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https://codas.org.br/article/doi/10.1590/2317-1782/20232021244en
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Original Article

Reference values for electroglottographic data of elderly women

Valores de referência para dados eletroglotográficos de idosas

Bárbara de Faria Morais Nogueira; Ana Cristina Côrtes Gama; Flávio Barbosa Nunes; Adriane Mesquita de Medeiros

http://dx.doi.org/10.1590/2317-1782/20232021244en CoDAS, vol.35, n5, e20210244, 2023
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Abstract

Purpose

To present reference values for fundamental frequency data and closed-phase quotient extracted from electroglottography in older women and verify if they differ from laryngeal examination results.

Methods

Observational analytical cross-sectional study in 73 older women, aged 60 to 84 years, using electroglottographic and laryngeal examinations. Each participant’s voice sample had a sustained prolonged vowel /a/ emitted at the usual frequency and intensity, in the modal register. Fundamental frequency (F0) and vocal fold contact quotient (CQ) were extracted from the electroglottography. Data were descriptively analyzed with measures of central tendency and dispersion of continuous variables. To establish whether continuous electroglottography variables differed from the laryngeal diagnosis, Student’s t-test (parametric test) and Mann-Whitney (non-parametric test) were performed. The significance level in all tests was set at 5%.

Results

Most participants did not have laryngeal changes, while 27.4% had presbylarynx. The mean electroglottographic measures were 187.24 Hz for F0 and 48.49% for CQ. There was no statistical significance between laryngeal examinations and EGG measures.

Conclusion

Older women have mean electroglottographic F0 values of 187.24 Hz and CQ of 48.49%. Electroglottographic F0 and CQ measures did not change with the presence of the presbylarynx in older women.

Keywords

Elderly; Voice; Aging; Phonation; Women

Resumo

Objetivo

Apresentar valores de referência para os dados de frequência fundamental e quociente de fase fechada extraído da eletroglotografia em idosas e verificar se diferem com o resultado do exame laríngeo.

Método

Estudo observacional analítico transversal, realizado com 73 idosas na faixa etária de 60 a 84 anos. Foram realizadas avaliações eletroglotográficas e laríngeas. O material de voz coletado de cada participante foi a emissão sustentada da vogal /a/, emitida em frequência e intensidade habituais, no registro modal, de modo prolongado. As medidas eletroglotográficas extraídas foram: Frequência fundamental (F0) e quociente de contato (CQ) extraídos da eletroglotografia (EGG). Foi realizada análise descritiva dos dados por meio da análise das medidas de tendência central e de dispersão das variáveis contínuas. Para estabelecer se as variáveis contínuas do EGG diferem de acordo com o diagnóstico laríngeo, foram utilizados os testes t-Student (teste paramétrico) e Mann-Whitney (não paramétrico). Para todos os testes foi considerado o nível de significância de 5%.

Resultados

A maioria das participantes não possui alterações laríngeas, 27,4% têm presbilaringe. A média das medidas eletoglotográficas foram: 187,24 Hz de F0 e 48,49% de QC. Não houve significância estatística ao comparar o exame laríngeo segundo as medidas do EGG.

Conclusão

Mulheres idosas apresentam valores médios de F0 EGG de 187,24 Hz. O valor médio obtido no QC foi de 48,49%. As medidas eletroglotográficas de F0 e QC não se modificaram com a presença de presbilaringe em idosas.

Palavras-chave

Idoso; Voz; Envelhecimento; Fonação; Mulheres

References

  1. Behlau M. Voz: o livro do especialista. 2. ed. Rio de Janeiro: Revinter; 2004. v. 1.
  2. OMS: Organização Mundial de Saúde. Envelhecimento ativo: uma política de saúde. Brasília: Organização Pan-Americana da Saúde; 2005.
  3. Ahmad K, Yan Y, Bless D. Vocal fold vibratory characteristics of healthy geriatric females: analysis of high-speed digital images. J Voice. 2012;26(6):751-9. http://dx.doi.org/10.1016/j.jvoice.2011.12.002 PMid:22633334.
  4. Honjo I, Isshiki N. Laryngoscopic and voice characteristics of aged persons. Arch Otolaryngol. 1980;106(3):149-50. http://dx.doi.org/10.1001/archotol.1980.00790270013003 PMid:7356434.
  5. Kost KM, Sataloff RT. Voice disorders in the elderly. Clin Geriatr Med. 2018;34(2):191-203. http://dx.doi.org/10.1016/j.cger.2018.01.010 PMid:29661332.
  6. Kendall K. Presbyfonia: a review. Curr Opin Otolaryngol Head Neck Surg. 2007;15(3):137-40. http://dx.doi.org/10.1097/MOO.0b013e328166794f PMid:17483679.
  7. Baken RJ. Electroglottography. J Voice. 1992;6(2):98-110. http://dx.doi.org/10.1016/S0892-1997(05)80123-7
  8. Ma EPM, Love LA. Electroglottographic evaluation of age and gender effects during sustained phonation and connected speech. J Voice. 2010;24(2):146-52. http://dx.doi.org/10.1016/j.jvoice.2008.08.004 PMid:19481415.
  9. Bier SD, Watson CI, McCann CM. Using the perturbation of the contact quotient of the EGG waveform to analyze age differences in adult speech. J Voice. 2014;28(3):267-73. http://dx.doi.org/10.1016/j.jvoice.2013.10.021 PMid:24495426.
  10. Herbst CT. Electroglottography − an update. J Voice. 2020;34(4):503-26. http://dx.doi.org/10.1016/j.jvoice.2018.12.014 PMid:30871855.
     
  11. Alves ACS, Gama ACC, Magalhães MC, Genilhú PFL, Oliveira RF. Electroglotographic voice measurement analysis: normality standards for singers through Kay Pentax® CSL Program. CoDAS. 2020;32(5):e2019022. PMid:33053081.
  12. Faria BS, Oliveira KV, Silva JPG, Reis C, Ghio A, Gama ACC. Electroglottography of speakers of Brazilian Portuguese through Objective Multiparameter Vocal Assessment (EVA). Rev Bras Otorrinolaringol (Engl Ed). 2012;78(4):29-34. http://dx.doi.org/10.1590/S1808-86942012000400007 PMid:22936133.
  13. Mourão AM, Bassi IB, Gama ACC. Electroglottograpical evaluation of dysphonic women with mass lesions. Rev CEFAC. 2011;13(6):1073-80.
  14. Oliveira RC, Gama ACC, Magalhães MDC. Fundamental voice frequency: acoustic, electroglottographic, and accelerometer measurement in individuals with and without vocal alteration. J Voice. 2021 Mar;35(2):174-80. http://dx.doi.org/10.1016/j.jvoice.2019.08.004 PMID: 31575435.
  15. Cheyne HA, Nuss RC, Hillman RE. Electroglottography in the pediatric population. Arch Otolaryngol Head Neck Surg. 1999;125(10):1105-8. http://dx.doi.org/10.1001/archotol.125.10.1105 PMid:10522502.
  16. Higgins MB, Saxman JH. A comparison of selected phonatory behaviors of healthy aged and young adults. J Speech Hear Res. 1991;34(5):1000-10. http://dx.doi.org/10.1044/jshr.3405.1000 PMid:1749230.
  17. Vaca M, Cobeta I, Mora E, Reyes P. Clinical assessment of glottal insufficiency in age related dysphonia. J Voice. 2017;31(1):128.e1. http://dx.doi.org/10.1016/j.jvoice.2015.12.010 PMid:26804785.
  18. Almeida AGP, Saliture TBS, Silva AS, Eckley CA. Translation and cultural adaptation of the Reflux Finding Score into brazilian Portuguese. Rev Bras Otorrinolaringol (Engl Ed). 2013;79(1):47-53. PMid:23503907.
  19. Felippe ACN, Grillo MHMM, Grechi TH. Standardization of acoustic measures for normal voice patterns. Rev Bras Otorrinolaringol (Engl Ed). 2006;72(5):659-64. http://dx.doi.org/10.1016/S1808-8694(15)31023-5 PMid:17221059.
     
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