Verifying the effectiveness of using resonance tubes in voice therapy with elderly people

Santos, Sabrina Braga dos; Rodrigues, Stéfani Ribeiro; Gadenz, Camila Dalbosco; Anhaia, Tanise Cristaldo; Spagnol, Priscila Esteves; Cassol, Mauriceia

doi:10.1590/S2317-64312014000100014

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ORIGINAL ARTICLES • Audiol., Commun. Res. 19 (1) • Mar 2014 • https://doi.org/10.1590/S2317-64312014000100014 linkcopy

Verifying the effectiveness of using resonance tubes in voice therapy with elderly people

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstracts

Purpose : Verifying the effectiveness of the Finnish resonance tube method in a group of elderly subjects with complaints of vocal and respiratory changes.

Methods : The sample was made up of dwellers from a long-term care institution (LTCI) who were equally distributed into Research Group (G1) and Control Group (G2). 42 elderly, 30 of whom female, between 62 and 93 years old took part in the research. A sociodemographic survey was applied followed by spirometry and voice recording both prior to and after the intervention. G1 attended six resonance tube sessions, while G2 attended six vocal health workshops. The voices recorded were analyzed following the GRBASI scale.

Results : G1 significantly improved while G2 did not have any significant voice change. Spiromety improved in G1 and worsened in G2.

Conclusion : The Finnish resonance tube technique was effective in treating the elderly with presbyphonia symptoms and aided in improving their vocal quality and vital capacity.

Aged; Voice; Voice Training; Vital Capacity; Quality of Life

Variable	Group 1	Group 2	Total
Variable	n (%)	n (%)	n (%)
Total population
Women	15 (71.4)	15 (71.4)	30 (71.4)
Men	6 (28.6)	6 (28.6)	12 (28.6)
Marital status
Married	1 (4.8)	0 (0)	1 (2.38)
Single	5 (23.8)	9 (42.9)	14 (33.33)
Widowed	14 (66.7)	10 (47.6)	24 (57.14)
Divorced	1 (4.8)	2 (9.5)	3 (7.14)
Schooling
Never studied	7 (33.3)	2 (9.5)	9 (21.42)
Incomplete elementary	10 (47.6)	15 (71.4)	25 (59.52)
Complete elementary to complete higher education	4 (19.2)	4 (19.1)	8 (19.04)

Variable assessed	Group 1	Group 2
	(n=21)	(n=21)
	(p-value)	(p-value)
G – Grade of dysphonia	0.025*	1.000
R – Roughness	0.002*	0.414
B – Breathiness	0.083	0.317
A – Asthenia	0.025*	1.000
S – Strain	0.008*	0.317
I – Instability	0.008*	0.083

Variable	Group 1			Group 2
	(n=20)			(n=22)
	Average (SD)			Average (SD)

	Pre	Post	p value	Pre	Post	p-value
Spirometry	1123	1861	0.000*	1335.71	1070.95	0.003*
	(541.464)	(509.388)		(759.135)	(608.916)

Auditory-perceptual assessment	62-75 years	76-93 years	p-value
Auditory-perceptual assessment	n (%)	n (%)	p-value
G – Grade of dysphonia	2 (33.3)	2 (20)	0.935
R - Roughness	2 (33.3)	8 (53.3)	0.730
B – Breathiness	1 (16.7)	2 (13.3)	1
A – Asthenia	2 (33.3)	2 (20)	0.935
S – Strain	2 (33.3)	5 (33.3)	1
I – Instability	2 (33.3)	5 (33.3)	1
Spirometry	6 (100)	15 (100)	-

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Academia Brasileira de Audiologia Rua Itapeva, 202, conjunto 61, CEP 01332-000, Tel.: (11) 3253-8711 - São Paulo - SP - Brazil
E-mail: revista@audiologiabrasil.org.br

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