Abstract
RESUMO Objetivo: comparar os sintomas auditivos, proprioceptivos e os totais pré e pós-terapia de grupo de pacientes com disfonia, além de associar o número de sintomas vocais às variáveis sexo, faixa etária, uso profissional da voz e diagnóstico laríngeo. Métodos: participaram 27 pacientes inseridos em grupos terapêuticos. Todos responderam aos sintomas vocais auditivos, proprioceptivos e totais do Protocolo de Triagem Vocal (PTV) pré e pós-terapia de grupo, que constou de oito encontros, sendo o primeiro e último para aplicação do PTV; do segundo ao sétimo foram realizadas sessões terapêuticas fonoaudiológicas de abordagem eclética. Resultados: os participantes eram adultos, maioria do sexo feminino e diagnóstico laríngeo predominante de lesão na porção membranosa das pregas vocais. Pôde-se perceber que houve redução significante dos sintomas vocais proprioceptivos e totais quando se comparou pré e pós-terapia. Minimizaram significantemente pós-terapia os sintomas vocais: fadiga vocal, garganta seca, bolo na garganta, esforço e desconforto ao falar. Houve associação entre sintomas vocais (proprioceptivos, auditivos e totais) pós-terapia de grupo com as variáveis sexo feminino e diagnóstico laríngeo lesão de massa na porção membranosa das pregas vocais. Não houve associação dos sintomas vocais pós-terapia com faixa etária e nem uso profissional da voz. Conclusão: houve redução dos sintomas vocais totais e proprioceptivos relatados pelos pacientes ao comparar o pré e o pós-terapia. Houve associação entre sexo feminino e diagnóstico de lesão de massa na porção membranosa das pregas vocais com sintomas totais, proprioceptivos e auditivos pós-terapia de voz. A faixa etária e o uso profissional da voz não foram associados à redução dos sintomas vocais.
Highlights
Quality of voice is considered to be one of an individual’s most complete attributes, which can reveal information about physical, psychological, and social parameters
Another instrument that measures vocal symptoms is the Vocal Tract Discomfort Scale (VTDS), a tool used to quantify the intensity and frequency of discomfort in an individual’s vocal tract; that is, it exclusively investigates sensorial symptoms[5,7]. Another instrument is found in the literature, which is the List of Vocal Signs and Symptoms (LVSS), containing fourteen symptoms, which are mentioned by individuals indicating whether they have presented one of them in the past, whether they present any at the time of implementation, how often they occur, and whether they relate the symptoms with their working day[8,9]
There was a significant reduction in total and proprioceptive vocal symptoms when pre- and postgroup therapy was compared, which proved the effectiveness of this therapeutic modality in the treatment of dysphonia
Summary
Quality of voice is considered to be one of an individual’s most complete attributes, which can reveal information about physical, psychological, and social parameters. There are a number of ways of measuring vocal symptoms One of these is to use instruments such as the Voice Symptoms Scale (VoiSS), which provides information regarding functionality, emotional impact, and physical symptoms that a problem with the voice can cause in the life of an individual[6]. Another instrument that measures vocal symptoms is the Vocal Tract Discomfort Scale (VTDS), a tool used to quantify the intensity and frequency of discomfort in an individual’s vocal tract; that is, it exclusively investigates sensorial symptoms[5,7]. Another instrument is found in the literature, which is the List of Vocal Signs and Symptoms (LVSS), containing fourteen symptoms, which are mentioned by individuals indicating whether they have presented one of them in the past, whether they present any at the time of implementation, how often they occur, and whether they relate the symptoms with their working day[8,9]
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