Efeitos imediatos do inspirômetro de incentivo em mulheres vocalmente saudáveis
Immediate effects of the incentive spirometer in women with healthy voice
Bárbara Pereira Lopes; Gustavo Polacow Korn; Flávio Barbosa Nunes; Ana Cristina Côrtes Gama
Resumo
Palavras-chave
Abstract
Purpose: To evaluate the immediate effect of the incentive spirometer on acoustic measures, aerodynamic measures and on the auditory-perceptual assessment of vocal quality in vocally healthy women.
Methods: This is an experimental intra-subject comparison study with the participation of 22 women without vocal complaints. Acoustic measures, aerodynamic measures and auditory-perceptual assessment of vocal quality were obtained before and immediately after using the incentive spirometer by the participants. The device was used in the orthostatic position and the participants performed three sets of ten repetitions with a one-minute interval between sets.
Results: After using the incentive spirometer, there was a significant reduction in jitter, shimmer and PPQ (period perturbation quotient) measurements and an increase in maximum expiratory volume, while the other acoustic and aerodynamic measurements were not significantly impacted. In addition, there was improvement in vocal quality in eight (36.4%) participants and 11 (50.0%) participants showed no changes in the auditory perceptual assessment of voice quality after using the incentive spirometer.
Conclusion: The use of the incentive spirometer is safe and, in its immediate effect, positively impacts the acoustic measures of short-term aperiodicity of frequency and intensity and increases the maximum expiratory volume in women with healthy voices.
Keywords
Referências
1 Švec JG, Schutte HK, Chen CJ, Titze IR. Integrative insights into the myoelastic-aerodynamic theory and acoustics of phonation. Scientific tribute to Donald G. Miller. J Voice. 2023;37(3):305-13. PMid:33744068.
2 Jiang J, Lin E, Hanson DG. Vocal fold physiology. Otolaryngol Clin North Am. 2000;33(4):699-718.
3 Bertalanffy LV. Teoria geral dos sistemas: fundamentos, desenvolvimento e aplicações. 5ª ed. Petrópolis: Vozes; 2010.
4 Vaghela HM, Fergie N, Slade S, McGlashan JA. Speech Therapist led voice clinic: which patients may be suitable? Logoped Phoniatr Vocol. 2005;30(2):85-90.
5 Desjardins M, Bonilha HS. The impact of respiratory exercises on voice outcomes: a systematic review of the literature. J Voice. 2020;34(4):648.e1-39.
6 Patel R, Awan SN, Barkmeier-Kraemer J, Courey M, Deliyski D, Eadie T, et al. Recommended protocols for instrumental assessment of voice: american SpeechLanguage-Hearing Association expert panel to develop a protocol for instrumental assessment of vocal function. Am J Speech Lang Pathol. 2018;27(3):887-905.
7 Behlau M, Almeida AA, Amorim G, Balata P, Bastos S, Cassol M, et al. Reducing the GAP between science and clinic: lessons from academia and professional practice - part A: perceptual-auditory judgment of vocal quality, acoustic vocal signal analysis and voice self-assessment. CoDAS. 2022;34(5):e20210240.
8 Genilhú PFL, Gama ACC. Acoustic and aerodynamic measures in singers: a comparison between genders. CoDAS. 2018;30(5):e20170240. PMid:30304128.
9 Almeida-Junior A, Marson FAL, Almeida CCB, Ribeiro MAGO, Paschoal IA, Moreira MM, et al. Volumetric capnography versus spirometry for evaluation of pulmonar function in cystic fibrosis and allergic asthma. J Pediatr. 2020;96(2):255-64.
10 Restrepo RD, Wettstein R, Wittnebel L, Tracy M. Incentive spirometry: 2011. Respir Care. 2011;56(10):1600-4.
11 Machado JRS, Bilheri DFD, Tomasi LL, Steidl EMS, Mancopes R. Respiratory muscle training outcomes on swallowing biomechanics and respiratory function measures in normal subjects. Rev CEFAC. 2018;20(6):778-84.
12 Tong JY, Sataloff RT. Respiratory function and voice: the role for airflow measures. J Voice. 2022;36(4):542-53.
13 Whyte J, Barrett AM. Advancing the evidence base of rehabilitation treatments: a developmental approach. Arch Phys Med Rehabil. 2012;93(8, Supl.):S101-10.
14 Kovelis D, Segretti NO, Probst VS, Lareau SC, Brunetto AF, Pitta F. Validation of the Modified Pulmonary Functional Status and Dyspnea Questionnaire and the Medical Research Council scale for use in Brazilian patients with chronic obstructive pulmonary disease. J Bras Pneumol. 2008;34(12):1008-18.
15 Rodrigues AAW. Respiron® exercitador e incentivador respiratório: manual de uso. Barueri; 2013. 16 p.
16 Gwet KL. Computing inter-rater reliability and its variance in the presence of high agree-ment. Br J Math Stat Psychol. 2008;61(Pt 1):29-48.
17 Siqueira ACO, Santos N, Souza BO, Nogueira L, Furlan R. Immediate vocal effects produced by the Shaker® device in women with and without vocal complaints. CoDAS. 2021;33(3):e20200155. PMid:34133581.
18 Antonetti AEMS, Ribeiro VV, Moreira PAM, Brasolotto AG, Silverio KCA. Voiced High-frequency Oscillation and LaxVox: analysis of their immediate effects in subjects with healthy voice. J Voice. 2019;33(5):808.e7-14.
19 Saters TL, Ribeiro VV, Siqueira L, Marotti B, Brasolotto A, Silvério K. The Voiced Oral High-frequency Oscillation Technique’s immediate effect on individuals with dysphonic and normal voices. J Voice. 2018;32(4):449-58.
20 Dedivitis RA, Tsuji DH, Sennes LU, Ramos DM. Guia prático de otorrinolaringologia e cirurgia de cabeça e pescoço: laringologia e voz. Volume I. Rio de Janeiro: Thieme Revinter; 2022.
21 Roubeau B, Henrich N, Castellengo M. Laryngeal vibratory mechanisms: the notion of vocal register revisited. J Voice. 2009;23(4):425-38.
22 Asanau A, Timoshenko AP, Prades JM, Galusca B, Martin C, Féasson L. Posterior cricoarytenoid bellies: relationship between their function and histology. J Voice. 2011;25(2):e67-73.
23 Phadke KV, Laukkanen AM, Ilomäki I, Kankare E, Geneid A, Svec JG. Cepstral and perceptual investigations in female teachers with functionally healthy voice. J Voice. 2020;34(3):485.e33-43.
24 Mendes LP, Vieira DSR, Gabriel LS, Ribeiro-Samora GA, Andrade AD, Brandão DC, et al. Influence of posture, sex, and age on breathing pattern and chest wall motion in healthy subjects. Braz J Phys Ther. 2020;24(3):240-8.
25 DeJonckere PH, Lebacq J. Lung volume affects the decay of oscillations at the end of a vocal emission. Biomed Signal Process Control. 2020;62:102148.
26 Sawaya Y, Sato M, Ishizaka M, Shiba T, Kubo A, Urano T. Maximum phonation time is a useful assessment for older adults requiring long-term care/support. Phys Ther Res. 2022;25(1):35-40.
27 Asik MB, Karasimav O, Birkent H, Merati AL, Gerek M, Yildiz Y. Airway and respiration parameters improve following vocal fold medialization: a prospective study. Ann Otol Rhinol Laryngol. 2015;124(12):972-7.
28 Thomson SL, Mongeau L, Frankel SH. Aerodynamic transfer of energy to the vocal folds. J Acoust Soc Am. 2005;118(3):1689-700.
29 Walter K. When the human voice speaks volumes about lung function. JAMA. 2021;325(12):1130-1.
30 Santos PCM, Vieira MN, Sansão JPH, Gama ACC. Effect of synthesized voice anchors on auditory-perceptual voice evaluation. CoDAS. 2021;33(1):e20190197.
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email