The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women

Objective: to compare the immediate effects of low-frequency TENS employment on vocal quality in women with behavioral dysphonia before and after vocal exercises. Methodology: 30 women (mean ¼ 31.3 years old), diagnosed with behavioral dysphonia received low-frequency TENS before (TENS þ VE Group)...

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Principais autores: Siqueira, Larissa Thais Donalonso, Moura, Gabriela Campos, Antonetti, Angelica Emygdio da Silva, Santos, Ana Paula dos, Vitor, Jhonatan da Silva, Brasolotto, Alcione Ghedini, Silverio, Kelly Cristina Alves
Outros Autores: https://orcid.org/0000-0001-9728-8108
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Idioma:English
Publicado em: Logopedics Phoniatrics Vocology
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Endereço do item:https://repositorio.ufrn.br/handle/123456789/52840
https://doi.org/10.1080/14015439.2022.2143557
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spelling ri-123456789-528402023-06-21T23:31:54Z The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women Siqueira, Larissa Thais Donalonso Moura, Gabriela Campos Antonetti, Angelica Emygdio da Silva Santos, Ana Paula dos Vitor, Jhonatan da Silva Brasolotto, Alcione Ghedini Silverio, Kelly Cristina Alves https://orcid.org/0000-0001-9728-8108 voice disorders dysphonia voice therapy transcutaneous electrical nerve stimulation vocal exercises Objective: to compare the immediate effects of low-frequency TENS employment on vocal quality in women with behavioral dysphonia before and after vocal exercises. Methodology: 30 women (mean ¼ 31.3 years old), diagnosed with behavioral dysphonia received low-frequency TENS before (TENS þ VE Group) and after vocal exercises (VE þ TENS Group) with a 1-week washout. They had their sustained vowel/a/and running speech recorded before and after each procedure for auditory-perceptual analysis and acoustic measures. The low-frequency TENS parameters applied were symmetrical biphasic quadratic pulse, 200 ms phase, 10 Hz frequency, intensity on the motor threshold, and the electrodes were positioned on the submandibular and superior fibers of the trapezius muscle region. The vocal exercises: tongue trill, humming, finger kazoo, and water resistance therapy were performed totalizing 20 min. Results: intragroup analysis of sustained vowel/a/showed reduction in both groups of strain parameter and increased the breathiness; only VE þ TENS Group increased the instability parameter, decreased fundamental frequency, and increased in SPI values; the running speech analysis showed an increase in the overall degree, roughness, and breathiness parameters. However, in VE þ TENS Group, there was a statistically significant decrease in the intensity of the strain and an increase in breathiness. The acoustic measures showed that VE þ TENS Group had a higher variation than TENS þ VE Group regarding NHR. Conclusion: vocal exercises followed by low-frequency TENS have more immediate positive effects on voice quality than the low-frequency TENS followed by vocal exercises. This is a preliminary immediate effects study, and these effects could be verified through long-term assessments. 2023-06-21T23:31:53Z 2023-06-21T23:31:53Z 2022 article MOURA, Gabriela Campos; ANTONETTI, Angélica Emygdio da Silva; SANTOS, Ana Paula dos; VITOR, Jhonatan da Silva; BRASOLOTTO, Alcione Ghedini; SIQUEIRA, Larissa Thaís Donalonso; SILVERIO, Kelly Cristina Alves. The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women. Logopedics Phoniatrics Vocology, [S.L.], p. 1-8, 11 nov. 2022. Informa UK Limited. http://dx.doi.org/10.1080/14015439.2022.2143557. Disponível em: https://www.tandfonline.com/doi/full/10.1080/14015439.2022.2143557. Acesso em: 19 jun. 2023. https://repositorio.ufrn.br/handle/123456789/52840 https://doi.org/10.1080/14015439.2022.2143557 en application/pdf Logopedics Phoniatrics Vocology
institution Repositório Institucional
collection RI - UFRN
language English
topic voice disorders
dysphonia
voice therapy
transcutaneous electrical nerve stimulation
vocal exercises
spellingShingle voice disorders
dysphonia
voice therapy
transcutaneous electrical nerve stimulation
vocal exercises
Siqueira, Larissa Thais Donalonso
Moura, Gabriela Campos
Antonetti, Angelica Emygdio da Silva
Santos, Ana Paula dos
Vitor, Jhonatan da Silva
Brasolotto, Alcione Ghedini
Silverio, Kelly Cristina Alves
The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
description Objective: to compare the immediate effects of low-frequency TENS employment on vocal quality in women with behavioral dysphonia before and after vocal exercises. Methodology: 30 women (mean ¼ 31.3 years old), diagnosed with behavioral dysphonia received low-frequency TENS before (TENS þ VE Group) and after vocal exercises (VE þ TENS Group) with a 1-week washout. They had their sustained vowel/a/and running speech recorded before and after each procedure for auditory-perceptual analysis and acoustic measures. The low-frequency TENS parameters applied were symmetrical biphasic quadratic pulse, 200 ms phase, 10 Hz frequency, intensity on the motor threshold, and the electrodes were positioned on the submandibular and superior fibers of the trapezius muscle region. The vocal exercises: tongue trill, humming, finger kazoo, and water resistance therapy were performed totalizing 20 min. Results: intragroup analysis of sustained vowel/a/showed reduction in both groups of strain parameter and increased the breathiness; only VE þ TENS Group increased the instability parameter, decreased fundamental frequency, and increased in SPI values; the running speech analysis showed an increase in the overall degree, roughness, and breathiness parameters. However, in VE þ TENS Group, there was a statistically significant decrease in the intensity of the strain and an increase in breathiness. The acoustic measures showed that VE þ TENS Group had a higher variation than TENS þ VE Group regarding NHR. Conclusion: vocal exercises followed by low-frequency TENS have more immediate positive effects on voice quality than the low-frequency TENS followed by vocal exercises. This is a preliminary immediate effects study, and these effects could be verified through long-term assessments.
author2 https://orcid.org/0000-0001-9728-8108
author_facet https://orcid.org/0000-0001-9728-8108
Siqueira, Larissa Thais Donalonso
Moura, Gabriela Campos
Antonetti, Angelica Emygdio da Silva
Santos, Ana Paula dos
Vitor, Jhonatan da Silva
Brasolotto, Alcione Ghedini
Silverio, Kelly Cristina Alves
format article
author Siqueira, Larissa Thais Donalonso
Moura, Gabriela Campos
Antonetti, Angelica Emygdio da Silva
Santos, Ana Paula dos
Vitor, Jhonatan da Silva
Brasolotto, Alcione Ghedini
Silverio, Kelly Cristina Alves
author_sort Siqueira, Larissa Thais Donalonso
title The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
title_short The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
title_full The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
title_fullStr The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
title_full_unstemmed The influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
title_sort influence of the low-frequency transcutaneous electrical nerve stimulation application moment in vocal quality of dysphonic women
publisher Logopedics Phoniatrics Vocology
publishDate 2023
url https://repositorio.ufrn.br/handle/123456789/52840
https://doi.org/10.1080/14015439.2022.2143557
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