Abstract

ABSTRACTOBJECTIVETo measure the risk of dysphonia in teachers, as well as investigate whether the perceptual-auditory and acoustic aspects of the voice of teachers in situations of silence and noise, the signal-to-noise ratio, and the noise levels in the classroom are associated with the presence of dysphonia.METHODSThis is an observational cross-sectional research with 23 primary and secondary school teachers from a private school in the municipality of São Paulo, Brazil, divided into the groups without dysphonia and with dysphonia. We performed the following procedures: general Dysphonia Risk Screening Protocol (General-DRSP) and complementary to speaking voice - teacher (Specific-DRSP), voice recording during class and in an individual situation in a silent room, and measurement of the signal-to-noise ratio and noise levels of classrooms.RESULTSWe have found differences between groups regarding physical activity (General-DRSP) and particularities of the profession (Specific-DRSP), as well as in all aspects of the perceptual-auditory vocal analysis. We have found signs of voice wear in the group without dysphonia. Regarding the vocal resources in the situations of noise and silence, we have identified a difference for the production of abrupt vocal attack and the tendency of a more precise speech in the situation of noise. Both the signal-to-noise ratio and the room noise levels during class were high in both groups.CONCLUSIONSTeachers in both groups are at high risk for developing dysphonia and have negative vocal signals to a greater or lesser extent. Signal-to-noise ratio was inadequate in most classrooms, considering the standards for both children with normal hearing and with hearing loss, as well as equivalent noise levels.

Highlights

  • Bárbara Gabriela SilvaI, Tiago Visacre ChammasI, Marcia Simões ZenariI, Renata Rodrigues MoreiraII, Alessandra Giannella SamelliI, Kátia NemrI

  • Em relação ao CAPE-V, observou-se diferença entre os grupos em todos os aspectos, com maior alteração para o GCD (Tabela 2)

  • As médias de Leq para ambos os grupos demonstram que o ruído nas salas de aula não está adequado para a maioria delas

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Summary

Análise dos Dados

Foi obtido escore final dos protocolos de rastreio, que consiste na soma dos valores dos escores parciais de cada subitem; no PRRD-Geral, varia de zero a 131 e no PRRD-Específico, de zero a 56 para homens e de zero a 60 para mulheres[15]. Com o registro vocal captado em aula, mensurou-se a RSR de cada sala por meio do programa Audacity 2.0.6, protocolo Canadian E-Ramp-Inc. Para classificação da RSR em adequada ou inadequada, foram considerados os valores de corte de +15 dB para salas de aula de crianças com audição normal (ASHA, 2000)e e de +20 dB para crianças com perda auditiva (British Association of Teachers of the Deaf, 2009)f. Em relação à medição dos níveis de pressão sonora em sala de aula, para classificação em adequados ou elevados, utilizou-se a NBR 10152 (ABNT, 2000)a, que considera aceitável para salas de aula ruído ambiente de 40 dB a 50 dB(A)

Análise Estatística
Fatores hormonais
Findings
Presente Ausente
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