scholarly journals Speech therapy strategies to promote the vocal health of teachers: integrative literature review

2021 ◽  
Vol 11 (1) ◽  
pp. 51-60
Author(s):  
Rayane Medeiros dos Santos ◽  
Mylena dos Santos Cavalcante ◽  
Vanessa Fernandes de Almeida Porto ◽  
Edna Pereira Gomes de Morais

Objective: To identify the speech therapy strategies used to promote vocal health to teachers of early childhood, elementary and high school, participating in programs/actions for prevention and promotion of vocal health, as well as to describe and analyze their effects through an integrative literature review. Methods: An integrative review was conducted, which consisted of searches in the Lilacs, SciELO, and Medline databases. Inclusion criteria were complete articles available online in any language and year of publication that addressed strategies for promoting vocal health and preventing disorders in the target population, used in vocal health programs/actions with teachers. Results: Of the 624 articles that were included, six were selected to compose the study. It was possible to verify that the most used resources were educational strategies, through programs of guidance and attention to the teacher's vocal health. The results of the interventions were analyzed using self-assessment questionnaires, some of which have been standardized, with validation and adaptation to Brazilian Portuguese. Among practical strategies, exercises involving semi-occluded vocal tract, breathing, relaxation, resistance, and vocal projection, as well as vocal warm-up and cool-down, were the most used. Conclusions: Vocal health programs present diversified strategies, such as time and results analysis. The accurate study allowed to verify that the programs are effective and allow better vocal performance to the teacher, notably, through direct and indirect strategies.

2021 ◽  
pp. 102986492110478
Author(s):  
Mauro B. Fiuza ◽  
Maria Luisa Sevillano ◽  
M.B. Lã Filipa

Menopause is a certainty in a female singer’s life; depletion of estrogens may lead to physical, mental, and vocal symptoms. To investigate the extent to which these symptoms affect singers, a systematic literature review was carried out using eight interdisciplinary bibliographic databases. Combinations of the following key words were used: menopause, climacterium, singing, singers, and choir. From 18 studies, including three doctoral dissertations and a master’s thesis, only 10 met the inclusion criteria. The heterogeneity of study designs and methods of data collection and analysis precluded the carrying out of a meta-analysis. Instead, descriptors of symptoms affecting the voice, and vocal characteristics associated with menopause ( menopause descriptors) were categorized, and their frequency of occurrence determined, according to six types of primary dataset: (1) self-reported symptoms, (2) acoustic characteristics, (3) observations of the larynx, (4) perceptual evaluations, (5) analysis of electrolaryngographic waveform characteristics, and (6) analysis of hormone concentrations. The descriptors that occurred most frequently in the literature concerned aspects of voice production, whereas those concerning vocal health, and vocal practice and performance, were less common. Of the three subsystems that comprise the vocal instrument, the vibrating vocal folds seem to be more affected than breathing and resonance. Changes in vocal range, timbre, endurance, and vocal fold mobility occur during menopause, affecting singers’ voice quality. Some singers reported that their ability to perform was compromised, mainly due to memory lapses and lack of confidence. Maintaining regular singing and practicing semi-occluded vocal tract exercises throughout the menopausal transition seem to help singers to overcome the negative impacts of menopause on vocal performance.


2020 ◽  
Vol 7 (12) ◽  
pp. 63-67
Author(s):  
Se-Won Kang

This is a literature review to understand trends in grit-related nursing research published in the Korean Journal of Nursing. The literature search was targeted at articles published in Korean nursing journals including “grit” and “nursing.” Articles published in 2015-2020 were included. A total of 20 papers suitable for literature review were analyzed. These studies included 2 conceptual analysis studies, 3 tool development studies, and 15 descriptive research studies containing correlation and factor analysis were analyzed. For the target population, 6 studies targeting clinical nurses, 13 targeting nursing students, and 1 targeting patients were analyzed. In future grit-related nursing research, experimental study designs to apply grit should be used.


Revista CEFAC ◽  
2018 ◽  
Vol 20 (5) ◽  
pp. 657-664 ◽  
Author(s):  
Débora Butka Thomas ◽  
Nágila Soares Xavier Oenning ◽  
Bárbara Niegia Garcia de Goulart

ABSTRACT Objective: to investigate the literature production on the design of forms for research in the health area and describe the most relevant concepts and precepts of the topic. Methods: an integrative literature review in the PubMed and Scielo databases with the key words: survey, constructing, questionnaire, formulary, development and design in various combinations, including articles published in any language in the last ten years. The survey returned 1,480 articles, and after reading and critically reviewing the abstracts according to the objective of the study, 16 articles were selected for complete reading. Information regarding aspects that were most relevant to the objective of the study was analyzed, as well as its recurrence in the selected articles. Results: the reading of the 16 articles resulted in three categories, based on the recurrence of the themes: structure, validation and sampling. Conclusion: clarity in the formulation of the questions was the most valued aspect in the structure of the instrument. As for validation, the realization of pilot tests was considered fundamental. Finally, the method of administration and adaptation of the questionnaire to target population was considered fundamental.


2010 ◽  
Vol 447-448 ◽  
pp. 55-60 ◽  
Author(s):  
J.B. Saedon ◽  
Sein Leung Soo ◽  
David K. Aspinwall

Micro milling is gaining ground as the preferred process for the manufacture of micro/meso-scale components in conventional workpiece materials, in particular for miniature moulds and tooling inserts (~ 60HRC), for the plastics injection moulding industry. Following a brief literature review on microscale milling and associated machine tool/tooling developments, experimental results are presented in relation to spindle thermal growth for a compensated/cooled spindle operating at up to 60,000 rpm, designed to accommodate the machining of meso-scale/micro-scale components. The work involved investigation of spindle warm up and cool down rates for speeds ranging from 30,000 - 60,000 rpm and subsequently the evaluation of spindle growth using both non-contact and contact measuring systems. Growth levels of up to 16µm were detected despite active spindle cooling and the incorporation of a standard compensation algorithm within the control system. Modification to spindle acceleration and deceleration rates reduced error levels by up to 50%.


2018 ◽  
Vol 7 (4) ◽  
pp. 1-7
Author(s):  
Anna Kuligowska ◽  
Barbara Jamróz ◽  
Joanna Chmielewska ◽  
Katarzyna Jędra ◽  
Tomasz Czernicki ◽  
...  

Aim of study: Evaluation of the speech therapy on voice quality in patients with unilateral vocal fold palsy. Material and methods: The study group included 11 patients, 8 women and 3 men, in age between 16 to 72 years, with unilateral vocal fold palsy, diagnosed in ENT Department of Warsaw Medical University between 2017-2018. Each person completed questionnaires: the voice disability self-assessment scale (VHI), the voice-based quality of life (VRQoL) scale, the vocal tract discomfort scale (VTD). All questionnaires were completed twice, before and after the voice therapy. In addition, the acoustic analysis of the voice, the assessment of the maximum phonation time and the breathing tract were performed twice in each patient. Each of the patients had a voice rehabilitation consisting of a series of 10 meetings. Results: Statistical analysis of the results of maximum phonation time, the self-assessment of voice disability, the quality of life depending on the voice, discomfort of the vocal tract voice acoustic analysis showed statistically significant differences in the results before and after rehabilitation (p <0.005). In addition, the improvement of the respiratory tract was observed in the majority of patients. Conclusions: Speech therapy significantly affects the voice quality of patients with unilateral laryngeal nerve palsy.


2015 ◽  
Vol 29 (6) ◽  
pp. 727-732 ◽  
Author(s):  
Emily Duke ◽  
Laura W. Plexico ◽  
Mary J. Sandage ◽  
Matthew Hoch

2020 ◽  
pp. 1-6
Author(s):  
Del Castilo ◽  
◽  
Thaís. Lopes João ◽  

Introduction: Voice is a determining factor for transgender women to be able to communicate and be recognized by the other as belonging to the desired gender. In voice clinic, exercises of semi-occluded vocal tract and technological resources that act in an adjunct manner are used, aiming to promote better phonatory adjustments, raising the fundamental frequency and vocal tract adjustments such as resonance, intensity, articulation, speed, among others. The work of the speech therapist requires an expanded vision, seeking the integration between voice and body. The present study seeks to understand how the modulation process for acute pitch occurs upon using exercise with a high-strength tube associated with the therapeutic resource of low intensity laser, aiming to evaluate the effectiveness of these two tools when used simultaneously. Material and Methods: The research was based on a case study of a transgender woman. The therapy was based on the application of low intensity laser associated with the use of exercise with high strength tube. The study was approved by the Research Ethics Committee and the participant signed the Informed Consent Form. Anamnesis, application of the Transsexual Voice Questionnaire (TVQ) and evaluation before and after the application of the techniques were performed, through acoustic analysis of the vocal signal and auditory-perceptive evaluation, through the Vocal Profile Analysis (VPA) Protocol. Results and Discussion: There was an increase in variability in the categories of pitch and loudness, absence of crackling and improvement in energy distribution after therapy. The patient used greater voice breathing and there was a predominance in the distribution of articulatory adjustments. Conclusion: Speech therapy promoted an election of the vocal pitch, modified the characteristics of vocal quality and dynamics and generated a sound fluency for the female. It was possible to observe that the greatest change occurred in an auditory way, interfering in the acoustic impression that the other has in relation to this voice, that is, the greatest gain was in the sound filter


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