SUMMARY
Objectives
Assess respiratory muscle strength, voice and the quality of life of patients with
traumatic cervical and thoracic spinal cord injury.
Methods
Preliminary analytical case control study of 28 adult men, aged between 18 and 65
years, divided into two groups: a research group consisting of 14 patients with cervical
and thoracic spinal cord injury, and control group (CG) with 14 noninjured individuals.
The subjects had their maximum inspiratory and expiratory pressures measured, underwent
voice handicap index-10 assessment, had their voices recorded for auditory perception
analysis, using the voice deviation and GRBASI scales, and for acoustic analysis,
based on extraction of the parameters selected and completed a quality-of-life questionnaire
(WHOQOL-bref protocol).
Results
Intergroup comparison indicated that the research group exhibited lower respiratory
muscle strength in relation to the CG, MIP and MEP P-values < 0.001 and < 0.001, respectively; and in relation to the device's reference
value, MIP and MEP P-values < 0.001 and < 0.001, respectively; the patients reported no voice handicaps
according to the voice handicap index; overall vocal deviation severity on the voice
deviation was higher in the CG, P = 0.040; there was greater occurrence of roughness and instability on the GRBASI
scale, P= 0.040; there was greater difficulty in modulating vocal frequency (P= 0.002) and resonance, with a laryngopharyngeal focus; the acoustic parameters were
normal; and lower scores were obtained in the physical domain of quality of life (P< 0.001).
Conclusion
The individuals with traumatic spinal cord and thoracic injury exhibited changes in
respiratory measures, vocal deviation and dissatisfaction in the physical domain of
the WHOQOL-bref protocol.
Key Words
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Article info
Publication history
Published online: April 06, 2021
Accepted:
February 5,
2021
Footnotes
Source of funding: This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001.
Conflicts of interest: none.
Acknowledgements: We are grateful to the Hospital de Apoio de Brasília (HAB) and the Department of Health of the Federal District for their help in this study.
Authorship:
1. Study conception and design: authors FOR, LDM, RY, and MB.
2. Data collection, analysis and interpretation: authors FOR, MS, VM, and RY.
3. Article writing or revision: FOR, MS, RY, MB, and LDM.
4. Final approval of the article to be published: authors FOR, RY, MB, and LDM.
Identification
Copyright
© 2021 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
