Art and science: impact of semioccluded vocal tract exercises and choral singing on quality of life in subjects with congenital GH deficiency
AUTOR(ES)
Andrade, Bruna M. R. de; Valença, Eugenia H. O.; Salvatori, Roberto; Oliveira Neto, Luiz A.; Souza, Anita H. O.; Oliveira, Alaíde H. A.; Oliveira, Mario C.P.; Melo, Enaldo V.; Carvalho, Susana de; Sales, Neuza J; Monteiro, Gisane C.; Lima, José Marcel de; Annunziato, Marcos Felipe Harder; Mannis, Guilherme Daniel Breternitz; Souza, Lucas E. de A.; Goes, Yasmin D.; Carvalho, Thayza S.; Farias, Celiane de; Santos, Michela P. dos; Cardoso, Gabriela P. F.; Sousa, Carla S. Pereira; Santana, Julia Rodrigues; Sales, Ester Almeida; d’Avila, Jeferson Sampaio; Aguiar-Oliveira, Manuel H.
FONTE
Archives of Endocrinology and Metabolism
DATA DE PUBLICAÇÃO
2022
RESUMO
ABSTRACT Objectives: Currently, not much is known about the interactions between voice and growth hormone (GH). We have described large kindred with isolated GH deficiency (IGHD) due to a GHRH receptor mutation, resulting in severe short stature and high-pitched voice. These IGHD individuals have little interest in GH treatment, as they consider themselves “short long-lived people”, rather than patients. Interestingly, they report normal general quality of life, but they rate their Voice-Related Quality of Life (V-RQOL) as low. Here, we assessed the social and auditory-perceptual impacts of artistic-intervention voice therapy with semioccluded vocal tract exercises (SOVTE) and choral singing, on their voices. Material and methods: Seventeen GH-naïve adult IGHD individuals were enrolled in a single-arm interventional pre-post study with 13 weekly sessions of choir singing over 90 days. Outcome measures were V-RQOL scores, self-assessment of voice, and auditory-perceptual analysis (GRBAS scale, G: grade of the severity of dysphonia; R: roughness; B: breathiness; A: asthenia; and S: strain). Results: Marked improvements in total (p = 0.0001), physical (p = 0.0002), and socioemotional (p = 0.0001) V-RQOL scores and in self-assessment of voice (p = 0.004) were found. The general grades of vocal deviation (p = 0.0001), roughness (p = 0.0001), breathiness (p = 0.0001) and strain (p = 0.0001) exhibited accentuated reductions. Conclusions: Voice therapy with semioccluded vocal tract exercises and choral training improved social impact and perceptual voice assessments in IGHD subjects and markedly improved their voice-related quality of life. This is particularly important in a setting where GH replacement therapy is not widely accepted.
Documentos Relacionados
- METAPHYSICS, LANGUAGE, ART AND SCIENCE: Nietzschean Echoes, National Thoughts
- Quality and quantity indices in science: use of visualization tools
- Association between Fecal Incontinence and Lower Urinary Tract Symptoms and their Impact on the Quality of Life of Patients with Prostate Cancer
- A comparative study of pelvic floor muscle training in women with multiple sclerosis: its impact on lower urinary tract symptoms and quality of life
- Impact of congenital colour vision deficiency: Congenital colour vision deficiency does cause problems