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Self-assessment of teachers with normal larynges and vocal and osteomuscular complaints

      Summary

      Introduction

      Teachers face vocal problems related to long periods of speech and increased sound pressure, as well as environmental noise, inadequate posture and tension of the cervical muscles.

      Objective

      To verify the results of self-assessment of teachers with normal larynges and vocal and musculoskeletal complaints, and compare them with the reference values.

      Methods

      Fifty-seven teachers, aged between 21 and 60 years (average 40.14 years) participated in the study. Anamnesis, otorhinolaryngological examination, hearing screening and self-assessment protocols were performed.

      Results.

      In the Nordic musculoskeletal questionnaire, the majority of teachers had discomfort in most parts of the body and in the situations evaluated; on the voice-related quality of life, the total and physical subscores were lower than the normative values while the emotional subscore was higher; regarding voice symptoms scale and vocal tract discomfort scale, the scores were higher than the normative values; in the hospital anxiety and depression scale, there was alteration in the total score; in the Vocal Activity and Participation Profile, the effects on work and emotion were above the normative values; on the University of Rhode Island change assessment—voice and on the voice handicap index there were no significant differences.

      Conclusion

      Most of the teachers presented vocal, musculoskeletal, and emotional complaints on the self-assessment results, what suggests excessive voice use as well as overload on the body muscles, including the larynx and vocal tract, and that they presented emotional changes. These aspects had an impact on their quality of life, but they showed no action in coping with the condition.

      Key Words

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      References

        • Lee YR
        • Kim HR
        • Lee S
        Effect of teacher's working conditions on voice disorder in Korea: a nationwide survey.
        Ann Occup Environ Med. 2018; 30: 1-10https://doi.org/10.1186/s40557-018-0254-8
        • Paušić J.
        • Dizdar D
        Types of body posture and their characteristics in boys 10 to 13 years of age.
        Collegium Antropol. 2011; 35: 747-754
        • Behlau M
        • Zambon F
        • Guerrieri AC
        • et al.
        Epidemiology of voice disorders in teachers and nonteachers in Brazil: prevalence and adverse effects.
        J Voice. 2012; 26 (665.E9-665.E18)https://doi.org/10.1016/j.jvoice.2011.09.010
        • Pereira Junior AA
        • Rosá AP
        • Fiamoncini BM
        Prevalência de distúrbios osteomusculares e a alteração da postura em profissionais de berçário.
        Fisioter Pesqui. 2018; 8: 497-504https://doi.org/10.17267/2238-2704rpf.v8i4.2133
        • Masson MLV
        • Ferrite S
        • Pereira LMA
        • et al.
        Em busca do reconhecimento do distúrbio de voz como doença relacionada ao trabalho: movimento histórico-político.
        Ciênc Saúde Coletiva. 2019; 24: 805-816https://doi.org/10.1590/1413-81232018243.00502017
        • Prysienzy PE
        • Prysienzy LTS
        Distúrbio de voz relacionado ao trabalho.
        Braz J Otorhinolaryngol. 2015; 81: 202-211https://doi.org/10.1016/j.bjorl.2014.03.003
        • Costa DB
        • Lopes L
        • Silva E
        • et al.
        The risk factors and emotional on the voice of teachers with and without vocal complaints.
        Rev CEFAC. 2013; 15: 1001-1010https://doi.org/10.1590/S1516-18462013000400030
        • Cielo CA
        • Ribeiro VV
        Autoavaliação Vocal de Professores de Santa Maria/RS.
        Rev CEFAC. 2015; 17: 1152-1160https://doi.org/10.1590/1982-021620151746514
        • Christmann M
        • Scapini F
        • Lima J
        • et al.
        Voice-related quality of life, anxiety, and depression in female teachers: finger kazoo intensive short-term vocal therapy.
        J Voice. 2020; https://doi.org/10.1016/j.jvoice.2020.08.039
        • Andriollo DB
        • Frigo LF
        • Cielo CA
        Effect of pompage on teachers self-assessment – clinical trial.
        J Voice. 2022; https://doi.org/10.1016/j.jvoice.2020.12.023
        • Giannini SPP
        • Latorre MRDO
        • et al.
        Distúrbio de voz relacionado ao trabalho docente: um estudo caso-controle.
        Cad Saúde Pública. 2013; 25: 566-576https://doi.org/10.1590/S0102-311X2012001100011
        • Cielo CA
        • Ribeiro VV
        • Bastilha GR
        • et al.
        Qualidade de vida em voz, avaliação perceptivoauditiva e análise acústica da voz de professoras com queixas vocais.
        Audiol Commun Res. 2015; 20: 130-140https://doi.org/10.1590/S2317-64312015000200001511
        • Mendes ALF
        • Lucena BTL
        • Araújo AMGD
        • et al.
        Voz do professor: sintomas de desconforto do trato vocal, intensidade vocal e ruído em sala de aula.
        CoDAS. 2016; 28: 168-175https://doi.org/10.1590/2317-1782/20162015027
        • Chitguppi C
        • Raj A
        • Meher R
        • et al.
        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
        • Pascotini FS
        • Ribeiro VV
        • Cielo CA
        Voz de professoras do ensino fundamental com queixas vocais de diferentes redes de ensino.
        Distúrb Comum. 2015; 27: 128-150
        • Rattay SA
        • Cielo CA
        • Shwarz K
        • et al.
        Terapia vocal sons nasais: efeitos sobre disfonias hiperfuncionais.
        Rev CEFAC. 2016; 18: 263-272https://doi.org/10.1590/1982-021620161810115
        • Machado FCM
        • Lessa M
        • Cielo CA
        • et al.
        Vocal Characteristics of elderly women engaged in aerobics in private institutions of Salvador.
        Bahia J Voice. 2016; 30: 127.e9-127.e19https://doi.org/10.1016/j.jvoice.2015.02.005
        • Costa CB
        • Costa LHC
        • Oliveira G
        • et al.
        Immediate effects of the phonation into a straw exercise.
        Braz J Otorhinolaryngol. 2011; 77: 461-465https://doi.org/10.1590/S1808-86942011000400009
        • Cielo CA
        • Frigo LF
        • Christmann MK.
        Pressão sonora e tempo máximo de fonação após a técnica de Finger Kazoo.
        Rev CEFAC. 2013; 15: 994-1000https://doi.org/10.1590/S1516-18462013000400029
        • Valente AMSL
        • Botelho C
        • Silva AMC
        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
        • Kojidi MM
        • Okhovatioin F
        • Rahimi A
        • et al.
        The influence of positional release therapy on the myofascial trigger points of the upper trapezius muscle in computer user.
        J Bodyw Mov Ther. 2016; 20: 767-773https://doi.org/10.1016/j.jbmt.2016.04.006
        • Franco D.
        • Martins F.
        • Andrea M
        • et al.
        Is the sagittal postural alignment diferente in normal and dysphonic adult speakers?.
        J Voice. 2014; 28: P523.E1-523.E8https://doi.org/10.1016/j.jvoice.2014.01.002
        • Assad JP
        • Magalhães MC
        • Santos JN
        • et al.
        Vocal dose: an integrative literature review.
        Rev CEFAC. 2017; 19: 429-438https://doi.org/10.1590/1982-021620171932617
        • Fu S
        • Theodoros DG
        • Ward EC
        Delivery of intensive voice therapy for vocal fold nodules via telepractice: a pilot feasibility and efficacy study.
        J Voice. 2015; 29: 696-706https://doi.org/10.1016/j.jvoice.2014.12.003
        • Pedrosa V
        • Pontes A
        • Pontes P
        • et al.
        The effectiveness of the comprehensive voice rehabilitation program compared with the vocal function exercises method in behavioral dysphonia: a randomized clinical trial.
        J Voice. 2015; 30: 377.E11-377.E19https://doi.org/10.1016/j.jvoice.2015.03.013
        • Christmann MK
        • Scapini F
        • Lima JPM
        • et al.
        Aerodynamic vocal measurements in female teachers: finger kazoo intensive short-term vocal therapy.
        J Voice. 2019; https://doi.org/10.1016/j.jvoice.2019.08.018
        • Lima JP
        • Ribeiro VV
        • Cielo CA
        Sintomas vocais, grau de quantidade de fala e de volume de voz de professores.
        Distúrb Comum. 2015; 27: 129-137
        • Ricarte A
        • Oliveira G
        • Behlau M
        Validação do protocolo Perfil de Participação e Atividades Vocais no Brasil.
        CoDAS. 2013; 25: 242-249https://doi.org/10.1590/S2317-17822013000300009
        • Madazio G
        • Moreti F
        • Yamasaki R
        Protocolos de autoavaliação do impacto da disfonia.
        1 ed. Tratado de Especialidades em Fonoaudiologia. 16. Guanabara Koogan, cap, São Paulo2014: 113-129
        • Guimarães MF
        • Oliveira LOC
        • Azevedo EHM
        Perfil de participação em atividades vocais e estratégias de enfrentamento da disfonia em pacientes com câncer de laringe tratados com radioterapia.
        Rev CEFAC. 2018; 20: 374-381https://doi.org/10.1590/1982-021620182031218
        • Behlau M
        • Oliveira G
        • Santos LMA
        • et al.
        Validation in Brazil of self-assessment protocols for dysphonia impact.
        Pró-Fono R Atual Cient. 2009; 21: 326-332https://doi.org/10.1590/S0104-56872009000400011
        • Behlau M
        • Zambon F
        • Moreti F
        • et al.
        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
        • Kasama ST
        • Brasolotto A
        Percepção vocal e qualidade de vida.
        Pró-Fono R Atual Cient. 2007; 19: 19-28https://doi.org/10.1590/S0104-56872007000100003
        • Behlau M
        Voz: o Livro do Especialista, v 1.
        Revinter, São Paulo2008: 83-245
        • Moreti F
        • Zambon F
        • Oliveira G
        • et al.
        Equivalência cultural da versão brasileira da Voice Symptom Scale – VoiSS.
        J Soc Bras Fonoaudiol. 2011; 23: 398-400https://doi.org/10.1590/S2179-64912011000400018
        • Rodrigues G
        • Zambon F
        • Mathieson L
        • et al.
        Vocal tract discomfort in teachers: its relationship to self-reported voice disorders.
        J Voice. 2013; 27: 473-480https://doi.org/10.1016/j.jvoice.2013.01.005
        • Marcolino JAM
        • Mathias LAST
        • Piccini Filho L
        • et al.
        Escala Hospitalar de Ansiedade e Depressão: estudo da validade de critério e da confiabilidade com pacientes no pré-operatório.
        Rev Bras Anestesiol. 2007; 57: 52-62https://doi.org/10.1590/S0034-70942007000100006
        • Marcolino JAM
        • Suzuki F
        • Alli LA
        • et al.
        Medida da ansiedade e da depressão em pacientes no pré-operatório. Estudo comparativo.
        Rev Bras Anestesiol. 2007; 57: 157-166https://doi.org/10.1590/S0034-70942007000200004
        • Teixeira LC
        • Rodrigues AL
        • Silva AFG
        • et al.
        Escala URICA-VOZ para identificação de estágios de adesão ao tratamento de voz.
        CoDAS. 2013; 25: 8-15https://doi.org/10.1590/S2317-17822013000100003
        • Pinheiro FA
        • Tróccoli BT
        • Carvalho CV
        Validação do Questionário Nórdico de Sintomas Osteomusculares como medida de morbidade.
        Rev Saúde Pública. 2002; 36: 307-312https://doi.org/10.1590/S0034-89102002000300008
        • Fernandes MH
        • Rocha VM
        • Costa-Oliveira AGR
        Fatores associados à prevalência de sintomas osteomusculares em professores.
        Rev Salud Pública. 2009; 11: 256-267
        • Branco JC
        • Silva FG
        • Jansen K
        • et al.
        Prevalência de sintomas osteomusculares em professores de escolas públicas e privadas do ensino fundamental.
        Fisioter Mov. 2011; 24: 307-314https://doi.org/10.1590/S0103-51502011000200012
        • Mango MSM
        • Carilho MK
        • Drabovski B
        • et al.
        Análise dos sintomas osteomusculares de professores do ensino fundamental em Matinhos (PR).
        Fisioter Mov. 2012; 25: 785-794https://doi.org/10.1590/S0103-51502012000400011
        • Karakaya IÇ
        • Karakaya MG
        • Tunç E
        • et al.
        Musculoskeletal problems and quality of life of elementary school teachers.
        Int J Occup Saf Ergon. 2015; 21https://doi.org/10.1080/10803548.2015.1035921
        • Souza LBR
        • Pernambuco LA
        • Lima CR
        • et al.
        Desconforto no trato vocal em professores do ensino fundamental.
        Rev Ciênc Méd Biol. 2015; 14: 36-41https://doi.org/10.9771/cmbio.v14i1.12734
        • Depolli GT
        • Fernandes DNS
        • Costa MRB
        • et al.
        Fadiga e Sintomas Vocais em Professores Universitários.
        Distúrb Comum. 2019; 31: 225-233https://doi.org/10.23925/2176-2724.2019v31i2p 225-233
        • Calixto MF
        • Garcia PA
        • Rodrigues DS
        • et al.
        Prevalência de sintomas osteomusculares e suas relações com o desempenho ocupacional entre professores do ensino médio público.
        Cad Ter Ocup UFSCar. 2015; 23: 533-542https://doi.org/10.4322/0104-4931.ctoAO0551
        • Cheng HK
        • Wong MT
        • Yu Y
        • et al.
        Work-related musculoskeletal disorders and ergonomic risk factors in special education teachers and teacher's aides.
        BMC Public Health. 2016; 16: 1-9https://doi.org/10.1186/s12889-016-2777-7
        • Rantala LM
        • Hakala S
        • Holmqvist S
        • et al.
        Connections between voice ergonomic risk factors in classrooms and teachers voice production.
        Folia Phoniatr Logop. 2012; 64: 278-282https://doi.org/10.1159/000346864
        • Silva J
        • Siqueira L
        • Ribeiro VV
        • et al.
        Musculoskeletal pain and occupational variables in teachers with voice disorders and in those with healthy voices—a pilot study.
        J Voice. 2017; 31: 518.E7-518.E13https://doi.org/10.1016/j.jvoice.2016.12.021
        • Yu L
        • Lu Dan
        • Yang Hui
        • et al.
        A comparative and correlative study of the voice-related quality of life (V-RQOL) and the voice activity and participation profile (VAPP) for voice-related quality of life among teachers with and without voice disorders.
        Medicine. 2019; 98: 1-7https://doi.org/10.1097/MD.0000000000014491
        • Moghtader M
        • Soltani M
        • Mehravar M
        • et al.
        The relationship between vocal fatigue index and voice handicap index in university professors with and without voice complaint.
        J Voice. 2020; 34: 809.e1-809.e5https://doi.org/10.1016/j.jvoice.2019.01.010
        • Hernández E
        • Gómez-Calcerrada S
        • Palacios-Ceña D
        Evaluación psicológica del síndrome de burnout en profesores de educación primaria en la Comunidad de Madrid: comparación entre centros públicos y concertado.
        Univ Psychol. 2017; 16: 1-9https://doi.org/10.11144/Javeriana.upsy16-3.epsb
        • Da Silva CF
        • Moraes KSS
        • Canova FB
        Ansiedade no âmbito educacional: avaliação de professores da rede pública de São Paulo.
        Rev Científica UMC. 2020; 5: 1-10
        • Ceballos AGC
        • Santos GB
        Fatores associados à dor musculoesquelética em professores: Aspectos sociodemográficos, saúde geral e bem-estar no trabalho.
        Rev Bras Epidemiol. 2015; 18: 702-7015https://doi.org/10.1590/1980-5497201500030015
        • Nusseck M
        • Spahn C
        • Echternach M
        • et al.
        Vocal health, voice self-concept and quality of life in german school teachers.
        J Voice. 2018; 34 (488.E29-488.E39)https://doi.org/10.1016/j.jvoice.2018.11.008
        • Medeiros JSA
        • Santos SMM
        • Teixeira LC
        • et al.
        Sintomas vocais relatados por professoras com disfonia e fatores associados.
        Audiol Commun Res. 2016; 21: 1-8https://doi.org/10.1590/2317-6431-2015-1553
        • Rantala L
        • Sala E
        • Kankare E
        Teachers' working postures and their effects on the voice.
        Folia Phoniatr Logop. 2018; 70: 24-36https://doi.org/10.1159/000487593
        • Limoeiro FMH
        • Ferreira AEM
        • Zambon F
        • et al.
        Comparison of the occurrence of signs and symptoms of vocal and change discomfort in the vocal tract in teachers from different levels of education.
        CoDAS. 2019; 31: 1-8https://doi.org/10.1590/2317-1782/20182018115
        • Medeiros AM
        • Vieira MT
        Ausência ao trabalho por distúrbio vocal de professores da Educação Básica no Brasil.
        Cad Saúde Pública. 2019; 35e00171717https://doi.org/10.1590/0102-311x00171717
        • Moselli LDL
        • Assunção AA
        • Medeiros AM
        Absenteísmo por distúrbios da voz em professores: revisão da literatura, 2005-2015.
        Distúrb Comum. 2017; 29: 579-587https://doi.org/10.23925/2176-2724.2017v29i3p579-587
        • Santana ER
        • Araújo TM
        • Masson ML
        Autopercepção do efeito da hidratação direta na qualidade vocal de professores: um estudo de intervenção.
        Rev CEFAC. 2018; 20: 761-769https://doi.org/10.1590/1982-021620182068418
        • Jesus LB
        Concordância Entre Diferentes Definições Operacionais de Alteração Vocal [Dissertação].
        Universidade Federal da Bahia, Salvador (BA)2013
        • Cavalcanti NR
        • Souza BO
        • Gama ACC
        • et al.
        Efeito do programa integral de reabilitação vocal em professoras com disfonia comportamental.
        CoDAS. 2018; 30e20170182https://doi.org/10.1590/2317-1782/20182017182
        • Torbes TMM
        • Da Silva KZ
        • Gadenz CD
        • et al.
        Adherence of patients with dysphonia to voice therapy: systematic review.
        J Voice. 2020; 34: 808.e15-808.e23https://doi.org/10.1016/j.jvoice.2019.04.008
        • Cardoso R
        • Meneses RF
        • Lumini-Oliveira J
        • et al.
        Associations between teachers’ posture, muscle tension and voice complaints.
        J Voice. 2020; https://doi.org/10.1016/j.jvoice.2020.02.011
        • Ubillos S
        • Centeno J
        • Ibañes J
        • et al.
        Protective and risk factors associated with voice strain among teachers in Castile and Leon, Spain: recommendations for voice training.
        J Voice. 2015; 29: 261.E1-261.E12https://doi.org/10.1016/j.jvoice.2014.08.005
        • Cutiva LCC
        • Puglisi G
        • Astolfi A
        • et al.
        Four-day follow-up study on the self-reported voice condition and noise condition of teachers: relationship between vocal parameters and classroom acoustics.
        J Voice. 2017; 31: 120.E1-120.E8https://doi.org/10.1016/j.jvoice.2016.02.017
        • Escalona E
        Programa para la preservación de la voz en docentes de educación básica.
        Salud de los Trabajadores. 2006; 14 (ISSN 1315-0138): 31-49