Sintomas vocais e dor musculoesquelética em não profissionais da voz
Vocal symptoms and musculoskeletal pain in non professional voice users
Juliana Fernandes Godoy; Débora Pimentel Vieira; Larissa Thaís Donalonso Siqueira
Resumo
Palavras-chave
Abstract
Purpose: To identify the presence of vocal symptoms and musculoskeletal pain in non-professional voice users, to verify whether there is a relationship between such variables, and to compare women and men.
Methods: Crosssectional, observational study. Fifty-nine non-professional voice users (NPVU) were included. The data were collected on-line. A characterization questionnaire and self-assessment protocols were applied: Voice Symptoms Scale (VoiSS) and Musculoskeletal Pain Investigation Questionnaire (MPI). A descriptive statistical analysis was performed. The inferential statistics compared the variables between women and men and a correlation analysis was carried out between the VoiSS and MPI using the Spearman correlation test.
Results: For the entire studied group , mean values of the total VoiSS score were observed above the cut-off point, indicating risk for dysphonia. There was musculoskeletal pain in the regions assessed, but at low frequency and mild intensity. Women had a higher frequency of pain in the shoulders, temporal region and larynx, when compared to men. There was a positive correlation between the pain frequency in the regions: neck, temporal region, below the chin and larynx/throat in all or some of MPI scores.
Conclusion: The NPVU population in this study presented with high scores for signs and symptoms of voice disorders. Musculoskeletal pain was rarely present, with mild intensity, but more frequent in women in regions close to the larynx. There was a relationship between vocal symptoms and musculoskeletal pain, especially in regions proximal to the larynx, so that the greater the frequency of pain, the greater the presence of vocal symptoms.
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References
1 Bastilha GR, Andriollo DB, Cielo CA. Profissionais e futuros profissionais da voz: ambiente de trabalho, hábitos vocais incorretos e queixas vocais. Res Soc Dev. 2021;10(2):e53110212531.
2 Ferreira LP, Santos JG, Lima MFB. Sintoma vocal e sua provável causa: levantamento de dados em uma população. Rev CEFAC. 2009;11(1):110-8.
3 Moreti F, Zambon F, Behlau M. Voice symptoms and vocal deviation self-assessment in different types of dysphonia. CoDAS. 2014;26(4):331-3.
4 Cardoso JP, Ribeiro IQB, Araújo TM, Carvalho FM, Reis EJFB. Prevalência de dor musculoesquelética em professores. Rev Bras Epidemiol. 2009;12(4):604.
5 Cardoso JP, Araújo TM, Carvalho FM, Oliveira NF, Reis EJFB. Aspectos psicossociais do trabalho e dor musculoesquelética em professores. Cad Saude Publica. 2011;27(8):1498-506.
6 Suda EY, Coelho AT, Bertaci AC, Santos BB. Relação entre nível geral de saúde, dor musculoesquelética e síndrome de burnout em professores universitários. Fisioter Pesqui. 2011;18(3):270-4.
7 Ramos AC, Floro RL, Ribeiro VV, Brasolotto AG, Silverio KCA. Musculoskeletal pain and voice-related quality of life in dysphonic and non-dysphonic subjects. J Voice. 2018;32(3):307-13.
8 Silverio KCA, Siqueira LTD, Lauris JRP, Brasolotto AG. Muscleskeletal pain in dysphonic women. CoDAS. 2014;26(5):374-81.
9 Constancio S, Moreti F, Guerrieri AC, Behlau M. Dores corporais em teleoperadores e sua relação com o uso da voz em atividades laborais. Rev Soc Bras Fonoaudiol. 2012;17(4):377-84.
10 Vaiano T, Moreti F. Body pain in professional voice users. J Speech Pathol Ther. 2016;1(2):107.
11 Silva Vitor J, Siqueira LTD, Ribeiro VV, Ramos JS, Brasolotto AG, Silverio KCA. Musculoskeletal pain and occupational variables in teachers with voice disorders and in those with healthy voices: a pilot study. J Voice. 2017;31(4):518.e7-13.
12 Santos AP, Silverio KCA, Dassie-Leite AP, Costa CC, Siqueira LTD. Relation between musculoskeletal pain and voice self-assessment in tele-operators. J Voice. 2019;33(6):948.e11-21.
13 Martins RHG, do Amaral HA, Tavares ELM, Martins MG, Gonçalves TM, Dias NH. Voice disorders: etiology and diagnosis. J Voice. 2016;30(6):761.e1-9.
14 Behlau M, Zambon F, Guerrieri AC, Roy N. Epidemiology of voice disorders in teachers and nonteachers in Brazil: prevalence and adverse effects. J Voice. 2012;26(5):665.e9-18.
15 Rodrigues G, Zambon F, Mathieson L, Behlau M. Vocal tract discomfort in teachers: its relationship to self-reported voice disorders. J Voice. 2013;27(4):473-80.
16 Tohidast SA, Mansuri B, Bagheri R, Azimi H. Determining pain in patients with voice disorders: a qualitative study. Logoped Phoniatr Vocol. 2021 Dez;46(4):155-62.
17 Cielo CA, Ribeiro VV, Hoffmann CF. Sintomas vocais de futuros profissionais da voz. Rev CEFAC. 2015;17(1):34-43.
18 Sheyona V, Devadas U. The prevalence and impact of voice problems in nonprofessional voice users: preliminary findings. J Voice. 2022;36(3):383-8.
19 Moreti F, Zambon F, Oliveira G, Behlau M. Cross-cultural adaptation, validation, and cutoff values of the Brazilian version of the voice symptom scale - VoiSS. J Voice. 2014;28(4):458-68.
20 Jensen MP, Chen C, Brugger AM. Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain. J Pain. 2003;4(7):407-14.
21 Dancey C, Reidy J. Estatística sem matemática para psicologia. Porto Alegre: Penso; 2013.
22 Siqueira LTD, dos Santos AP, Silva RLF, Moreira PAM, Vitor JS, Ribeiro VV. Vocal self-perception of home office workers during the COVID-19 pandemic. J Voice. 2023;37(1):144.e15-22.
23 van Niekerk SM, Louw QA, Hillier S. The effectiveness of a chair intervention in the workplace to reduce musculoskeletal symptoms: a systematic review. BMC Musculoskelet Disord. 2012 Ago 13;13(1):145.
24 Tohidast SA, Mansuri B, Memarian M, Ghobakhloo AH, Scherer RC. Voice quality and vocal tract discomfort symptoms in patients with COVID-19. J Voice. 2024;38(2):542.e29-33.
25 Naunheim MR, DeVore EK, Huston MN, Song PC, Franco RA Jr, Bhattacharyya N. Increasing prevalence of voice disorders in the USA: updates in the COVID era. Laryngoscope. 2024 Ago;134(8):3713-8.
26 Siqueira LTD, Vitor JS, Santos AP, Silva RLF, Moreira PAM, Veis Ribeiro V. Influence of the characteristics of home office work on self-perceived vocal fatigue during the COVID-19 pandemic. Logoped Phoniatr Vocol. 2022;47(4):279-83.
27 MacLean KFE, Neyedli HF, Dewis C, Frayne RJ. The role of at home workstation ergonomics and gender on musculoskeletal pain. Work. 2022;71(2):309-18.
28 Cielo CA, Christmann MK, Ribeiro VV, Hoffmann CF, Padilha JF, Steidl EMS, et al. Síndrome de tensão musculoesquelética, musculatura laríngea extrínseca e postura corporal: considerações teóricas. Rev CEFAC. 2014;16(5):1639-49.
29 van Lierde KM, Dijckmans J, Scheffel L, Behlau M. Type and severity of pain during phonation in professional voice users and nonvocal professionals. J Voice. 2012;26(5):671.e19-23.
30 Gómez-Galán M, Callejón-Ferre ÁJ, Pérez-Alonso J, Díaz-Pérez M, Carrillo-Castrillo JA. Musculoskeletal risks: RULA bibliometric review. Int J Environ Res Public Health. 2020;17(12):4354.
Submitted date:
04/08/2024
Accepted date:
06/16/2024


