Navegando por Palavras-chave "Voice"

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    Análise do grau global e tensão da voz em cantores de roque
    (Pró-Fono Produtos Especializados para Fonoaudiologia Ltda., 2010-09-01) Gonsalves, Aline; Amin, Elisabeth; Behlau, Mara [UNIFESP]; Centro de Estudos da Voz; Conselho Federal de Fonoaudiologia; Universidade Federal de São Paulo (UNIFESP)
    BACKGROUND: overall voice and strain level analysis in rock singers. AIM: to analyze the voice o rock singers according to two specific parameters: overall level of vocal deviation (OLVD) and strain level (SL); to compare these parameters in three different music samples. METHOD: participants were 26 male rock singers, ranging in age from 17 to 46 years (mean = 29.8 years). All of the participants answered a questionnaire for sample characterization and were submitted to the recording of three voice samples: Brazilian National Anthem (BNA), Satisfaction and self-selected repertoire song (RS). Voice samples were analyzed by five speech-language pathologists according to OLVD and SL. Statistical analysis was done using the software SPSS, version 13.0. RESULTS: statistically significant differences were observed for the mean values of OLVD and SL during the performance of Satisfaction (OLVD = 32.8 and SL = 0.024 / p=0.024) and during the RS performance (OLVD = 38.4 and SL = 55.8 / p=0.010). The values of OLVD and SL are directly proportional to the samples of the BNA* and RS**, i.e. the higher the strain the higher the OLVD (p,0.001*; p=0.010**). When individually analyzing the three song samples, it is observed that the OLVD does not vary significantly among them. However, the mean values present a trend to increase from non-rock to rock performances (24.0 BNA / 32.8 Satisfaction / 38.4 RS). The level of strain found during the BNA performance presents statistically significant difference when compared to the rock performances (Satisfaction and RS, p=0.008 and p=0.001). CONCLUSION: the obtained data suggest that rock style is related to the greater use of vocal strain and that this strain does not necessarily impose a negative impression to the voice, but corresponds to a common interpretative factor related to this style of music.
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    Análise perceptivo-auditiva e acústica da voz de indivíduos gagos
    (CEFAC Saúde e Educação, 2010-12-01) Carrasco, Eliane Regina; Oliveira, Gisele [UNIFESP]; Behlau, Mara [UNIFESP]; Conselho Federal de Fonoaudiologia; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: this study aims to assess vocal deviation in individuals with developmental stuttering. METHODS: 23 adults, 9 females and 14 males, with different degrees of stuttering (Yowa Severity Scale) mean age: 31.2 years, ranging from 23 to 45, took part in the study. Perceptual auditory analysis of vocal quality was assessed by means of GIRBAS scale, with the inclusion of extra features; selected acoustic parameters were extracted. RESULTS: vocal quality was deviated in 13% of sustained vowels samples; instability was the most prominent parameter (69.57% mild and 20% moderate deviation), followed by roughness (48.70% mild and 11.30% moderate). For connected speech, roughness was the most altered parameter (59.13% mild and 1.74% moderate), followed by inconsistent tension (46.08% mild and 3.49% moderate). The maximum phonation time measurements were variable both intra and inter-subjects. The spectrographic trace showed instability due to the presence of voice breaks (21.74%), sub-harmonics (30.43%), variable fundamental frequency (8.7%) and/or vocal quality (8.7%). Perturbation measures showed to be deviated, for both shimmer (91.30%) and jitter (34,78%). CONCLUSIONS: vocal deviations are mild in stutters, evidenced at the sustained vowel task, independently of the stuttering degree. Data suggest a phonatory system's neuromotor instability in stutters.
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    Análise vocal perceptivo-auditiva e acústica, falada e cantada de regentes de coral
    (Pró-Fono Produtos Especializados para Fonoaudiologia Ltda., 2008-09-01) Rehder, Maria Inês Beltrati Cornacchioni; Behlau, Mara [UNIFESP]; Cefac Saúde e Educação Área de Pós-Graduação em Voz; Universidade Federal de São Paulo (UNIFESP)
    BACKGROUND: the voice of choir conductors. AIM: to evaluate the vocal quality of choir conductors based on the production of a sustained vowel during singing and when speaking in order to observe auditory and acoustic differences. METHOD: participants of this study were 100 choir conductors, with an equal distribution between genders. Participants were asked to produce the sustained vowel é using a singing and speaking voice. Speech samples were analyzed based on auditory-perceptive and acoustic parameters. The auditory-perceptive analysis was carried out by two speech-language pathologist, specialists in this field of knowledge. The acoustic analysis was carried out with the support of the computer software Doctor Speech (Tiger Electronics, SRD, USA, version 4.0), using the Real Analysis module. RESULTS: the auditory-perceptive analysis of the vocal quality indicated that most conductors have adapted voices, presenting more alterations in their speaking voice. The acoustic analysis indicated different values between genders and between the different production modalities. The fundamental frequency was higher in the singing voice, as well as the values for the first formant; the second formant presented lower values in the singing voice, with statistically significant results only for women. CONCLUSION: the voice of choir conductors is adapted, presenting fewer deviations in the singing voice when compared to the speaking voice. Productions differ based the voice modality, singing or speaking.
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    Applicability of cone beam computed tomography to the assessment of the vocal tract before and after vocal exercises in normal subjects
    (Soc Brasil Cirurgia Cardiovasc, 2016) Garcia, Elisangela Zacanti [UNIFESP]; Yamashita, Helio Kiitiro [UNIFESP]; Garcia, Davi Sousa; Pereira Padovani, Marina Martins; Azevedo, Renata Rangel [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]
    Background/Aims: Cone beam computed tomography (CBCT), which represents an alternative to traditional computed tomography and magnetic resonance imaging, may be a useful instrument to study vocal tract physiology related to vocal exercises. This study aims to evaluate the applicability of CBCT to the assessment of variations in the vocal tract of healthy individuals before and after vocal exercises. Methods: Voice recordings and CBCT images before and after vocal exercises performed by 3 speech-language pathologists without vocal complaints were collected and compared. Each participant performed 1 type of exercise, i.e., Finnish resonance tube technique, prolonged consonant "b" technique, or chewing technique. The analysis consisted of an acoustic analysis and tomographic imaging. Results: Modifications of the vocal tract settings following vocal exercises were properly detected by CBCT, and changes in the acoustic parameters were, for the most part, compatible with the variations detected in image measurements. Conclusion: CBCT was shown to be capable of properly assessing the changes in vocal tract settings promoted by vocal exercises. (C) 2017 S. Karger AG, Basel
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    Aspectos do sistema estomatognático pré e pós adenotonsilectomia
    (Universidade Federal de São Paulo (UNIFESP), 2011-01-26) Balieiro, Fernanda Bastos de Andrade [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Purpose: To verify the occurrence of speech and voice changes in the structures of the stomatognathic system and the deglutition functions, breathing, speech and phonation involving vocal quality and resonance after undergoing palatine and pharyngeal tonsils surgery. Method: The study included 22 children,17 males and 05 females aged between 05 and 10 years, sorted in the service of the Pediatric Otorhinolaryngology Department of the Federal University of São Paulo, suffering from hypertrophic palatine tonsils and adenoids with surgical indication for adenotonsillectomy and with no previous speech therapy. The speech evaluation was performed before and during the period between one and six months after adenotonsillectomy and consisted of evaluation of lips , tongue and soft palate structures and evaluation of the swallowing of liquid, breathing mode, speech and phonation (voice quality and resonance) functions. To evaluate the vocal quality and resonance 15 children with the postoperative evaluation carried out in a period of one to almost two months were considered. Results: The results of the evaluation of the stomatognathic system were analyzed statistically using the Wilcoxon test and McNemar test. Statistical significance in lips closed at rest posture, nasal breathing mode, tongue tonus, adequate mobility of the soft palate, tongue posture during swallowing of liquid and absence compensatory mechanism of interposition of lips in swallowing were found. The evaluation results of speech and phonation were analyzed based on frequency distribution. Reduction in the frequency of omission and distortion processes was also found, although these have remained in the postoperative period. Regarding speech little improvement in the resonance was noticed. Conclusion: Despite some improvement in various aspects evaluated, most children remained with changes in speech structures and in the deglutition, speech and phonation functions. Comparison of the aspects evaluated speech problems observed improvement in respiratory mode, position of lips in rest, mobility of soft palate and compensatory mechanisms in the swallowing, however the study showed that others aspects analyzed showed no improvement.
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    Aspectos do sistema estomatognático pré e pós-adenotonsilectomia
    (Sociedade Brasileira de Fonoaudiologia, 2013-01-01) Andrade-Balieiro, Fernanda Bastos de [UNIFESP]; Azevedo, Renata [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: To verify the speech therapy aspects of the stomatognathic system, including phonoarticulatory structures (lips, tongue, and soft palate) and swallowing, respiratory, speech, and phonation (vocal quality and resonance) functions, before and after undergoing adenotonsillectomy. METHODS: The study included 22 children, 17 males and 5 females, aged between 5 and 10 years, suffering from hypertrophy of palatine and adenoid tonsils, with surgical indication for adenotonsillectomy and with no previous speech therapy. The speech-language pathology evaluation was performed before surgery and during the period between 1 and 6 months after adenotonsillectomy. It consisted of an evaluation of structures (lips, tongue, and soft palate) and of swallowing (liquid), respiration (mode), speech, and phonation (voice quality and resonance) functions. To evaluate vocal quality and resonance, 15 participants with the postoperative evaluation carried out in a period from 1 to 2 months were considered. RESULTS: There were differences regarding nasal respiratory mode, lips closed at rest posture, changed tongue tonus, adequate mobility of the soft palate, changed tongue posture during liquid swallowing, and absence of interposition compensatory mechanism of lips in swallowing. Reduction in the frequency of distortion processes was also found. With regard to speech, little improvement in vocal quality and resonance was seen. CONCLUSION: Following adenotonsillectomy, some structures and functions can spontaneously readapt or improve. However, most children needed to be referred to speech therapy for readapting stomatognathic structures and the assessed functions.
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    Autoavaliação do comportamento comunicativo de líderes de diversas profissões ao falar em público
    (Universidade Federal de São Paulo (UNIFESP), 2017-02-24) Vargas, Aline Cristina Tafarelo [UNIFESP]; Behlau, Mara Suzana [UNIFESP]; http://lattes.cnpq.br/2274436726620746; http://lattes.cnpq.br/8622071356562346; Universidade Federal de São Paulo (UNIFESP)
    Objective: Understanding how corporate leaders evaluate themselves in situations of public speaking, taking into consideration specific aspects of speech, voice and manifestations of nervousness and anxiety. Methods: Three hundred and twenty-eight individuals participated in this study, being 143 men and 185 women, having corporate leadership positions in various segments, mean age of 41 years old. Three evaluation instruments were applied: a Communication Contexts Questionaire CCQ-R reduced from Questionnaire of Self-Evaluation on Speech and Voice Abilities in Various Communication Contexts – QCC, with 23 questions, the Self-Statements during Public Speaking Scale - SSPS, with 10 questions and the Voice Handicap Index 10 – VHI-10, also with 10 questions. The results were evaluated according to sex and age. Results: Speaking in meetings was the most referred experience of speaking in public (88.4). The participants indicated perceived modifications in the aspects of speech, voice, nervousness and anxiety, with different distribution in relation to sex and age. Perceiving that the speech and voice become different on speaking in public is the most pointed symptom (50.3% and 78.5%, respectively). The majority of leaders feel nervous in this situation (84.4%), being the insecurity about the context the factor which generates more nervousness (69.0%). The majority of the leaders also feel anxious when speaking in public (83.3%), showing the symptom of sweating on the hands (31.3%). Despite the negative manifestations in the researched aspects, the leaders evaluated themselves positively in the situation of speaking in public, according to SSPS. There are fewer occurrences of negative manifestations in speech, voice, nervousness and anxiety in older participants, which can suggest that a positive effect of the experience and the informal learning on this practice. A high percentage of leaders, 14.7%, perceived some vocal disadvantage according to the VHI-10. Conclusion: For the majority of leaders, speaking in public pose a challenge, which can generate negative impacts in communication. Positions of leadership evaluate their communication on speaking in public as good, although they recognize the occurrence of various deviations in speech and voice, including manifestations of nervousness and anxiety in this situation. For both sexes, aging seems to have a positive effect in public speaking situations.
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    A autopercepção da voz do adolescente
    (Sociedade Brasileira de Fonoaudiologia, 2009-01-01) Almeida, Anna Alice Figueirêdo de [UNIFESP]; Behlau, Mara [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal da Paraíba; Centro de Estudos da Voz
    PURPOSE: To verify the self-perception of adolescents concerning their own voice. METHODS: A questionnaire regarding voice and communication was applied to 80 volunteer adolescents, 58 female (72.5%) and 22 male (27.5%), with ages ranging from 10 to 19 years, participants of the Program of Adolescent Healthcare of the State of São Paulo. Subjects answered the questionnaire themselves, and data were statistically analyzed. RESULTS: The main age range was from 16 to 17 years (23 - 28.8%). Half of the subjects (41 - 51.3%) reported positive vocal characteristics, classifying it as normal (42 - 52.5%); in addition, 33 (41.3%) did not detect vocal modifications during adolescence, demonstrating satisfaction with their production (65 - 81.3%), referring that their voices matched their personality (27 - 33.8%) and, therefore, they did not wish to modify it (61 - 76,3%). The three most frequently reported negative vocal habits were: yelling (30 - 37.5%), drinking cold beverages (20 - 32.5%), and smoking (22 - 27.5%). In turn, the subjects reported as beneficial vocal habits: drinking water (31 - 38.8%), singing (30 - 37.5%) and not yelling (20 - 25%). Young men reported vocal problems related to pitch (54.5%, p<0.001), and young women, to loudness (32.1%, p<0.001). These problems were pointed out as impairing factors to their communication. CONCLUSION: The perception of adolescents about their voice and communication interferes in their relationship with others, in their way of thinking and acting, and the way they interact with reality and the society.
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    Caracterização dos aspectos vocais de um coro infantojuvenil
    (CEFAC Saúde e Educação, 2014-10-01) Rosa, Milka Botaro; Prestes, Raquel; Margall, Soraya Abbes Clapes; Universidade Estadual Paulista (UNESP); Universidade Federal de São Paulo (UNIFESP)
    PURPOSE:to characterize the vocal health, knowledge of choristers in caring for her own voice, and perceptual analysis of the spoken voice, performed by an audiologist in a chorus children and youth.METHODS: the study included 20 individuals of both sexes, between 10 and 18 years, members of a choir, two questionnaires were applied: one facing parents on general health, medical and dietary habits, and another for the choristers facing experience in singing, knowledge of the voice and vocal health habits. Screening was performed for individual vocal perceptual analysis of the spoken voice. RESULTS: in the questionnaire back to the parents, it was observed that 40% of the choristers had some kind of allergy, whereas in the questionnaire aimed to choristers, 65% did not know how the voice is produced; carried out vocal training 100%, 80% did not care voice, 35% had vocal complaints; already screening vocal assessed that 35% expressed hoarse and breathy and rough 5%, the pitch was found predominantly acute (55%); articulation and resonance were balanced, the type was the predominant respiratory medium (65%), whereas the breathing mode mixed (45%), the coordination between breathing in 90%, the maximum phonation time increased by 65% and the coefficient s / z was adequate in 65% . CONCLUSION: the aspects of vocal health was observed a high rate of allergy, care of his own voice most choristers do not know how the voice is produced and auditory perception was found in a large number of choristers hoarse breathy vocal quality and maximum phonation time increased.
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    Coincidências e divergências entre transcrição e textualização de áudios
    (CEFAC Saúde e Educação, 2014-12-01) Rehder, Maria Inês Beltrati Cornacchioni; Cazumbá, Lucilene Aparecida Forcin; Assis, Rosângela Mitsue Kato; Souza, Patrícia Jorge Soalheiro De; Tandel, Maria Da Conceição Farias Freitas; Universidade Federal de São Paulo (UNIFESP); Universidade Católica de Brasília; Núcleo de Perícias em Fonoaudiologia Forense; São Paulo; Rio Claro; SP; Universidade de São Paulo (USP); Universidade Estadual Paulista (UNESP)
    OBJETIVO: investigar coincidências e divergências entre transcrição e textualização de áudios, a fim de verificar se há evidências estatísticas que possam servir de subsídio quanto ao melhor procedimento a ser aplicado. MÉTODOS: estudo retrospectivo. Foram selecionados aleatoriamente 30 áudios, entre os 239 áudios disponíveis, provenientes de interceptações telefônicas do mesmo processo judicial. Foram considerados: o número de palavras e tempo em minutos para a realização de cada áudio, e a análise comparativa da manutenção dos focos principais de conteúdo. Três Fonoaudiólogos transcreveram e textualizaram terços diferentes do arquivo, garantindo independência. Um Fonoaudiólogo, que não participou da etapa anterior, realizou a análise de conteúdo. Para a análise estatística foi utilizado o teste de Wilcoxon-Mann Whitney no ambiente R, com interface Tinn R. Nível de significância de 5% (0,05). CEP: 274-742. RESULTADOS: o número médio de palavras utilizadas na transcrição dos arquivos de áudio foi 27% maior que o número de palavras utilizadas na textualização, p=0,52. A média do tempo em minutos necessários para realizar a transcrição foi significantemente maior p=0,013. Na análise comparativa da manutenção dos focos principais de conteúdo, foi possível verificar que em média 93% dos focos foram mantidos, p=0,61%. CONCLUSÃO: as semelhanças entre os processos de transcrição e textualização foram com relação ao número mediano de palavras e a manutenção do número mediano de focos de conteúdo. Houve divergência quanto ao tempo para a realização, significantemente menor na textualização. Considerando os dados obtidos neste estudo, o processo de textualização mostrou ser o mais indicado na degravação de áudios.
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    Comparação entre formas de extração do tempo máximo fonatório em indivíduos sem queixas vocais
    (CEFAC Saúde e Educação, 2014-10-01) Englert, Marina; Mesquita, Loriane Gratão; Azevedo, Renata [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: to check the credibility between an acoustic program, an experienced evaluator and a non-experienced evaluator measuring the Brazilian vowel /a/ in subjects with no voice complaints and to verify if there is difference between the highest value of three emissions of MPD with the average of these values. METHODS:56 adults recorded the vowel /a/ in MPD. One measurement was performed by an experienced speech pathologist and the other by a newly graduated speech pathologist, with a stop watch. A third valuator measured the MPD in an acoustic program. The difference between the average of the three emissions and the highest value of MPD obtained by each evaluator was compared. RESULTS:there was no difference between the evaluators and an acoustic program the only difference found was among considering the average of the three emissions or the highest value of MPD. CONCLUSIONS:the MPD has high reliability regardless the form of extraction and the clinical experience of the evaluator. There was a difference in the value of MPD comparing the average of three emissions with its highest value, which suggests that we should always follow the same pattern in our assessments and reassessments.
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    Considerações teóricas sobre a relação entre respiração oral e disfonia
    (Sociedade Brasileira de Fonoaudiologia, 2008-01-01) Tavares, Juliana Gomes; Silva, Érika Henriques de Araújo Alves da [UNIFESP]; Faculdade Integrada do Recife; Universidade Federal de São Paulo (UNIFESP); Universidade Estadual de Ciências da Saúde de Alagoas
    It is known that mouth breathing can lead to several bone, postural, muscular and functional alterations, and also changes on vocal quality and/or vocal behavior. These alterations can compromise oral communication, in which the voice cannot perform its basic role on the transmission of an individual's verbal and emotional message. Individuals with mouth breathing can present hiper or hiponasal resonance, changes on voicing features and hoarseness. From researches on LILACS and SciELO databases, books and specialized magazines about the subject, it was carried a literature review about the relationship between mouth breathing and dysphonia, analyzing the influence of alterations caused by mouth breathing on vocal quality and/or vocal behavior. It was possible observe that mouth breathing promotes several significant structural alterations, which reflect on stomatognathic functions and on phonation. However, few authors report the possible correlation between mouth breathing and dysphonia.
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    Coping Strategies in Teachers With Vocal Complaint
    (Elsevier B.V., 2014-05-01) Zambon, Fabiana [UNIFESP]; Moreti, Felipe [UNIFESP]; Behlau, Mara [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); SINPRO SP
    Objectives. To understand the coping strategies used by teachers with vocal complaints, compare the differences between those who seek and those who do not seek voice therapy, and investigate the relationships among coping and voice perceptual analysis, coping and signs and symptoms of voice, and coping and participation restrictions and limitations in vocal activities.Study Design. Cross-sectional nonrandomized prospective study with control group.Methods. Ninety female teachers participated in the study, of similar ages, divided into three groups: group 1 (G1) comprised 30 teachers with vocal complaints who sought voice therapy, group 2 (G2) comprised 30 teachers with vocal complaints who never sought voice therapy, and group 3 (G3) comprised 30 teachers without vocal complaints. the following analysis were conducted: identification and characterization questionnaire, addressing personal and occupational description, recording speech material for voice perceptual analysis, Voice Signs and Symptoms Questionnaire, Voice Activity and Participation Profile (VAPP), and Voice Disability Coping Questionnaire (VDCQ)-Brazilian Version.Results. in relation to the voice perceptual analysis, there was statistically significant difference between the groups with vocal complaint (G1 + G2), which had showed voices with mild-to-moderate deviation, and the group without vocal complaint (G1), which showed voices within the normal variability of voice quality (mean for G1 49.9, G2 43.7, and G3 32.3, P < 0.001). G1 had higher mean of voice signs and symptoms (G1 8.6, G2 6.6, and G3 2.0, P < 0.001) and higher scores in almost all dimensions of VAPP (P < 0.001), except for the aspects effect on job and effect on social communication. Individuals with vocal complaints who looked for voice therapy (G1) tended to use more problem-focused strategies and had higher scores in VDCQ (G1 45.4, G2 38.5, and G3 9.5, P < 0.001). the aspects that were correlated with VDCQ in the three groups were degree of vocal deviation, VAPP total score, VAPP partial scores of self-perceived severity of voice problem, effect on daily communication, effect on emotion, and participation restriction for G1; VAPP total score and partial score of effect on daily communication for G2; and all VAPP scores for G3. No correlation was found between voice signs and symptoms and coping.Conclusion. Teachers with vocal complaints who looked for voice therapy use more coping strategies. Moreover, they present a tendency to use more problem-focused coping strategies. Voice symptoms prompt the teachers into seeking treatment; however, they are not correlated with the coping itself. in general, the higher the perception of limitation and restriction of participating in vocal activities, the greater the use of coping strategies.
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    Coping Strategies in Voice Disorders of a Brazilian Population
    (Elsevier B.V., 2012-03-01) Oliveira, Gisele [UNIFESP]; Hirani, Shashivadan P.; Epstein, Ruth; Yazigi, Latife [UNIFESP]; Behlau, Mara [UNIFESP]; CEV Ctr Estudos Voz; Universidade Federal de São Paulo (UNIFESP); UCL; City Univ London
    The purpose of this research is to explore coping strategies of individuals with and without vocal complaint and to examine relationships between the type of coping and vocal complaint; vocal symptoms; vocal self-assessment; perceptual analysis and states of depression, anxiety, and aspects related to self-esteem; and locus of control. One hundred seventy-eight subjects with (n = 87) and without vocal (n = 91) complaint completed the following analysis: identification and characterization questionnaire, vocal self-assessment, perceptual analysis, Voice Disability Coping Questionnaire (VDCQ)-Brazilian Version, Beck Depression Inventory, Rosenberg Self-esteem Scale, Spielberger State-Trait Anxiety Inventory, and Health Locus of Control Scale. Age (P = 0.219) and sex (P = 0.132) were similar for both groups. the groups were statistically different for the following vocal characterization: number of symptoms, voice complaint, vocal self-assessment, and perceptual analysis. Conversely, the groups did not differ on states of depression, anxiety, and aspects related to self-esteem; and locus of control. Mean coping scores for the group with vocal complaint was 51.86 and for the group without vocal complaint was 23.18. Furthermore, men and women did not differ on the coping strategies reported (P = 0.750); however, individuals with vocal complaint reported statistically more strategies than the individuals without vocal complaint (P < 0.001). Problem-focused strategies were more frequently reported by individuals with vocal complaint (46.7%). Coping results correlated (Spearman's r) positively with vocal perceptual analysis (P = 0.036), depression (P = 0.006), and anxiety (P = 0.022), and correlated negatively with locus of control (P = 0.001). No correlation was found between coping and the other variables studied. These findings indicate that people with vocal complaint use a variety of coping strategies, problem focused in particular, to deal with their voice problems. Coping results appear to be associated with perceptual characteristics of voice and some traits, such as depression, anxiety, and locus of control.
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    Correlação entre ansiedade e performance comunicativa
    (Sociedade Brasileira de Fonoaudiologia, 2011-12-01) Almeida, Anna Alice Figueirêdo de; Behlau, Mara [UNIFESP]; Leite, Jose Roberto [UNIFESP]; Universidade Federal da Paraíba Curso de Fonoaudiologia; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: To investigate the possible existing correlations between trait anxiety, state anxiety, and vocal parameters. METHODS: Participants were 24 adult subjects, 12 men and 12 women, with ages between 19 and 42 years, with no psychiatric history. The score in the State-Trait Anxiety Inventory (STAI), especially the STAI-Trait, enabled the division of participants into two groups: low anxiety (LA) and high anxiety (HA). Psychological parameters (STAI) and vocal parameters (self-assessment through the vocal signs and symptoms questionnaire and the Voice-Related Quality of Life - V-RQoL protocol; perceptual, auditory and visual assessment of vocal behavior with the description of voice, speech and body parameters; and acoustic analysis). The sustained production o the vowel /a/, counting numbers, and a discourse regarding the subjects' greatest anxiety moments constituted the analyzed material. RESULTS: The higher the trait anxiety indicated by STAI, the greater the evidence of anxiety in connected speech and discourse; the higher the vocal pitch, the greater the impairment in speech articulation, coordination between breathing and speech, body movement and facial expression. The higher the state anxiety, the greater the evidence of anxiety in various parameters of the speech, with imbalance in vocal resonance, alterations in the modulation and articulation of speech and in facial expression. CONCLUSION: The trait and state of anxiety differentiated the communicative behavior of individuals, involving changes in the body, speech and voice.
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    Correlação entre avaliação perceptivo-auditiva, auto-avaliação vocal e qualidade de vida em voz em professores
    (Universidade Federal de São Paulo (UNIFESP), 2010-03-31) Morais, Edna Pereira Gomes de [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To correlate teacher vocal deviation and self assessment to voice-related quality of life. Method: a cross-sectional observational and correlational study of 73 first to fifth grade female elementary teachers aged between 25 and 55 years and who had vocal complaints. Participants answered a sample determination questionnaire and were asked “how do you judge your voice?”; had their sustained vowel /a/ and connected speech (counting from one to ten) recorded to make up the samples of voices that were to go through auditory-perceptual evaluation using the visual analogue scale; and answered the voice-related quality of life (V-RQOL) questionnaire. CCI was calculated, with CI95%, in order to verify the agreement ratio among interviewers. The ANOVA test was used to calculate each interviewer’s means. Descriptive statistics were used to characterize the sample and the Spearman correlation coefficient for the correlation among self-assessment, auditory-perceptual evaluation, and VRQOL. The Mann-Whitney test was employed to compare the mean values between sustained utterance and connected speech. The significance level was 5% and the statistical software Minitab 15.1 was the choice for calculations. Results: The extent of vocal deviation was moderate for sustained vowel and mild to moderate for conected speech. Total VRQOL score was 72, social-emotional control was 80.5 and physical 66.2. There was correlation between the teachers’ vocal self-assessment and VRQOL. Conclusion: Correlation was not seen between auditory-perceptual evaluation and VRQOL, just between the latter and self-assessment.
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    Cross-Cultural Adaptation, Validation, and Cutoff Values of the Brazilian Version of the Voice Symptom Scale-VoiSS
    (Elsevier B.V., 2014-07-01) Moreti, Felipe [UNIFESP]; Zambon, Fabiana [UNIFESP]; Oliveira, Gisele; Behlau, Mara [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); CEV
    Objectives. the present study sought to determine the validity, reliability, and responsiveness of the Brazilian Portuguese Voice Symptom Scale (VoiSS) and also identify characteristics of efficacy and cutoff values that discriminate dysphonic from vocally healthy individuals.Study Design. Cross-sectional, nonrandomized, prospective study with controls.Methods. Thirty hundred subjects (160 with dysphonia and 140 without dysphonia) completed the Brazilian version of the VoiSS as well as a vocal self-assessment scale using a five-point rating system (excellent, very good, good, fair, and poor).Results. the Brazilian version of VoiSS, referred to as the Escala de Sintomas Vocais (ESV), was valid, reliable, and responsive. A score of 16 was determined to be highly sensitive (100%) and specific (100%) for individuals with dysphonia.Conclusions. the Brazilian version of VoiSS or ESV demonstrated a high degree of validity, reliability, and responsiveness with regard to differentiating aberrant vocal function and was valuable as an instrument to quantify the response to treatment in patients with dysphonia. the cutoff value that discriminates individuals with dysphonia from vocally healthy subjects was 16.
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    Descrição da qualidade vocal de personagens idosos dos filmes de Hollywood
    (CEFAC Saúde e Educação, 2010-06-01) Oliveira, Gisele [UNIFESP]; Behlau, Mara [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: to describe the vocal quality of Hollywood movies characters playing elderly people roles. METHODS: a total of 50 aged character voice samples were used, 11 female and 39 male, from 38 Hollywood movies from the period between 1993 and 2001. Twenty speech therapists performed a perceptual auditory analysis. The listener's task required classifying each character either as elderly or as adult by their speech features, and also assessing their voices following the parameters that are most frequently addressed in the literature as being disordered at an old age. The parameters were hoarseness, vocal fry, breathiness, strain, roughness, vocal weakness, nasal resonance, tremor, vocal modulation, pitch and fundamental frequency stability. RESULTS: after the perceptual auditory analysis we noted that a great number of actors (82%) used senile voices indicating old age, even though not all of them were elderly. The most salient voice set altered was vocal quality (92%), demonstrated by vocal fry (80%), breathiness (54%), strain (38%), hoarseness (30%), and weak voice (28%). The second vocal set most used by the actors for their roles was extensive vocal modulation (44%). It was also observed that vocal instability (64%) was used by the actors. CONCLUSION: it can be concluded from the results that Hollywood movies characterize the elderly characters through evident deviations in vocal quality and modulation, using disordered types of voices and vocal unstable and extensive modulation.
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    Dinâmica respiratória em mulheres de meia idade vocalmente saudáveis durante tarefas fonatórias para avaliação da funcionalidade vocal: dados preliminares para a prática clínica
    (Universidade Federal de São Paulo, 2024-11-07) Silva, Erica Kiyoko Yamauchi [UNIFESP]; Odagima, Rosiane Kimiko Yamasaki [UNIFESP]; http://lattes.cnpq.br/7764073741184155; http://lattes.cnpq.br/0260255727485962
    INTRODUÇÃO: A voz humana passa por mudanças naturais ao longo da vida. A faixa de idade do adulto jovem corresponde ao período em que todos os subsistemas da voz estão plenamente desenvolvidos e com bom desempenho. Estudos importantes têm sido realizados com adultos jovens, mas a literatura ainda carece de informações sobre a produção vocal de indivíduos de meia idade, especialmente da dinâmica respiratória durante tarefas que avaliam a funcionalidade vocal, como as do campo dinâmico vocal (CDV). Objetivo: Investigar a dinâmica respiratória de mulheres de meia-idade vocalmente saudáveis durante a realização das tarefas do CDV com variação de intensidade por meio da pletismografia respiratória de indutância. Método: Trata-se de um estudo transversal aprovado pelo Comitê de Ética em Pesquisa, número de parecer 6.946.377. Participaram da pesquisa 12 mulheres de meia-idade de 46 a 59 anos (média da idade = 51,52; e média do IMC = 24,90). A tarefa fonatória consistiu da contagem de 1 a 30 em intensidades habitual, fraca e forte. A dinâmica respiratória foi analisada por meio da pletismografia de indutância, com a utilização de duas cintas respiratórias, uma posicionada na altura da axila (expansibilidade da caixa torácica - CT) e outra na região abdominal (expansibilidade da região abdominal - AB). Parâmetros da dinâmica respiratória: medida da amplitude de movimento inspiratório e expiratório da CT e da região AB; e quantidade de ciclos respiratórios ao longo da contagem de números, em mV. Resultados: Na fase inspiratória, a média da amplitude de movimento inspiratório da CT, que foi de 0.0095 na intensidade habitual, de 0.0087 na fraca e de 0.0222 na forte, não diferiu significantemente da média da amplitude de movimento da região AB, de 0.0106 na habitual, de 0.0096 na fraca e de 0.018 na forte intensidade. Na fase expiratória, a média da amplitude de movimento expiratório da CT, de 0.0108 na intensidade habitual, de 0.0117 na fraca e de 0.0236 na forte, também não diferiu significantemente da média da amplitude de movimento da região AB, de 0.0108 na habitual, de 0.0137 na fraca e de 0.0283 na forte intensidade. Em relação ao número de ciclos respiratórios nas três intensidades, observou-se a predominância de 3 a 4 ciclos na intensidade habitual e de 1 a 2 ciclos na intensidade forte. Na intensidade fraca, o número de ciclos respiratórios se mostrou disperso, sem predominância. Conclusão: A dinâmica respiratória de mulheres de meia-idade vocalmente saudáveis caracterizou-se por amplitude de movimento inspiratório e expiratório da CT e da região AB semelhante. O número de ciclos respiratórios ao longo da contagem foi menor na emissão em intensidade forte.
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    Dogs recognize dog and human emotions
    (Royal soc, 2016) Albuquerque, Natalia; Guo, Kun; Wilkinson, Anna; Savalli, Carine [UNIFESP]; Otta, Emma; Mills, Daniel
    The perception of emotional expressions allows animals to evaluate the social intentions and motivations of each other. This usually takes place within species