CoDAS
https://www.codas.org.br/article/doi/10.1590/2317-1782/20202019112
CoDAS
Comunicação Breve

Protocolo de Rastreio do Risco de Disfonia para Atores de Teatro Musical: resultados preliminares

Dysphonia Risk Screening Protocol for Musical Theatre Actors: a preliminary study

Lucas Cainan Paulino, Marcia Simões-Zenari, Katia Nemr

Downloads: 0
Views: 379

Resumo

Objetivo: Propor o Protocolo de Rastreio do Risco de Disfonia para Atores do Teatro Musical (PRRD-TM), verificar sua aplicabilidade em associação ao Protocolo de Rastreio do Risco de Disfonia Geral (PRRD-G), correlacionar escores finais de ambos, e desses com o escore total, e comparar o risco de disfonia entre atores com e sem queixa vocal. Método: Estudo transversal observacional com 34 atores de teatro musical adultos, ambos os sexos, com e sem queixa vocal, profissionais ou estudantes. Os questionários foram aplicados individualmente. A análise estatística possibilitou verificar a correlação entre os escores de risco de disfonia e para comparação entre os grupos com e sem queixa vocal. Resultados: A maioria dos participantes era do gênero masculino, jovens adultos, atores profissionais e sem queixa vocal. Observou-se elevado risco de disfonia, evidenciado pela aplicação do PRRD-G, com escores médios compatíveis com valores encontrados em indivíduos com disfonia, e reforçado pelos índices encontrados com aplicação do PRRD-TM. Observou-se correlação moderada e diretamente proporcional entre os escores dos dois questionários e desses com o escore total. Escores mais elevados do PRRD-G foram encontrados no grupo que apresentou queixa vocal. Conclusão: O PRRD-TM mostrou-se viável e de fácil aplicabilidade e apresentou correlação positiva com o escore do PRRD-G e com o escore total. Elevado risco de disfonia foi evidenciado em indivíduos com queixa vocal. Apesar do escore específico do PRRD-TM não diferenciar atores de teatro musical com e sem queixa vocal, tanto o escore do PRRD-G quanto o escore total realizaram tal diferenciação.

Palavras-chave

Voz; Distúrbios da Voz; Exposição Ocupacional; Saúde do Trabalhador; Inquéritos e Questionários

Abstract

Purpose: To propose the Dysphonia Risk Screening Protocol for Musical Theatre Actors (DRSP-MTA), to verify its applicability in association with the General Dysphonia Risk Screening Protocol (G-DRSP), to correlate the final scores of both, and these with the total risk score, and to compare the risk of dysphonia measured in musical theater actors with and without vocal complaint. Methods: An observational cross-sectional study with 34 musical theater actors, adults, of both genders, with and without vocal complaints and regardless of whether they are professionals or students. The questionnaires were applied individually. Statistical analysis made it possible to verify the correlation between the dysphonia risk scores and to compare the groups with and without vocal complaint. Results: Most of the participants were male, young adults, professional actors and without vocal complaint. There was a high risk of dysphonia, evidenced by the application of G-DRSP, with means scores compatible with values found in individuals with dysphonia, and reinforced by the indices found with DRSP-MTA application. There was a moderate and directly proportional correlation between the two questionnaire scores; and a correlation of both with the total risk score. Higher G-DRSP scores were observed in the vocal complaint group. Conclusion: DRSP-MTA was feasible and easy to apply and was positively correlated with the total score and G-DRSP score. A high risk of dysphonia was evidenced in individuals with vocal complaints. Although the specific DRSP-MTA score did not differentiate musical theatre actors with and without vocal complaints, the G-DRSP score and the total risk score performed such differentiation.

Keywords

Voice; Voice Disorders; Occupational Exposure; Occupational Health; Surveys and Questionnaires

Referências

1. Hazlett DE, Duffy OM, Moorhead SA. Review of the impact of voice training on the vocal quality of professional voice users: implications for vocal health and recommendations for further research. J Voice. 2011;25(2):181-91. http://dx.doi.org/10.1016/j.jvoice.2009.08.005. PMid:20137890.

2. Putnoki DS, Hara F, Oliveira G, Behlau M. Voice-related quality of life: the impact of a dysphonia according to gender, age and occupational use of voice. Rev Soc Bras Fonoaudiol. 2010;15(4):485-90. http://dx.doi. org/10.1590/S1516-80342010000400003.

3. Paoliello K, Oliveira G, Behlau M. Singing voice handicap mapped by different self-assessment instruments. CoDAS. 2013;25(5):463-8. http:// dx.doi.org/10.1590/S2317-17822013005000008. PMid:24408551.

4. Nemr K, Simões-Zenari M, Duarte JMT, Lobrigate KE, Bagatini FA. Dysphonia risk screening protocol. Clinics. 2016;71(3):114-27. http:// dx.doi.org/10.6061/clinics/2016(03)01. PMid:27074171.

5. Nemr K, Cota A, Tsuji D, Simões-Zenari M. Voice deviation, dysphonia risk screening and quality of life in individuals with various laryngeal diagnoses. Clinics (São Paulo). 2018;73:e174. http://dx.doi.org/10.6061/ clinics/2018/e174. PMid:29538494.

6. Silva BG, Chammas TV, Zenari MS, Moreira RR, Samelli AG, Nemr K. Analysis of possible factors of vocal interference during the teaching activity. Rev Saude Publica. 2017;51:124. http://dx.doi.org/10.11606/ S1518-8787.2017051000092. PMid:29236878.

7. D’haeseleer E, Claeys S, Meerschman I, Bettens H, Degeest S, Dijckmans C, et al. Vocal characteristics and laryngoscopic findings in future musical theater performers. J Voice. 2017;31(4):462-9. http://dx.doi.org/10.1016/j. jvoice.2016.11.018. PMid:28081916.

8. Phyland DJ, Thibeault SL, Benninger MS, Vallance N, Greenwood KM, Smith JA. Perspectives on the impact on vocal function of heavy vocal load among working professional music theater performers. J Voice. 2013;27(3):390.e31-9. http://dx.doi.org/10.1016/j.jvoice.2012.12.003. PMid:23415149.

9. Gonçalves A, Elisabeth A, Behlau M. Overall voice and strain level analysis in rock singers. Pro Fono. 2010;22(3):195-200. PMid:21103705.

10. Green K, Freeman W, Edwards M, Meyer D. Trends in Musical Theatre Voice: an analysis of audition requirements for singers. J Voice. 2014;28(3):324-7. http://dx.doi.org/10.1016/j.jvoice.2013.10.007. PMid:24467880.

11. Maxfield L, Manternach B. Perceptual differences between novice and professional music theater singers. J Voice. 2018;32(5):572-7. http://dx.doi. org/10.1016/j.jvoice.2017.08.007. PMid:28888666.

12. Dancey C, Reidy J. Estatística sem matemática para psicologia: usando SPSS para Windows. Porto Alegre: Artmed; 2006.

13. Sliiden T, Beck S, MacDonald I. An evaluation of the breathing strategies and maximum phonation time in musical theater performers during controlled performance tasks. J Voice. 2017;31(2):253.e1-11. http://dx.doi. org/10.1016/j.jvoice.2016.06.025. PMid:27666651.

14. Vilkman E. Voice problems at work: a challenge for occupational safety and health arrangement. Folia Phoniatr Logop. 2000;52(1-3):120-5. http:// dx.doi.org/10.1159/000021519. PMid:10474011.

15. Bourne T, Kenny D. Vocal qualities in music theather voice: perceptions of expert pedagogues. J Voice. 2016;30(1):128.e1-12. http://dx.doi. org/10.1016/j.jvoice.2015.03.008. PMid:25882989.


Submetido em:
15/04/2019

Aceito em:
12/03/2020

60c7d3d9a9539523f04e87b2 codas Articles

CoDAS

Share this page
Page Sections