Professores com distúrbios vocais: efeitos do método de ressonância Lessac-Madsen
Autor(a) principal: | |
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Data de Publicação: | 2007 |
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/12098 |
Resumo: | Introduction: Lessac-Madsen Resonance Method for vocal therapy is a resonant voice-based training. This voice involves a healthy production with the vocal folds lightly abducted and it propitiates a strong, clear production with minimum effort. Objective: to check the pre and post effects of the program based on Lessac-Madsen Resonance Method in teachers that show vocal disturbances. Methods: The study was carried out at a Public Hospital of the city of São Paulo with 17 teachers with medical diagnosis of nodules in vocal folds, divided in two groups: Experimental-EG and control-CG (10 and 7, respectively). The ten EG participants were cared individually, in a total of eight sessions, once a week, following the Lessac Madsen Resonance Method program. All teachers (EG and CG) were submitted to two evaluations, initial and final: Protocol for checking the vocal symptoms and voice changes along the class, score attributed by the teachers as for their voice, voice recording, videolaryngoscopy and protocol to check the benefits of the method according with the own teachers' perception, whereas that last one was just accomplished by the EG. Voice recordings were submitted to the perceptive-hearing evaluation through chained and spontaneous speech and acoustic analysis by using the vowels /a/ and /i/. Results: In the final evaluation, the EG showed a statistically significant reduction in all the vocal symptoms and significant increase in the scores as for the global voice deviation, when compared with the initial evaluation (4.70%) and final evaluation (8.50%). The perceptive-hearing evaluation pointed out improvement in vocal quality, resonance, pitch, loudness and vocal attack. The acoustic analysis measurements indicated statistically significant reduction in irregularity, shimmer and jitter parameters, and the values of f0 and PHR were higher, however, with no statistical significance in those results. In the otorhinolaryngological diagnosis through videolaryngoscopy, a significant reduction in the nodular lesion was verified in 50% of the sample. As for the post-method vocal benefits, 70% of the teachers revealed plenty reduction in the vocal symptoms, clearer voice, followed by easy speech. From the sample, 50% revealed much more easiness in strong speech and 70% declared plenty dedication to the treatment. Use of resonant voice in other communicative contexts was reported by the teachers (50%) as plenty. The whole sample (100%) revealed that the method was very interesting. In the CG there was no improvement in the appraised parameters. Conclusion: The results allowed to check Lessac Madsen Resonance Method s benefits in reducing vocal symptoms, vocal quality improvements, reduction of nodular lesion and it enabled the teacher to use the clearest voice, in an easy way and effortlessly along the class |
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Andrada e Silva, Marta Assumpção deOliveira, Luciana Vieira Dias Alves de2016-04-27T18:12:20Z2007-05-162007-02-26Oliveira, Luciana Vieira Dias Alves de. Professores com distúrbios vocais: efeitos do método de ressonância Lessac-Madsen. 2007. 183 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2007.https://tede2.pucsp.br/handle/handle/12098Introduction: Lessac-Madsen Resonance Method for vocal therapy is a resonant voice-based training. This voice involves a healthy production with the vocal folds lightly abducted and it propitiates a strong, clear production with minimum effort. Objective: to check the pre and post effects of the program based on Lessac-Madsen Resonance Method in teachers that show vocal disturbances. Methods: The study was carried out at a Public Hospital of the city of São Paulo with 17 teachers with medical diagnosis of nodules in vocal folds, divided in two groups: Experimental-EG and control-CG (10 and 7, respectively). The ten EG participants were cared individually, in a total of eight sessions, once a week, following the Lessac Madsen Resonance Method program. All teachers (EG and CG) were submitted to two evaluations, initial and final: Protocol for checking the vocal symptoms and voice changes along the class, score attributed by the teachers as for their voice, voice recording, videolaryngoscopy and protocol to check the benefits of the method according with the own teachers' perception, whereas that last one was just accomplished by the EG. Voice recordings were submitted to the perceptive-hearing evaluation through chained and spontaneous speech and acoustic analysis by using the vowels /a/ and /i/. Results: In the final evaluation, the EG showed a statistically significant reduction in all the vocal symptoms and significant increase in the scores as for the global voice deviation, when compared with the initial evaluation (4.70%) and final evaluation (8.50%). The perceptive-hearing evaluation pointed out improvement in vocal quality, resonance, pitch, loudness and vocal attack. The acoustic analysis measurements indicated statistically significant reduction in irregularity, shimmer and jitter parameters, and the values of f0 and PHR were higher, however, with no statistical significance in those results. In the otorhinolaryngological diagnosis through videolaryngoscopy, a significant reduction in the nodular lesion was verified in 50% of the sample. As for the post-method vocal benefits, 70% of the teachers revealed plenty reduction in the vocal symptoms, clearer voice, followed by easy speech. From the sample, 50% revealed much more easiness in strong speech and 70% declared plenty dedication to the treatment. Use of resonant voice in other communicative contexts was reported by the teachers (50%) as plenty. The whole sample (100%) revealed that the method was very interesting. In the CG there was no improvement in the appraised parameters. Conclusion: The results allowed to check Lessac Madsen Resonance Method s benefits in reducing vocal symptoms, vocal quality improvements, reduction of nodular lesion and it enabled the teacher to use the clearest voice, in an easy way and effortlessly along the classIntrodução: o Método de Ressonância Lessac-Madsen para terapia vocal é um treinamento baseado predominantemente na voz ressonante. Essa voz envolve uma produção saudável com as pregas vocais ligeiramente abduzidas e propicia uma produção forte, clara e com mínimo esforço. Objetivo: verificar os efeitos pré e pós o programa baseado no Método de Ressonância Lessac-Madsen em professores que apresentam distúrbios vocais. Método: o estudo foi realizado em um Hospital Público da cidade de São Paulo com 17 professoras com diagnóstico médico de nódulos em pregas vocais, divididas em dois grupos: experimental-GE e controle-GC (respectivamente 10 e 7). Os dez participantes do GE foram atendidos individualmente, num total de oito sessões, uma vez por semana, seguindo o programa do Método de Ressonância Lessac-Madsen. Todas as professoras do GE e GC foram submetidas a duas avaliações, inicial e final: protocolo para verificação dos sintomas vocais e mudanças na voz ao longo da aula, nota atribuída pela professora a respeito de sua voz, gravação da voz, videolaringoscopia e protocolo para verificar os benefícios do método segundo a percepção das próprias professoras, sendo esse último realizado apenas pelo GE. As gravações das vozes foram submetidas à avaliação perceptivo-auditiva por meio da fala encadeada e espontânea e análise acústica por meio das vogais /a/ e /i/ . Resultados: na avaliação final, verificou-se no GE redução estatisticamente significante em todos os sintomas vocais e aumento significativo das notas quanto ao desvio global da voz quando comparado à avaliação inicial (4,70%) e final (8,50%). A avaliação perceptivo-auditiva apontou melhora na qualidade vocal, na ressonância, no pitch, na loudness e no ataque vocal. As medidas da análise acústica indicaram redução estatisticamente significante dos parâmetros de irregularidade, shimmer e jitter, e os valores de f0 e da PHR aumentaram, porém sem significância estatística nesses resultados. No diagnóstico otorrinolaringológico por meio da videolaringoscopia constatou-se redução significativa da lesão nodular em 50% da amostra. Quanto aos benefícios vocais pós-método, 70% das professoras revelaram bastante redução nos sintomas vocais, voz mais clara, seguida de falar fácil. Da amostra, 50% revelaram muito mais facilidade no falar forte e 70% declararam bastante dedicação ao tratamento. Usar a voz ressonante em outros contextos comunicativos foi relatado pelas professoras (50%) como bastante. Toda a amostra (100%) revelou que o método foi muito interessante. No GC não ocorreu melhora nos parâmetros avaliados. Conclusão: os resultados permitiram verificar os benefícios do Método Lessac-Madsen na redução dos sintomas vocais, melhorias na qualidade vocal, redução da lesão nodular e possibilitou ao professor usar a voz mais clara, de maneira fácil e sem esforço ao longo da aulaCoordenação de Aperfeiçoamento de Pessoal de Nível Superiorapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/24993/Luciana%20Vieira%20Dias%20Alves%20de%20Oliveira.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em FonoaudiologiaPUC-SPBRFonoaudiologiaFonoaudiologiaLessac-MadsenVozRessonanciaAcusticaDisturbios da voz -- TerapiaQualidade da vozCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAProfessores com distúrbios vocais: efeitos do método de ressonância Lessac-MadsenTeachers that show vocal disturbances: effects of the program baseado on Lessac-Madsen Resonance Methodinfo: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_SPTEXTLuciana Vieira Dias Alves de Oliveira.pdf.txtLuciana Vieira Dias Alves de Oliveira.pdf.txtExtracted texttext/plain290552https://repositorio.pucsp.br/xmlui/bitstream/handle/12098/3/Luciana%20Vieira%20Dias%20Alves%20de%20Oliveira.pdf.txt4c63de3cfe8bb4823febdd59d79a263eMD53ORIGINALLuciana Vieira Dias Alves de Oliveira.pdfapplication/pdf1272311https://repositorio.pucsp.br/xmlui/bitstream/handle/12098/1/Luciana%20Vieira%20Dias%20Alves%20de%20Oliveira.pdf5fe8c72bdd1dd4ee492eef14b94710deMD51THUMBNAILLuciana Vieira Dias Alves de Oliveira.pdf.jpgLuciana Vieira Dias Alves de Oliveira.pdf.jpgGenerated Thumbnailimage/jpeg3178https://repositorio.pucsp.br/xmlui/bitstream/handle/12098/2/Luciana%20Vieira%20Dias%20Alves%20de%20Oliveira.pdf.jpg321a09468736259b2457038922137e87MD52handle/120982022-04-27 18:35:06.17oai:repositorio.pucsp.br:handle/12098Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2022-04-27T21:35:06Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false |
dc.title.por.fl_str_mv |
Professores com distúrbios vocais: efeitos do método de ressonância Lessac-Madsen |
dc.title.alternative.eng.fl_str_mv |
Teachers that show vocal disturbances: effects of the program baseado on Lessac-Madsen Resonance Method |
title |
Professores com distúrbios vocais: efeitos do método de ressonância Lessac-Madsen |
spellingShingle |
Professores com distúrbios vocais: efeitos do método de ressonância Lessac-Madsen Oliveira, Luciana Vieira Dias Alves de Fonoaudiologia Lessac-Madsen Voz Ressonancia Acustica Disturbios da voz -- Terapia Qualidade da voz CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
title_short |
Professores com distúrbios vocais: efeitos do método de ressonância Lessac-Madsen |
title_full |
Professores com distúrbios vocais: efeitos do método de ressonância Lessac-Madsen |
title_fullStr |
Professores com distúrbios vocais: efeitos do método de ressonância Lessac-Madsen |
title_full_unstemmed |
Professores com distúrbios vocais: efeitos do método de ressonância Lessac-Madsen |
title_sort |
Professores com distúrbios vocais: efeitos do método de ressonância Lessac-Madsen |
author |
Oliveira, Luciana Vieira Dias Alves de |
author_facet |
Oliveira, Luciana Vieira Dias Alves de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Andrada e Silva, Marta Assumpção de |
dc.contributor.author.fl_str_mv |
Oliveira, Luciana Vieira Dias Alves de |
contributor_str_mv |
Andrada e Silva, Marta Assumpção de |
dc.subject.por.fl_str_mv |
Fonoaudiologia Lessac-Madsen Voz Ressonancia Acustica Disturbios da voz -- Terapia Qualidade da voz |
topic |
Fonoaudiologia Lessac-Madsen Voz Ressonancia Acustica Disturbios da voz -- Terapia Qualidade da voz CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
description |
Introduction: Lessac-Madsen Resonance Method for vocal therapy is a resonant voice-based training. This voice involves a healthy production with the vocal folds lightly abducted and it propitiates a strong, clear production with minimum effort. Objective: to check the pre and post effects of the program based on Lessac-Madsen Resonance Method in teachers that show vocal disturbances. Methods: The study was carried out at a Public Hospital of the city of São Paulo with 17 teachers with medical diagnosis of nodules in vocal folds, divided in two groups: Experimental-EG and control-CG (10 and 7, respectively). The ten EG participants were cared individually, in a total of eight sessions, once a week, following the Lessac Madsen Resonance Method program. All teachers (EG and CG) were submitted to two evaluations, initial and final: Protocol for checking the vocal symptoms and voice changes along the class, score attributed by the teachers as for their voice, voice recording, videolaryngoscopy and protocol to check the benefits of the method according with the own teachers' perception, whereas that last one was just accomplished by the EG. Voice recordings were submitted to the perceptive-hearing evaluation through chained and spontaneous speech and acoustic analysis by using the vowels /a/ and /i/. Results: In the final evaluation, the EG showed a statistically significant reduction in all the vocal symptoms and significant increase in the scores as for the global voice deviation, when compared with the initial evaluation (4.70%) and final evaluation (8.50%). The perceptive-hearing evaluation pointed out improvement in vocal quality, resonance, pitch, loudness and vocal attack. The acoustic analysis measurements indicated statistically significant reduction in irregularity, shimmer and jitter parameters, and the values of f0 and PHR were higher, however, with no statistical significance in those results. In the otorhinolaryngological diagnosis through videolaryngoscopy, a significant reduction in the nodular lesion was verified in 50% of the sample. As for the post-method vocal benefits, 70% of the teachers revealed plenty reduction in the vocal symptoms, clearer voice, followed by easy speech. From the sample, 50% revealed much more easiness in strong speech and 70% declared plenty dedication to the treatment. Use of resonant voice in other communicative contexts was reported by the teachers (50%) as plenty. The whole sample (100%) revealed that the method was very interesting. In the CG there was no improvement in the appraised parameters. Conclusion: The results allowed to check Lessac Madsen Resonance Method s benefits in reducing vocal symptoms, vocal quality improvements, reduction of nodular lesion and it enabled the teacher to use the clearest voice, in an easy way and effortlessly along the class |
publishDate |
2007 |
dc.date.available.fl_str_mv |
2007-05-16 |
dc.date.issued.fl_str_mv |
2007-02-26 |
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2016-04-27T18:12:20Z |
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info:eu-repo/semantics/publishedVersion |
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masterThesis |
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Oliveira, Luciana Vieira Dias Alves de. Professores com distúrbios vocais: efeitos do método de ressonância Lessac-Madsen. 2007. 183 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2007. |
dc.identifier.uri.fl_str_mv |
https://tede2.pucsp.br/handle/handle/12098 |
identifier_str_mv |
Oliveira, Luciana Vieira Dias Alves de. Professores com distúrbios vocais: efeitos do método de ressonância Lessac-Madsen. 2007. 183 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2007. |
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Fonoaudiologia |
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