The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women

Detalhes bibliográficos
Autor(a) principal: Siqueira, Larissa Thais Donalonso
Data de Publicação: 2022
Outros Autores: Moura, Gabriela Campos, Antonetti, Angelica Emygdio da Silva, Santos, Ana Paula dos, Vitor, Jhonatan da Silva, Brasolotto, Alcione Ghedini, Silverio, Kelly Cristina Alves
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFRN
Texto Completo: https://repositorio.ufrn.br/handle/123456789/52840
https://doi.org/10.1080/14015439.2022.2143557
Resumo: Objective: to compare the immediate effects of low-frequency TENS employment on vocal quality in women with behavioral dysphonia before and after vocal exercises. Methodology: 30 women (mean ¼ 31.3 years old), diagnosed with behavioral dysphonia received low-frequency TENS before (TENS þ VE Group) and after vocal exercises (VE þ TENS Group) with a 1-week washout. They had their sustained vowel/a/and running speech recorded before and after each procedure for auditory-perceptual analysis and acoustic measures. The low-frequency TENS parameters applied were symmetrical biphasic quadratic pulse, 200 ms phase, 10 Hz frequency, intensity on the motor threshold, and the electrodes were positioned on the submandibular and superior fibers of the trapezius muscle region. The vocal exercises: tongue trill, humming, finger kazoo, and water resistance therapy were performed totalizing 20 min. Results: intragroup analysis of sustained vowel/a/showed reduction in both groups of strain parameter and increased the breathiness; only VE þ TENS Group increased the instability parameter, decreased fundamental frequency, and increased in SPI values; the running speech analysis showed an increase in the overall degree, roughness, and breathiness parameters. However, in VE þ TENS Group, there was a statistically significant decrease in the intensity of the strain and an increase in breathiness. The acoustic measures showed that VE þ TENS Group had a higher variation than TENS þ VE Group regarding NHR. Conclusion: vocal exercises followed by low-frequency TENS have more immediate positive effects on voice quality than the low-frequency TENS followed by vocal exercises. This is a preliminary immediate effects study, and these effects could be verified through long-term assessments.
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spelling Siqueira, Larissa Thais DonalonsoMoura, Gabriela CamposAntonetti, Angelica Emygdio da SilvaSantos, Ana Paula dosVitor, Jhonatan da SilvaBrasolotto, Alcione GhediniSilverio, Kelly Cristina Alveshttps://orcid.org/0000-0001-9728-81082023-06-21T23:31:53Z2023-06-21T23:31:53Z2022MOURA, Gabriela Campos; ANTONETTI, Angélica Emygdio da Silva; SANTOS, Ana Paula dos; VITOR, Jhonatan da Silva; BRASOLOTTO, Alcione Ghedini; SIQUEIRA, Larissa Thaís Donalonso; SILVERIO, Kelly Cristina Alves. The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women. Logopedics Phoniatrics Vocology, [S.L.], p. 1-8, 11 nov. 2022. Informa UK Limited. http://dx.doi.org/10.1080/14015439.2022.2143557. Disponível em: https://www.tandfonline.com/doi/full/10.1080/14015439.2022.2143557. Acesso em: 19 jun. 2023.https://repositorio.ufrn.br/handle/123456789/52840https://doi.org/10.1080/14015439.2022.2143557Logopedics Phoniatrics Vocologyvoice disordersdysphoniavoice therapytranscutaneous electrical nerve stimulationvocal exercisesThe influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic womeninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleObjective: to compare the immediate effects of low-frequency TENS employment on vocal quality in women with behavioral dysphonia before and after vocal exercises. Methodology: 30 women (mean ¼ 31.3 years old), diagnosed with behavioral dysphonia received low-frequency TENS before (TENS þ VE Group) and after vocal exercises (VE þ TENS Group) with a 1-week washout. They had their sustained vowel/a/and running speech recorded before and after each procedure for auditory-perceptual analysis and acoustic measures. The low-frequency TENS parameters applied were symmetrical biphasic quadratic pulse, 200 ms phase, 10 Hz frequency, intensity on the motor threshold, and the electrodes were positioned on the submandibular and superior fibers of the trapezius muscle region. The vocal exercises: tongue trill, humming, finger kazoo, and water resistance therapy were performed totalizing 20 min. Results: intragroup analysis of sustained vowel/a/showed reduction in both groups of strain parameter and increased the breathiness; only VE þ TENS Group increased the instability parameter, decreased fundamental frequency, and increased in SPI values; the running speech analysis showed an increase in the overall degree, roughness, and breathiness parameters. However, in VE þ TENS Group, there was a statistically significant decrease in the intensity of the strain and an increase in breathiness. The acoustic measures showed that VE þ TENS Group had a higher variation than TENS þ VE Group regarding NHR. Conclusion: vocal exercises followed by low-frequency TENS have more immediate positive effects on voice quality than the low-frequency TENS followed by vocal exercises. This is a preliminary immediate effects study, and these effects could be verified through long-term assessments.engreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNinfo:eu-repo/semantics/openAccessORIGINALInfluenceLowFrequency_Siqueira_2022.pdfInfluenceLowFrequency_Siqueira_2022.pdfapplication/pdf1265202https://repositorio.ufrn.br/bitstream/123456789/52840/1/InfluenceLowFrequency_Siqueira_2022.pdf4c98eb8998f9a2c19ebdf27aa5030b18MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81484https://repositorio.ufrn.br/bitstream/123456789/52840/2/license.txte9597aa2854d128fd968be5edc8a28d9MD52123456789/528402023-06-21 20:31:54.799oai:https://repositorio.ufrn.br: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Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2023-06-21T23:31:54Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false
dc.title.pt_BR.fl_str_mv The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
title The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
spellingShingle The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
Siqueira, Larissa Thais Donalonso
voice disorders
dysphonia
voice therapy
transcutaneous electrical nerve stimulation
vocal exercises
title_short The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
title_full The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
title_fullStr The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
title_full_unstemmed The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
title_sort The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
author Siqueira, Larissa Thais Donalonso
author_facet Siqueira, Larissa Thais Donalonso
Moura, Gabriela Campos
Antonetti, Angelica Emygdio da Silva
Santos, Ana Paula dos
Vitor, Jhonatan da Silva
Brasolotto, Alcione Ghedini
Silverio, Kelly Cristina Alves
author_role author
author2 Moura, Gabriela Campos
Antonetti, Angelica Emygdio da Silva
Santos, Ana Paula dos
Vitor, Jhonatan da Silva
Brasolotto, Alcione Ghedini
Silverio, Kelly Cristina Alves
author2_role author
author
author
author
author
author
dc.contributor.authorID.pt_BR.fl_str_mv https://orcid.org/0000-0001-9728-8108
dc.contributor.author.fl_str_mv Siqueira, Larissa Thais Donalonso
Moura, Gabriela Campos
Antonetti, Angelica Emygdio da Silva
Santos, Ana Paula dos
Vitor, Jhonatan da Silva
Brasolotto, Alcione Ghedini
Silverio, Kelly Cristina Alves
dc.subject.por.fl_str_mv voice disorders
dysphonia
voice therapy
transcutaneous electrical nerve stimulation
vocal exercises
topic voice disorders
dysphonia
voice therapy
transcutaneous electrical nerve stimulation
vocal exercises
description Objective: to compare the immediate effects of low-frequency TENS employment on vocal quality in women with behavioral dysphonia before and after vocal exercises. Methodology: 30 women (mean ¼ 31.3 years old), diagnosed with behavioral dysphonia received low-frequency TENS before (TENS þ VE Group) and after vocal exercises (VE þ TENS Group) with a 1-week washout. They had their sustained vowel/a/and running speech recorded before and after each procedure for auditory-perceptual analysis and acoustic measures. The low-frequency TENS parameters applied were symmetrical biphasic quadratic pulse, 200 ms phase, 10 Hz frequency, intensity on the motor threshold, and the electrodes were positioned on the submandibular and superior fibers of the trapezius muscle region. The vocal exercises: tongue trill, humming, finger kazoo, and water resistance therapy were performed totalizing 20 min. Results: intragroup analysis of sustained vowel/a/showed reduction in both groups of strain parameter and increased the breathiness; only VE þ TENS Group increased the instability parameter, decreased fundamental frequency, and increased in SPI values; the running speech analysis showed an increase in the overall degree, roughness, and breathiness parameters. However, in VE þ TENS Group, there was a statistically significant decrease in the intensity of the strain and an increase in breathiness. The acoustic measures showed that VE þ TENS Group had a higher variation than TENS þ VE Group regarding NHR. Conclusion: vocal exercises followed by low-frequency TENS have more immediate positive effects on voice quality than the low-frequency TENS followed by vocal exercises. This is a preliminary immediate effects study, and these effects could be verified through long-term assessments.
publishDate 2022
dc.date.issued.fl_str_mv 2022
dc.date.accessioned.fl_str_mv 2023-06-21T23:31:53Z
dc.date.available.fl_str_mv 2023-06-21T23:31:53Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv MOURA, Gabriela Campos; ANTONETTI, Angélica Emygdio da Silva; SANTOS, Ana Paula dos; VITOR, Jhonatan da Silva; BRASOLOTTO, Alcione Ghedini; SIQUEIRA, Larissa Thaís Donalonso; SILVERIO, Kelly Cristina Alves. The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women. Logopedics Phoniatrics Vocology, [S.L.], p. 1-8, 11 nov. 2022. Informa UK Limited. http://dx.doi.org/10.1080/14015439.2022.2143557. Disponível em: https://www.tandfonline.com/doi/full/10.1080/14015439.2022.2143557. Acesso em: 19 jun. 2023.
dc.identifier.uri.fl_str_mv https://repositorio.ufrn.br/handle/123456789/52840
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1080/14015439.2022.2143557
identifier_str_mv MOURA, Gabriela Campos; ANTONETTI, Angélica Emygdio da Silva; SANTOS, Ana Paula dos; VITOR, Jhonatan da Silva; BRASOLOTTO, Alcione Ghedini; SIQUEIRA, Larissa Thaís Donalonso; SILVERIO, Kelly Cristina Alves. The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women. Logopedics Phoniatrics Vocology, [S.L.], p. 1-8, 11 nov. 2022. Informa UK Limited. http://dx.doi.org/10.1080/14015439.2022.2143557. Disponível em: https://www.tandfonline.com/doi/full/10.1080/14015439.2022.2143557. Acesso em: 19 jun. 2023.
url https://repositorio.ufrn.br/handle/123456789/52840
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