Summary
Objective
To verify the results of self-assessments of teachers with vocal and musculoskeletal
complaints and with the normal larynx, after myofascial release using pompage.
Methods
Double-blind, controlled, and randomized clinical trial including 28 teachers in the
study group and 28 teachers in the control group, totaling 56 participants. Anamnesis,
video laryngoscopy, hearing screening, clinical and photogrammetric postural assessment,
pain threshold in cervical muscles, sound pressure and maximum phonation time measurements,
and manovacuometry were performed. Protocols for vocal self-assessment, neck pain,
anxiety and depression, and musculoskeletal pain were filled out. Pompage therapy
consisted of a total of 24 sessions (8 weeks) of 40 minutes each, three times a week.
Afterward, the groups were reassessed.
Results
In the study group, there was a significant improvement in the results of the following
instruments: Hospital Anxiety and Depression Scale, Vocal Tract Discomfort Scale,
Voice Symptoms Scale, Vocal Activity and Participation Profile, Vocal Handicap Index,
Voice-Related Quality of Life, and Nordic Musculoskeletal Questionnaire.
Conclusions
After myofascial release using pompage in teachers, there was an improvement in the
self-assessed aspects regarding characteristics and quality of life related to the
voice, social participation related to the voice, anxiety and depression, and musculoskeletal
symptoms.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of VoiceAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
REFERENCES
- Prevalence and risk factors of voice problems among primary school teachers in India.J Voice. 2017; 31 (117.E1-117.E10)https://doi.org/10.1016/j.jvoice.2016.03.006
- Effects of the exercise of the semi-occluded vocal tract with a commercial straw in the teachers’ voice.Rev CEFAC. 2017; 18: 360-370https://doi.org/10.1590/1982-0216201719315516
- The effect of classroom capacity on vocal fatigue as quantified by the vocal fatigue index.Folia Phoniatr Logop. 2017; 69: 85-93https://doi.org/10.1159/000484558
- Laryngeal manual therapy palpatory evaluation scale: a preliminary study to examine its usefulness in diagnosis of occupational dysphonia.Med Pr. 2017; 68: 179-188https://doi.org/10.13075/mp.5893.00463
- Occupational stress, anxiety and depression among Egyptian teachers.J Epidemiol Glob Health. 2017; 7: 191-198https://doi.org/10.1016/j.jegh.2017.06.002
- Self-reported voice problems among teachers: prevalence and associated factors.Rev Saúde Públ. 2011; 45: 503-511https://doi.org/10.1590/S0034-89102011005000025
- Distúrbio de voz relacionado ao trabalho docente: um estudo caso-controle.CoDAS. 2013; 25: 566-576https://doi.org/10.1590/S2317-17822014000100009
- Voice of elementary school teachers with voice complaints of diferente educational systems.Distúrb Comun. 2015; 27: 138-150
- Distúrbio de voz e fatores associados em professors da rede pública.Rev Bras Saúde Ocup. 2015; 40: 183-195https://doi.org/10.1590/0303-7657000093814
- Effectiveness of the teacher's vocal health program (TVHP) in the municipal education network of Campo Grande, MS.J Voice. 2017; (In press)https://doi.org/10.1016/j.jvoice.2017.08.029
- Controlled and randomized clinical trial of intensive shortterm voice therapy with finger kazzo technique in teachers.Audiol Commun Res. 2017; 22: 1-12https://doi.org/10.1590/2317-6431-2016-1791
- Influence of noise resulting from the location and conditions of classrooms and schools in upper egypt on teachers’ voices.J Voice. 2019; 33 (802.e1-802.e9)https://doi.org/10.1016/j.jvoice.2018.03.003
- Mixed-methods evaluation comparing the impact of two different mindfulness approaches on stress, anxiety and depression in school teachers.BMJ Open. 2019; 9e025686https://doi.org/10.1136/bmjopen-2018-025686
- Prevalência de sintomas de ansiedade e depressão em estudantes de medicina.Rev Bras Educ Med. 2015; 39: 135-142https://doi.org/10.1590/1981-52712015v39n1e00042014
- Measurement of voice quality, anxiety and depression symptoms after speech therapy.J Voice. 2015; 29: 446-449https://doi.org/10.1016/j.jvoice.2014.09.004
- Hospital anxiety and depression scale: a study on the validation of the criteria and reliability on preoperative patients.Rev. Bras. Anestesiol. 2007; 57: 52-62https://doi.org/10.1590/S0034-70942007000100006
- Protocolos de autoavaliação do impacto da disfonia.Tratado De Especialidades em Fonoaudiologia. 1 ed. Guanabara Koogan, São Paulo2014: 113-129 (cap 16)
- Is the voice of professional voice users with no vocal cord lesions similar to that of non professional voice users?.J Voice. 2019; 33: 66-72https://doi.org/10.1016/j.jvoice.2017.09.004
- Vocal fatigue in dysphonic teachers who seek treatment.CoDAS. 2019; 31: 1-6https://doi.org/10.1590/2317-1782/20182018120
- Dysphonia, perceived control, and psychosocial distress: a qualitative study.J Voice. 2019; 33: 682-690https://doi.org/10.1016/j.jvoice.2018.04.003
- Avaliação da Voz.in: Behlau M Voz - o Livro Do Especialista. 1. Revinter, Rio de Janeiro2013: 85-245 (cap 3)
- Cross-cultural adaptation of the Brazilian version of the voice symptom scale – VoiSS.J Soc Bras Fonoaudiol. 2011; 23: 398-400https://doi.org/10.1590/S2179-64912011000400018
- The use of the URICA-VOICE questionnaire to identify the stages of adherence to voice treatment.CoDAS. 2013; 25: 8-15https://doi.org/10.1590/S2317-17822013000100003
- Validation of the voice activity and participation profile protocol in Brazil.CoDAS. 2013; 25: 242-249https://doi.org/10.1590/S2317-17822013000300009
- Sintomas vocais, grau de quantidade de fala e de volume de voz de professores.Distúrb Comun. 2015; 27: 129-137
- Voice self-assessment protocols: different trends among organic and behavioral dysphonias.J Voice. 2017; 31 (112.e13-112.e27)https://doi.org/10.1016/j.jvoice.2016.03.014
- Sound pressure level and maximum phonation time after finger kazoo technique.Rev CEFAC. 2013; 15: 994-1000https://doi.org/10.1590/S1516-18462013000400029
- Quality of life in voice, perceptual-auditory assessment and voice acoustic analysis of teachers with vocal complaints.Audiol Commun Res. 2015; 20: 299-308https://doi.org/10.1590/S2317-64312015000200001511
- Is the sagittal postural alignment different in normal and dysphonic adult speakers?.J Voice. 2014; 33: 1-8https://doi.org/10.1016/j.jvoice.2014.01.002
- Manual therapy and exercise to improve outcomes in patients with muscle tension dysphonia: a case series.Phys Ther. 2015; 95: 117-128https://doi.org/10.2522/ptj.20130547
- Prevalência de sintomas osteomusculares em professores de escolas públicas e privadas do ensino fundamenta.Fisioter Mov. 2011; 24: 307-314https://doi.org/10.1590/S0103-51502011000200012
- Análise dos sintomas osteomusculares de professores do ensino fundamental em Matinhos (PR).Fisioter Mov. 2012; 25: 785-794https://doi.org/10.1590/S0103-51502012000400011
- Musculoskeletal problems and quality of life of elementary school teachers.Int J Occup Saf Ergon. 2015; 21: 344-350https://doi.org/10.1080/10803548.2015.1035921
- Work capability and musculoskeletal symptoms in workers at a public hospital.Fisioter Pesq. 2015; 22 (10.590/1809-2950/14123722022015): 182-190
- Effect of soft tissue techniques on headache impact, disability, and quality of life in migraine sufferers: a pilot study.J Altern Complement Med. 2018; 24: 1099-1107https://doi.org/10.1089/acm.2018.0048
- Common soft tissue muskuloskeletal pain disorders.Prim Care. 2018; 45: 289-303https://doi.org/10.1016/j.pop.2018.02.006
- Estudo e Tratamento do Esqueleto Fibroso: Fáscias e Pompages.5 ed. Summus, São Paulo1999: 107
- Myofascial induction effects on neck-shoulder pain in breast cancer survivors: randomized, single-blind, placebo-controlled crossover design.Arch Physic Medic Rehab. 2017; 98: 832-840https://doi.org/10.1016/j.apmr.2016.11.019
- Combination of exercise and acupuncture versus acupuncture alone for treatment of myofascial pain syndrome: a randomized clinical trial.J Acupunct Meridian Stud. 2018; 11: 315-322https://doi.org/10.1016/j.jams.2018.04.006
- The effectiveness of physiotherapy and complementary therapies on voice disorders: a systematic review of randomized controlled trials.Front Medicine. 2017; 4: 1-9https://doi.org/10.3389/fmed.2017.00045
- A comparison of the effects of stabilization exercises plus manual therapy to those of stabilization exercises alone in patients with nonspecific mechanical neck pain: a randomized clinical trial.J Orthop. & Spor Phys Ther. 2016; 46: 44-55https://doi.org/10.2519/jospt.2016.5979
- Teacher's voice: vocal tract discomfort symptoms, vocal intensity and noise in the classroom.CoDAS. 2016; 28: 168-175https://doi.org/10.1590/2317-1782/20162015027
- Vocal therapy and nasal sounds: effects on hyperfunctional dysphonia.Rev CEFAC. 2016; 18: 263-272https://doi.org/10.1590/1982-021620161810115
- Spectrographic acoustic vocal characteristics of elderly women engaged in aerobics.J Voice. 2016; 30: 579-586https://doi.org/10.1016/j.jvoice.2015.07.002
- The influence of positional release therapy on the myofascial trigger points of the upper trapezius muscle in computer user.J Bodyw Movem Therap. 2016; 20: 767-773https://doi.org/10.1016/j.jbmt.2016.04.006
- The effects of amplification on vocal dose in teachers with dysphonia.J Voice. 2017; 33: 73-79https://doi.org/10.1016/j.jvoice.2017.09.011
- Delivery of intensive voice therapy for vocal fold nodules via telepractice: a pilot feasibility and efficacy study.J Voice. 2015; 9: 696-706https://doi.org/10.1016/j.jvoice.2014.12.003
- Associação entre a adesão da terapia vocal e perfil de atividades vocais em pacientes disfônicos comportamentais.CoDAS. 2016; 28: 595-601https://doi.org/10.1590/2317-1782/20162015232
- Vocal warm-up and breathing training for teachers: randomized clinical trial.Rev Saúde Pública. 2015; 49: 1-8https://doi.org/10.1590/S0034-8910.2015049005716
- Evaluation of postural changes using dynamic posturography after speech rehabilitation in patients with voice disorders: a longitudinal study.Folia Phoniatr Logop. 2019; : 1-8https://doi.org/10.1159/000500808
- Vocal tract discomfort in teachers after teaching activity.CoDAS. 2017; 29e20160045https://doi.org/10.1590/2317-1782/20172016045
- Pastores Evangélicos: Sintomas Vocais e Laringofaríngeos, Qualidade Vocal e Perfil de Participação em Atividades Vocais. [Dissertação].Faculdade de Odontologia de Bauru., Universidade de São Paulo, Bauru2013
- Efetividade de exercícios de estabilização segmentar sobre a dor lombar crônica mecânico-postural.Fisioter Mov. 2010; 23: 605-614https://doi.org/10.1590/S0103-51502010000400011
- Terapia Intensiva Com Finger Kazoo em Professoras Disfônicas Com e Sem Afecções Laríngeas – Ensaio Clínico Controlado e Randomizado.Universidade Federal de Santa Maria, Santa Maria. Programa de Pós-Graduação em Distúrbios da Comunicação Humana, [tese] Santa Maria (RS)2015
- Assessment of the influence of osteopathic myofascial techniques on normalization of the vocal tract functions in patients with occupational dysphonia.Int J Occup Med Environ Health. 2012; 25: 225-235https://doi.org/10.2478/s13382-012-0041-7
- Stages of readiness in patients with dysphonia: a proposal based on factor analysis using the URICA-V Scale.J Voice. 2018; (In press)https://doi.org/10.1016/j.jvoice.2018.12.004
- Cervical spine disability in correlation with subjective voice handicap in patients with voice disorders: a retrospective analysis.J Voice. 2020; 34: 371-379https://doi.org/10.1016/j.jvoice.2018.10.013
- Musculoskeletal stress syndrome, extrinsic laryngeal muscles and body posture: theoretical considerations.Rev CEFAC. 2014; 16: 1639-1649https://doi.org/10.1590/1982-0216201410613
Article info
Publication history
Published online: January 11, 2021
Identification
Copyright
© 2021 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
