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https://revistacefac.org.br/article/doi/10.1590/1982-0216/202325311222
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Voice therapy with a respiratory approach in older adults: the practice of Brazilian speech-language-hearing therapists

Terapia vocal com abordagem respiratória em idosos:  prática de fonoaudiólogos brasileiros

Rebeca Lins de Souza Leão; Adriana de Oliveira Camargo Gomes; Mariana Rebeka Gomes Queiroz; Zulina Souza de Lira; Luciana Moraes Studart Pereira; Jonia Alves Lucena

http://dx.doi.org/10.1590/1982-0216/202325311222 Revista CEFAC, vol.25, n3, e11222, 2023
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Abstract

Purpose: to investigate the practice of Brazilian speech-language-hearing therapists in voice therapy for older adults focused on breathing and verify possible associations between taking specific courses and having knowledge of respiratory parameters, between using incentive spirometers and respiratory devices, and between age and the use of these instruments.

Methods: the sample had 156 specialists in voice, contacted via email, who answered a form in Google Forms. Specialists in voice with 3 or more years of experience were included, whereas those who did not fill out the questionnaire completely were excluded. The analysis addressed absolute and relative frequencies and associations with the chi-square test. Significance was set at 5%.

Results: most participants took courses on respiratory approach. The use of facilitating sounds, vocal function exercises, and respiratory instruments stood out, with reported vocal improvements. The use of incentive spirometers was associated with respiratory devices, and age was associated with the use of respiratory instruments.

Conclusion: speech-language-hearing therapists with expertise in voice provide voice therapy for dysphonic older people focusing on a respiratory approach. Professionals who use incentive spirometers also use respiratory devices. Older therapists are the ones who most use respiratory instruments and taking specific courses was not associated with knowledge on respiratory parameters.

Keywords

Aged; Voice Quality; Voice Training; Respiration; Voice Disorders

Resumo

Objetivo: investigar a prática de fonoaudiólogos brasileiros em terapia vocal para idosos com ênfase na respiração e verificar possíveis associações entre realização de cursos específicos e conhecimento sobre parâmetros respiratórios, entre o uso de incentivadores e dispositivos respiratórios e entre a idade e o uso destes instrumentos.

Métodos: participaram 156 especialistas em voz, contatados via e-mail, que responderam um formulário na plataforma Google Forms. Foram incluídos especialistas em voz, com experiência maior ou igual a três anos e excluídos aqueles que não preencheram o questionário completamente. Analisaram-se frequências absolutas e relativas e a associação pelo teste Qui-quadrado, com significância de 5%.

Resultados: a maioria realizou cursos com abordagem respiratória. Destacaram-se: uso de sons facilitadores, exercícios de função vocal e uso de instrumentos respiratórios, com relatos de melhora vocal. Houve associação entre o uso de incentivadores e dispositivos respiratórios e entre idade e o uso de instrumentos respiratórios.

Conclusão: fonoaudiólogos experts em voz realizam terapia vocal para idosos disfônicos com ênfase na abordagem respiratória. Profissionais que usam incentivadores respiratórios usam também os dispositivos respiratórios. Aqueles com mais idade são os que mais utilizam instrumentos respiratórios. A realização de cursos específicos não está associada ao conhecimento sobre parâmetros respiratórios. 

Palavras-chave

 Idoso; Qualidade da Voz; Treinamento da Voz; Respiração; Distúrbios da Voz

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Submetido em:
24/01/2023

Aceito em:
11/07/2023

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