas de treinamento vocal e emprego de atividades com Jogos Teatrais. A coleta de amostra de fala, constituída da audiovideo gravação de emissão da vogal /a/ sustentada, contagem dos dias da semana, e comentários do paciente sobre sua voz, foi realizada em três momentos: pré-intervenção, durante a 10ª sessão e pós-intervenção. Essas gravações foram submetidas a análise perceptivo-auditiva, quando se considerou os parâmetros de qualidade vocal, pitch, loudness, ressonância, modulação, precisão articulatória, velocidade de fala, coordenação pneumofonoarticulatória, expressão corporal e mímica facial. O processo terapêutico foi audiovideo gravado e somado ao registro da memória do terapeuta. Os dados foram analisados à luz da proposta dos Jogos Teatrais em cinco etapas: queixa, compreensão dos sinais e sintomas da DP, adesão ao tratamento, trabalho com a expressividade e vivencias do cotidiano. Apresentação do caso clinico: o paciente apresentava, nos últimos meses, queixa de afastamento de situações de conversação e de contato com pessoas. Nas sessões de terapia foram intercaladas atividades relacionadas à melhora na projeção, extensão vocal e articulação, com dinâmicas com jogos teatrais. O emprego de estratégias com foco relacional fez com que a intervenção fonoaudiologica pudesse ser feita criando sentido para o paciente. Este fazia uma serie de exercícios para melhorar a voz e a articulação, e também trabalhava em contexto relacional e dialógico, semelhante a sua vivencia cotidiana. A utilização dos Jogos Teatrais favoreceu essa possibilidade. A alternância de papeis no momento em que os Jogos Teatrais eram desenvolvidos reforçou a contextualização da situação proposta pelo jogo (jogador e plateia). A avaliação da fala sugere uma melhor comunicação do paciente, com relatos do mesmo de uma maior inserção comunicativa relacional. Considerações Finais: a proposta de um método que utilizou conjuntamente o foco fisiológico da produção vocal e atividades relacionais de comunicação, por meio de Jogos Teatrais, sugere efeitos positivos no paciente aqui estudadoCoordenação de Aperfeiçoamento de Pessoal de Nível Superiorapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/24748/Roberto%20Correia%20de%20Mello%20Felisette.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em FonoaudiologiaPUC-SPBRFaculdade de Ciências Humanas e da SaúdeEstudo de casoFonoaudiologiaDoença de ParkinsonVozFalaLinguagemTreinamento da vozCase studiesSpeechLanguage and hearing sciencesDiseaseVoiceSpeechVoice trainingCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAProposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínicoinfo: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_SPTEXTRoberto Correia de Mello Felisette.pdf.txtRoberto Correia de Mello Felisette.pdf.txtExtracted texttext/plain202922https://repositorio.pucsp.br/xmlui/bitstream/handle/11928/3/Roberto%20Correia%20de%20Mello%20Felisette.pdf.txt4fb04a67f098535d77d72d5c6d0c0a16MD53ORIGINALRoberto Correia de Mello Felisette.pdfapplication/pdf952892https://repositorio.pucsp.br/xmlui/bitstream/handle/11928/1/Roberto%20Correia%20de%20Mello%20Felisette.pdf56075e735c42e29dd4fa40821bf2742bMD51THUMBNAILRoberto Correia de Mello Felisette.pdf.jpgRoberto Correia de Mello Felisette.pdf.jpgGenerated Thumbnailimage/jpeg3527https://repositorio.pucsp.br/xmlui/bitstream/handle/11928/2/Roberto%20Correia%20de%20Mello%20Felisette.pdf.jpgfe4047db0039612aa4f2ac4f3d3bbc1fMD52handle/119282023-11-24 12:31:56.204oai:repositorio.pucsp.br:handle/11928Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2023-11-24T15:31:56Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false
dc.title.por.fl_str_mv Proposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínico
title Proposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínico
spellingShingle Proposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínico
Felisette, Roberto Correia de Mello
Estudo de caso
Fonoaudiologia
Doença de Parkinson
Voz
Fala
Linguagem
Treinamento da voz
Case studies
Speech
Language and hearing sciences
Disease
Voice
Speech
Voice training
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
title_short Proposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínico
title_full Proposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínico
title_fullStr Proposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínico
title_full_unstemmed Proposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínico
title_sort Proposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínico
author Felisette, Roberto Correia de Mello
author_facet Felisette, Roberto Correia de Mello
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=K4221120A0
dc.contributor.author.fl_str_mv Felisette, Roberto Correia de Mello
contributor_str_mv Ferreira, Leslie Piccolotto
dc.subject.por.fl_str_mv Estudo de caso
Fonoaudiologia
Doença de Parkinson
Voz
Fala
Linguagem
Treinamento da voz
topic Estudo de caso
Fonoaudiologia
Doença de Parkinson
Voz
Fala
Linguagem
Treinamento da voz
Case studies
Speech
Language and hearing sciences
Disease
Voice
Speech
Voice training
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
dc.subject.eng.fl_str_mv Case studies
Speech
Language and hearing sciences
Disease
Voice
Speech
Voice training
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
description Introduction: in the clinical practice of Speech-Language Pathologists, the patient with Parkinson disease (PD) is submitted to methods which focus on the physiological aspects of the voice. Aim: to analyze, through a clinical case study, the stages of a Speech-Language Pathology therapeutic process with theater games in a patient with PD. Method: this descriptive, retrospective, exploratory study had the participation of a male, 63 year old subject, who was medically diagnosed with PD at age 59. Twenty therapy sessions (total of 20 hours) were conducted in the period in between March and October 2010, which were divided into two separate moments: vocal training techniques and activities involving Theater Games. Speech samples consisted of audio and video recordings of the utterance of a sustained vowel /a/, naming days of the week, and the patient s comments about his voice. These samples were collected in three different moments: before the intervention, during the 10th therapy session and after the intervention. The recordings were submitted to perceptual auditory assessment where vocal quality parameters of pitch, loudness, general level of tension, speech speed, articulation and facial expressions were considered. The therapy process was registered in both audio and video recordings and also relying on accounts from the therapist s memory. The data were analyzed according to the proposal of Theater Games in five steps: complaint, understanding of the signs and symptoms of PD, compliance to treatment, expressiveness techniques and daily-life experiences. Clinical Case Presentation: the patient complained, over the past months, of isolation from conversational situations and from contact with people. During the therapy sessions, activities related to improving vocal projection, extension and sound articulation were performed in alternation with dynamics that involved theater games. The employment of strategies with relational focus allowed the Speech- Language Therapeutic intervention to be carried out while it was making sense for the patient. He performed several exercises in order to improve voice and articulation and worked in a relational and dialogical context which was similar to his daily life experiences. The use of Theater Games favored this possibility. Switching roles in the moment when the Theater Games were performed reinforced the context of the situation proposed by the game (player and audience). Speech assessment suggests a better communication pattern of the patient, with his accounts of an increasing communicative and social insertion. Final Remarks: The proposition of a method which used both a physiological focus of vocal production alongside relational communication activities through Theater Games suggests positive effects on the patient who participated in this study
publishDate 2012
dc.date.available.fl_str_mv 2012-07-18
dc.date.issued.fl_str_mv 2012-06-12
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dc.identifier.citation.fl_str_mv Felisette, Roberto Correia de Mello. Proposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínico. 2012. 113 f. Dissertação (Mestrado em Fonoaudiologia) - Programa de Estudos Pós-Graduados em Fonoaudiologia, Pontifícia Universidade Católica de São Paulo, São Paulo, 2012.
dc.identifier.uri.fl_str_mv https://tede2.pucsp.br/handle/handle/11928
identifier_str_mv Felisette, Roberto Correia de Mello. Proposta de intervenção fonoaudiológica com jogos teatrais na doença de Parkinson: estudo de caso clínico. 2012. 113 f. Dissertação (Mestrado em Fonoaudiologia) - Programa de Estudos Pós-Graduados em Fonoaudiologia, Pontifícia Universidade Católica de São Paulo, São Paulo, 2012.
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