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What Factors Determine the Use of Volitional and Non-Volitional Devices in Vocal Interventions Performed by Brazilian speech-language Pathologists?

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Journal of Voice 2023年

作者： de Jesus Batista, Denis Lopes, Leonardo Wanderley Almeida, Anna Alice Siqueira, Larissa Thais Donalonso Ribeiro, Vanessa Veis Postgraduate Program in Decision Models and Health Statistics Departament Universidade Federal da Paraíba Paraíba João Pessoa Brazil Associate Postgraduate Program in Speech-language Therapy Universidade Federal da Paraíba Universidade Federal do Rio Grande do Norte and Universidade Estadual de Ciências da Saúde de Alagoas Department of Speech-Language Therapy Postgraduate Program in Decision Models and Health at the Universidade Federal da Paraíba Paraíba João Pessoa Brazil Department of Speech-Language Therapy at the Universidade Federal do Rio Grande do Norte Rio Grande do Norte Natal Brazil Speech-language Therapy Course and Postgraduate Program in Medical Sciences Universidade de Brasília

Objective: To analyze the determining factors for using devices in vocal interventions and characterize their use by Brazilian speech-language pathologists (SLPs). Methods: This cross-sectional observational study had a sample of 148 SLPs with clinical practice in voice. They answered an online questionnaire via Google Forms about sociodemographic data, training, work in the area, and the use of devices in vocal interventions. Data were analyzed descriptively and inferentially. Results: Tubes, straws, and masks were the most commonly used devices. SLPs specializing in voice are more inclined to use thermotherapy and kinesio tapings while being less inclined to use therapeutic ultrasounds and nebulizers. Voice specialists are less likely to employ electrostimulation. The choice to use photobiomodulation and auditory monitoring devices is influenced by the years of clinical experience, whereas the speech-language therapy training duration affects the use of electrostimulation. The age of the professional also plays a role in the utilization of vibratory stimulation. Vibratory stimulation, auditory monitoring devices, thermotherapy, and nebulization are more frequently utilized among individuals who rely on their voices for occupational purposes, whereas electrostimulation is less common. The use of photobiomodulation is infrequent in children;vibratory stimulation is more common in adolescents, and thermotherapy is relatively common among older individuals. Most of these devices are typically prescribed in execution time during vocal intervention. Conclusion: The specialization, the time since graduation and in the occupation, and the target population of the service are the determining factors for the use of devices. They are used in vocal therapy and training, targeting vocal function. © 2023 The Voice Foundation

关键词： language and hearing sciences speech speech therapy Voice Voice disorders Voice training

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Volitional and Non-volitional Devices Used in Voice therapy and Training: A Scoping Review—Part A

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Journal of Voice 2024年

作者： Batista, Denis de Jesus Duarte, João M. da Trindade Siqueira, Larissa T.D. Almeida, Anna A. Lopes, Leonardo W. Ribeiro, Vanessa V. Center for Exact and Natural Sciences Postgraduate program in Decision Models and Health of Universidade Federal da Paraíba Paraíba João Pessoa Brazil Health Sciences Center Associated Postgraduate Program in Speech-Language Pathology and Audiology at the Universidade Federal da Paraíba Universidade Federal do Rio Grande do Norte and Universidade Estadual de Ciências da Saúde de Alagoas Paraíba João Pessoa Brazil Center for Human Sciences Letters and Arts Postgraduate program in Linguistics of Universidade Federal da Paraíba Paraíba João Pessoa Brazil Department of Speech-Language Pathology and Audiology of the Universidade Federal do Rio Grande do Norte Rio Grande do Norte Natal Brazil Department of Speech-Language Pathology and Audiology Graduate Program in Linguistics and Graduate Program in Decision Models and Health of the Universidade Federal da Paraíba Paraíba João Pessoa Brazil Faculty of Medicine Speech-Language Pathology and Audiology course and the Postgraduate Program in Medical Sciences of the Universidade de Brasília Distrito Federal Brasília Brazil

Objective: To map the volitional and non-volitional devices used by speech and language pathologists (SLPs) in voice training and therapy and characterize their use in research on voice interventions. Methods: This scoping review is the first part of a larger study. The electronic search was carried out by mapping the references in PubMed/Medline, LILACS/BVS, Scopus, Web of Science, EMBASE, and the Cochrane Library, and the manual search was carried out in the grey literature. Two blind independent reviewers selected and extracted data;divergences were solved by consensus. The data extracted in this part of the study were the authorship and year of publication, country, study design, sample characteristics, intervention modality, ingredient, target, mechanism of action, dosage, and outcome measures. They were addressed with descriptive analysis. Results: Publications that use devices as ingredients are mostly from the last two decades, mainly carried out in the United States of America and Brazil, in adults of both sexes with behavioral dysphonia. Forty-two types of devices were used, many of them with similar approaches but different nomenclatures. Most devices were used voluntarily, focusing on vocal function, and aiming to increase source and filter interaction. Most studies used silicone tubes. The most reported technical specification to apply the ingredient was surface electrodes on the neck. Device dosage was time-controlled, and the most used outcomes were self-assessment and acoustic analysis. Conclusion: Devices are currently used as ingredients in vocal interventions, with a greater focus on increasing the source and filter interaction, associated with silicone tubes (the most used devices in these studies), which have been dosed with performance time. Outcomes were measured with self-assessment instruments. © 2023 The Voice Foundation

关键词： language and hearing sciences speech speech therapy Voice Voice disorders Voice training

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Internal Consistency of the Voice Handicap Index in Individuals With Dysphonia: A Systematic Review and Meta-Analysis

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Journal of Voice 2023年

作者： Batista, Denis de Jesus da Silva, Rayane Délcia Martins, Agnes Andrade de Araújo, Cristiano Miranda Santos, Rosane Sampaio Filho, Odilon Guariza Taveira, Karinna Veríssimo Meira Ribeiro, Vanessa Veis Decision Models and Health Statistics Department Universidade Federal da Paraíba Paraíba João Pessoa Brazil Núcleo de estudos Avançados em Revisões Sistemáticas e Meta-análise (NARSM) Rua Padre Ladislau Kula 395 - Santo Inácio PR Curitiba 82010-210 Brazil Communication Disorders Universidade Tuiuti do Paraná Paraná Curitiba Brazil Dentistry Universidade Federal do Rio Grande do Norte Rio Grande do Norte Natal Brazil Dentistry Universidade Tuiuti do Paraná Paraná Curitiba Brazil Graduate Program in Communication Disorders Universidade Tuiuti do Paraná Pontifícia Universidade Católica do Paraná Paraná Curitiba Brazil Associated Graduate Program in Speech and Language Therapy Universidade Federal da Paraíba Universidade Federal do Rio Grande do Norte and Universidade Estadual de Ciências da Saúde de Alagoas Paraná Curitiba Brazil Universidade Federal do Rio Grande do Norte Paraná Curitiba Brazil Speech and Language Therapy Course and the Graduate Program in Medical Sciences Universidade de Brasília Universidade Federal do Rio Grande do Norte and Universidade Estadual de Ciências da Saúde de Alagoas Distrito Federal Brasília Brazil

Objective: To analyze the internal consistency of the Voice Handicap Index (VHI) for evaluating the vocal handicap of individuals with dysphonia. Methods: This is a systematic review. Studies with a cross-sectional design and including a population of individuals with dysphonia, which validated the VHI and analyzed its internal consistency, were included. The following electronic databases were searched: Cochrane Library, EMBASE, LILACS, and PubMed, including Medline, Scopus, and Web of Science. A manual search was performed in gray literature through the Biblioteca Digital Brasileira de Teses e Dissertações and ProQuest Dissertation & Theses. In addition, the list of references of studies selected in the electronic search was mapped, and an expert in the area was consulted. Two reviewers blindly and independently conducted the selection, data extraction, and analysis of the risk of bias, the certainty of the evidence, and good psychometric measures. A meta-analysis was performed with a random effects model using the JAMOVI 2.3.2 software. Results: Forty-nine studies were analyzed. In risk of bias assessment, the studies were classified as having inadequate structural validity and very good internal consistency. The analysis of good psychometric properties indicated indeterminate structural validity and insufficient internal consistency. The overall value of Cronbach's alpha was estimated at 0.94, thus suggesting a very good internal consistency. However, there was high heterogeneity. The level of certainty of the evidence was too low for internal consistency. Conclusion: The VHI proved to be a consistent and reliable patient-reported outcome measure to evaluate voice handicap in individuals with dysphonia;however, studies are heterogeneous, and the certainty of evidence is very low. © 2023 The Voice Foundation

关键词： Internal consistency Reliability Systematic review VHI Voice disorder Voice Handicap Index

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Deglutition Impairment during Dual Task in Parkinson Disease Is Associated with Cognitive Status

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International Archives of Otorhinolaryngology 2020年第1期25卷 e41-e47页

作者： Luciana Grolli Ardenghi Alana Verza Signorini Gerson Schulz Maahs Fabio Selaimen Konrado Massing Deutsch Silvia Dornelles Carlos Roberto de Mello Rieder Department of Speech Therapy Universidade de Passo Fundo Passo Fundo Brazil Program of Graduate Studies in Medical Sciences Universidade Federal do Rio Grande do Sul Cesar Lombroso Porto Alegre Brazil Departament of Health and Human Communication Speech-Language Pathology Course Universidade Federal do Rio Grande do Sul Porto Alegre Rio Grande do Sul Brazil Department of Developmental Psychology and Personality Ramiro Barcelos Universidade Federal do Rio Grande do Sul Porto Alegre Rio Grande do Sul Brazil Department of Neurology Universidade Federal de Ciências da Saúde de Porto Alegre Porto Alegre Brazil Department of Neurology Distúrbios do Movimento Hospital de Clínicas de Porto Alegre Porto Alegre Brazil

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