Sintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentos

Detalhes bibliográficos
Autor(a) principal: Lima, Maria Fabiana Bonfim de
Data de Publicação: 2008
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/12165
Resumo: INTRODUCTION: Among voice professionals, teachers have been the focus of most studies in this area, probably due to the fact that this professional category represents, approximately 2.5 million people in Brazil, and also because these are the professionals who have been seeking Speech Therapy services for the longest period of time. Researches mention constant vocal illness in this professional group, which is pointed out as one of those with higher risk of developing functional vocal disorders. There are many researches from different regions of Brazil which dealt with profile tracing and risk factors for teachers, and used the questionnaire as the main instrument. In this manner, the perception of the vocal disorder is part of the teacher s own responsibility. However, few studies include a Speech Therapy and ENT doctor evaluations in order to relate this data. AIM: To identify the occurrence of vocal disorders, correlating aspects from self-perceptual, vocal quality and laryngeal evaluations of teachers of two public primary and secondary schools of the city of Sorocaba SP. METHODS: 60 teachers from both schools participated in this transverse observational-type study. The teachers filled out a self-perception questionnaire (adapted from FERREIRA et al., 2007), with questions regarding personal identification, functional status, and vocal aspects. Secondly, speech samples were collected (sustained vowel /a/, scaled vowel /a/ and spontaneous speech). Teachers also went through an endoscopic laryngeal evaluation. Three experienced Speech Therapists performed a vocal quality evaluation of the subjects using the GIRBAS scale to classify the voices as normal or altered, and to specify the degree of alteration. The ENT doctor used an evaluation protocol adapted from Oliveira (1999) to describe the presence or absence of laryngeal disorders. The chisquared association test and the Kappa agreement test were used for statistic evaluation of the collected data. RESULTS: 63,3% of the subject reported having vocal disorders in the present or past in self-perception evaluation; 43,3% were diagnosed with such disorder in Speech Therapy vocal quality evaluation and 46,7% received this diagnosis from the doctor s laryngeal examination. There was no association between self-perceptive and speech therapy or ENT evaluations. Furthermore, agreement was low amongst the three evaluations. However, there was statistic association between voice quality evaluation performed by the Speech Therapists and the laryngeal evaluation performed by the ENT doctor, with intermediate agreement between them. CONCLUSION: The prevalence levels of vocal disorders found in this population are alarming. The self-perception questionnaire showed greater sensibility to indicate prevalence of these disorders, and Speech Therapy evaluation proved itself to be more specific. To obtain a real diagnosis of the needs of the population receiving treatment, we suggest combining both instruments when implementing prevention programs with focus on this health issue
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spelling Ferreira, Leslie Piccolottohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4227783U9Lima, Maria Fabiana Bonfim de2016-04-27T18:12:29Z2012-07-272008-02-26Lima, Maria Fabiana Bonfim de. Sintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentos. 2008. 126 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2008.https://tede2.pucsp.br/handle/handle/12165INTRODUCTION: Among voice professionals, teachers have been the focus of most studies in this area, probably due to the fact that this professional category represents, approximately 2.5 million people in Brazil, and also because these are the professionals who have been seeking Speech Therapy services for the longest period of time. Researches mention constant vocal illness in this professional group, which is pointed out as one of those with higher risk of developing functional vocal disorders. There are many researches from different regions of Brazil which dealt with profile tracing and risk factors for teachers, and used the questionnaire as the main instrument. In this manner, the perception of the vocal disorder is part of the teacher s own responsibility. However, few studies include a Speech Therapy and ENT doctor evaluations in order to relate this data. AIM: To identify the occurrence of vocal disorders, correlating aspects from self-perceptual, vocal quality and laryngeal evaluations of teachers of two public primary and secondary schools of the city of Sorocaba SP. METHODS: 60 teachers from both schools participated in this transverse observational-type study. The teachers filled out a self-perception questionnaire (adapted from FERREIRA et al., 2007), with questions regarding personal identification, functional status, and vocal aspects. Secondly, speech samples were collected (sustained vowel /a/, scaled vowel /a/ and spontaneous speech). Teachers also went through an endoscopic laryngeal evaluation. Three experienced Speech Therapists performed a vocal quality evaluation of the subjects using the GIRBAS scale to classify the voices as normal or altered, and to specify the degree of alteration. The ENT doctor used an evaluation protocol adapted from Oliveira (1999) to describe the presence or absence of laryngeal disorders. The chisquared association test and the Kappa agreement test were used for statistic evaluation of the collected data. RESULTS: 63,3% of the subject reported having vocal disorders in the present or past in self-perception evaluation; 43,3% were diagnosed with such disorder in Speech Therapy vocal quality evaluation and 46,7% received this diagnosis from the doctor s laryngeal examination. There was no association between self-perceptive and speech therapy or ENT evaluations. Furthermore, agreement was low amongst the three evaluations. However, there was statistic association between voice quality evaluation performed by the Speech Therapists and the laryngeal evaluation performed by the ENT doctor, with intermediate agreement between them. CONCLUSION: The prevalence levels of vocal disorders found in this population are alarming. The self-perception questionnaire showed greater sensibility to indicate prevalence of these disorders, and Speech Therapy evaluation proved itself to be more specific. To obtain a real diagnosis of the needs of the population receiving treatment, we suggest combining both instruments when implementing prevention programs with focus on this health issueINTRODUÇÃO: Entre os profissionais da voz, o professor tem sido alvo da maioria das pesquisas na área, provavelmente por representar, aproximadamente, dois milhões e quinhentos mil, no Brasil, e por ser aquele que há mais tempo procura tratamento fonoaudiológico. As pesquisas citam o adoecimento vocal constante dessa categoria, que muitas vezes é apontada como uma das que apresenta maior risco de desenvolvimento de distúrbios de voz de base funcional. Em várias regiões brasileiras, há diversos estudos sobre a identificação de perfis e fatores de risco para os professores, e esses utilizaram como instrumento um questionário. Dessa forma, a percepção do problema é de responsabilidade do próprio docente. Poucos trabalhos, contudo, incluem protocolo fonoaudiológico e otorrinolaringológico que relacione esses dados. OBJETIVO: Identificar a ocorrência de distúrbio vocal, correlacionando os aspectos de avaliação autoperceptiva, de qualidade vocal e de laringe, em professores de duas escolas da rede pública do ensino fundamental e médio do município de Sorocaba - SP. MÉTODOS: Deste estudo, do tipo transversal observacional, participaram 60 professores dessas duas escolas. Eles responderam um questionário de autopercepção (adaptado de FERREIRA et al., 2007), e dele foram consideradas as questões relacionadas à identificação, situação funcional e aspectos vocais. Em seguida, passaram por uma coleta de amostra de fala (vogal /a/ sustentada e em escala e trechos de fala espontânea) e por um exame de nasofibrolaringoscopia. Para a avaliação da qualidade vocal, três juízes fonoaudiólogos, com experiência na área de voz, utilizaram a escala GIRBAS, para classificar as vozes em alteradas ou não, e especificar o grau da alteração. Para descrever a presença ou ausência de alteração de laringe, o otorrinolaringologista utilizou o protocolo adaptado de Oliveira (1999). Na análise estatística dos dados, foram empregados o teste de associação qui-quadrado e o de concordância Kappa. RESULTADOS: 63,3% dos participantes referiram ter, no presente ou no passado, distúrbio vocal na avaliação autoperceptiva; 43,3% foram diagnosticados com esse distúrbio na avaliação fonoaudiológica de qualidade vocal e 46,7% pelo otorrinolaringologista no exame de laringe. Não houve associação entre a avaliação autoperceptiva e a avaliação fonoaudiológica, nem entre a avaliação autoperceptiva e a avaliação otorrinolaringológica. Além disso, a concordância foi baixa entre as três avaliações. Porém, houve associação estatística entre a avaliação de qualidade vocal, feita pelo fonoaudiólogo e a laringe, feita pelo otorrinolaringologista, com concordância intermediária entre as avaliações. CONCLUSÃO: Os índices de prevalência de distúrbios de voz encontrados nesta população são preocupantes. O questionário de autopercepção mostrou maior sensibilidade para indicar a prevalência desses distúrbios e a avaliação fonoaudiológica, maior especificidade. Para um real diagnóstico das necessidades da população a ser tratada, sugere-se a combinação dos dois instrumentos na implantação de programas de prevenção desse agravo à saúdeConselho Nacional de Desenvolvimento Científico e Tecnológicoapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/25096/Maria%20Fabiana%20Bonfim%20de%20Lima.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em FonoaudiologiaPUC-SPBRFonoaudiologiaDocentesDisturbios da vozProfessoresQualidade da vozVozVoiceVocal disordersTeachersCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIASintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentosinfo: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_SPTEXTMaria Fabiana Bonfim de Lima.pdf.txtMaria Fabiana Bonfim de Lima.pdf.txtExtracted texttext/plain219859https://repositorio.pucsp.br/xmlui/bitstream/handle/12165/3/Maria%20Fabiana%20Bonfim%20de%20Lima.pdf.txt09a8598a66a63404e9a51ebaaa00ae4fMD53ORIGINALMaria Fabiana Bonfim de Lima.pdfapplication/pdf1593015https://repositorio.pucsp.br/xmlui/bitstream/handle/12165/1/Maria%20Fabiana%20Bonfim%20de%20Lima.pdfe57dc52778589cdbd734a964991ba81cMD51THUMBNAILMaria Fabiana Bonfim de Lima.pdf.jpgMaria Fabiana Bonfim de Lima.pdf.jpgGenerated Thumbnailimage/jpeg3602https://repositorio.pucsp.br/xmlui/bitstream/handle/12165/2/Maria%20Fabiana%20Bonfim%20de%20Lima.pdf.jpg0aa440398ac58472ae8fee5889f235f8MD52handle/121652023-11-24 13:13:32.281oai:repositorio.pucsp.br:handle/12165Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2023-11-24T16:13:32Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false
dc.title.por.fl_str_mv Sintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentos
title Sintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentos
spellingShingle Sintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentos
Lima, Maria Fabiana Bonfim de
Docentes
Disturbios da voz
Professores
Qualidade da voz
Voz
Voice
Vocal disorders
Teachers
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
title_short Sintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentos
title_full Sintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentos
title_fullStr Sintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentos
title_full_unstemmed Sintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentos
title_sort Sintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentos
author Lima, Maria Fabiana Bonfim de
author_facet Lima, Maria Fabiana Bonfim 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=K4227783U9
dc.contributor.author.fl_str_mv Lima, Maria Fabiana Bonfim de
contributor_str_mv Ferreira, Leslie Piccolotto
dc.subject.por.fl_str_mv Docentes
Disturbios da voz
Professores
Qualidade da voz
Voz
topic Docentes
Disturbios da voz
Professores
Qualidade da voz
Voz
Voice
Vocal disorders
Teachers
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
dc.subject.eng.fl_str_mv Voice
Vocal disorders
Teachers
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
description INTRODUCTION: Among voice professionals, teachers have been the focus of most studies in this area, probably due to the fact that this professional category represents, approximately 2.5 million people in Brazil, and also because these are the professionals who have been seeking Speech Therapy services for the longest period of time. Researches mention constant vocal illness in this professional group, which is pointed out as one of those with higher risk of developing functional vocal disorders. There are many researches from different regions of Brazil which dealt with profile tracing and risk factors for teachers, and used the questionnaire as the main instrument. In this manner, the perception of the vocal disorder is part of the teacher s own responsibility. However, few studies include a Speech Therapy and ENT doctor evaluations in order to relate this data. AIM: To identify the occurrence of vocal disorders, correlating aspects from self-perceptual, vocal quality and laryngeal evaluations of teachers of two public primary and secondary schools of the city of Sorocaba SP. METHODS: 60 teachers from both schools participated in this transverse observational-type study. The teachers filled out a self-perception questionnaire (adapted from FERREIRA et al., 2007), with questions regarding personal identification, functional status, and vocal aspects. Secondly, speech samples were collected (sustained vowel /a/, scaled vowel /a/ and spontaneous speech). Teachers also went through an endoscopic laryngeal evaluation. Three experienced Speech Therapists performed a vocal quality evaluation of the subjects using the GIRBAS scale to classify the voices as normal or altered, and to specify the degree of alteration. The ENT doctor used an evaluation protocol adapted from Oliveira (1999) to describe the presence or absence of laryngeal disorders. The chisquared association test and the Kappa agreement test were used for statistic evaluation of the collected data. RESULTS: 63,3% of the subject reported having vocal disorders in the present or past in self-perception evaluation; 43,3% were diagnosed with such disorder in Speech Therapy vocal quality evaluation and 46,7% received this diagnosis from the doctor s laryngeal examination. There was no association between self-perceptive and speech therapy or ENT evaluations. Furthermore, agreement was low amongst the three evaluations. However, there was statistic association between voice quality evaluation performed by the Speech Therapists and the laryngeal evaluation performed by the ENT doctor, with intermediate agreement between them. CONCLUSION: The prevalence levels of vocal disorders found in this population are alarming. The self-perception questionnaire showed greater sensibility to indicate prevalence of these disorders, and Speech Therapy evaluation proved itself to be more specific. To obtain a real diagnosis of the needs of the population receiving treatment, we suggest combining both instruments when implementing prevention programs with focus on this health issue
publishDate 2008
dc.date.issued.fl_str_mv 2008-02-26
dc.date.available.fl_str_mv 2012-07-27
dc.date.accessioned.fl_str_mv 2016-04-27T18:12:29Z
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dc.identifier.citation.fl_str_mv Lima, Maria Fabiana Bonfim de. Sintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentos. 2008. 126 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2008.
dc.identifier.uri.fl_str_mv https://tede2.pucsp.br/handle/handle/12165
identifier_str_mv Lima, Maria Fabiana Bonfim de. Sintomas vocais, alterações da qualidade vocal e laríngea em professores: análise de instrumentos. 2008. 126 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2008.
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