CoDAS
https://codas.org.br/article/doi/10.1590/2317-1782/20212020302
CoDAS
Artigo Original

Análise do índice de desvantagem vocal para o canto de coristas idosos

Analysis of the singing voice handicap index for elderly choristers

Weluma Evelyn Rodrigues Moura; Camila Dalbosco Gadenz; Isadora de Oliveira Lemos; Ângelo José Gonçalves Bós; Mauriceia Cassol

Downloads: 2
Views: 991

Resumo

Objetivo: Analisar o índice de desvantagem vocal para o canto de coristas idosos e verificar a sua relação com perfil, hábitos e condições de saúde dos participantes. Método: Foram incluídos 110 indivíduos com 60 anos ou mais, participantes de coros amadores. Os coristas foram entrevistados a fim de verificar dados como idade, tempo de canto coral, classificação vocal e a presença de hábitos e condições de saúde adversas à produção vocal. Posteriormente, responderam o questionário “Índice de Desvantagem Vocal para o Canto (IDV-C)” que avalia a autopercepção do indivíduo em relação às experiências no uso da voz cantada. Resultados: O escore do IDV-C teve uma mediana de 25, sendo a pontuação mínima 0 e a máxima 86. Os itens mais pontuados estavam relacionados aos aspectos físicos no uso da voz cantada: “Não consigo cantar agudo” (Q10) e “Minha garganta fica seca quando canto” (Q13). Verificou-se que os idosos com mais de 75 anos apresentaram maior desvantagem vocal para o canto ao comparar com os mais jovens (p=0,020). As coristas classificadas como contralto também apresentaram maior escore do IDV-C (p=0,023), assim como os indivíduos que relataram beber pouca água (p=0,007). Conclusão: Os coristas deste estudo apresentaram um índice de desvantagem vocal para o canto compatível com vozes saudáveis para o canto. Ao verificar a relação do escore do IDV-C com as características dos participantes e a respeito dos hábitos e condições de saúde, constatou-se que os coristas idosos com mais de 75 anos, as coristas contralto e aqueles que afirmaram beber pouca água apresentaram escores maiores de desvantagem vocal para o canto.

Palavras-chave

Voz; Qualidade Vocal; Canto; Envelhecimento; Qualidade de Vida

Abstract

Purpose: To analyze the singing voice handicap index in elderly choristers and verify its relationship with the profile, habits and health conditions of the participants. Methods: 110 individuals aged 60 years or older, participating in amateur choirs, were included. Choir singers were interviewed in order to verify data such as age, time in choir singing, vocal classification, and the presence of habits and health conditions adverse to voice production. Subsequently, they answered the questionnaire “Singing Voice Handicap Index (SVHI)”, which assesses the individual’s self-perception in relation to experiences in the use of the singing voice. Results: The SVHI score had a median of 25, with a minimum score of 0 and a maximum score of 86. The most scored items were related to physical aspects in the use of singing voice: “I am unable to use my ‘high voice’” (Q10) and “My throat is dry when I sing”(Q13). It was found that older adults over 75 years of age had a greater voice handicap when compared to younger ones (p=0.020). Choir singers classified as contralto also had a higher SVHI score (p=0.023), as well as individuals who reported drinking little water (p=0.007). Conclusion: The choristers in this study presented a singing voice handicap index compatible with healthy singing voices. When verifying the relationship of the SVHI score with the characteristics of the participants and with respect to habits and health conditions, it was found that the elderly choir singers over 75 years old, the contralto choir singers, and those who claimed to drink little water had higher scores for the singing voice handicap.

Keywords

Voice; Voice Quality; Singing; Aged; Quality of Life

Referências

1) Çiyiltepe M, Şenkal ÖA. The ageing voice and voice therapy in geriatrics. Aging Clin Exp Res. 2017;29(3):403-10. http://dx.doi.org/10.1007/s40520-016-0597-3 PMid:27324692.
» http://dx.doi.org/10.1007/s40520-016-0597-3
2) Mezzedimi C, Di Francesco M, Livi W, Spinosi MC, De Felice C. Objective evaluation of presbyphonia: spectroacoustic study on 142 patients with Praat. J Voice. 2017;31(2):257.e25-32. http://dx.doi.org/10.1016/j.jvoice.2016.05.022 PMid:27427181.
» http://dx.doi.org/10.1016/j.jvoice.2016.05.022
3) Rapoport SK, Menier J, Grant N. Voice changes in the elderly. Otolaryngol Clin North Am. 2018;51(4):759-68. http://dx.doi.org/10.1016/j.otc.2018.03.012 PMid:29887345.
» http://dx.doi.org/10.1016/j.otc.2018.03.012
4) Lortie CL, Rivard J, Thibeault M, Tremblay P. The moderating effect of frequent singing on voice aging. J Voice. 2017;31(1):112.e1-12. http://dx.doi.org/10.1016/j.jvoice.2016.02.015 PMid:27049451.
» http://dx.doi.org/10.1016/j.jvoice.2016.02.015
5) Maruthy S, Ravibabu P. Comparison of dysphonia severity index between younger and older carnatic classical singers and nonsingers. J Voice. 2015;29(1):65-70. http://dx.doi.org/10.1016/j.jvoice.2014.05.001 PMid:25179778.
» http://dx.doi.org/10.1016/j.jvoice.2014.05.001
6) Aquino FS, Silva MAA, Teles LCS, Ferreira LP. Aspects of the speaking voice of elderly women with choral singing experience. CoDAS. 2016;28(4):446-53. http://dx.doi.org/10.1590/2317-1782/20162015109 PMid:27652927.
» http://dx.doi.org/10.1590/2317-1782/20162015109
7) D’haeseleer E, Claeys S, Bettens K, Leemans L, Van Calster A-S, Van Damme N, et al. The impact of a teaching or singing career on the female vocal quality at the mean age of 67 years: a pilot study. J Voice. 2017;31(4):516.e19-26. http://dx.doi.org/10.1016/j.jvoice.2016.12.016 PMid:28187923.
» http://dx.doi.org/10.1016/j.jvoice.2016.12.016
8) Cassol M, Bós AJG. Impact of choir singing in elderly on depression symptoms and voice quality. Public Health Prev Med. 2015;1(3):101-7.
9) Rosa M, Behlau M. Mapping of vocal risk in amateur choir. J Voice. 2017;31(1):118.e1-11. http://dx.doi.org/10.1016/j.jvoice.2016.03.002 PMid:27055399.
» http://dx.doi.org/10.1016/j.jvoice.2016.03.002
10) Bullack A, Gass C, Nater UM, Kreutz G. Psychobiological effects of choral singing on affective state, social connectedness, and stress: influences of singing activity and time course. Front Behav Neurosci. 2018;12:223. http://dx.doi.org/10.3389/fnbeh.2018.00223 PMid:30319371.
» http://dx.doi.org/10.3389/fnbeh.2018.00223
11) Murry T, Zschommler A, Prokop J. Voice handicap in singers. J Voice. 2009;23(3):376-9. http://dx.doi.org/10.1016/j.jvoice.2007.10.013 PMid:18191378.
» http://dx.doi.org/10.1016/j.jvoice.2007.10.013
12) Phyland DJ, Oates J, Greenwood KM. Self reported voice problems among three groups of professional singers. J Voice. 1999;13(4):602. http://dx.doi.org/10.1016/S0892-1997(99)80014-9 PMid:10622525.
» http://dx.doi.org/10.1016/S0892-1997(99)80014-9
13) Cohen SM, Jacobson BH, Garrett CG, Noordzij JP, Stewart MG, Attia A, et al. Creation and validation of the singing voice handicap index. Ann Otol Rhinol Laryngol. 2007;116(6):402-6. http://dx.doi.org/10.1177/000348940711600602 PMid:17672240.
» http://dx.doi.org/10.1177/000348940711600602
14) Behlau M, Gasparini G. Índice de Desvantagem Vocal para o Canto - IDV-C. Tradução [Internet] 2020 [citado em 2020 Jul 13]. Disponível em: http://www4.pucsp.br/laborvox/dicas_pesquisa/downloads/IDVC.pdf
» http://www4.pucsp.br/laborvox/dicas_pesquisa/downloads/IDVC.pdf
15) Sobol M, Sielska-Badurek EM, Osuch-Wójcikiewicz E. Normative values for singing voice handicap index: systematic review and meta-analysis. Rev Bras Otorrinolaringol. 2020;86(4):497-501. http://dx.doi.org/10.1016/j.bjorl.2018.12.004 PMid:30846419.
» http://dx.doi.org/10.1016/j.bjorl.2018.12.004
16) Paoliello K, Oliveira G, Behlau M. Singing voice handicap mapped by different self-assessment instruments. CoDAS. 2013;25(5):463-8. http://dx.doi.org/10.1590/S2317-17822013005000008 PMid:24408551.
» http://dx.doi.org/10.1590/S2317-17822013005000008
17) Castelblanco L, Habib M, Stein DJ, de Quadros A, Cohen SM, Noordzij JP. Singing voice handicap and videostrobolaryngoscopy in healthy professional singers. J Voice. 2014;28(5):608-13. http://dx.doi.org/10.1016/j.jvoice.2014.03.003 PMid:24836361.
» http://dx.doi.org/10.1016/j.jvoice.2014.03.003
18) Gunjawate DR, Aithal VU, Guddattu V, Bellur R. Adaptation and validation of the Kannada version of the singing voice handicap index. J Voice. 2017;31(4):507.e7-11. http://dx.doi.org/10.1016/j.jvoice.2016.10.012 PMid:27913091.
» http://dx.doi.org/10.1016/j.jvoice.2016.10.012
19) Baracca G, Cantarella G, Forti S, Pignataro L, Fussi F. Validation of the Italian version of the Singing Voice Handicap Index. Eur Arch Otorhinolaryngol. 2014;271(4):817-23. http://dx.doi.org/10.1007/s00405-013-2658-y PMid:23974331.
» http://dx.doi.org/10.1007/s00405-013-2658-y
20) Sielska-Badurek E, Osuch-Wójcikiewicz E, Sobol M, Kazanecka E, Niemczyk K. Singers’ vocal function knowledge levels, sensorimotor self-awareness of vocal Tract, and Impact of functional voice rehabilitation on the vocal function knowledge and self-awareness of vocal tract. J Voice. 2017;31(1):122.e17-24. http://dx.doi.org/10.1016/j.jvoice.2016.01.011 PMid:26952318.
» http://dx.doi.org/10.1016/j.jvoice.2016.01.011
21) Ghaemi H, Dehqan A, Mahmoodi-Bakhtiari B, Sobhani-rad D. The Singing Voice Handicap Index (SVHI): Validation and adaptation into Persian. J Voice. 2020;34(1):158.e17-23. http://dx.doi.org/10.1016/j.jvoice.2018.07.025 PMid:30170911.
» http://dx.doi.org/10.1016/j.jvoice.2018.07.025
22) Cohen SM, Noordzij JP, Garrett CG, Ossoff RH. Factors associated with perception of singing voice handicap. Otolaryngol Head Neck Surg. 2008;138(4):430-4. http://dx.doi.org/10.1016/j.otohns.2007.12.041 PMid:18359349.
» http://dx.doi.org/10.1016/j.otohns.2007.12.041
23) Prakup B. Acoustic measures of the voices of older singers and nonsingers. J Voice. 2012;26(3):341-50. http://dx.doi.org/10.1016/j.jvoice.2011.05.007 PMid:21889299.
» http://dx.doi.org/10.1016/j.jvoice.2011.05.007
24) Rezende G, Irineu RA, Dornelas R. College choir: self-reported symptoms vocal and handicap vocal in singing. Rev CEFAC. 2015;7(4):1161-72. http://dx.doi.org/10.1590/1982-0216201517415114
» http://dx.doi.org/10.1590/1982-0216201517415114
25) Coelho ACC, Daroz IF, Silverio KCA, Brasolotto AG. Amateur choir singers: self-image, difficulties and symptoms of the singing voice. Rev CEFAC. 2013;15(2):436-43. http://dx.doi.org/10.1590/S1516-18462013000200021
» http://dx.doi.org/10.1590/S1516-18462013000200021
26) Siqueira LTD, Silverio KCA, Berretin-FÉlix G, Genaro KF, Fukushiro AP, Brasolotto AG. Influence of vocal and aerodynamics aspects on the voice-related quality of life of older adults. J Appl Oral Sci. 2020;28:e20200052. http://dx.doi.org/10.1590/1678-7757-2020-0052 PMid:32813841.
» http://dx.doi.org/10.1590/1678-7757-2020-0052
27) Crawley BK, Dehom S, Thiel C, Yang J, Cragoe A, Mousselli I, et al. Assessment of clinical and social characteristics that distinguish presbylaryngis from pathologic presbyphonia in elderly individuals. JAMA Otolaryngol Head Neck Surg. 2018;144(7):566-71. http://dx.doi.org/10.1001/jamaoto.2018.0409 PMid:29799925.
» http://dx.doi.org/10.1001/jamaoto.2018.0409
28) Siqueira MA, Bastilha GR, Lima JPM, Cielo CA. Vocal hydration in voice professionals and in future voice professionals. CEFAC. 2016;18(4):908-14. http://dx.doi.org/10.1590/1982-0216201618417415
» http://dx.doi.org/10.1590/1982-0216201618417415
29) van Wyk L, Cloete M, Hattingh D, van der Linde J, Geertsema S. The effect of hydration on the voice quality of future professional vocal performers. J Voice. 2017;31(1):111.e29-36. http://dx.doi.org/10.1016/j.jvoice.2016.01.002 PMid:26873423.
» http://dx.doi.org/10.1016/j.jvoice.2016.01.002
30) Alves M, Krüger E, Pillay B, van Lierde K, van der Linde J. The effect of hydration on voice quality in adults: a systematic review. J Voice. 2019;33(1):125.e13-28. http://dx.doi.org/10.1016/j.jvoice.2017.10.001 PMid:29122414.
» http://dx.doi.org/10.1016/j.jvoice.2017.10.001


Submetido em:
27/10/2020

Aceito em:
07/04/2021

61955a55a95395510052f262 codas Articles

CoDAS

Share this page
Page Sections