Revista de Investigación e Innovación en Ciencias de la Salud最新文献_第6页

High-Resolution Manometry Contributions to the Physiology of Phonation 高分辨率测压法对发音生理学的贡献

Revista de Investigación e Innovación en Ciencias de la Salud Pub Date : 2023-11-30 DOI: 10.46634/riics.227

Thays Vaiano, Fernando A M Herbella, Flávia Badaró, M. Behlau

{"title":"High-Resolution Manometry Contributions to the Physiology of Phonation","authors":"Thays Vaiano, Fernando A M Herbella, Flávia Badaró, M. Behlau","doi":"10.46634/riics.227","DOIUrl":"https://doi.org/10.46634/riics.227","url":null,"abstract":"High-resolution manometry (HRM) is a motility diagnostic system that measures intraluminal pressure of the gastrointestinal tract using a series of closely spaced pressure sensors. The topographic plot generated by HRM software makes it possible to visualize phonation pressures at the pharynx, UES, and body of the esophagus in real time, indicating pressure intensity by color, which permits easy data interpretation. It has been largely used for swallowing study and dysphagia diagnosis. Due to the proximity of the pharyngoesophageal and laryngeal structures, this technology instigated voice researchers. Despite the few studies published so far, high-resolution manometry has yet proven to be an extremely useful tool in obtaining entire pharyngoesophageal segment pressure measurements during phonation. It also allows natural voice production not interfering with the mouth area. HRM data already brought light to subglottic pressure, vertical laryngeal excursion, cricopharyngeal muscle activation, air flow, muscle tension associated with vocalization and pressure variations associated with different phonatory stimuli.","PeriodicalId":508578,"journal":{"name":"Revista de Investigación e Innovación en Ciencias de la Salud","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139203286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Normative Values for the Spanish Version of the Voice Symptom Scale (VoiSS) 西班牙文版嗓音症状量表 (VoiSS) 的标准值

Revista de Investigación e Innovación en Ciencias de la Salud Pub Date : 2023-11-30 DOI: 10.46634/riics.228

Antonio Velandrino-Nicolás, Francisco Cabello Luque, María Monteagudo-Santamaría, Lidia Gómez-Cobos

{"title":"Normative Values for the Spanish Version of the Voice Symptom Scale (VoiSS)","authors":"Antonio Velandrino-Nicolás, Francisco Cabello Luque, María Monteagudo-Santamaría, Lidia Gómez-Cobos","doi":"10.46634/riics.228","DOIUrl":"https://doi.org/10.46634/riics.228","url":null,"abstract":"Objective. The aim of this study was to establish normative values for the Voice Symptom Scale (VoiSS) in the Spanish community population (without voice problems), using a sample from a large area of southeastern Spain. Method. The sample consisted of 115 adults from ages 16 to 87, 60 of whom were women and 55 were men. Participants included the family members of patients who attended the Otorhinolaryngology (ENT) and Speech Therapy Clinic at a referral hospital in the region of Murcia, Spain, and some of the clinic’s staff. All the participants reported never having suffered from any voice disorder before. Results. The normative values obtained in this study for the VoiSS were 14.61 (SD=8.18) for the total score, 7.57 (SD = 5.42) for the Impairment subscale, 1.04 (SD = 1.65) for the Emotional subscale, and 5.99 (SD = 3.61) for the Physical subscale. The percentile values were also obtained for the VoiSS scale and for its three subscales. Conclusions. This study presents normative values for the VoiSS scale that have not previously been obtained in Spain. These values can be used as a reference to detect possible voice disorders.","PeriodicalId":508578,"journal":{"name":"Revista de Investigación e Innovación en Ciencias de la Salud","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139200051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Feasibility of a Comprehensive Screening for Voice and Swallowing Function in Post-Extubation Patients: A Pilot Study 探索拔管后患者嗓音和吞咽功能综合筛查的可行性：试点研究

Revista de Investigación e Innovación en Ciencias de la Salud Pub Date : 2023-11-30 DOI: 10.46634/riics.239

Fernanda Figueroa-Martínez, Adrián Castillo-Allendes, Karla Grunewaldt, Tamara Solís-Meza, Eric J. Hunter, Jeffrey R Searl

{"title":"Exploring the Feasibility of a Comprehensive Screening for Voice and Swallowing Function in Post-Extubation Patients: A Pilot Study","authors":"Fernanda Figueroa-Martínez, Adrián Castillo-Allendes, Karla Grunewaldt, Tamara Solís-Meza, Eric J. Hunter, Jeffrey R Searl","doi":"10.46634/riics.239","DOIUrl":"https://doi.org/10.46634/riics.239","url":null,"abstract":"Objectives. This pilot study aimed to identify and test a battery of time-efficient and cost-effective voice and swallowing screening tools for post-extubated patients in Chile. Methods. A panel of four experts selected and rated voice and swallowing screening tools. Seven measures were selected: smoothed cepstral peak prominence (CPPS) and maximum phonation time (MPT) for voice assessment, Volume-Viscosity Swallow Test (V-VST) for swallowing, voluntary and reflex peak cough flow for cough assessment, Eating Assessment Tool-10 (EAT-10), and Vocal Symptom Scale (VoiSS) for patient-reported outcomes. These tools were applied to four post-extubation patients within 48-72 hours post-hospital discharge, alongside the assessment of 17 matched controls. Results. Post-extubation patients showed significantly shorter MPT, lower CPPS values, increased V-VST dysphagia signs, reduced voluntary peak cough flow, and more pronounced symptoms on both the VoiSS and EAT-10 compared to controls. Limitations. The study had a modest sample size and relied solely on clinical screening tools.Value. This pilot study suggests a feasible and cost-effective approach to voice and swallowing screening for post-extubation patients, valuable in resource-constrained settings.Conclusion. While these accessible tools are not gold-standard assessments, they offer valuable insights and can guide future research. This study underscores the potential of selected tools in facilitating early detection of voice and swallowing disorders in post-extubation patients.","PeriodicalId":508578,"journal":{"name":"Revista de Investigación e Innovación en Ciencias de la Salud","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139201626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Tribute to Dr. Cristina Jackson-Menaldi: A Pioneer in the Field of Voice Disorders 向嗓音疾病领域的先驱克里斯蒂娜-杰克逊-梅纳尔迪博士致敬

Revista de Investigación e Innovación en Ciencias de la Salud Pub Date : 2023-11-30 DOI: 10.46634/riics.284

L. Cantor-Cutiva, P. Bottalico, J. Codino, Eric J. Hunter, Adam D. Rubin

引用次数: 0

Speed of Pitch Change in People with Parkinson’s Disease: A Pilot Study 帕金森病患者的音高变化速度：试点研究

Revista de Investigación e Innovación en Ciencias de la Salud Pub Date : 2023-11-30 DOI: 10.46634/riics.246

Supraja Anand

{"title":"Speed of Pitch Change in People with Parkinson’s Disease: A Pilot Study","authors":"Supraja Anand","doi":"10.46634/riics.246","DOIUrl":"https://doi.org/10.46634/riics.246","url":null,"abstract":"Objective. To examine laryngeal maximum performance through a novel pitch diadochokinetic (DDK) task in people with Parkinson’s disease (PD) and healthy controls. Methods. This exploratory pilot study included a total of eight people with PD (seven male and one female) and eight healthy controls. Participants were instructed to rapidly transition or alternate between a chosen comfortable low and high pitch and were instructed to complete the task as a pitch glide. An Auditory Sawtooth Waveform Inspired Pitch Estimator-Prime model was used to first extract the pitch contour and then a customized MATLAB algorithm was used to compute and derive measures of pitch range and pitch slope. Results. Pitch range and slope were reduced in some participants with PD. Effects of age and disease duration were observed in people with PD: reductions in both pitch measures with increase in age and disease duration. Conclusions. A novel pitch DDK task may supplement the conventional laryngeal DDK task in the evaluation and treatment of motor speech and voice disorders. Individual variability analysis may provide specific diagnostic and therapeutic insights for people with PD.","PeriodicalId":508578,"journal":{"name":"Revista de Investigación e Innovación en Ciencias de la Salud","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139196639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of a Three-Week Workplace Vocal Health Promotion Program on a Teacher and Students' Voice Parameters 为期三周的工作场所声乐健康促进计划对教师和学生嗓音参数的影响

Revista de Investigación e Innovación en Ciencias de la Salud Pub Date : 2023-11-30 DOI: 10.46634/riics.180

L. Cantor-Cutiva, Adriana Maria Cantor-Cutiva

{"title":"Impact of a Three-Week Workplace Vocal Health Promotion Program on a Teacher and Students' Voice Parameters","authors":"L. Cantor-Cutiva, Adriana Maria Cantor-Cutiva","doi":"10.46634/riics.180","DOIUrl":"https://doi.org/10.46634/riics.180","url":null,"abstract":"Objective. To determine the effect on voice parameters in pupils and their teacher of a three-week Workplace Vocal Health Promotion Program (WVHPP) in a school setting. Methods. Longitudinal study with a design phase and a pilot phase. Voice recordings of connected speech were used to collect information on voice functioning before and after the implementation of the program. The workplace vocal health promotion program was implemented with two purposes: (1) to reduce noisy conditions inside the classrooms that may cause loud voice production, which has been found associated with voice disorders among teachers and students and (2) to increase awareness about the relationship between noise and voice inside the classrooms. Results. The WVHPP was found to be statistically associated with a decrease in the fundamental frequency, standard deviation of the fundamental frequency, sound pressure levels, and SPL standard deviation among both pupils and their teacher. However, there was no statistically significant effect on cepstral peak prominence smoothed. Conclusion. The three-week WVHPP was found to have a significant impact on several acoustic parameters, such as the fundamental frequency and sound pressure levels. These findings highlight the potential of the WVHPP as an effective intervention for improving the vocal health of both teachers and students. However, the lack of a significant effect on cepstral peak prominence smoothed suggests that further research is needed to fully understand the impact of the WVHPP on voice quality.","PeriodicalId":508578,"journal":{"name":"Revista de Investigación e Innovación en Ciencias de la Salud","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139208214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is it always Laryngopharyngeal Reflux? How Voice Disorders Can Manifest as LPR 一定是喉咽反流吗？嗓音疾病如何表现为 LPR

Revista de Investigación e Innovación en Ciencias de la Salud Pub Date : 2023-11-30 DOI: 10.46634/riics.262

Thomas L. Carroll

{"title":"Is it always Laryngopharyngeal Reflux? How Voice Disorders Can Manifest as LPR","authors":"Thomas L. Carroll","doi":"10.46634/riics.262","DOIUrl":"https://doi.org/10.46634/riics.262","url":null,"abstract":"Introduction. Laryngopharyngeal reflux (LPR) manifests with a constellation of common throat symptoms and inconclusive signs on laryngoscopic exam. It is a diagnosis, often made clinically, that can lead to prescriptions of proton pump inhibitors that are unnecessary and potentially harmful. Glottic insufficiency (GI) and the accompanying hyperfunctional laryngeal behaviors can also present with similar, common throat complaints that may or may not include a qualitative change to the voice. Methods. This is a reflection article. It is written to summarize, explain, and support with evidence the opinion of the author on the topic of how symptoms of voice disorders can easily be mistaken for symptoms of LPR. The offered reflection is based on his experience, research and the available literature. Reflection. This article intends to explore the similarities between GI and LPR, how to ultimately differentiate them and how to approach treatment with a broader differential diagnosis. Conclusion. LPR and GI can present with identical, vague throat, and voice symptoms. Empiric medication trials, behavioral interventions and objective laryngovideostroboscopy, impedance-based reflux, and esophageal motility testing may all be needed, sometimes in a trial and error fashion, to correctly diagnose and treat a patient’s symptoms.","PeriodicalId":508578,"journal":{"name":"Revista de Investigación e Innovación en Ciencias de la Salud","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139201251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0