Audiology - Communication Research
https://www.audiolcommres.org.br/article/doi/10.1590/2317-6431-2023-2809pt
Audiology - Communication Research
Review Article

Distúrbio de voz e fatores de risco em profissionais da voz falada: uma revisão integrativa

Voice disorder and risk factors in spoken voice professionals: an integrative review

Luyênia Kérlia Gomes Martins; Amanda Louize Félix Mendes; Priscila Oliveira; Anna Alice Almeida

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Resumo

Objetivo: Identificar evidências científicas sobre o distúrbio de voz relacionado ao trabalho e fatores de risco, além de apontar os sintomas vocais, instrumentos e métodos de avaliação em profissionais da voz falada.

Estratégia de pesquisa: Revisão integrativa da literatura, realizada nas bases de dados LILACS, SciELO, MEDLINE/PubMed e Scopus.

Critérios de seleção: Artigos com profissionais da voz falada, que abordassem os fatores de riscos individuais, organizacionais e/ou ambientais vinculados aos sintomas e/ou distúrbios de voz, estudos observacionais, disponíveis na íntegra, sem restrição ao idioma e ano de publicação.

Resultados: Foram incluídos 58 estudos, maior publicação entre os anos de 2014 e 2022, predominantemente no Brasil, em destaque, o professor. O método de avaliação mais utilizado foi autoavaliação com o uso dos protocolos, seguido da avaliação perceptivo-auditiva e do exame laringológico. Os fatores de risco mais identificados foram os individuais, seguidos dos organizacionais e ambientais, além de terem sido relatados os sintomas vocais sensoriais e auditivos.

Conclusão: Os fatores mais autorreferidos são ruído, uso intenso da voz, alterações respiratórias, ser do gênero feminino e práticas vocais inadequadas. Quanto aos sintomas vocais sensoriais, destacam-se garganta seca, pigarro e fadiga vocal, e quanto aos auditivos, rouquidão.

Palavras-chave

Voz; Distúrbios da voz; Disfonia; Saúde ocupacional; Fatores de risco

Abstract

Purpose:  To identify scientific evidence about (Work-Related Voice Disorder) and risk factors, as well as to point out vocal symptoms, instruments and evaluation methods in spoken voice professionals.

Research strategy:  Integrative literature review carried out in LILACS, SciELO, MEDLINE/PubMed and Scopus databases.

Selection criteria:  Articles with spoken voice professionals, which addressed individual, organizational and/or environmental risk factors linked to symptoms and/or voice disorders, observational studies, fully available, without restriction to language and year of publication.

Results:  58 papers were included, the largest publication between the years 2014 and 2022, predominantly in Brazil, with emphasis on the teacher. The most used evaluation method was vocal assessment using self-assessment protocols, followed by auditory-perceptual assessment and laryngological examination. The mostly identified risk factors were individual ones, followed by organizational and environmental ones, in addition to sensory and auditory vocal symptoms having been reported.

Conclusion:  The most often self-reported factors were noise, intense voice use, respiratory changes, being female and inappropriate vocal practices. For sensory vocal symptoms, dry throat, throat clearing and vocal fatigue stand out, and for auditory symptoms, hoarseness.

Keywords

Voice; Voice disorders; Dysphonia; Occupational health; Risk factors

References

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Submitted date:
06/21/2023

Accepted date:
10/23/2023

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