| Author | Machado, Famiely Colman Machado de | |
| Author | Lessa, Marcus Miranda | |
| Author | Cielo, Carla Aparecida | |
| Author | Souza, Milenna de Oliveira | |
| Author | Souza, Fernanda Ventin Prates de | |
| Author | Ribeiro, Camila Sampaio | |
| Author | Silva, Juliana Almeida | |
| Author | Carvalho Filho, Edgar Marcelino | |
| Author | Machado, Paulo Roberto Lima | |
| Author | Montagner, Thaynara | |
| Author | Muniz, Mailane Mota | |
| Author | Thalita Nunes Barbosa | |
| Author | Goncalves, Daniela da Silva | |
| Author | Cincura, Carolina | |
| Access date | 2020-10-27T12:47:27Z | |
| Available date | 2020-10-27T12:47:27Z | |
| Document date | 2020 | |
| Citation | MACHADO, Famiely Colman Machado de et al. Phonotherapeutic Intervention in Patients With Mucosal Leishmaniasis Sequelae. Journal of Voice, v. 34, n. 5, p. 720-731, 2020. | pt_BR |
| ISSN | 0892-1997 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/44219 | |
| Sponsorship | Laboratory of Voice from UFSM for the collaboration in acoustic analysis evaluation and
FAPESB for the financial support. | pt_BR |
| Language | eng | pt_BR |
| Publisher | Elsevier | pt_BR |
| Rights | open access | pt_BR |
| Subject in Portuguese | Voz | pt_BR |
| Subject in Portuguese | Leishmaniose | pt_BR |
| Subject in Portuguese | Leishmaniose Cutânea | pt_BR |
| Subject in Portuguese | Distúrbios da voz | pt_BR |
| Title | Phonotherapeutic Intervention in Patients With Mucosal Leishmaniasis Sequelae | pt_BR |
| Type | Article | pt_BR |
| DOI | 1 0.1016(j jvoice_2018.12. 015 | |
| Abstract | Purpose. To characterize the voice before and after speech-language intervention, with Humming nasal sound in patients with sequelae Mucosal Leishmaniasis (ML) and Cutaneous Leishmaniasis (CL).
Methods. Collection of phonation /a:/ from 44 patients with ML and CL for perceptual voice analysis and com-
puted acoustic. The Wilcoxon nonparametric test and Fisher's exact test were used, with significance level of 5%. Results. It was observed, prespeech therapy, that 27.7% of participants with ML presented asthenic vocal qual-
ity, and for the acoustics characteristics there was a statistically significant result for measures of frequency, fre-
quency disturbance, noise, and subharmonic measurements, indicating phonatory instability, weakness, and noise emission giving the emission a feeling of vocal weakness. After therapy, the subharmonic segment measure-
ments for the group with ML, showing reduction noise emission. Patients with CL had more grade 1 instability (36.4%), indicating tremor in vocal tract structures. After speech therapy, this group presented a reduction in the degree of roughness and reduction of the frequency disturbance measures, indicating a decrease in tension in the larynx and pharynx.
Conclusion. Even after completing treatment for LM, patients may experience vocal changes due to the sequelae of the disease, like vocal alterations due to nasal lesions or in other locations that interfere in the correct vocal emission. As for participants with CL, no vocal changes would be expected, since these patients present thorax, leg and arm lesions that would not cause problems for the voice. Nevertheless, the two groups of partici-
pants presented vocal changes to different degrees before vocal therapy. However, it was observed that patients with ML present vocal alterations with more severe degrees. After the speech-language intervention, the partici-
pants of both groups showed vocal improvement, but the group with CL presented more vocal benefits, possibly due to the previous vocal alterations not being so severe. | pt_BR |
| Affilliation | Federal University of Bahia. Graduate Program in Health Science. Salvador, BA, Brazil. | pt_BR |
| Affilliation | Federal University of Bahia. Edgard Santos University Hospital. Immunology Department. Salvador, BA, Brazil. | pt_BR |
| Affilliation | Federal University of Santa Maria. Department of Speech-Language Pathology and Post-Graduation Programm in Human Communication Disorders. Santa Maria, RS, Brazil. | pt_BR |
| Affilliation | Federal University of Bahia. Health Science. Salvador, BA, Brazil. | pt_BR |
| Affilliation | Federal University of Bahia. Health Science. Salvador, BA, Brazil. | pt_BR |
| Affilliation | Federal University of Bahia. Health Science. Salvador, BA, Brazil. | pt_BR |
| Affilliation | Federal University of Bahia. Health Science. Salvador, BA, Brazil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Federal University of Bahia. Edgard Santos University Hospital. Immunology of Service. Salvador, BA, Brazil . | pt_BR |
| Affilliation | University of Santa Maria. Speech Terapists. Santa Maria, RS, Brazil. | pt_BR |
| Affilliation | University of Santa Maria. Speech Terapists. Santa Maria, RS, Brazil. | pt_BR |
| Affilliation | Federal University of Bahia. Degree in Speech Therapy. Salvador, BA, Brazil. | pt_BR |
| Affilliation | Federal University of Bahia. Degree in Speech Therapy. Salvador, BA, Brazil. | pt_BR |
| Affilliation | University of Santa Maria. Speech Terapists. Santa Maria, RS, Brazil. | pt_BR |
| Affilliation | Federal University of Bahia. Edgard Santos University Hospital. Immunology Department. Salvador, BA, Brazil. | pt_BR |
| Subject | Voice | pt_BR |
| Subject | Mucosal Leishmaniasis | pt_BR |
| Subject | Cutaneous Leishrnaniasis | pt_BR |
| Subject | Voice disorders | pt_BR |
