ABSTRACT
Purpose
To map and describe the characteristics present in the publications of the CoDAS journal in the voice segment.
Research strategies
The research was carried on the Scielo database using the descriptor voice.
Selection criteria
CoDAS publications in the field of voice.
Data analysis
Specific data collected according to delineation, summarized by descriptive analysis and analyzed in narrative format.
Results
Studies published in 2019 and with cross-sectional delineation were more frequent. The most frequent result in the cross-sectional studies was the vocal self-assessment. Most intervention studies were of immediate single-session-only effect. The most frequent procedures in the validation studies were translation and transcultural adaptation.
Conclusion
There was a gradual increase in the number of publications of voice studies, though these had heterogeneous characteristics.
Keywords:
Voice; Outcomes; Procedures; Dysphonia; Voice Disorders
RESUMO
Objetivo
Mapear e descrever as características das publicações da revista CoDAS na área da voz.
Estratégia de pesquisa
Foi realizada uma busca eletrônica na base de dados Scielo pelo descritor voz.
Critérios de seleção
Foram selecionados os estudos publicados na revista CoDAS, na área de voz.
Análise dos dados
Foram extraídos dados específicos por delineamento. Os dados foram sintetizados por análise descritiva, e analisados de forma narrativa.
Resultados
Foram mais frequentes estudos publicados em 2019, com delineamento transversal. Foram mais frequentes estudos com amostra na faixa etária de 18-59 anos. Nos estudos transversais, foi mais frequente a medida de resultado de autoavaliação vocal. Nos estudos de intervenção, a maioria foi de efeito imediato de uma sessão. Dentre os estudos de validação, foram mais frequentes os procedimentos de tradução e adaptação transcultural.
Conclusão
Houve aumento gradual de estudos em voz, porém, as características das publicações foram heterogêneas.
Descritores:
Voz; Desfechos; Procedimentos; Disfonia; Distúrbios da Voz
INTRODUCTION
In the contemporary healthcare world, the search for a scientific knowledge in the contemporary world of health care, the search for scientific knowledge has taken a prominent place, with the main purpose of fostering clinical practice. In this sense, the production of evidence through the publication of a scientific article is a way to transmit to the scientific and clinical community data on the development of new procedures, instruments, and interventions, as well as the analysis of risk factors and epidemiological reality in the various areas of Science(11 Castro JN. A educação física no ensino agrícola: um estudo a partir das teorias da educação transformadoras da sociedade [dissertação]. Seropédica: Universidade Federal Rural do Rio de Janeiro; 2011 [citado em 2022 Jan 22]. Disponível em: https://tede.ufrrj.br/handle/jspui/1196
https://tede.ufrrj.br/handle/jspui/1196...
), such as in Speech Therapy (phonoaudiology).
In Brazil, voice is one of the phonoaudiological areas recognized as a specialty since 2006(22 Brasil. Conselho Federal de Fonoaudiologia. Resolução no 320, de 17 de fevereiro de 2006 [Internet]. Diário Oficial da União; Brasília; 2006 [citado em 2022 Jan 22]. Disponível em: https://www.fonoaudiologia.org.br/resolucoes/resolucoes_html/CFFa_N_320_06.htm
https://www.fonoaudiologia.org.br/resolu...
). Since this resolution, the voice area has advanced even more as a recognized specialty in constant evolution. The strength and recognition of a profession or area are in most part based on the quality of the articles published in peer-reviewed journals. The Brazilian scientific production in the area of voice is vast, which contributes to and strengthens the practice. Historically, the first researches in the voice area, as well as in the health and speech sciences in general, dealt with the delineation of expert opinions and case series from clinical practice. These were the first scientific steps in a young field, but the conclusions of these studies could not yet be generalized. The practice was based on the learning acquired during the clinicians' training, and their questions were answered directly with recognized experts. Over time, research has been improving, and the focus has become the availability of evidence to improve clinical practice, as well as the implementation of evidence. Currently, the challenge for vocal clinicians is to choose the best scientific evidence to support their practice(33 Lopes L, Moreti F, Pereira EC, Ribeiro LL, Pedrosa V, Medeiros AM. Desafios na avaliação e implementação das evidências científicas na clínica vocal. In: Lopes L, Moreti F, Ribeiro LL, editores. Fundamentos e atualidades em voz clínica [Internet]. Rio de Janeiro: Thieme Revinter; 2019. p. 235-7 [citado em 2022 Jan 22]. Disponível em: https://elibro.net/ereader/elibrodemo/183601
https://elibro.net/ereader/elibrodemo/18...
,44 Lopes L, Vieira V, Behlau M. Performance of different acoustic measures to discriminate individuals with and without voice disorders. J Voice. 2022;36(4):487-98. http://dx.doi.org/10.1016/j.jvoice.2020.07.008. PMid:32798120.
http://dx.doi.org/10.1016/j.jvoice.2020....
). These changes stemmed, in large part, from a movement called Evidence Based Practice (EBP), which seeks to ensure the quality of care of health professionals, including speech therapists, aiming at better decision making for each case(55 Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn’t. BMJ. 1996;312(7023):71-2. http://dx.doi.org/10.1136/bmj.312.7023.71. PMid:8555924.
http://dx.doi.org/10.1136/bmj.312.7023.7...
). The EBP consists of three practices: 1) The clinician identifies a problem or doubt in their practice; 2) The researcher transforms this problem/doubt into a research question and develops a study to answer it based on evidence; 3) The clinician searches and selects the study, and applies the evidence to their clinical practice, from a critical analysis that takes into account their practice experience and patient perspectives(66 Patel RR, Awan SN, Barkmeier-Kraemer J, Courey M, Deliyski D, Eadie T, et al. Recommended Protocols for Instrumental Assessment of Voice: American Speech-Language-Hearing Association Expert Panel to Develop a Protocol for Instrumental Assessment of Vocal Function. Am J Speech Lang Pathol. 2018;27(3):887-905. http://dx.doi.org/10.1044/2018_AJSLP-17-0009. PMid:29955816.
http://dx.doi.org/10.1044/2018_AJSLP-17-...
). Thus, the execution of EBP does not depend only on researchers, but mainly on clinicians, who must act as integrators of science and clinic, critical evaluators of data, and executors in the application of evidence in their clinical cases(77 Ratner NB. Evidence-Based Practice: An Examination of Its Ramifications for the Practice of Speech-Language Pathology. Lang Speech Hear Serv Sch. 2006;37(4):257-67. http://dx.doi.org/10.1044/0161-1461(2006/029). PMid:17041074.
http://dx.doi.org/10.1044/0161-1461(2006...
). It can be said that the continuous development of Speech Pathology and the field of voice is directly linked to the practice of EBP(88 Johnson AF, Jacobson BH, Frattali C, Golper LA. Evidence-based practice and outcomes-oriented approaches in speech-language pathology. In: Johnson AF, Jacobson BH, editoresMedical speech-language pathology: a practitioner’s guide. 2nd ed. New York: Thieme; 2007. p. 223-36.), although EBP is still not frequent in the field of voice.
Brazil currently hás four speech therapy specialized magazines that contribute to EPB, one of them is CoDAS (Communication Disorders, Audiology and Swallowing) an easy and short english abbreviation that includes the main areas of Speech Therapy. CoDAS is a journal that has been adapted to the needs of the phonoaudiological academy and clinic. Initially, it was called Pró-Fono Revista de Atualização Cientifica (2005-2010). In 2010, it was renamed Jornal da Sociedade Brasileira de Fonoaudiologia (2010-2012). The articles published from 2010 onwards are available on the Scielo platform with open access. In its last restructuring in 2013, it was renamed CoDAS, with a centralized editorial as the only publication of the Brazilian Society of Speech Therapy. The journal is indexed by Web of Science, MEDLINE/PubMed, Scopus, PsycINFO, Scientific Electronic Library Online (SciELO), Linguistics and Language Behavior Abstracts (CSA), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), SociedadIberoamericana de Información Científica (SIIC Data Bases), and the Directory of Open Access Journals (DOAJ). Considering the importance of this journal for research and clinical practice in the area of voice, it is important to map the publications in this area that have been published in it. Such data will provide a general panorama (landscape) of the scope of the publications in regards to the designs, samples, outcomes and exercise prescription. It is believed that such data will contribute to identify what has been done in the country, map the advances, point out the limitations and needs of the area and help the speech therapist in the search for evidence towards a final goal that is to provide the best care for patients in the vocal clinic. Furthermore, the mapping done by a scope review can contribute to future directions in the area and the growth of science.
Thus, the overall objective of this research was to map and describe the characteristics of CoDAS journal publications in the area of voice.
RESEARCH STRATEGY
The present study has a scoping review design and followed the recommendations of Joanna Briggs Institute Manual for Evidence Synthesis for Scoping Reviews (99 Aromataris E, Munn Z. JBI systematic reviews. In: Aromataris E, Munn Z, editores. JBI manual for evidence synthesis [Internet]. Adelaide: JBI; 2020. Chapter 1 [citado em 2022 Jan 22]. Disponível em: https://wiki.jbi.global/display/MANUAL/Chapter+1%3A+JBI+Systematic+Reviews
https://wiki.jbi.global/display/MANUAL/C...
) and PRISMA-ScR(1010 Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and Explanation. Ann Intern Med. 2018;169(7):467-73. http://dx.doi.org/10.7326/M18-0850. PMid:30178033.
http://dx.doi.org/10.7326/M18-0850...
). The protocol of the present scope review was registered at Open Science Framework (doi:10.17605/OSF.IO/VFWN7). To elaborate the research question we used the acronym PCC: Population - dysphonic and non-dysphonic individuals; Concept - sampling and methodological characteristics; Context - CoDAS magazine. Thus, the research question that supported its development was: What are the main sampling and methodological characteristics of studies with dysphonic and non-dysphonic individuals published in CoDAS?
The search was conducted in the Scielo database, using the descriptor “voice”. Journal filters were applied, selecting only CoDAS, and publication period until December 2019. The search was performed in the month of August 2020.
The inclusion criteria used to consider the studies for this review were: articles published in the journal CoDAS (Pró-Fono Revista de Atualização Científica, Jornal da Sociedade Brasileira de Fonoaudiologia e CoDAS), period until December 2019, in the area of voice, with a population of dysphonic and non-dysphonic individuals. In June 2022 the article was updated with publications from January 2020 to December 2021. We excluded interdisciplinary studies in which the focus was not the area of voice (outcomes of other areas), and secondary studies (literature review).
The procedures used to select the studies and apply the eligibility criteria were: reading the title; reading the abstract, and reading the full articles. The selection was performed by the main author between August and November 2020.
ANALYZING DATA
Data extraction and analysis was performed by two authors. In order to facilitate data extraction and analysis, the selected studies were separated into three groups, according to the design: observational(1111 Medronho RA. Epidemiologia. São Paulo: Atheneu; 2006.); intervention(1111 Medronho RA. Epidemiologia. São Paulo: Atheneu; 2006.); and instrument validation. The data extracted from the studies were:
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Observational (Cross-sectional, Cohort and Case-control): authors, year, country, institution, design, area, age group, gender, sample size, outcomes, self-assessment, perceptual-auditory assessment, acoustic analysis, aerodynamics.
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Intervention (Quasi-experimental, Experimental and Intervention before and after): authors, year, country, institution, design, area, age group, gender, sample size, number of sessions, session time, session frequency.
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Translation, cross-cultural adaptation, and validation of instruments: authors, year, country, institution, design, area, age group, gender, sample size, translation, and cross-cultural adaptation.
The synthesis of the data was presented descriptively by means of tables and graphs with frequency analysis. Data analysis was performed in narrative format.
RESULTS
Figure 1 shows that 2742 studies were identified in the Scielo database. During the first selection phase 2530 studies were excluded because they were not in the area of voice or because they were interdisciplinary studies with no voice endpoints, thus making 212 studies. During the second selection phase, 36 were excluded based on the design (secondary studies). Thus, 176 studies were selected(1212 Silverio KCA, Gonçalves CGO, Penteado RZ, Vieira TPG, Libardi A, Rossi D. Ações em saúde vocal: proposta de melhoria do perfil vocal de professores. Pro Fono. 2008;20(3):177-82. http://dx.doi.org/10.1590/S0104-56872008000300007.
http://dx.doi.org/10.1590/S0104-56872008...
13 Rehder MIBC, Behlau M. Análise vocal perceptivo-auditiva e acústica, falada e cantada de regentes de coral. Pro Fono. 2008;20(3):195-200. http://dx.doi.org/10.1590/S0104-56872008000300010.
http://dx.doi.org/10.1590/S0104-56872008...
14 Guirro RRJ, Bigaton DR, Silvério KCA, Berni KCS, Distéfano G, Santos FL, et al. Estimulação elétrica nervosa transcutânea em mulheres disfônicas. Pro Fono. 2008;20(3):189-94. http://dx.doi.org/10.1590/S0104-56872008000300009.
http://dx.doi.org/10.1590/S0104-56872008...
15 Sampaio M, Oliveira G, Behlau M. Investigação de efeitos imediatos de dois exercícios de trato vocal semi-ocluído. Pro Fono. 2008;20(4):261-6. http://dx.doi.org/10.1590/S0104-56872008000400010.
http://dx.doi.org/10.1590/S0104-56872008...
16 Simões-Zenari M, Latorre MRDO. Mudanças em comportamentos relacionados com o uso da voz após intervenção fonoaudiológica junto a educadoras de creche. Pro Fono. 2008;20(1):61-6. http://dx.doi.org/10.1590/S0104-56872008000100011.
http://dx.doi.org/10.1590/S0104-56872008...
17 Masson ACC, Fouquet ML, Gonçalves AJ. Umidificador de traqueostoma: influência na secreção e voz de laringectomizados. Pro Fono Rev Atualização Científica. 2008;20(3):183-8. http://dx.doi.org/10.1590/S0104-56872008000300008
http://dx.doi.org/10.1590/S0104-56872008...
18 Barreto SS, Nagaoka JM, Martins FC, Ortiz KZ. Ataxia espinocerebelar: análise perceptivo-auditiva e acústica da fala em três casos. Pro Fono. 2009;21(2):167-70. http://dx.doi.org/10.1590/S0104-56872009000200014.
http://dx.doi.org/10.1590/S0104-56872009...
19 Gama ACC, Alves CFT, Cerceau JSB, Teixeira LC. Correlação entre dados perceptivo-auditivos e qualidade de vida em voz de idosas. Pro Fono. 2009;21(2):125-30. http://dx.doi.org/10.1590/S0104-56872009000200007.
http://dx.doi.org/10.1590/S0104-56872009...
20 Schwarz K, Cielo CA. Modificações laríngeas e vocais produzidas pela técnica de vibração sonorizada de língua. Pro Fono. 2009;21(2):161-6. http://dx.doi.org/10.1590/S0104-56872009000200013.
http://dx.doi.org/10.1590/S0104-56872009...
21 Ciocchi PE, Andrade CRF. Protocolo de cooperação fonoaudiológica para avaliação nasofibrolaringoscópica da mobilidade laríngea em doenças da tireóide (PAN). Pro Fono. 2009;21(1):31-8. http://dx.doi.org/10.1590/S0104-56872009000100006.
http://dx.doi.org/10.1590/S0104-56872009...
22 Coelho ACC, Bevilacqua MC, Oliveira G, Behlau M. Relação entre voz e percepção de fala em crianças com implante coclear. Pro Fono. 2009;21(1):7-12. http://dx.doi.org/10.1590/S0104-56872009000100002.
http://dx.doi.org/10.1590/S0104-56872009...
23 Behlau M, Oliveira G, Santos LMA, Ricarte A. Validação no Brasil de protocolos de auto-avaliação do impacto de uma disfonia. Pro Fono. 2009;21(4):326-32. http://dx.doi.org/10.1590/S0104-56872009000400011.
http://dx.doi.org/10.1590/S0104-56872009...
24 Coutinho SB, Diaféria G, Oliveira G, Behlau M. Voz e fala de Parkinsonianos durante situações de amplificação, atraso e mascaramento. Pro Fono. 2009;21(3):219-24. http://dx.doi.org/10.1590/S0104-56872009000300007.
http://dx.doi.org/10.1590/S0104-56872009...
25 Gonsalves A, Amin E, Behlau M. Análise do grau global e tensão da voz em cantores de roque. Pro Fono. 2010;22(3):195-200. http://dx.doi.org/10.1590/S0104-56872010000300007.
http://dx.doi.org/10.1590/S0104-56872010...
26 Guimarães MF, Behlau MS, Panhoca I. Análise perceptivo-auditiva da estabilidade vocal de adolescentes em diferentes tarefas fonatórias. Pro Fono. 2010;22(4):455-8. http://dx.doi.org/10.1590/S0104-56872010000400016.
http://dx.doi.org/10.1590/S0104-56872010...
27 Takeshita TK, Zozolotto HC, Ricz H, Dantas RO, Aguiar-Ricz L. Correlação entre voz e fala traqueoesofágica e pressão intraluminal da transição faringoesofágica. Pro Fono. 2010;22(4):485-90. http://dx.doi.org/10.1590/S0104-56872010000400021.
http://dx.doi.org/10.1590/S0104-56872010...
28 Nemr K, Simões-Zenari M, Marques SF, Cortez JP, da Silva AL. Disfonia psicogênica associada a outras doenças: desafio para o tratamento fonoaudiológico. Pro Fono. 2010;22(3):359-62. http://dx.doi.org/10.1590/S0104-56872010000300033.
http://dx.doi.org/10.1590/S0104-56872010...
29 Ávila MEB, Oliveira G, Behlau M. Índice de desvantagem vocal no canto clássico (IDCC) em cantores eruditos. Pro Fono. 2010;22(3):221-6. http://dx.doi.org/10.1590/S0104-56872010000300011.
http://dx.doi.org/10.1590/S0104-56872010...
30 Beber BC, Cielo CA. Medidas acústicas de fonte glótica de vozes masculinas normais. Pro Fono. 2010;22(3):299-304. http://dx.doi.org/10.1590/S0104-56872010000300024.
http://dx.doi.org/10.1590/S0104-56872010...
31 Kurtz LO, Cielo CA. Tempos máximos de fonação de vogais em mulheres adultas com nódulos vocais. Pro Fono. 2010;22(4):451-4. http://dx.doi.org/10.1590/S0104-56872010000400015.
http://dx.doi.org/10.1590/S0104-56872010...
32 Oliveira RC, Teixeira LC, Gama ACC, de Medeiros AM. Análise perceptivo-auditiva, acústica e autopercepção vocal em crianças. J Soc Bras Fonoaudiol. 2011;23(2):158-63. http://dx.doi.org/10.1590/S2179-64912011000200013. PMid:21829932.
http://dx.doi.org/10.1590/S2179-64912011...
33 Pires MDE, Oliveira G, Behlau M. Aplicação do Protocolo de Participação e Atividades Vocais - PPAV em duas diferentes escalas de resposta. J Soc Bras Fonoaudiol. 2011;23(3):297-300. http://dx.doi.org/10.1590/S2179-64912011000300018. PMid:22012167.
http://dx.doi.org/10.1590/S2179-64912011...
34 Goulart BNG, Vilanova JR. Atores profissionais de teatro: aspectos ambientais e sócio-ocupacionais do uso da voz. J Soc Bras Fonoaudiol. 2011;23(3):271-6. http://dx.doi.org/10.1590/S2179-64912011000300014. PMid:22012163.
http://dx.doi.org/10.1590/S2179-64912011...
35 Amorim GO, Bommarito S, Kanashiro CA, Chiari BM. Comportamento vocal de teleoperadores pré e pós-jornada de trabalho. J Soc Bras Fonoaudiol. 2011;23(2):170-6. http://dx.doi.org/10.1590/S2179-64912011000200015. PMid:21829934.
http://dx.doi.org/10.1590/S2179-64912011...
36 Siracusa MGP, Oliveira G, Madazio G, Behlau M. Efeito imediato do exercício de sopro sonorizado na voz do idoso. J Soc Bras Fonoaudiol. 2011;23(1):27-31. http://dx.doi.org/10.1590/S2179-64912011000100008. PMid:21552729.
http://dx.doi.org/10.1590/S2179-64912011...
37 Moreti FTG. Validação da versão brasileira da Voice Symptom Scale - VoiSS. Rev Soc Bras Fonoaudiol. 2012;17(2):238. http://dx.doi.org/10.1590/S1516-80342012000200025.
http://dx.doi.org/10.1590/S1516-80342012...
38 Rechenberg L, Goulart BNG, Roithmann R. Impacto da atividade laboral de teleatendimento em sintomas e queixas vocais: estudo analítico. J Soc Bras Fonoaudiol. 2011;23(4):301-7. http://dx.doi.org/10.1590/S2179-64912011000400003. PMid:22231049.
http://dx.doi.org/10.1590/S2179-64912011...
39 Park K, Behlau M. Sinais e sintomas da disfunção autônoma em indivíduos disfônicos. J Soc Bras Fonoaudiol. 2011;23(2):164-9. http://dx.doi.org/10.1590/S2179-64912011000200014. PMid:21829933.
http://dx.doi.org/10.1590/S2179-64912011...
40 Ortiz KZ, Costa FP. Aplicação do teste M1-Alpha em sujeitos normais com baixa escolaridade: estudo piloto. J Soc Bras Fonoaudiol. 2011;23(3):220-6. http://dx.doi.org/10.1590/S2179-64912011000300007. PMid:22012156.
http://dx.doi.org/10.1590/S2179-64912011...
41 Ugulino AC, Oliveira G, Behlau M. Perceived dysphonia by the clinician’s and patient’s viewpoint. J Soc Bras Fonoaudiol. 2012;24(2):113-8. http://dx.doi.org/10.1590/S2179-64912012000200004. PMid:22832676.
http://dx.doi.org/10.1590/S2179-64912012...
42 Rocha C, Moraes M, Behlau M. Dor em cantores populares. J Soc Bras Fonoaudiol. 2012;24(4):374-80. http://dx.doi.org/10.1590/S2179-64912012000400014. PMid:23306689.
http://dx.doi.org/10.1590/S2179-64912012...
43 Maia MEO, Maia MO, Gama ACC, Behlau M. Efeitos imediatos do exercício vocal sopro e som agudo. J Soc Bras Fonoaudiol. 2012;24(1):1-6. http://dx.doi.org/10.1590/S2179-64912012000100003. PMid:22460366.
http://dx.doi.org/10.1590/S2179-64912012...
44 Silva M, Batista AP, de Oliveira JP, Dassie-Leite AP. Habilidades sociais em crianças disfônicas. J Soc Bras Fonoaudiol. 2012;24(4):361-7. http://dx.doi.org/10.1590/S2179-64912012000400012. PMid:23306687.
http://dx.doi.org/10.1590/S2179-64912012...
45 Silva RSA, Simões-Zenari M, Nemr NK. Impacto de treinamento auditivo na avaliação perceptivo-auditiva da voz realizada por estudantes de Fonoaudiologia. J Soc Bras Fonoaudiol. 2012;24(1):19-25. http://dx.doi.org/10.1590/S2179-64912012000100005. PMid:22460368.
http://dx.doi.org/10.1590/S2179-64912012...
46 Moreti F, Ávila MEB, Rocha C, Borrego MCM, Oliveira G, Behlau M. Influência da queixa e do estilo de canto na desvantagem vocal de cantores. J Soc Bras Fonoaudiol. 2012;24(3):296-300. http://dx.doi.org/10.1590/S2179-64912012000300017. PMid:23128180.
http://dx.doi.org/10.1590/S2179-64912012...
47 Goulart BNG, Rocha JG, Chiari BM. Intervenção fonoaudiológica em grupo a cantores populares: estudo prospectivo controlado. J Soc Bras Fonoaudiol. 2012;24(1):7-18. http://dx.doi.org/10.1590/S2179-64912012000100004. PMid:22460367.
http://dx.doi.org/10.1590/S2179-64912012...
48 Hatzelis V, Murry T. Paradoxical vocal fold motion: respiratory retraining to manage long-term symptoms. J Soc Bras Fonoaudiol. 2012;24(1):80-5. http://dx.doi.org/10.1590/S2179-64912012000100014. PMid:22460377.
http://dx.doi.org/10.1590/S2179-64912012...
49 Maryn Y, Roy N. Sustained vowels and continuous speech in the auditory-perceptual evaluation of dysphonia severity. J Soc Bras Fonoaudiol. 2012;24(2):107-12. http://dx.doi.org/10.1590/S2179-64912012000200003. PMid:22832675.
http://dx.doi.org/10.1590/S2179-64912012...
50 Moreti F, Pereira LD, Gielow I. Triagem da Afinação Vocal: comparação do desempenho de musicistas e não musicistas. J Soc Bras Fonoaudiol. 2012;24(4):368-73. http://dx.doi.org/10.1590/S2179-64912012000400013. PMid:23306688.
http://dx.doi.org/10.1590/S2179-64912012...
51 Santos LR, Almeida L, Teixeira LC, Bassi I, Assunção AÁ, Gama ACC. Adesão das professoras disfônicas ao tratamento fonoterápico. CoDAS. 2013;25(2):134-9. http://dx.doi.org/10.1590/S2317-17822013000200008. PMid:24408242.
http://dx.doi.org/10.1590/S2317-17822013...
52 Ferreira JM, Campos NF, Bassi IB, Santos MAR, Teixeira LC, Gama ACC. Analysis of aspects of quality of life in teachers’ voice after discharged: longitudinal study. CoDAS. 2013;25(5):486-91. http://dx.doi.org/10.1590/S2317-17822013000500014. PMid:24408555.
http://dx.doi.org/10.1590/S2317-17822013...
53 Behlau M, Pontes P, Vieira VP, Yamasaki R, Madazio G. Presentation of the Comprehensive Vocal Rehabilitation Program for the treatment of behavioral dysphonia. CoDAS. 2013;25(5):492-6. http://dx.doi.org/10.1590/S2317-17822013000500015. PMid:24408556.
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54 Paoliello K, Oliveira G, Behlau M. Singing voice handicap mapped by different self-assessment instruments. CoDAS. 2013;25(5):463-8. http://dx.doi.org/10.1590/S2317-17822013005000008. PMid:24408551.
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55 Pifaia LR, Madazio G, Behlau M. Diagrama de desvio fonatório e análise perceptivo-auditiva pré e pós-terapia vocal. CoDAS. 2013;25(2):140-7. http://dx.doi.org/10.1590/S2317-17822013000200009. PMid:24408243.
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56 Nemr NK, Simões-Zenari M, Ferreira TS, Fernandes HR, Mansur LL. Disfonia como principal queixa num quadro de miastenia grave: diagnóstico e fonoterapia. CoDAS. 2013;25(3):297-300. http://dx.doi.org/10.1590/S2317-17822013000300017. PMid:24408343.
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57 Giannini SPP, Latorre MR, Ferreira LP. Latorre M do RD de O, Ferreira LP. Distúrbio de voz e estresse no trabalho docente: um estudo caso-controle. Cad Saude Publica. 2012;28(11):2115-24. http://dx.doi.org/10.1590/S0102-311X2012001100011. PMid:23147953.
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58 Barsties B, Verfaillie R, Roy N, Maryn Y. Do body mass index and fat volume influence vocal quality, phonatory range, and aerodynamics in females? CoDAS. 2013;25(4):310-8. http://dx.doi.org/10.1590/S2317-17822013000400003. PMid:24408481.
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59 Vaiano T, Guerrieri AC, Behlau M. Dores corporais em coristas eruditos. CoDAS. 2013;25(4):303-9. http://dx.doi.org/10.1590/S2317-17822013000400002. PMid:24408480.
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60 Franca MC, Simpson KO, Schuette A. Effects of caffeine on vocal acoustic and aerodynamic measures of adult females. CoDAS. 2013;25(3):250-5. http://dx.doi.org/10.1590/S2317-17822013000300010. PMid:24408336.
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61 Gonçalves MIR, Remaili CB, Behlau M. Cross-cultural adaptation of the Brazilian version of the Eating Assessment Tool - EAT-10. CoDAS. 2013;25(6):601-4. http://dx.doi.org/10.1590/S2317-17822013.05000012. PMid:24626972.
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62 Teixeira LC, Rodrigues ALV, da Silva ÁFG, Azevedo R, Gama ACC, Behlau M. Escala URICA-VOZ para identificação de estágios de adesão ao tratamento de voz. CoDAS. 2013;25(1):8-15. http://dx.doi.org/10.1590/S2317-17822013000100003. PMid:24408164.
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63 Iqueda APD, Ricz H, Takeshita TK, dos Reis N, Aguiar-Ricz L. Nasalance and nasality of tracheoesophageal speech in total laryngectomee. CoDAS. 2013;25(5):469-74. http://dx.doi.org/10.1590/S2317-17822013000500011. PMid:24408552.
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64 Pimenta RA, Dájer ME, Hachiya A, Tsuji DH, Montagnoli AN. Parameters Acoustic and High-speed kymography identified effects of voiced vibration and vocal fry exercises. CoDAS. 2013;25(6):577-83. http://dx.doi.org/10.1590/S2317-17822014000100010. PMid:24626983.
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65 Cipriano F, Ferreira L, Servilha E, Marsiglia R. Relação entre distúrbio de voz e trabalho em um grupo de Agentes Comunitários de Saúde. CoDAS. 2013;25(6):548-56.
66 Lopes LW, Lima ILB, Silva EG, Almeida LNA, Almeida AAF. Accent and television journalism: evidence for the practice of speech language pathologists and audiologists. CoDAS. 2013;25(5):475-81. http://dx.doi.org/10.1590/S2317-17822013000500012. PMid:24408553.
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67 Fouquet ML, Behlau M, Gonçalves AJ. A new proposal for evaluation of the pharyngoesophageal segment and its relation with the narrow-band spectrogram in tracheoesophageal speakers. CoDAS. 2013;25(6):557-65. http://dx.doi.org/10.1590/S2317-17822013.05000010. PMid:24626970.
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68 Costa T, Oliveira G, Behlau M. Validation of the Voice Handicap Index: 10 (VHI-10) to the Brazilian Portuguese. CoDAS. 2013;25(5):482-5. http://dx.doi.org/10.1590/S2317-17822013000500013. PMid:24408554.
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69 Ricarte A, Oliveira G, Behlau M. Validação do protocolo perfil de participação e atividades vocais no Brasil. CoDAS. 2013;25(3):242-9. http://dx.doi.org/10.1590/S2317-17822013000300009. PMid:24408335.
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70 Godoy JF, Brasolotto AG, Berretin-Félix G, Fernandes AY. Neuroradiology and voice findings in stroke. CoDAS. 2014;26(2):168-74. http://dx.doi.org/10.1590k2317-1782/2014531IN. PMid:24918512.
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71 de Oliveira AG, Pinho MM. Extended Neuralgic Amyotrophy Syndrome: voice therapy in one case of vocal fold paralysis. CoDAS. 2014;26(2):175-80. http://dx.doi.org/10.1590/2317-1782/2014446IN. PMid:24918513.
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72 Dassie-Leite AP, Delazeri S, Baldissarelli B, Weber J, Lacerda L Fo. Vocal self-assessment: relation with the type of instrument, gender, age, and profession in individuals without vocal complaints. CoDAS. 2014;26(6):531-4. http://dx.doi.org/10.1590/2317-1782/20140000339. PMid:25590917.
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73 Fava G, Paolillo NP, Oliveira G, Behlau M. Cross-cultural adaptation of the Italian version of the Voice Activity Participation Profile. CoDAS. 2014;26(3):252-5. http://dx.doi.org/10.1590/2317-1782/201420140302. PMid:25118924.
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74 Santos KW, Fraga BF, Cardoso MCAF. Dysfunctions of the stomatognathic system and vocal aspects in Fahr disease: case report. CoDAS. 2014;26(2):164-7. http://dx.doi.org/10.1590/2317-1782/2014498IN. PMid:24918511.
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75 Rocha BR, Moreti F, Amin E, Madazio G, Behlau M. Cross-cultural adaptation of the Brazilian version of the protocol Evaluation of the Ability to Sing Easily. CoDAS. 2014;26(6):535-9. http://dx.doi.org/10.1590/2317-1782/20142014175. PMid:25590918.
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76 Lopes LW, Cavalcante DP, Costa PO. Severity of voice disorders: integration of perceptual and acoustic data in dysphonic. CoDAS. 2014;26(5):382-8. http://dx.doi.org/10.1590/2317-1782/20142013033. PMid:25388071.
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77 Nemr K, Souza GVS, Simões-Zenari M, Tsuji DH, Hachiya A, Cordeiro GF, et al. Cognitive Vocal Program applied to individuals with signals presbylarynx: preliminary results. CoDAS. 2014;26(6):503-8. http://dx.doi.org/10.1590/2317-1782/20142014108. PMid:25590914.
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78 Ribeiro LL, de Paula KMP, Behlau M. Voice-related quality of life in the pediatric population: validation of the Brazilian version of the Pediatric Voice-Related Quality-of Life survey. CoDAS. 2014;26(1):87-95. http://dx.doi.org/10.1590/s2317-17822014000100013. PMid:24714864.
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79 Nevo L, Nevo C, Oliveira G. A comparison of vocal parameters in adult bilingual Hebrew-English speakers. CoDAS. 2015;27(5):483-91. http://dx.doi.org/10.1590/2317-1782/20152015096. PMid:26648221.
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80 Moreti F, Zambon F, Behlau M. Voice symptoms and vocal deviation self-assessment in different types of dysphonia. CoDAS. 2014;26(4):331-3. http://dx.doi.org/10.1590/2317-1782/201420130036. PMid:25211694.
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81 Fabron EMG, Regaçone SF, Marino VCC, Mastria ML, Motonaga SM, Sebastião LT. Self-perception, complaints and vocal quality among undergraduate students enrolled in a Pedagogy course. CoDAS. 2015;27(3):285-91. http://dx.doi.org/10.1590/2317-1782/20152014178. PMid:26222947.
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82 Ribeiro ACM, Scharlach RC, Pinheiro MMC. Avaliação dos aspectos temporais em cantores populares. CoDAS. 2015;27(6):520-5. http://dx.doi.org/10.1590/2317-1782/20152014234. PMid:26691615.
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83 Martins PC, Couto TE, Gama ACC. Auditory-perceptual evaluation of the degree of vocal deviation: correlation between the Visual Analogue Scale and Numerical Scale. CoDAS. 2015;27(3):279-84. http://dx.doi.org/10.1590/2317-1782/20152014167. PMid:26222946.
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84 Fadel CBX, Dassie-Leite AP, Santos RS, Rosa M O, Marques JM. Acoustic characteristics of the metallic voice quality. CoDAS. 2015;27(1):97-100. http://dx.doi.org/10.1590/2317-1782/20152014159
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85 Almeida AAF, Fernandes LR, Azevedo EHM, Pinheiro RSA, Lopes LW. Characteristics of voice and personality of patients with vocal fold immobility. CoDAS. 2015;27(2):178-85. http://dx.doi.org/10.1590/2317-1782/20152014144. PMid:26107084.
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86 Dornelas R, Giannini SPP, Ferreira LP. Dia Mundial da Voz em notícia: análise das reportagens sobre a Campanha da Voz no Brasil. CoDAS. 2015;27(5):492-7. http://dx.doi.org/10.1590/2317-1782/20152014204. PMid:26648222.
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87 Santos ACM, Borrego MCM, Behlau M. Effect of direct and indirect voice training in Speech-Language Pathology and Audiology students. CoDAS. 2015;27(4):384-91. http://dx.doi.org/10.1590/2317-1782/20152014232. PMid:26398263.
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88 Zambon F, Moreti F, Vargas ACT, Behlau M. Eficiência e valores de corte do Perfil de Participação e Atividades Vocais para não professores e professores. CoDAS. 2015;27(6):598-603. http://dx.doi.org/10.1590/2317-1782/20152015028. PMid:26691625.
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89 Marquezin DMSS, Viola I, Ghirardi ACAM, Madureira S, Ferreira LP. Executives’ speech expressiveness: analysis of perceptive and acoustic aspects of vocal dynamics. CoDAS. 2015;27(2):160-9. http://dx.doi.org/10.1590/2317-1782/20152014188. PMid:26107082.
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90 Pellicani AD, Ricz HMA, Ricz LNA. Phonatory function after prolonged voice use in brazilian woman. CoDAS. 2015;27(4):392-9. http://dx.doi.org/10.1590/2317-1782/20152014201. PMid:26398264.
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91 Santos HHANM, Aguiar AGO, Baeck HE, Van Borsel J. Translation and preliminary evaluation of the Brazilian Portuguese version of the Transgender Voice Questionnaire for male-to-female transsexuals. CoDAS. 2015;27(1):89-96. http://dx.doi.org/10.1590/2317-1782/20152014093. PMid:25885202.
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92 Penteado RZ, da Silva NB, Montebello MIL. Voz, estresse, trabalho e qualidade de vida de técnicos e preparadores físicos de futebol. CoDAS. 2015;27(6):588-97. http://dx.doi.org/10.1590/2317-1782/20152015021. PMid:26691624.
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93 Baravieira PB, Brasolotto AG, Montagnoli AN, Silvério KCA, Yamasaki R, Behlau M. Análise perceptivo-auditiva de vozes rugosas e soprosas: correspondência entre a escala visual analógica e a escala numérica. CoDAS. 2016;28(2):163-7. http://dx.doi.org/10.1590/2317-1782/20162015098. PMid:27191880.
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94 Costa FP, Diaféria G, Behlau M. Aspectos comunicativos e enfrentamento da disfonia em pacientes com doença de Parkinson. CoDAS. 2016;28(1):46-52. http://dx.doi.org/10.1590/2317-1782/20162015054. PMid:27074189.
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95 Aquino FS, Silva MAA, Teles LCS, Ferreira LP. Características da voz falada de idosas com prática de canto coral. CoDAS. 2016;28(4):446-53. http://dx.doi.org/10.1590/2317-1782/20162015109. PMid:27652927.
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96 Lopes LW, Vilela EG. Autoavaliação e prontidão para mudança em pacientes disfônicos. CoDAS. 2016;28(3):295-301. http://dx.doi.org/10.1590/2317-1782/20162015111.
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97 Oliveira G, Zambon F, Vaiano T, Costa F, Behlau M. Versões reduzidas para protocolo clínico de enfrentamento das disfonias. CoDAS. 2016;28(6):828-32. http://dx.doi.org/10.1590/2317-1782/20162015177. PMid:27982248.
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98 Moreti F, Zambon F, Behlau M. Conhecimento em cuidados vocais por indivíduos disfônicos e saudáveis de diferentes gerações. CoDAS. 2016;28(4):463-9. http://dx.doi.org/10.1590/2317-1782/20162015162. PMid:27652928.
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99 Krohling LL, Paula KMP, Behlau M. Curva ROC do Protocolo Qualidade de Vida em Voz Pediátrico (QVV-P). CoDAS. 2016;28(3):311-3. http://dx.doi.org/10.1590/2317-1782/20162015103. PMid:27253227.
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100 Gama ACC, Santos JN, Pedra EFP, Rabelo ATV, Magalhães MC, Casas EBL. Dose vocal em professores: correlação com a presença de disfonia. CoDAS. 2016;28(2):190-2. http://dx.doi.org/10.1590/2317-1782/20162015156. PMid:27191884.
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101 Reimann AP, Siqueira LTD, Rondon AV, Brasolotto AG, Silverio KCA. Efeito imediato da terapia manual laríngea em indivíduos disfônicos. CoDAS. 2016;28(1):59-65. http://dx.doi.org/10.1590/2317-1782/20162015089. PMid:27074191.
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102 Krohling LL, Behlau M, Verduyckt I. Equivalência cultural da versão brasileira do Questionnaire des Symptômes Vocaux. CoDAS. 2016;28(4):454-8. http://dx.doi.org/10.1590/2317-1782/20162015124. PMid:27409418.
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103 Giannini SPP, Latorre MRDO, Ferreira LP. Latorre M do RD de O, Ferreira LP. Questionário Condição de Produção Vocal - Professor: comparação entre respostas em escala Likert e em escala visual analógica. CoDAS. 2016;28(1):53-8. http://dx.doi.org/10.1590/2317-1782/20162015030. PMid:27074190.
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104 Andrade BMR, Giannini SPP, Duprat AC, Ferreira LP. Relação entre a presença de sinais videolaringoscópicos sugestivos de refluxo laringofaríngeo e distúrbio de voz em professoras. CoDAS. 2016;28(3):302-10. http://dx.doi.org/10.1590/2317-1782/20162015122.
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105 Lopes LW, Silva HF, Evangelista D, Silva JD, Simões LB, Costa e Silva PO, et al. Relação entre os sintomas vocais, intensidade do desvio vocal e diagnóstico laríngeo em pacientes com distúrbios da voz. CoDAS. 2016;28(4):439-45. http://dx.doi.org/10.1590/2317-1782/20162015062. PMid:27356190.
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106 Dias AE, Limongi JCP, Barbosa ER, Hsing WT. Telerreabilitação vocal na doença de Parkinson. CoDAS. 2016;28(2):176-81. http://dx.doi.org/10.1590/2317-1782/20162015161. PMid:27191882.
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107 Mendes ALF, Lucena BTL, Araújo AMGD, Melo LPF, Lopes LW, Silva MFBL. Voz do professor: sintomas de desconforto do trato vocal, intensidade vocal e ruído em sala de aula. CoDAS. 2016;28(2):168-75. http://dx.doi.org/10.1590/2317-1782/20162015027. PMid:27191881.
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108 Almeida AA, Behlau M. Adaptação cultural do Questionário Reduzido de Autorregulação: sugestões de aplicação para área de voz. CoDAS. 2017;29(5):1. http://dx.doi.org/10.1590/2317-1782/20172016199.
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109 Fattore IM, Uhde RM, Oliveira LD, Roth AM, Souza APR. Análise comparativa das vocalizações iniciais de bebês prematuros e a termo, com e sem risco ao desenvolvimento. CoDAS. 2017;29(4):1. http://dx.doi.org/10.1590/2317-1782/20172016075. PMid:28902228.
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110 Souza BO, Nunes RB, Friche AAL, Gama ACC. Análise da qualidade de vida relacionada à voz na população infantil. CoDAS. 2017;29(2):e20160009. http://dx.doi.org/10.1590/2317-1782/20172016009. PMid:28300937.
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111 Pereira EC, Rodrigues CO, Silvério KCA, Madazio G, Behlau M. Análises perceptivo-auditiva e acústica das vozes de crianças infectadas pelo HIV. CoDAS. 2017;29(6):e20170022. http://dx.doi.org/10.1590/2317-1782/201720170022. PMid:29236906.
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112 Diaféria G, Madazio G, Pacheco C, Takaki PB, Behlau M. Clima de grupo na terapia vocal de pacientes com Doença de Parkinson. CoDAS. 2017;29(4):e20170051. http://dx.doi.org/10.1590/2317-1782/20172017051. PMid:28876371.
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113 Amaral AC, Zambon F, Moreti F, Behlau M. Desconforto do trato vocal em professores após atividade letiva. CoDAS. 2017;29(2):e20160045. http://dx.doi.org/10.1590/2317-1782/20172016045.
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114 Moreira FS, Gama ACC. Efeito do tempo de execução do exercício vocal sopro e som agudo na voz de mulheres. CoDAS. 2017;29(1):e20160005. http://dx.doi.org/10.1590/2317-1782/20172016005. PMid:28225849.
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115 Paes SM, Behlau M. Efeito do tempo de realização do exercício de canudo de alta resistência em mulheres disfônicas e não disfônicas. CoDAS. 2017;29(1):1. http://dx.doi.org/10.1590/2317-1782/20172016048. PMid:28300957.
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116 Siqueira LTD, Silverio KCA, Brasolotto AG, Guirro RRJ, Carneiro CG, Behlau M. Efeitos da terapia manual laríngea e da estimulação elétrica nervosa transcutânea (TENS) na diadococinesia laríngea em mulheres disfônicas: estudo clínico randomizado. CoDAS. 2017;29(3):e20160191". http://dx.doi.org/10.1590/2317-1782/20172016191. PMid:28538831.
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117 Fabron EMG, Petrini AS, Cardoso VM, Batista JCT, Motonaga SM, Marino VCC. Efeitos imediatos da técnica de vibração sonorizada de língua associada à estimulação nervosa elétrica transcutânea (TENS). CoDAS. 2017;29(3):e20150311. http://dx.doi.org/10.1590/2317-1782/20172015311. PMid:28614457.
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118 Zambon F, Moreti F, Nanjundeswaran C, Behlau M. Equivalência cultural da versão brasileira do Vocal Fatigue Index - VFI. CoDAS. 2017;29(2):e20150261. http://dx.doi.org/10.1590/2317-1782/20172015261. PMid:28300936.
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119 Costa BOI, Silva POC, Pinheiro RSA, Silva HF, Almeida AAF. Estágio de prontidão de pacientes com disfonia comportamental pré e pós-terapia de voz de grupo. CoDAS. 2017;29(4):e20160198. http://dx.doi.org/10.1590/2317-1782/20172016198. PMid:28813072.
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120 Santos KW, Scheeren B, Maciel AC, Cassol M. Modificação da voz após deglutição: compatibilidade com achados da videofluoroscopia. CoDAS. 2017;29(6):e20170004. http://dx.doi.org/10.1590/2317-1782/20172017004.
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121 Lavaissiéri P, Melo PED. Protótipo de aplicativo para terapia vocal: análise por pares. CoDAS. 2017;29(1):e20150300. http://dx.doi.org/10.1590/2317-1782/20172015300
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122 Pedrotti CA, Behlau M. Recursos comunicativos de executivos e profissionais em função operacional. CoDAS. 2017;29(3):e20150217. http://dx.doi.org/10.1590/2317-1782/20172015217. PMid:28538820.
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123 Pinheiro J, Silverio KCA, Siqueira LTD, Ramos JS, Brasolotto AG, Zambon F, et al. Sintomas do trato vocal e índice de desvantagem vocal para o canto moderno em cantores evangélicos. CoDAS. 2017;29(4):e20160187. http://dx.doi.org/10.1590/2317-1782/20172016187. PMid:28902229.
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124 Lopes LW, Alves JDN, Evangelista DDS, França FP, Vieira VJD, Lima-Silva MFB, et al. Acurácia das medidas acústicas tradicionais e formânticas na avaliação da qualidade vocal. CoDAS. 2018;30(5):e20170282. http://dx.doi.org/10.1590/2317-1782/20182017282. PMid:30365651.
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125 Dornelas R, Santos TA, Oliveira DS, Irineu RA, Brito A, Silva K. Situações de violência na escola e a voz do professor. CoDAS. 2017;29(4):e20170053. http://dx.doi.org/10.1590/2317-1782/20172017053. PMid:28813075.
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126 Spazzapan EA, Cardoso VM, Fabron EMG, Berti LC, Brasolotto AG, Marino VCC. Características acústicas de vozes saudáveis de adultos: da idade jovem à meia-idade. CoDAS. 2018;30(5):e20170225. http://dx.doi.org/10.1590/2317-1782/20182017225. PMid:30365649.
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127 da Rosa ME, Mituuti CT, Ghirardi ACAM. Correlação da desvantagem vocal e qualidade de vida em deglutição de pacientes com câncer de laringe submetidos à quimiorradioterapia. CoDAS. 2018;30(2). http://dx.doi.org/10.1590/2317-1782/20182017060.
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128 Cavalcanti NR, Souza BO, Gama ACC, Medeiros AM. Efeito do programa integral de reabilitação vocal em professoras com disfonia comportamental. CoDAS. 2018;30(4):e20170182. http://dx.doi.org/10.1590/2317-1782/20182017182. PMid:30088521.
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129 Correa S, Contreras F, Castillo A, Moreti F, Behlau M. Equivalencia cultural de la versión Chilena del Modern Singing Handicap Index: MSHI. CoDAS. 2018;30(3):e20170156. http://dx.doi.org/10.1590/2317-1782/20182017065. PMid:29972469.
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130 Englert M, Madazio G, Gielow I, Lucero J, Behlau M. Influência do fator de aprendizagem na análise perceptivo-auditiva. CoDAS. 2018;30(3):e20170107. http://dx.doi.org/10.1590/2317-1782/20182017107. PMid:29898037.
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131 Borrego MCM, Behlau M. Mapeamento do eixo condutor da prática fonoaudiológica em expressividade verbal no trabalho de competência comunicativa. CoDAS. 2018;30(6):e20180054. http://dx.doi.org/10.1590/2317-1782/20182018054. PMid:30517272.
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132 Hashimoto PT, Pagan-Neves LO, de Jesus LMT, Wertzner HF. Medidas aerodinâmicas, eletroglotográficas e acústicas na produção da fricativa pós-alveolar vozeada. CoDAS. 2018;30(3):e20170177. http://dx.doi.org/10.1590/2317-1782/20182017177. PMid:29972470.
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133 Genilhú PFL, Gama ACC. Medidas acústicas e aerodinâmicas em cantores: comparação entre homens e mulheres. CoDAS. 2018;30(5):e20170240. http://dx.doi.org/10.1590/2317-1782/20182017240. PMid:30304128.
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134 Pereira AM, Dassie-Leite AP, Pereira EC, Cavichiolo JB, Rosa MO, Fugmann EA. Percepção auditiva de juízes leigos quanto ao gênero de mulheres com edema de Reinke. CoDAS. 2018;30(4). http://dx.doi.org/10.1590/2317-1782/20182017046.
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135 Lobo BPL, Madazio GMV, Badaró FAR, Behlau MS. Risco vocal em pastores: quantidade de fala, intensidade vocal e conhecimentos sobre saúde e higiene vocal. CoDAS. 2018;30(2):e20170089. http://dx.doi.org/10.1590/2317-1782/20182017089. PMid:29723332.
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136 Fabron EMG, Silvério KCA, Berretin-Felix G, Andrade EC, Salles PF, Moreira PAM, et al. Terapia vocal para idosos com progressão de intensidade, frequência e duração do tempo de fonação: estudo de casos. CoDAS. 2018;30(6):e20170224. http://dx.doi.org/10.1590/2317-1782/20182017224. PMid:30379196.
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137 Gimenez SRML, Madazio G, Zambon F, Behlau M. Análise da timidez na desvantagem vocal percebida em professores. CoDAS. 2019;31(3):e20180149. http://dx.doi.org/10.1590/2317-1782/20182018149. PMid:31271582.
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138 Masson MLV, Fabbron EMG, Loiola-Barreiro CM. Aquecimento e desaquecimento vocal em professores: estudo quase-experimental controlado. CoDAS. 2019;31(4):e20180143. http://dx.doi.org/10.1590/2317-1782/20182018143. PMid:31531555.
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139 Lira AAM, Borrego MC, Behlau M. Autoavaliação dos recursos comunicativos por representantes comerciais e sua relação com o desempenho em vendas. CoDAS. 2019;31(6):e20190067. http://dx.doi.org/10.1590/2317-1782/20192019067. PMid:31721891.
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140 Englert M, Lima L, Constantini AC, Latoszek BBV, Maryn Y, Behlau M. Acoustic Voice Quality Index - AVQI para o português brasileiro: análise de diferentes materiais de fala. CoDAS. 2019;31(1):e20180082. http://dx.doi.org/10.1590/2317-1782/20182018082. PMid:30758396.
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141 Limoeiro FMH, Ferreira AEM, Zambon F, Behlau M. Comparação da ocorrência de sinais e sintomas de alteração vocal e de desconforto no trato vocal em professores de diferentes níveis de ensino. CoDAS. 2019;31(2):e20180115. http://dx.doi.org/10.1590/2317-1782/20182018115. PMid:30892420.
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142 França FP, de Almeida AA, Lopes LW. Configuração acústico-articulatória das vogais de mulheres com nódulos vocais e vocalmente saudáveis. CoDAS. 2019;31(6):e20180241. http://dx.doi.org/10.1590/2317-1782/20192018241. PMid:31751443.
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143 Roza AP, Gielow I, Vaiano T, Behlau M. Desenvolvimento e aplicação de um game sobre saúde e higiene vocal em adultos. CoDAS. 2019;31(4):e20180184. http://dx.doi.org/10.1590/2317-1782/20182018184. PMid:31483041.
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144 Gonçalves DMR, Odagima RKY, Vaiano TCG, Amin E, Behlau M. Efeito imediato da fonação em tubo de silicone em cantores gospel. CoDAS. 2019;31(6):e20180117. http://dx.doi.org/10.1590/2317-1782/20192018117. PMid:31800878.
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145 Contreras F, Gonzalez N, Vivero M, Guzman M. Equivalencia cultural de la Versión Chilena del Voice-Related Quality of Life (V-RQOL). CoDAS. 2019;31(3):e20180213. http://dx.doi.org/10.1590/2317-1782/20192018213. PMid:31038543.
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146 Yotoko A, Moreti F, Vaiano T, Behlau M. Equivalência cultural da versão Brasileira do protocolo The Levels of Speech Usage. CoDAS. 2019;31(4):e20180169. http://dx.doi.org/10.1590/2317-1782/20182018169. PMid:31482996.
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147 Cruz MRSA, Yamasaki R, Pacheco C, Borrego MCM, Behlau M. Yamasaki R, Pacheco C, Borrego MC de M, Behlau M. Estudantes de teatro com e sem queixa de voz: dados sobre saúde e higiene vocal, sintomas e desvantagem vocal. CoDAS. 2019;31(5):e20180319. http://dx.doi.org/10.1590/2317-1782/20192018319. PMid:31691747.
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148 Abou-Rafée M, Zambon F, Badaró F, Behlau M. Fadiga vocal em professores disfônicos que procuram atendimento fonoaudiológico. CoDAS. 2019;31(3):e20180120. http://dx.doi.org/10.1590/2317-1782/20182018120. PMid:31188907.
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149 Blanco ESDV, Imbrizi JM. Percepção da voz em professoras: narrativas de vida entre os espaços do trabalho e do coro cênico. CoDAS. 2019;31(2):e20180200. http://dx.doi.org/10.1590/2317-1782/20182018200. PMid:31038575.
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150 Marinho ACF, de Medeiros AM, Lima EP, Pantuza JJ, Teixeira LC. Prevalência e fatores associados ao medo de falar público. CoDAS. 2019;31(6):e20180266. http://dx.doi.org/10.1590/2317-1782/20192018266. PMid:31644711.
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151 Ribeiro LL, Verduyckt I, Behlau M. Sintomas vocais na população pediátrica: validação da versão brasileira do Questionário de Sintomas Vocais Pediátrico. CoDAS. 2019;31(5):e20180225. http://dx.doi.org/10.1590/2317-1782/20192018225. PMid:31644718.
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152 Camargo MRMC, Zambon F, Moreti F, Behlau M. Tradução e adaptação cultural e linguística da Adapted Borg CR10 for Vocal Effort Ratings para o português brasileiro. CoDAS. 2019;31(5):e20180112. http://dx.doi.org/10.1590/2317-1782/20192018112. PMid:31691744.
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153 Souza MK, Nascimento CMB, Lucena JA, Lira ZS, Araújo ANB. O uso da voz em artistas de rua. CoDAS. 2019;31(2):e20180063. http://dx.doi.org/10.1590/2317-1782/20182018063. PMid:30892419.
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154 dos Santos TD, Ferreira LP. Expressividade do profissional da voz: processo de construção de um roteiro fonoaudiológico de observação. CoDAS. 2020;32(2):e20190121. http://dx.doi.org/10.1590/2317-1782/20192019121. PMid:32215472.
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155 Alves ACS, Gama ACC, Magalhães MC, Genilhú PFL, Oliveira RC. Análise das medidas eletroglotográficas da voz: padrões de normalidade para cantores por meio do programa CSL da Kay Pentax®. CoDAS. 2020;32(5):e2019022. http://dx.doi.org/10.1590/2317-1782/20202019022. PMid:33053081.
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156 Santos TL, Herbella FAM, Azevedo RR. The applicability of high resolution manometry in total laryngectomy. CoDAS. 2020;32(6):e20190006. http://dx.doi.org/10.1590/2317-1782/20202019006. PMid:33237186.
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157 Coelho JS, Moreti F, Pacheco C, Behlau M. Autopercepção de sintomas vocais e conhecimento em saúde e higiene vocal em cantores populares e eruditos. CoDAS. 2020;32(3):e20180304. http://dx.doi.org/10.1590/2317-1782/20202018304. PMid:32638826.
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158 Marinho ACF, de Medeiros AM, Pantuza JJ, Teixeira LC. Autopercepção de timidez e sua relação com aspectos da fala em público. CoDAS. 2020;32(5):e20190097. http://dx.doi.org/10.1590/2317-1782/20202019097. PMid:33053085.
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159 Piragibe PC, Silverio KCA, Dassie-Leite AP, Hencke D, Falbot L, Santos K, et al. Comparação do impacto imediato das técnicas de oscilação oral de alta frequência sonorizada e sopro sonorizado com tubo de ressonância em idosas vocalmente saudáveis. CoDAS. 2020;32(4):e20190074. http://dx.doi.org/10.1590/2317-1782/20192019074. PMid:32049106.
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160 Correa S, Leiva JPC, Ramírez DO, Farías NC. Equivalencia cultural de la versión Chilena del Evaluation of Ability to Sing Easily: EASE. CoDAS. 2020;32(5):e20190204. http://dx.doi.org/10.1590/2317-1782/20192019204. PMid:33174989.
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161 Martinho DHC, Constantini AC. Efeitos imediatos de exercícios de trato vocal semiocluído em vozes graves e agudas: estudo sobre a autopercepção. CoDAS. 2020;32(5):e20190079. http://dx.doi.org/10.1590/2317-1782/20202019079. PMid:33053084.
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162 Takishima M, Gielow I, Madazio G, Behlau M. O impacto da afinação vocal na análise perceptivo-auditiva de vozes normais e alteradas. CoDAS. 2020;32(4):e20190135. http://dx.doi.org/10.1590/2317-1782/20202019135. PMid:32813819.
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163 Tonon IG, Gomes NR, Teixeira LC, de Medeiros AM. Perfil de comportamento pessoal autorreferido por professores universitários: associação com a autoavaliação comunicativa e vocal. CoDAS. 2020;32(2):e20180141. http://dx.doi.org/10.1590/2317-1782/20192018141. PMid:32049096.
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164 Ricci G, Wolf AE, Barbosa AP, Moreti F, Gielow I, Behlau M. Sinais e sintomas de refluxo laringofaríngeo e sua relação com queixas e qualidade vocal. CoDAS. 2020;32(5):e20180052. http://dx.doi.org/10.1590/2317-1782/20202018052. PMid:33174981.
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165 Delgado-Pinheiro EMC, Bonbonati JC, Santos FR, Fabron EMG. Voz de crianças e adolescentes deficientes auditivos e pares ouvintes: influência da percepção auditiva da fala na produção vocal. CoDAS. 2020;32(4):e20180227. http://dx.doi.org/10.1590/2317-1782/20202018227. PMid:32756851.
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166 Souza EVS, Bassi IB, Gama ACC. Amplificador de voz: efeitos na dose e na intensidade vocal de professoras sem disfonia. CoDAS. 2021;33(5):e20200091. http://dx.doi.org/10.1590/2317-1782/20202020091. PMid:34431858.
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167 Dornelas R, Silva K, Pellicani AD. Atendimento vocal à pessoa trans: uma apresentação do Protocolo de Atendimento Vocal do Ambulatório Trans e do Programa de Redesignação Vocal Trans (PRV-Trans). CoDAS. 2021;33(1):e20190188. http://dx.doi.org/10.1590/2317-1782/20202019188. PMid:34431858.
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168 Carvalho CGO, Ribeiro MFM. Correlação entre desvantagem vocal e qualidade de vida de cantores populares. CoDAS. 2021;33(4):e20190136. http://dx.doi.org/10.1590/2317-1782/20202019136. PMid:34431859.
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169 dos Santos PCM, Vieira MN, Sansão JPH, Gama ACC. Efeito de emissões âncoras de vozes sintetizadas na avaliação perceptivo-auditiva da voz. CoDAS. 2021;33(1):e20190197. http://dx.doi.org/10.1590/2317-1782/20202019197. PMid:33950146.
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170 Pereira MCB, Onofri SMM, Spazzapan EA, Carrer J, Silva LA, Fabbron EMG. Efeito imediato da hidratação laríngea de superfície associada à técnica de vibração sonorizada de língua em cantores amadores. CoDAS. 2021;33(3):e20200009. http://dx.doi.org/10.1590/2317-1782/20202020009. PMid:34037159.
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171 de Siqueira ACO, dos Santos NEP, Souza BO, Nogueira LLCR, Furlan RMMM. Efeitos vocais imediatos produzidos pelo dispositivo Shaker® em mulheres com e sem queixa vocal. CoDAS. 2021;33(3):e20200155. http://dx.doi.org/10.1590/2317-1782/20202020155. PMid:34133581.
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172 Romansina D, Simões-Zenari M, Nemr K. Eletroestimulação funcional associada à fonação em mulheres sem alterações vocais. CoDAS. 2021;33(1):e20190190. http://dx.doi.org/10.1590/2317-1782/20202019190. PMid:33909842.
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173 Porto VFA, Bezerra TT, Zambon F, Behlau M. Fadiga, esforço e desconforto vocal em professores após atividade letiva. CoDAS. 2021;33(4):e20200067. http://dx.doi.org/10.1590/2317-1782/20202020067. PMid:34231711.
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174 Murta JAN, Barbosa MS, Caldeira AP, Barbosa-Medeiros MR, Rossi-Barbosa LAR. Fatores associados às queixas vocais autorreferidas por agentes comunitários de saúde. CoDAS. 2021;33(1):e20200017. http://dx.doi.org/10.1590/2317-1782/20202020017. PMid:33886748.
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175 Oliveira RCCD, Gama ACC, Genilhú PFL, Santos MAR. High speed digital videolaringoscopy: evaluation of vocal nodules and cysts in women. CoDAS. 2021;33(3):e20200095. http://dx.doi.org/10.1590/2317-1782/20202020095. PMid:34008770.
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176 Jesus JDS, Ferreira FR, Andrade ACS, Medeiros AM. Idosos de uma antiga colônia brasileira de hanseníase: vulnerabilidade clínico-funcional e autopercepção vocal e auditiva. CoDAS. 2021;33(5):e20200058. http://dx.doi.org/10.1590/2317-1782/20202020058. PMid:34524350.
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177 Martinez CC, Lemos IO, Madazio G, Behlau M, Cassol M. Parâmetros vocais, palpação muscular e autopercepção de sintomas vocais, dor e fadiga vocal em mulheres com disfonia por tensão muscular. CoDAS. 2021;33(4):e20200035. http://dx.doi.org/10.1590/2317-1782/20202020035. PMid:34346948.
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178 Neves PCR, Toralles MBP, Scarpel RD. Perfil vocal de indivíduos 46,XX com hiperplasia adrenal congênita. CoDAS. 2021;33(5):e20180260. http://dx.doi.org/10.1590/2317-1782/20202018260. PMid:34190756.
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179 Paulino LC, Simões-Zenari M, Nemr K. Protocolo de rastreio do risco de disfonia para atores de teatro musical: resultados preliminares. CoDAS. 2021;33(1):e20190112. http://dx.doi.org/10.1590/2317-1782/20202019112. PMid:33909841.
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180 Oliveira GB, Oliveira TJ, Santos MHS, Rocha RM, Guimarães MF, Azevedo EHM. Qualidade de vida em voz e sintomas emocionais pré e pós-tireoidectomia. CoDAS. 2022;34(4):e20210118. http://dx.doi.org/10.1590/2317-1782/20212021118. PMid:35137894.
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181 Coelho SC, Depolli GT, Cruz KS, Fernandes DNS, Costa MRB, Oliveira G, et al. Relação entre fadiga vocal e qualidade de vida relacionada à voz em professores universitários. CoDAS. 2021;33(5):e20200174. http://dx.doi.org/10.1590/2317-1782/20202020174. PMid:34320139.
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182 Bispo NO, Yamasaki R, Padovani MMP, Behlau M. Repetição de estímulos âncoras e natureza das amostras vocais no julgamento perceptivo-auditivo realizado por estudantes de fonoaudiologia. CoDAS. 2022;34(4):e20210064. http://dx.doi.org/10.1590/2317-1782/20212021064. PMid:35081197.
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183 Contreras-Ruston F, Gonzalez N, Acevedo K, Guzman M. Traducción y equivalencia cultural de la Versión Chilena del Voice Activity and Participation Profile - VAPP. CoDAS. 2021;33(4):e20200065. http://dx.doi.org/10.1590/2317-1782/20202020065. PMid:34231752.
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184 Gomes ABP, Simões-Zenari M, Nemr K. Voz do idoso: o avanço da idade gera diferentes impactos? CoDAS. 2021;33(6):e20200126. http://dx.doi.org/10.1590/2317-1782/20202020126. PMid:34524363.
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185 Monteiro JC, Madazio G, Pacheco C, Behlau M. Principais fatores que levam os professores de canto popular a buscar ajuda fonoaudiológica. CoDAS. 2019;32(2):e20180242. http://dx.doi.org/10.1590/2317-1782/20192018242. PMid:31855224.
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186 Fernandes DE, Andrada e SIlva MA. Superagudos: análise perceptivo-auditiva da voz e autorrelato em sopranos profissionais. CoDAS. 2020;32(4):e20190068. http://dx.doi.org/10.1590/2317-1782/20192019068. PMid:32049104.
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-187187 Cercal GCS, Paula AL, Novis JMM, Ribeiro VV, Leite APD. Fadiga vocal em professores universitários no início e ao final do ano letivo. CoDAS. 2019;32(1):e20180233. http://dx.doi.org/10.1590/2317-1782/20192018233. PMid:31851210.
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).
Publications in the area of voice were most frequent in the years 2019 (n=20; 11.4%) and 2013 (n=19; 10.8%), as indicated in Figure 2.
Table 1 shows that in CoDAS the articles developed in Brazil were more frequent (n=165; 93.8%), followed by the United States of America (n=3; 1.7%). The institutions that published the most were Centro de Estudos da Voz (n=46; 26.1%), Universidade de São Paulo (n=20; 11.4%), and Universidade Federal de São Paulo (n=17; 9.7%), tied with multicenter studies (n=17; 9.7%).
Most studies were cross-sectional (n=115; 59.7%), followed by quasi-experimental (n=27; 15.3%), translation, cross-cultural adaptation or validation studies (n=24; 13.6%), experimental (n=6; 3.4%) and before-and-after intervention (n=4; 2.3%).
According to Table 2, there was a higher frequency of clinical voice studies (n=105; 59.7%). There were more frequent studies with sample in the age range of 18-59 years (n=96; 54.5%), and of both genders (n=102; 58.0%).
Regarding the 115 cross-sectional studies, Table 3 shows that the most frequent outcomes were vocal self-assessment (n=102; 88.7%), the perceptual-auditory voice judgment - JPA (n=92; 80%) and the acoustic voice analysis (n=61; 53%).
In studies which analyzed the self-reported impact of a voice problem, that is, voice self-assessment (n=102), the most used instruments were the Vocal Symptoms Scale - VSS (n=14; 13,7%), Quality of Life in Voice - QLV (n=10; 9,8%) and the Vocal Disadvantage Index - VDI-10 (n=7; 6.9%). In the studies that performed JPA (n=78), the GRBASI scale (n=28; 30.4%) and self-generated scales (n=26; 28.3%) were most frequently used. In the 61 studies with acoustic analysis, traditional acoustic parameter extraction (n=52; 85.2%) and the phonation deviation diagram (POD) (n=5; 8.2%) were the most published. Finally, the few papers which did aerodynamic analysis (n=20) studied maximum phonatory time - TMF (n=19; 95%) and nasometry (n=1; 5%).
It was observed that of the 37 intervention studies, 16 (43.2%) studied immediate effects, followed by those that did six (n=3; 8.1%) or twelve intervention sessions (n=3; 8.1%).
The most frequent session time among those who reported the information was 60 minutes (n=6; 16.2%), and the absence of this information was predominant (n=10; 27%). Studies with a single session frequency (n=16; 43.2%) were the most frequent, followed by weekly frequency (n=9; 24.3%), as shown in Table 4.
Table 5 shows that of the 24 elaboration, adaptation, and validation studies, 17 (70.8%) performed the translation and cross-cultural adaptation phase; 5 (20.8%) performed validation; and, only 2 (8.3%) elaborated a new instrument.
DISCUSSION
Scientific research in Speech Therapy seeks to provide reliable evidence for the clinic(159159 Piragibe PC, Silverio KCA, Dassie-Leite AP, Hencke D, Falbot L, Santos K, et al. Comparação do impacto imediato das técnicas de oscilação oral de alta frequência sonorizada e sopro sonorizado com tubo de ressonância em idosas vocalmente saudáveis. CoDAS. 2020;32(4):e20190074. http://dx.doi.org/10.1590/2317-1782/20192019074. PMid:32049106.
http://dx.doi.org/10.1590/2317-1782/2019...
,163163 Tonon IG, Gomes NR, Teixeira LC, de Medeiros AM. Perfil de comportamento pessoal autorreferido por professores universitários: associação com a autoavaliação comunicativa e vocal. CoDAS. 2020;32(2):e20180141. http://dx.doi.org/10.1590/2317-1782/20192018141. PMid:32049096.
http://dx.doi.org/10.1590/2317-1782/2019...
,185185 Monteiro JC, Madazio G, Pacheco C, Behlau M. Principais fatores que levam os professores de canto popular a buscar ajuda fonoaudiológica. CoDAS. 2019;32(2):e20180242. http://dx.doi.org/10.1590/2317-1782/20192018242. PMid:31855224.
http://dx.doi.org/10.1590/2317-1782/2019...
186 Fernandes DE, Andrada e SIlva MA. Superagudos: análise perceptivo-auditiva da voz e autorrelato em sopranos profissionais. CoDAS. 2020;32(4):e20190068. http://dx.doi.org/10.1590/2317-1782/20192019068. PMid:32049104.
http://dx.doi.org/10.1590/2317-1782/2019...
-187187 Cercal GCS, Paula AL, Novis JMM, Ribeiro VV, Leite APD. Fadiga vocal em professores universitários no início e ao final do ano letivo. CoDAS. 2019;32(1):e20180233. http://dx.doi.org/10.1590/2317-1782/20192018233. PMid:31851210.
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) based on evidence-based practice(188188 de Miranda VSG, Marcolino MAZ, Rech RS, Barbosa LR, Fischer GB. Fonoaudiologia baseada em evidências: o papel das revisões sistemáticas. CoDAS. 2019;31(2):e20180167. http://dx.doi.org/10.1590/2317-1782/20182018167. PMid:30892421.
http://dx.doi.org/10.1590/2317-1782/2018...
). In this practice, clinicians are faced with different results, and need to compare evidence that answers their questions and assists in decision making in search of the best results. However, this comparison is made difficult when analyzing research with different procedures or with several instruments used for the same purpose. The CoDAS journal occupies a prominent place in the national scenario of scientific research publications. In this sense, mapping procedures and analyzing their frequencies show trends, limitations, and can contribute to clinical practice, as well as to the development of other studies.
The results of the present scoping review showed that there was a non-linear upward curve of publications in the CoDAS journal in the last years analyzed, with a rise in the years 2013 and 2020. The higher number of publications in the year 2013 can be explained by changes in editorial strategies, such as the new name of the journal that began to be called CoDAS, the insertion of area editors, the greater participation of foreign colleagues and the professionalization of the editorial office. In addition, the year 2013 presented an improvement in the definition of the objectives of Brazilian studies in the designs of experiments, as well as the expansion of multicenter papers(189189 Dreux F, Behlau M. Editorial. CoDAS. 2013;25(5):397-8. http://dx.doi.org/10.1590/S2317-17822013000500001. PMid:24408540.
http://dx.doi.org/10.1590/S2317-17822013...
). As for the year 2019, the journal was marked by improved indexing and internationalization of the journal.
National publications are the most frequent in CoDAS. Among the 11 international articles, the United States of America and Chile have published three, but it is worth remembering that only recently the journal has had international visibility with English as the mandatory language. The international articles are published both jointly between domestic and foreign institutions, and with only foreign authorship. It is believed that, even in the face of a journal that is still strong and recognized in Brazilian Speech Therapy publications, the increase in internationalization, such as the recent indexation of the journal in the Web of Science, will bring greater international visibility and reach, besides more growth and research data for the journal.
The Centro de Estudos da Voz - CEV was the educational institution that published the most in CoDAS in the area of voice, followed by Universidade de Sao Paulo - USP, Universidade Federal de Sao Paulo - UNIFESP and the multicenter publications. CEV is a teaching and research institution in the area of human communication that completed 40 years in 2021, that offers a Specialization Course in Voice - CECEV, whose first graduating class was in 1993 (The teacher's voice, Sinpro/CEV). In 2021, CECEV had its 24th class, and all the students are encouraged and oriented to develop a monograph to conclude the course, to be presented in congresses and published. USP is a traditional public university in the area, which has three campuses with the Speech Therapy course, in São Paulo, Ribeirão Preto, and Bauru. UNIFESP is one of the oldest universities in teaching and research, and is also recognized for its scientific effort in the area of voice. It is a public university that aims at developing interrelated teaching, research and extension activities, with emphasis on the specific field of health sciences(190190 Rossetto MBND. A expansão da graduação na Universidade Federal de São Paulo no período de 2003 a 2012 [dissertação]. São Paulo: Universidade Federal de São Paulo; 2017 [citado em 2022 Jan 22]. Disponível em: https://repositorio.unifesp.br/xmlui/handle/11600/45811
https://repositorio.unifesp.br/xmlui/han...
). The UNIFESP counts on scientific initiation programs while still in the undergraduate course, and the improvement and specialization programs are linked to scientific production and publication. In the sequence, the results pointed to multicenter publications. This is a worldwide trend and a good indication for the journal, showing that researchers from institutes and universities have been coming together for the improvement of scientific development. The expansion of multicentric works can offer a more comprehensive national geographical representation, besides being fundamental for the development of large projects.
Observational studies of the cross-sectional type, which are simple, fast, and easier to execute designs, were most commonly found in the review. They are research designs that are thought to be an excellent method for describing characteristics of a population. However, they are valid only for that particular place and time, and over time their findings can no longer be used for the clinic(191191 Medronho RA, Bloch KV, Luiz RR, Werneck GL. Sexo, gênero e efeitos na voz. In: Medronho RA, Carvalho DM, Bloch KV, Luiz RB, Werneck GL, editores. Epidemiologia. São Paulo: Atheneu; 2009. p. 411-3.,192192 Medronho RA, Bloch KV, Luiz RR, Werneck GL. Epidemiologia. São Paulo: Atheneu; 2009.). It is important to highlight that the design is directly related to the clinical question that is intended to be answered, and this type of study is more indicated for the description of characteristics, diagnostic accuracy and disease prevalence(33 Lopes L, Moreti F, Pereira EC, Ribeiro LL, Pedrosa V, Medeiros AM. Desafios na avaliação e implementação das evidências científicas na clínica vocal. In: Lopes L, Moreti F, Ribeiro LL, editores. Fundamentos e atualidades em voz clínica [Internet]. Rio de Janeiro: Thieme Revinter; 2019. p. 235-7 [citado em 2022 Jan 22]. Disponível em: https://elibro.net/ereader/elibrodemo/183601
https://elibro.net/ereader/elibrodemo/18...
). Cross-sectional studies were followed by quasi-experimental studies, the most frequent type among intervention studies. Quasi-experimental studies are controlled interventions without sample randomization. The lack of randomization generates a risk of selection bias. Experimental studies, also known as randomized clinical trials, are considered high level of evidence studies(33 Lopes L, Moreti F, Pereira EC, Ribeiro LL, Pedrosa V, Medeiros AM. Desafios na avaliação e implementação das evidências científicas na clínica vocal. In: Lopes L, Moreti F, Ribeiro LL, editores. Fundamentos e atualidades em voz clínica [Internet]. Rio de Janeiro: Thieme Revinter; 2019. p. 235-7 [citado em 2022 Jan 22]. Disponível em: https://elibro.net/ereader/elibrodemo/183601
https://elibro.net/ereader/elibrodemo/18...
) and the gold standard for efficacy analysis of interventions(192192 Medronho RA, Bloch KV, Luiz RR, Werneck GL. Epidemiologia. São Paulo: Atheneu; 2009.), but only six publications with this design were observed. Although the quality of publications has increased in the last decade, being still in the process of growth and structural modifications, few researches published in specialized journals incorporated the proper methodology and answered the clinical questions satisfactorily, both in Brazilian journals and in international publications(193193 Vieira VP, De Biase N, Peccin MS, Atallah ÁN. The research questions and methodological adequacy of clinical studies of the voice and larynx published in Brazilian and international journals. J Eval Clin Pract. 2009;15(3):473-7. http://dx.doi.org/10.1111/j.1365-2753.2008.01040.x. PMid:19366388.
http://dx.doi.org/10.1111/j.1365-2753.20...
).
A balance was observed between studies of clinical voice and professional voice, however, still with greater frequency in the area of clinical voice, historically more present in the area of Voice. It is important to note that both subareas have been contemplated in CoDAS’ publications journal, expanding the possibilities of searching for evidence for clinical vocal practice, professional voice training, and clinical voice therapy.
Most studies included adult participants (18-59 years), followed by the elderly (60-103 years) and children and adolescents (0-18 years). Adults also represent the majority of patients who seek vocal clinic(194194 Roy N, Stemple J, Merrill RM, Thomas L. Epidemiology of voice disorders in the elderly: preliminary findings. Laryngoscope. 2007;117(4):628-33. http://dx.doi.org/10.1097/MLG.0b013e3180306da1. PMid:17429872.
http://dx.doi.org/10.1097/MLG.0b013e3180...
). The elderly population has been gaining space not only in vocal clinic, but in all studies in the health area, by demographic changes and the search for vocal longevity and quality of life, although they are still few compared to adults(195195 Maslan J, Leng X, Rees C, Blalock D, Butler SG. Maximum phonation time in healthy older adults. J Voice. 2011;25(6):709-13. http://dx.doi.org/10.1016/j.jvoice.2010.10.002. PMid:21439778.
http://dx.doi.org/10.1016/j.jvoice.2010....
,196196 Lopes LW, Barbosa Lima IL, Alves Almeida LN, Cavalcante DP, Almeida AAF. Severity of voice disorders in children: correlations between perceptual and acoustic data. J Voice. 2012;26(6):819.e7-12. http://dx.doi.org/10.1016/j.jvoice.2012.05.008. PMid:23177753.
http://dx.doi.org/10.1016/j.jvoice.2012....
).
Children are the minority in seeking clinical care, although the prevalence data of childhood dysphonia is up to 38% of the pediatric population(151151 Ribeiro LL, Verduyckt I, Behlau M. Sintomas vocais na população pediátrica: validação da versão brasileira do Questionário de Sintomas Vocais Pediátrico. CoDAS. 2019;31(5):e20180225. http://dx.doi.org/10.1590/2317-1782/20192018225. PMid:31644718.
http://dx.doi.org/10.1590/2317-1782/2019...
). It is believed that pediatric dysphonia has fewer studies by the need for parental consent that do not necessarily want their children as a research subject(151151 Ribeiro LL, Verduyckt I, Behlau M. Sintomas vocais na população pediátrica: validação da versão brasileira do Questionário de Sintomas Vocais Pediátrico. CoDAS. 2019;31(5):e20180225. http://dx.doi.org/10.1590/2317-1782/20192018225. PMid:31644718.
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). The occurrence of studies with children found in this review is in line with the literature(151151 Ribeiro LL, Verduyckt I, Behlau M. Sintomas vocais na população pediátrica: validação da versão brasileira do Questionário de Sintomas Vocais Pediátrico. CoDAS. 2019;31(5):e20180225. http://dx.doi.org/10.1590/2317-1782/20192018225. PMid:31644718.
http://dx.doi.org/10.1590/2317-1782/2019...
,196196 Lopes LW, Barbosa Lima IL, Alves Almeida LN, Cavalcante DP, Almeida AAF. Severity of voice disorders in children: correlations between perceptual and acoustic data. J Voice. 2012;26(6):819.e7-12. http://dx.doi.org/10.1016/j.jvoice.2012.05.008. PMid:23177753.
http://dx.doi.org/10.1016/j.jvoice.2012....
). It is noteworthy here that some research did not report the age range of participants, although it is essential data for the applicability and interpretation of results.
Most studies included both genders in their analyses. This data is positive and relevant because the anatomical and physiological differences between the sexes lead to the need for specific studies and different interpretations, besides the different normality values for some evaluations(197197 Behlau M, Pontes P, Madazio G, Feijó D. Avaliação de voz. In: Behlau M, editor. Voz: o livro do especialista. Rio de Janeiro: Revinter; 2008. p. 100, 134-5.
198 Andrews ML. Manual de tratamento da voz: da pediatria à geriatria. 3a. Cengage Learning; 2009.-199199 Abitbol J, Abitbol J. Odyssey of the voice. San Diego: Plural Publ.; 2006.).
When considering only the cross-sectional studies, it is observed that the most frequent outcome was self-assessment, followed by JPA. These two assessments are part of the non-instrumental assessments that make up the multidimensional evaluation of voice(66 Patel RR, Awan SN, Barkmeier-Kraemer J, Courey M, Deliyski D, Eadie T, et al. Recommended Protocols for Instrumental Assessment of Voice: American Speech-Language-Hearing Association Expert Panel to Develop a Protocol for Instrumental Assessment of Vocal Function. Am J Speech Lang Pathol. 2018;27(3):887-905. http://dx.doi.org/10.1044/2018_AJSLP-17-0009. PMid:29955816.
http://dx.doi.org/10.1044/2018_AJSLP-17-...
). Self-evaluation brings data that cannot be obtained in the clinical evaluation carried out by the speech therapist and is used to quantify the perception of the subject about the influence of his or her voice on different daily activities(200200 Behlau M, Zambon F, Moreti F, Oliveira G, de Barros Couto E Jr. Voice self-assessment protocols: different trends among organic and behavioral dysphonias. J Voice. 2017;31(1):112.e13-27. http://dx.doi.org/10.1016/j.jvoice.2016.03.014. PMid:27210475.
http://dx.doi.org/10.1016/j.jvoice.2016....
). Total wellbeing does not include only the absence of disease, but also the individual's self-perception of his condition and the impacts on several aspects of his life(201201 WHO: World Health Organization. WHOQOL Group Programme on Mental Health Division of Mental Health and Prevention of Substance Abuse. Measuring Quality of Life [Internet]. Switzerland: WHO; 2022 [citado em 2022 Jan 22]. Disponível em: https://www.who.int/mental_health/media/68.pdf
https://www.who.int/mental_health/media/...
202 Steele CM, Spencer SJ, Aronson J. Contending with group image: the psychology of stereotype and social identity threat. Adv Exp Soc Psychol. 2002;34:379-440. http://dx.doi.org/10.1016/S0065-2601(02)80009-0.
http://dx.doi.org/10.1016/S0065-2601(02)...
-203203 Francis B, Archer L, Hodgen J, Pepper D, Taylor B, Travers MC. Exploring the relative lack of impact of research on ‘ability grouping’ in England: a discourse analytic account. Camb J Educ. 2017;47(1):1-17. http://dx.doi.org/10.1080/0305764X.2015.1093095.
http://dx.doi.org/10.1080/0305764X.2015....
).
The review showed that the most frequently used self-assessment instruments were the the Vocal Symptoms Scale - VSS, Quality of Life in Voice - QLV and the Vocal Disadvantage Index - VDI-10.
These instruments, all validated for Brazilian Portuguese(2323 Behlau M, Oliveira G, Santos LMA, Ricarte A. Validação no Brasil de protocolos de auto-avaliação do impacto de uma disfonia. Pro Fono. 2009;21(4):326-32. http://dx.doi.org/10.1590/S0104-56872009000400011.
http://dx.doi.org/10.1590/S0104-56872009...
,3737 Moreti FTG. Validação da versão brasileira da Voice Symptom Scale - VoiSS. Rev Soc Bras Fonoaudiol. 2012;17(2):238. http://dx.doi.org/10.1590/S1516-80342012000200025.
http://dx.doi.org/10.1590/S1516-80342012...
,204204 Gasparini G, Behlau M. Quality of Life: Validation of the Brazilian Version of the Voice-Related Quality of Life (V-RQOL) measure. J Voice. 2009;23(1):76-81. http://dx.doi.org/10.1016/j.jvoice.2007.04.005. PMid:17628396.
http://dx.doi.org/10.1016/j.jvoice.2007....
) are widely used in day to day vocal clinic for being fast, easy to apply and also for presenting reliable psychometric properties, capable of classifying individuals with and without dysphonia. The VSS is one of the most robust instruments in the area of voice because of its psychometric properties and seeks to analyze the self-perception of vocal symptoms(3737 Moreti FTG. Validação da versão brasileira da Voice Symptom Scale - VoiSS. Rev Soc Bras Fonoaudiol. 2012;17(2):238. http://dx.doi.org/10.1590/S1516-80342012000200025.
http://dx.doi.org/10.1590/S1516-80342012...
). The IDV-10, a reduced version of the IDV-30, is a quick, practical and reliable instrument to measure vocal handicap in individuals with voice problems(6868 Costa T, Oliveira G, Behlau M. Validation of the Voice Handicap Index: 10 (VHI-10) to the Brazilian Portuguese. CoDAS. 2013;25(5):482-5. http://dx.doi.org/10.1590/S2317-17822013000500013. PMid:24408554.
http://dx.doi.org/10.1590/S2317-17822013...
). The QLV was the first instrument of vocal self-assessment to be validated for Brazilian Portuguese, widely applied in vocal clinic, which allows the analysis of the impact of a voice problem in the quality of life of dysphonic individuals(204204 Gasparini G, Behlau M. Quality of Life: Validation of the Brazilian Version of the Voice-Related Quality of Life (V-RQOL) measure. J Voice. 2009;23(1):76-81. http://dx.doi.org/10.1016/j.jvoice.2007.04.005. PMid:17628396.
http://dx.doi.org/10.1016/j.jvoice.2007....
).
When caring for a dysphonic patient, the American Speech-Language-Hearing Association (ASHA) recommends the use of self-assessment protocols, but does not cite a specific one(66 Patel RR, Awan SN, Barkmeier-Kraemer J, Courey M, Deliyski D, Eadie T, et al. Recommended Protocols for Instrumental Assessment of Voice: American Speech-Language-Hearing Association Expert Panel to Develop a Protocol for Instrumental Assessment of Vocal Function. Am J Speech Lang Pathol. 2018;27(3):887-905. http://dx.doi.org/10.1044/2018_AJSLP-17-0009. PMid:29955816.
http://dx.doi.org/10.1044/2018_AJSLP-17-...
) probably because the psychometric properties of the instruments are different between language validations and because the instruments have different objectives.
The JPA is considered the gold standard in vocal evaluation, capable of qualifying voice quality and quantifying the degree of deviation(205205 Behlau M, Azevedo R, Pontes P. Conceito de voz normal e classificação das disfonias. In: Behlau M, editor. Voz: o livro do especialista. Rio de Janeiro: Revinter; 2008. p. 53-79.). Most cross-sectional studies used the GRBASI scale. The GRBASI is a Japanese scale, based on ISSHIKI's work on hoarseness, used internationally. Initially conceived as GRBAS, in 1996 it had the addition of the instability factor I, by the authors Dejonckere, Remacle & Fresnel-Elbaz(205205 Behlau M, Azevedo R, Pontes P. Conceito de voz normal e classificação das disfonias. In: Behlau M, editor. Voz: o livro do especialista. Rio de Janeiro: Revinter; 2008. p. 53-79.). It is noteworthy the large presence of JPA scales created by the researchers themselves. The use of non-validated scales and instruments generates a difficulty in the comparison with other studies, in the clinical application and in the reliability of the findings, since they have no proven validity(193193 Vieira VP, De Biase N, Peccin MS, Atallah ÁN. The research questions and methodological adequacy of clinical studies of the voice and larynx published in Brazilian and international journals. J Eval Clin Pract. 2009;15(3):473-7. http://dx.doi.org/10.1111/j.1365-2753.2008.01040.x. PMid:19366388.
http://dx.doi.org/10.1111/j.1365-2753.20...
), and the results cannot be reproduced.
The acoustic evaluation of the voice is one of the instrumental evaluations of the clinical speech therapist and appeared in 61 studies in the review. It is known that acoustic analysis quantifies the sound signal, making vocal analysis more objective. We reiterate that JPA is still the gold standard in vocal clinic and that acoustic analysis is complementary(8383 Martins PC, Couto TE, Gama ACC. Auditory-perceptual evaluation of the degree of vocal deviation: correlation between the Visual Analogue Scale and Numerical Scale. CoDAS. 2015;27(3):279-84. http://dx.doi.org/10.1590/2317-1782/20152014167. PMid:26222946.
http://dx.doi.org/10.1590/2317-1782/2015...
).
In general, the acoustic analysis practiced in vocal clinic can be performed by extraction of acoustic parameters or by visual analysis of the spectrographic tracing. The review results show that traditional measures of automatic extraction of the fundamental frequency, noise measurements, and signal perturbations are more widely studied and published. This type of acoustic analysis, until recently, was what the Brazilian vocal clinic had as knowledge and available resource. However, currently, it is understood that in dysphonic individuals, this traditional analysis is not the best measure of evaluation, since the extraction of classical measures is performed in the time domain(206206 Lopes LW, Sousa ESS, Silva ACF, Silva IM, de Paiva MAA, Vieira VJD, et al. Medidas cepstrais na avaliação da intensidade do desvio vocal. CoDAS. 2019;31(4):e20180175. http://dx.doi.org/10.1590/2317-1782/20182018175. PMid:31433040.
http://dx.doi.org/10.1590/2317-1782/2018...
). The signs of dysphonic voices are type 2 and 3, and do not produce reliable measurements(197197 Behlau M, Pontes P, Madazio G, Feijó D. Avaliação de voz. In: Behlau M, editor. Voz: o livro do especialista. Rio de Janeiro: Revinter; 2008. p. 100, 134-5.). In these cases, one can then opt for a descriptive analysis of the spectrographic tracing. Another option is to use multiparametric measurements that are more suitable for evaluations of dysphonic voices, offering more reliable and reliable results(140140 Englert M, Lima L, Constantini AC, Latoszek BBV, Maryn Y, Behlau M. Acoustic Voice Quality Index - AVQI para o português brasileiro: análise de diferentes materiais de fala. CoDAS. 2019;31(1):e20180082. http://dx.doi.org/10.1590/2317-1782/20182018082. PMid:30758396.
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).
ASHA recommends the Cepstral Peak Proeminence (CPP) for acoustic analysis of the dysphonic individual(66 Patel RR, Awan SN, Barkmeier-Kraemer J, Courey M, Deliyski D, Eadie T, et al. Recommended Protocols for Instrumental Assessment of Voice: American Speech-Language-Hearing Association Expert Panel to Develop a Protocol for Instrumental Assessment of Vocal Function. Am J Speech Lang Pathol. 2018;27(3):887-905. http://dx.doi.org/10.1044/2018_AJSLP-17-0009. PMid:29955816.
http://dx.doi.org/10.1044/2018_AJSLP-17-...
). Only one study that used this measure was included in this review. Such data indicate the need for greater investment in these measures, as well as in other multiparametric acoustic measures in Brazil.
Few studies were found that performed laryngeal imaging exams. In Brazil, laryngeal imaging exams are not part of the phonoaudiological procedures. However, this is a necessary procedure for laryngeal diagnosis, a requirement to be able to classify the type of dysphonia. The instrument recommended by the American Academy of Otolaryngology-Head and Neck Surgery is the laryngostroboscopy(207207 Stachler RJ, Francis DO, Schwartz SR, Damask CC, Digoy GP, Krouse HJ, et al. Clinical practice guideline: hoarseness (dysphonia) (update). Otolaryngol Head Neck Surg. 2018;158(1 Suppl.):S1-42. PMid:29494321.), in conjunction with a rigorous clinical history and complete medical evaluation(208208 Roy N, Barkmeier-Kraemer J, Eadie T, Sivasankar MP, Mehta D, Paul D, et al. Evidence-based clinical voice assessment: a systematic review. Am J Speech Lang Pathol. 2013;22(2):212-26. http://dx.doi.org/10.1044/1058-0360(2012/12-0014). PMid:23184134.
http://dx.doi.org/10.1044/1058-0360(2012...
).
Aerodynamic evaluation was studied in 20 articles included in the review. It is a clinical instrumental evaluation that allows noninvasive measurements of glottal parameters that make up the vocal production(195195 Maslan J, Leng X, Rees C, Blalock D, Butler SG. Maximum phonation time in healthy older adults. J Voice. 2011;25(6):709-13. http://dx.doi.org/10.1016/j.jvoice.2010.10.002. PMid:21439778.
http://dx.doi.org/10.1016/j.jvoice.2010....
). Besides the measurements of maximum phonatory time, which help in the inference of physiological data such as glottal closure and tension during phonation, other aerodynamic measurements are hardly part of clinical vocal practice.
The most commonly used measure for aerodynamic assessment in the studies analyzed in this research was maximum phonation time, which is easy to obtain and non-invasive, widely used in clinical phonoaudiological practice(209209 Angadi V, Croake D, Stemple J. Effects of vocal function exercises: a systematic review. J Voice. 2019;33(1):124.e13-34. http://dx.doi.org/10.1016/j.jvoice.2017.08.031. PMid:29108674.
http://dx.doi.org/10.1016/j.jvoice.2017....
) to help describe vocal behavior. As for aerodynamic evaluation, ASHA recommends obtaining measurements of mean airflow rate and mean subglottic pressure. There is also an orientation to collect fundamental frequency measures and sound pressure measures, which are acoustic measures, collected simultaneously with the aerodynamic ones(66 Patel RR, Awan SN, Barkmeier-Kraemer J, Courey M, Deliyski D, Eadie T, et al. Recommended Protocols for Instrumental Assessment of Voice: American Speech-Language-Hearing Association Expert Panel to Develop a Protocol for Instrumental Assessment of Vocal Function. Am J Speech Lang Pathol. 2018;27(3):887-905. http://dx.doi.org/10.1044/2018_AJSLP-17-0009. PMid:29955816.
http://dx.doi.org/10.1044/2018_AJSLP-17-...
,210210 Mehta D, Hillman RE. Use of aerodynamic measures in clinical voice assessment. Perspect Voice Voice Disord. 2007;17(3):14-8. http://dx.doi.org/10.1044/vvd17.3.14.
http://dx.doi.org/10.1044/vvd17.3.14...
).
With regard to intervention data, studies that measured immediate effects were more frequent. In longitudinal interventions, 6-session and 12-session interventions were more frequent. The average time of sessions most used by the researchers was 60 minutes, with a weekly frequency. It is observed that the frequency of 6-12 sessions may come from the influence of American publications, since 6 sessions correspond to the number of sessions covered by the American health insurance(209209 Angadi V, Croake D, Stemple J. Effects of vocal function exercises: a systematic review. J Voice. 2019;33(1):124.e13-34. http://dx.doi.org/10.1016/j.jvoice.2017.08.031. PMid:29108674.
http://dx.doi.org/10.1016/j.jvoice.2017....
).
In Brazil, the SBF (Brazilian Society of Speech Therapy) and CFF (the Federal Council of Speech Therapy) therapy beacons seek to guide the frequency, duration and amounts of voice therapy sessions for various conditions. The vocal alterations range from pediatric dysphonia to the rehabilitation of laryngectomized patients. There are recommendations for a number of sessions between eight and 24 sessions, 30 to 45 minutes each session, with weekly frequency of one to three times a week, varying according to the type of alteration and age of the patient(22 Brasil. Conselho Federal de Fonoaudiologia. Resolução no 320, de 17 de fevereiro de 2006 [Internet]. Diário Oficial da União; Brasília; 2006 [citado em 2022 Jan 22]. Disponível em: https://www.fonoaudiologia.org.br/resolucoes/resolucoes_html/CFFa_N_320_06.htm
https://www.fonoaudiologia.org.br/resolu...
).
Of the studies on psychometric properties of instruments, only five were validation studies, the most frequent being translation and cross-cultural adaptation of instruments into Brazilian Portuguese. Erthal(211211 Erthal TC. Manual de psicometria [Internet]. Rio de Janeiro: Jorge Zahar Editor; 2010 [citado em 2022 Jan 22]. Disponível em: http://public.ebookcentral.proquest.com/choice/publicfullrecord.aspx?p=3233576
http://public.ebookcentral.proquest.com/...
) states that Psychometrics is a group of techniques that enables the quantification of psychic phenomena. Among the options for instrument validation we highlight the rules of the Scientific Advisory Committee of the Medical Outcomes Trust-SAC(212212 Lohr KN. Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res. 2002;11(3):193-205. http://dx.doi.org/10.1023/A:1015291021312. PMid:12074258.
http://dx.doi.org/10.1023/A:101529102131...
), frequently used in national validation studies by the Classical Test Theory in the voice area. To be used, protocols need to be formally developed and psychometrically tested, thus ensuring evidence of validity, reliability, and fairness(200200 Behlau M, Zambon F, Moreti F, Oliveira G, de Barros Couto E Jr. Voice self-assessment protocols: different trends among organic and behavioral dysphonias. J Voice. 2017;31(1):112.e13-27. http://dx.doi.org/10.1016/j.jvoice.2016.03.014. PMid:27210475.
http://dx.doi.org/10.1016/j.jvoice.2016....
). Translation and cross-cultural adaptation is an initial part of validation. However, only translation and cross-cultural adaptation is not sufficient for an instrument to be considered applicable and valid in a language(213213 Lopes L, Moreti F, Pereira EC, Ribeiro LL, Pernambuco LA, Pereira E. Protocolos de autoavaliação na clínica vocal: desenvolvimento, validação e atualidades. In: Lopes L, Moreti F, Ribeiro LL, editores. Fundamentos e atualidades em voz clínica [Internet]. Rio de Janeiro: Thieme Revinter; 2019. p. 49 [citado em 2022 Jan 22]. Disponível em: https://elibro.net/ereader/elibrodemo/183601
https://elibro.net/ereader/elibrodemo/18...
).
Regardless of the design, some studies did not report essential data so that their findings could be interpreted and their evidence useful for practice, which is an important opportunity to improve the description of the experiments. There were studies that did not report the age range, the sex of the subjects studied, and the time and frequency of the sessions. In addition, some studies used scales created by the researchers, which do not allow comparison of their findings. The most frequent assessment instruments in aerodynamic measures, in acoustic measures, and in self-assessment are not the instruments recommended by ASHA. However, it should be noted that the year of study selection and ASHA publication is close, and it will be necessary to review this information again in the future.
Therefore, it is necessary to reflect on the importance of a detailed and precise methodological description, as well as the standardization of procedures and measures for use in research. Evidence-based clinical practice is a necessity for the improvement of vocal clinic. However, it is necessary that some changes and standardization occur in research so that their findings are valid for clinical inference, and to be possible the implementation of evidence in practice.
CONCLUSION
The results allow us to conclude that there was a gradual increase in the number of publications in the area of voice in the journal CoDAS. The procedures and characteristics of the publications were heterogeneous. Researchers in clinical and professional voice have a preference for more cross-sectional studies and with a sample of adults and of both sexes. Cross-sectional studies with self-assessment outcomes, experimental studies of immediate effect, and studies measuring psychometric properties that performed translation and cross-cultural adaptation were more frequent. There are uninformed data on relevant parameters for the applicability of the studies such as age range, sex, and temporal parameters of interventions, besides a high index of scales created by the researchers.
-
Study conducted at Centro de Estudos da Voz - CEV - São Paulo (SP), Brasil.
-
Financial support: nothing to declare.
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53Behlau M, Pontes P, Vieira VP, Yamasaki R, Madazio G. Presentation of the Comprehensive Vocal Rehabilitation Program for the treatment of behavioral dysphonia. CoDAS. 2013;25(5):492-6. http://dx.doi.org/10.1590/S2317-17822013000500015 PMid:24408556.
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54Paoliello K, Oliveira G, Behlau M. Singing voice handicap mapped by different self-assessment instruments. CoDAS. 2013;25(5):463-8. http://dx.doi.org/10.1590/S2317-17822013005000008 PMid:24408551.
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55Pifaia LR, Madazio G, Behlau M. Diagrama de desvio fonatório e análise perceptivo-auditiva pré e pós-terapia vocal. CoDAS. 2013;25(2):140-7. http://dx.doi.org/10.1590/S2317-17822013000200009 PMid:24408243.
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56Nemr NK, Simões-Zenari M, Ferreira TS, Fernandes HR, Mansur LL. Disfonia como principal queixa num quadro de miastenia grave: diagnóstico e fonoterapia. CoDAS. 2013;25(3):297-300. http://dx.doi.org/10.1590/S2317-17822013000300017 PMid:24408343.
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57Giannini SPP, Latorre MR, Ferreira LP. Latorre M do RD de O, Ferreira LP. Distúrbio de voz e estresse no trabalho docente: um estudo caso-controle. Cad Saude Publica. 2012;28(11):2115-24. http://dx.doi.org/10.1590/S0102-311X2012001100011 PMid:23147953.
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58Barsties B, Verfaillie R, Roy N, Maryn Y. Do body mass index and fat volume influence vocal quality, phonatory range, and aerodynamics in females? CoDAS. 2013;25(4):310-8. http://dx.doi.org/10.1590/S2317-17822013000400003 PMid:24408481.
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59Vaiano T, Guerrieri AC, Behlau M. Dores corporais em coristas eruditos. CoDAS. 2013;25(4):303-9. http://dx.doi.org/10.1590/S2317-17822013000400002 PMid:24408480.
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60Franca MC, Simpson KO, Schuette A. Effects of caffeine on vocal acoustic and aerodynamic measures of adult females. CoDAS. 2013;25(3):250-5. http://dx.doi.org/10.1590/S2317-17822013000300010 PMid:24408336.
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61Gonçalves MIR, Remaili CB, Behlau M. Cross-cultural adaptation of the Brazilian version of the Eating Assessment Tool - EAT-10. CoDAS. 2013;25(6):601-4. http://dx.doi.org/10.1590/S2317-17822013.05000012 PMid:24626972.
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62Teixeira LC, Rodrigues ALV, da Silva ÁFG, Azevedo R, Gama ACC, Behlau M. Escala URICA-VOZ para identificação de estágios de adesão ao tratamento de voz. CoDAS. 2013;25(1):8-15. http://dx.doi.org/10.1590/S2317-17822013000100003 PMid:24408164.
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63Iqueda APD, Ricz H, Takeshita TK, dos Reis N, Aguiar-Ricz L. Nasalance and nasality of tracheoesophageal speech in total laryngectomee. CoDAS. 2013;25(5):469-74. http://dx.doi.org/10.1590/S2317-17822013000500011 PMid:24408552.
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64Pimenta RA, Dájer ME, Hachiya A, Tsuji DH, Montagnoli AN. Parameters Acoustic and High-speed kymography identified effects of voiced vibration and vocal fry exercises. CoDAS. 2013;25(6):577-83. http://dx.doi.org/10.1590/S2317-17822014000100010 PMid:24626983.
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65Cipriano F, Ferreira L, Servilha E, Marsiglia R. Relação entre distúrbio de voz e trabalho em um grupo de Agentes Comunitários de Saúde. CoDAS. 2013;25(6):548-56.
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66Lopes LW, Lima ILB, Silva EG, Almeida LNA, Almeida AAF. Accent and television journalism: evidence for the practice of speech language pathologists and audiologists. CoDAS. 2013;25(5):475-81. http://dx.doi.org/10.1590/S2317-17822013000500012 PMid:24408553.
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67Fouquet ML, Behlau M, Gonçalves AJ. A new proposal for evaluation of the pharyngoesophageal segment and its relation with the narrow-band spectrogram in tracheoesophageal speakers. CoDAS. 2013;25(6):557-65. http://dx.doi.org/10.1590/S2317-17822013.05000010 PMid:24626970.
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68Costa T, Oliveira G, Behlau M. Validation of the Voice Handicap Index: 10 (VHI-10) to the Brazilian Portuguese. CoDAS. 2013;25(5):482-5. http://dx.doi.org/10.1590/S2317-17822013000500013 PMid:24408554.
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69Ricarte A, Oliveira G, Behlau M. Validação do protocolo perfil de participação e atividades vocais no Brasil. CoDAS. 2013;25(3):242-9. http://dx.doi.org/10.1590/S2317-17822013000300009 PMid:24408335.
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70Godoy JF, Brasolotto AG, Berretin-Félix G, Fernandes AY. Neuroradiology and voice findings in stroke. CoDAS. 2014;26(2):168-74. http://dx.doi.org/10.1590k2317-1782/2014531IN PMid:24918512.
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71de Oliveira AG, Pinho MM. Extended Neuralgic Amyotrophy Syndrome: voice therapy in one case of vocal fold paralysis. CoDAS. 2014;26(2):175-80. http://dx.doi.org/10.1590/2317-1782/2014446IN PMid:24918513.
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72Dassie-Leite AP, Delazeri S, Baldissarelli B, Weber J, Lacerda L Fo. Vocal self-assessment: relation with the type of instrument, gender, age, and profession in individuals without vocal complaints. CoDAS. 2014;26(6):531-4. http://dx.doi.org/10.1590/2317-1782/20140000339 PMid:25590917.
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73Fava G, Paolillo NP, Oliveira G, Behlau M. Cross-cultural adaptation of the Italian version of the Voice Activity Participation Profile. CoDAS. 2014;26(3):252-5. http://dx.doi.org/10.1590/2317-1782/201420140302 PMid:25118924.
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74Santos KW, Fraga BF, Cardoso MCAF. Dysfunctions of the stomatognathic system and vocal aspects in Fahr disease: case report. CoDAS. 2014;26(2):164-7. http://dx.doi.org/10.1590/2317-1782/2014498IN PMid:24918511.
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75Rocha BR, Moreti F, Amin E, Madazio G, Behlau M. Cross-cultural adaptation of the Brazilian version of the protocol Evaluation of the Ability to Sing Easily. CoDAS. 2014;26(6):535-9. http://dx.doi.org/10.1590/2317-1782/20142014175 PMid:25590918.
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76Lopes LW, Cavalcante DP, Costa PO. Severity of voice disorders: integration of perceptual and acoustic data in dysphonic. CoDAS. 2014;26(5):382-8. http://dx.doi.org/10.1590/2317-1782/20142013033 PMid:25388071.
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77Nemr K, Souza GVS, Simões-Zenari M, Tsuji DH, Hachiya A, Cordeiro GF, et al. Cognitive Vocal Program applied to individuals with signals presbylarynx: preliminary results. CoDAS. 2014;26(6):503-8. http://dx.doi.org/10.1590/2317-1782/20142014108 PMid:25590914.
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78Ribeiro LL, de Paula KMP, Behlau M. Voice-related quality of life in the pediatric population: validation of the Brazilian version of the Pediatric Voice-Related Quality-of Life survey. CoDAS. 2014;26(1):87-95. http://dx.doi.org/10.1590/s2317-17822014000100013 PMid:24714864.
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79Nevo L, Nevo C, Oliveira G. A comparison of vocal parameters in adult bilingual Hebrew-English speakers. CoDAS. 2015;27(5):483-91. http://dx.doi.org/10.1590/2317-1782/20152015096 PMid:26648221.
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80Moreti F, Zambon F, Behlau M. Voice symptoms and vocal deviation self-assessment in different types of dysphonia. CoDAS. 2014;26(4):331-3. http://dx.doi.org/10.1590/2317-1782/201420130036 PMid:25211694.
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81Fabron EMG, Regaçone SF, Marino VCC, Mastria ML, Motonaga SM, Sebastião LT. Self-perception, complaints and vocal quality among undergraduate students enrolled in a Pedagogy course. CoDAS. 2015;27(3):285-91. http://dx.doi.org/10.1590/2317-1782/20152014178 PMid:26222947.
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82Ribeiro ACM, Scharlach RC, Pinheiro MMC. Avaliação dos aspectos temporais em cantores populares. CoDAS. 2015;27(6):520-5. http://dx.doi.org/10.1590/2317-1782/20152014234 PMid:26691615.
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83Martins PC, Couto TE, Gama ACC. Auditory-perceptual evaluation of the degree of vocal deviation: correlation between the Visual Analogue Scale and Numerical Scale. CoDAS. 2015;27(3):279-84. http://dx.doi.org/10.1590/2317-1782/20152014167 PMid:26222946.
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84Fadel CBX, Dassie-Leite AP, Santos RS, Rosa M O, Marques JM. Acoustic characteristics of the metallic voice quality. CoDAS. 2015;27(1):97-100. http://dx.doi.org/10.1590/2317-1782/20152014159
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85Almeida AAF, Fernandes LR, Azevedo EHM, Pinheiro RSA, Lopes LW. Characteristics of voice and personality of patients with vocal fold immobility. CoDAS. 2015;27(2):178-85. http://dx.doi.org/10.1590/2317-1782/20152014144 PMid:26107084.
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86Dornelas R, Giannini SPP, Ferreira LP. Dia Mundial da Voz em notícia: análise das reportagens sobre a Campanha da Voz no Brasil. CoDAS. 2015;27(5):492-7. http://dx.doi.org/10.1590/2317-1782/20152014204 PMid:26648222.
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87Santos ACM, Borrego MCM, Behlau M. Effect of direct and indirect voice training in Speech-Language Pathology and Audiology students. CoDAS. 2015;27(4):384-91. http://dx.doi.org/10.1590/2317-1782/20152014232 PMid:26398263.
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88Zambon F, Moreti F, Vargas ACT, Behlau M. Eficiência e valores de corte do Perfil de Participação e Atividades Vocais para não professores e professores. CoDAS. 2015;27(6):598-603. http://dx.doi.org/10.1590/2317-1782/20152015028 PMid:26691625.
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89Marquezin DMSS, Viola I, Ghirardi ACAM, Madureira S, Ferreira LP. Executives’ speech expressiveness: analysis of perceptive and acoustic aspects of vocal dynamics. CoDAS. 2015;27(2):160-9. http://dx.doi.org/10.1590/2317-1782/20152014188 PMid:26107082.
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90Pellicani AD, Ricz HMA, Ricz LNA. Phonatory function after prolonged voice use in brazilian woman. CoDAS. 2015;27(4):392-9. http://dx.doi.org/10.1590/2317-1782/20152014201 PMid:26398264.
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91Santos HHANM, Aguiar AGO, Baeck HE, Van Borsel J. Translation and preliminary evaluation of the Brazilian Portuguese version of the Transgender Voice Questionnaire for male-to-female transsexuals. CoDAS. 2015;27(1):89-96. http://dx.doi.org/10.1590/2317-1782/20152014093 PMid:25885202.
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92Penteado RZ, da Silva NB, Montebello MIL. Voz, estresse, trabalho e qualidade de vida de técnicos e preparadores físicos de futebol. CoDAS. 2015;27(6):588-97. http://dx.doi.org/10.1590/2317-1782/20152015021 PMid:26691624.
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93Baravieira PB, Brasolotto AG, Montagnoli AN, Silvério KCA, Yamasaki R, Behlau M. Análise perceptivo-auditiva de vozes rugosas e soprosas: correspondência entre a escala visual analógica e a escala numérica. CoDAS. 2016;28(2):163-7. http://dx.doi.org/10.1590/2317-1782/20162015098 PMid:27191880.
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94Costa FP, Diaféria G, Behlau M. Aspectos comunicativos e enfrentamento da disfonia em pacientes com doença de Parkinson. CoDAS. 2016;28(1):46-52. http://dx.doi.org/10.1590/2317-1782/20162015054 PMid:27074189.
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95Aquino FS, Silva MAA, Teles LCS, Ferreira LP. Características da voz falada de idosas com prática de canto coral. CoDAS. 2016;28(4):446-53. http://dx.doi.org/10.1590/2317-1782/20162015109 PMid:27652927.
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96Lopes LW, Vilela EG. Autoavaliação e prontidão para mudança em pacientes disfônicos. CoDAS. 2016;28(3):295-301. http://dx.doi.org/10.1590/2317-1782/20162015111
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97Oliveira G, Zambon F, Vaiano T, Costa F, Behlau M. Versões reduzidas para protocolo clínico de enfrentamento das disfonias. CoDAS. 2016;28(6):828-32. http://dx.doi.org/10.1590/2317-1782/20162015177 PMid:27982248.
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98Moreti F, Zambon F, Behlau M. Conhecimento em cuidados vocais por indivíduos disfônicos e saudáveis de diferentes gerações. CoDAS. 2016;28(4):463-9. http://dx.doi.org/10.1590/2317-1782/20162015162 PMid:27652928.
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99Krohling LL, Paula KMP, Behlau M. Curva ROC do Protocolo Qualidade de Vida em Voz Pediátrico (QVV-P). CoDAS. 2016;28(3):311-3. http://dx.doi.org/10.1590/2317-1782/20162015103 PMid:27253227.
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100Gama ACC, Santos JN, Pedra EFP, Rabelo ATV, Magalhães MC, Casas EBL. Dose vocal em professores: correlação com a presença de disfonia. CoDAS. 2016;28(2):190-2. http://dx.doi.org/10.1590/2317-1782/20162015156 PMid:27191884.
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101Reimann AP, Siqueira LTD, Rondon AV, Brasolotto AG, Silverio KCA. Efeito imediato da terapia manual laríngea em indivíduos disfônicos. CoDAS. 2016;28(1):59-65. http://dx.doi.org/10.1590/2317-1782/20162015089 PMid:27074191.
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102Krohling LL, Behlau M, Verduyckt I. Equivalência cultural da versão brasileira do Questionnaire des Symptômes Vocaux. CoDAS. 2016;28(4):454-8. http://dx.doi.org/10.1590/2317-1782/20162015124 PMid:27409418.
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103Giannini SPP, Latorre MRDO, Ferreira LP. Latorre M do RD de O, Ferreira LP. Questionário Condição de Produção Vocal - Professor: comparação entre respostas em escala Likert e em escala visual analógica. CoDAS. 2016;28(1):53-8. http://dx.doi.org/10.1590/2317-1782/20162015030 PMid:27074190.
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104Andrade BMR, Giannini SPP, Duprat AC, Ferreira LP. Relação entre a presença de sinais videolaringoscópicos sugestivos de refluxo laringofaríngeo e distúrbio de voz em professoras. CoDAS. 2016;28(3):302-10. http://dx.doi.org/10.1590/2317-1782/20162015122
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105Lopes LW, Silva HF, Evangelista D, Silva JD, Simões LB, Costa e Silva PO, et al. Relação entre os sintomas vocais, intensidade do desvio vocal e diagnóstico laríngeo em pacientes com distúrbios da voz. CoDAS. 2016;28(4):439-45. http://dx.doi.org/10.1590/2317-1782/20162015062 PMid:27356190.
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106Dias AE, Limongi JCP, Barbosa ER, Hsing WT. Telerreabilitação vocal na doença de Parkinson. CoDAS. 2016;28(2):176-81. http://dx.doi.org/10.1590/2317-1782/20162015161 PMid:27191882.
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107Mendes ALF, Lucena BTL, Araújo AMGD, Melo LPF, Lopes LW, Silva MFBL. Voz do professor: sintomas de desconforto do trato vocal, intensidade vocal e ruído em sala de aula. CoDAS. 2016;28(2):168-75. http://dx.doi.org/10.1590/2317-1782/20162015027 PMid:27191881.
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108Almeida AA, Behlau M. Adaptação cultural do Questionário Reduzido de Autorregulação: sugestões de aplicação para área de voz. CoDAS. 2017;29(5):1. http://dx.doi.org/10.1590/2317-1782/20172016199
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109Fattore IM, Uhde RM, Oliveira LD, Roth AM, Souza APR. Análise comparativa das vocalizações iniciais de bebês prematuros e a termo, com e sem risco ao desenvolvimento. CoDAS. 2017;29(4):1. http://dx.doi.org/10.1590/2317-1782/20172016075 PMid:28902228.
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110Souza BO, Nunes RB, Friche AAL, Gama ACC. Análise da qualidade de vida relacionada à voz na população infantil. CoDAS. 2017;29(2):e20160009. http://dx.doi.org/10.1590/2317-1782/20172016009 PMid:28300937.
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111Pereira EC, Rodrigues CO, Silvério KCA, Madazio G, Behlau M. Análises perceptivo-auditiva e acústica das vozes de crianças infectadas pelo HIV. CoDAS. 2017;29(6):e20170022. http://dx.doi.org/10.1590/2317-1782/201720170022 PMid:29236906.
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112Diaféria G, Madazio G, Pacheco C, Takaki PB, Behlau M. Clima de grupo na terapia vocal de pacientes com Doença de Parkinson. CoDAS. 2017;29(4):e20170051. http://dx.doi.org/10.1590/2317-1782/20172017051 PMid:28876371.
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113Amaral AC, Zambon F, Moreti F, Behlau M. Desconforto do trato vocal em professores após atividade letiva. CoDAS. 2017;29(2):e20160045. http://dx.doi.org/10.1590/2317-1782/20172016045
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114Moreira FS, Gama ACC. Efeito do tempo de execução do exercício vocal sopro e som agudo na voz de mulheres. CoDAS. 2017;29(1):e20160005. http://dx.doi.org/10.1590/2317-1782/20172016005 PMid:28225849.
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115Paes SM, Behlau M. Efeito do tempo de realização do exercício de canudo de alta resistência em mulheres disfônicas e não disfônicas. CoDAS. 2017;29(1):1. http://dx.doi.org/10.1590/2317-1782/20172016048 PMid:28300957.
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116Siqueira LTD, Silverio KCA, Brasolotto AG, Guirro RRJ, Carneiro CG, Behlau M. Efeitos da terapia manual laríngea e da estimulação elétrica nervosa transcutânea (TENS) na diadococinesia laríngea em mulheres disfônicas: estudo clínico randomizado. CoDAS. 2017;29(3):e20160191". http://dx.doi.org/10.1590/2317-1782/20172016191 PMid:28538831.
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117Fabron EMG, Petrini AS, Cardoso VM, Batista JCT, Motonaga SM, Marino VCC. Efeitos imediatos da técnica de vibração sonorizada de língua associada à estimulação nervosa elétrica transcutânea (TENS). CoDAS. 2017;29(3):e20150311. http://dx.doi.org/10.1590/2317-1782/20172015311 PMid:28614457.
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118Zambon F, Moreti F, Nanjundeswaran C, Behlau M. Equivalência cultural da versão brasileira do Vocal Fatigue Index - VFI. CoDAS. 2017;29(2):e20150261. http://dx.doi.org/10.1590/2317-1782/20172015261 PMid:28300936.
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119Costa BOI, Silva POC, Pinheiro RSA, Silva HF, Almeida AAF. Estágio de prontidão de pacientes com disfonia comportamental pré e pós-terapia de voz de grupo. CoDAS. 2017;29(4):e20160198. http://dx.doi.org/10.1590/2317-1782/20172016198 PMid:28813072.
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120Santos KW, Scheeren B, Maciel AC, Cassol M. Modificação da voz após deglutição: compatibilidade com achados da videofluoroscopia. CoDAS. 2017;29(6):e20170004. http://dx.doi.org/10.1590/2317-1782/20172017004
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121Lavaissiéri P, Melo PED. Protótipo de aplicativo para terapia vocal: análise por pares. CoDAS. 2017;29(1):e20150300. http://dx.doi.org/10.1590/2317-1782/20172015300
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122Pedrotti CA, Behlau M. Recursos comunicativos de executivos e profissionais em função operacional. CoDAS. 2017;29(3):e20150217. http://dx.doi.org/10.1590/2317-1782/20172015217 PMid:28538820.
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123Pinheiro J, Silverio KCA, Siqueira LTD, Ramos JS, Brasolotto AG, Zambon F, et al. Sintomas do trato vocal e índice de desvantagem vocal para o canto moderno em cantores evangélicos. CoDAS. 2017;29(4):e20160187. http://dx.doi.org/10.1590/2317-1782/20172016187 PMid:28902229.
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124Lopes LW, Alves JDN, Evangelista DDS, França FP, Vieira VJD, Lima-Silva MFB, et al. Acurácia das medidas acústicas tradicionais e formânticas na avaliação da qualidade vocal. CoDAS. 2018;30(5):e20170282. http://dx.doi.org/10.1590/2317-1782/20182017282 PMid:30365651.
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125Dornelas R, Santos TA, Oliveira DS, Irineu RA, Brito A, Silva K. Situações de violência na escola e a voz do professor. CoDAS. 2017;29(4):e20170053. http://dx.doi.org/10.1590/2317-1782/20172017053 PMid:28813075.
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142França FP, de Almeida AA, Lopes LW. Configuração acústico-articulatória das vogais de mulheres com nódulos vocais e vocalmente saudáveis. CoDAS. 2019;31(6):e20180241. http://dx.doi.org/10.1590/2317-1782/20192018241 PMid:31751443.
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143Roza AP, Gielow I, Vaiano T, Behlau M. Desenvolvimento e aplicação de um game sobre saúde e higiene vocal em adultos. CoDAS. 2019;31(4):e20180184. http://dx.doi.org/10.1590/2317-1782/20182018184 PMid:31483041.
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144Gonçalves DMR, Odagima RKY, Vaiano TCG, Amin E, Behlau M. Efeito imediato da fonação em tubo de silicone em cantores gospel. CoDAS. 2019;31(6):e20180117. http://dx.doi.org/10.1590/2317-1782/20192018117 PMid:31800878.
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145Contreras F, Gonzalez N, Vivero M, Guzman M. Equivalencia cultural de la Versión Chilena del Voice-Related Quality of Life (V-RQOL). CoDAS. 2019;31(3):e20180213. http://dx.doi.org/10.1590/2317-1782/20192018213 PMid:31038543.
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149Blanco ESDV, Imbrizi JM. Percepção da voz em professoras: narrativas de vida entre os espaços do trabalho e do coro cênico. CoDAS. 2019;31(2):e20180200. http://dx.doi.org/10.1590/2317-1782/20182018200 PMid:31038575.
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150Marinho ACF, de Medeiros AM, Lima EP, Pantuza JJ, Teixeira LC. Prevalência e fatores associados ao medo de falar público. CoDAS. 2019;31(6):e20180266. http://dx.doi.org/10.1590/2317-1782/20192018266 PMid:31644711.
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151Ribeiro LL, Verduyckt I, Behlau M. Sintomas vocais na população pediátrica: validação da versão brasileira do Questionário de Sintomas Vocais Pediátrico. CoDAS. 2019;31(5):e20180225. http://dx.doi.org/10.1590/2317-1782/20192018225 PMid:31644718.
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Publication Dates
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Publication in this collection
05 June 2023 -
Date of issue
2023
History
-
Received
23 Mar 2022 -
Accepted
28 July 2022