Electromyographic biofeedback associated with vocal therapy effect in the larynx, voice and muscle electrical activity of dysphonic women: clinical trial, controlled, randomized and double-blind

• Grant number: 15/06918-5
• Support Opportunities: Scholarships in Brazil - Doctorate
• Start date: September 01, 2015
• End date: November 30, 2017
• Field of knowledge: Health Sciences - Speech Therapy
• Principal Investigator: Kelly Cristina Alves Silverio
• Grantee: Vanessa Veis Ribeiro
• Host Institution: Faculdade de Odontologia de Bauru (FOB). Universidade de São Paulo (USP). Bauru , SP, Brazil

Abstract

Introduction: The vocal disorders are generally characterized by abnormalities of pitch and loudness or poor voice quality. These caracteristics can limit the efficiency of communication, causing loss of social or occupational order for the speaker. The vocal therapies for dysphonia can be direct or indirect. A procedure that has shown to be efficient when linked to the two forms of therapy in the dysphonia treatment in adults is the electromyographic biofeedback. This type of treatment may be considered an adjunctive therapeutic tool in voice disorders. Objective: to analyze the immediate and long-term effect of the electromyographic biofeedback associated with vocal therapy in the electrical activity of the supra-hyoid, infrahyoid, trapezius and sternocleidomastoid muscles, voice and larynx of dysphonic women. Method: will participate of the study 22 women with aged between 18 and 45 years old, with functional dysphonia, divided into two groups randomly: Group 1 (Experimental) - 11 women who will receive 8 sessions of biofeedback electromyographic in the sternocleidomastoid and supra-hyoid muscles, associated with vocal therapy (vibration, nasal and fricative sounds) for 30 minutes; Group 2 (Placebo) - 11 women who will undergo 8 sessions of biofeedback electromyographic placebo (same conditions as the G1, but there will be the regulation and control of the intensity of muscle activity of each exercise, performing the exercises will take place with the screen computer deleted) associated with voice therapy (vibration, nasal and fricative sounds) for 30 minutes. The evaluations will be performed before, immediately after, after one and three months of vocal therapy, and will consist of: questionnaire, otorhinolaryngologic evaluation, voice assessment (perceptual and acoustic analyses), surfasse electromyographic evaluation, self-assessment of pain symptoms, vocal symptoms and Voice-Related Quality of Life protocol . The data will be tabulated in Microsoft Excel program and will be analyzed statistically, comparing the two speech therapy groups, as well as before, post immediate, after one month, and after three months of therapy in both groups.

Scientific publications

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

RIBEIRO, VANESSA VEIS; VITOR, JHONATAN DA SILVA; HONORIO, HEITOR MARQUES; BRASOLOTTO, ALCIONE GHEDINI; ALVES SILVERIO, KELLY CRISTINA. Surface electromyographic biofeedback for behavioral dysphonia in adult people: a systematic review. CoDAS, v. 30, n. 6, 2018. (15/06918-5)

RIBEIRO, VANESSA VEIS; DE OLIVEIRA, AMANDA GABRIELA; VITOR, JHONATAN DA SILVA; DONALONSO SIQUEIRA, LARISSA THAIS; MEDEIROS MOREIRA, PAMELA APARECIDA; BRASOLOTTO, ALCIONE GHEDINI; ALVES SILVERIO, KELLY CRISTINA. The Effect of a Voice Therapy Program Based on the Taxonomy of Vocal Therapy in Women with Behavioral Dysphonia. JOURNAL OF VOICE, v. 33, n. 2, MAR 2019. (15/06918-5)

RIBEIRO, VANESSA VEIS; DE OLIVEIRA, AMANDA GABRIELA; VITOR, XJHONATAN DA SILVA; RAMOS, ANA CAROLINA; BRASOLOTTO, ALCIONE GHEDINI; ALVES SILVERIO, KELLY CRISTINA. Effectiveness of Voice Therapy Associated With Electromyographic Biofeedback in Women With Behavioral Dysphonia: Randomized Placebo-Controlled Double-Blind Clinical Trial. JOURNAL OF VOICE, v. 33, n. 3, MAY 2019. (15/06918-5)

Academic Publications

(References retrieved automatically from State of São Paulo Research Institutions)

RIBEIRO, Vanessa Veis. Effect of vocal therapy associated with electromyographic biofeedback in women with behavioral dysphonia: randomized controlled blinded clinical trial. 2017. Doctoral Thesis - Universidade de São Paulo (USP). Faculdade de Odontologia de Bauru (FOB/SDB) Bauru.