Speech therapy strategies to promote the vocal health of teachers: integrative literature review

Main Article Content

Rayane Medeiros dos Santos
Mylena dos Santos Cavalcante
https://orcid.org/0000-0002-3528-1418
Vanessa Fernandes de Almeida Porto
https://orcid.org/0000-0002-0100-4869
Edna Pereira Gomes de Morais
https://orcid.org/0000-0002-0034-0166

Abstract

Objective: To identify the speech therapy strategies used to promote vocal health to teachers of early childhood, elementary and high school, participating in programs/actions for prevention and promotion of vocal health, as well as to describe and analyze their effects through an integrative literature review. Methods: An integrative review was conducted, which consisted of searches in the Lilacs, SciELO, and Medline databases. Inclusion criteria were complete articles available online in any language and year of publication that addressed strategies for promoting vocal health and preventing disorders in the target population, used in vocal health programs/actions with teachers. Results: Of the 624 articles that were included, six were selected to compose the study. It was possible to verify that the most used resources were educational strategies, through programs of guidance and attention to the teacher's vocal health. The results of the interventions were analyzed using self-assessment questionnaires, some of which have been standardized, with validation and adaptation to Brazilian Portuguese. Among practical strategies, exercises involving semi-occluded vocal tract, breathing, relaxation, resistance, and vocal projection, as well as vocal warm-up and cool-down, were the most used. Conclusions: Vocal health programs present diversified strategies, such as time and results analysis. The accurate study allowed to verify that the programs are effective and allow better vocal performance to the teacher, notably, through direct and indirect strategies.



Article Details

How to Cite
1.
Santos RM dos, Cavalcante M dos S, Porto VF de A, Morais EPG de. Speech therapy strategies to promote the vocal health of teachers: integrative literature review. HSJ [Internet]. 2021 Mar. 10 [cited 2024 Nov. 4];11(1):51-60. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1053
Section
ORIGINAL ARTICLE
Author Biographies

Rayane Medeiros dos Santos, Specialized Center for Rehabilitation IV

Speech therapist at the Specialized Center in Rehabilitation IV, Graduated in Speech Therapy at the State University of Health Sciences of Alagoas (Uncisal). Maceió, AL, Brazil.

Mylena dos Santos Cavalcante, Association of the Disabled of Alagoas

Speech therapist at the Association of Disabled of Alagoas (ADEFAL), Graduated in Speech Therapy at the State University of Health Sciences of Alagoas (Uncisal). Maceio, AL, Brazil.

Vanessa Fernandes de Almeida Porto, State University of Health Sciences of Alagoas (Uncisal)

Master in Health Education from the Federal University of Alagoas, Assistant Professor at the Center for Integrative Sciences, Center for Human, Social and Public Policy (NUCISP) at the State University of Health Sciences of Alagoas (Uncisal). Maceió, AL, Brazil.

Edna Pereira Gomes de Morais, State University of Health Sciences of Alagoas

PhD in Sciences (Evidence-Based Health) from the Federal University of São Paulo, Adjunct Professor at the Center for Health Sciences, Center for Propaedeutics and Therapeutics (NUPROP) at the State University of Health Sciences of Alagoas (Uncisal). Maceió, AL, Brazil.

References

Behlau M, Zambon F, Guerrieri AC, Roy N. epidemiology of voice disorders in teachers and nonteachers in Brazil: Prevalence and adverse effects. J Voice. 2012;26(5):665.e9-18. https://doi.org/10.1016/j.jvoice.2011.09.010 PMid:22516316 DOI: https://doi.org/10.1016/j.jvoice.2011.09.010

Valente AMSL, Botelho C, Silva AMC. Distúrbio de voz e fatores associados em professores da rede pública. Rev Bras Saúde Ocup. 2015;40(132):183-95. https://doi.org/10.1590/0303-7657000093814 DOI: https://doi.org/10.1590/0303-7657000093814

Morais EPG, Azevedo RR, Chiari BM. Correlação entre voz, autoavaliação vocal e qualidade de vida em voz de professoras. Rev CEFAC. 2012;14(5):892-900. https://doi.org/10.1590/S1516-18462012005000032 DOI: https://doi.org/10.1590/S1516-18462012005000032

Porcaro CK, Howery S, Suhandron A, Gollery T. Impact of vocal hygiene training on teachers' willingness to change vocal behaviors. J Voice. 2019:S0892-1997(19)30427-8. https://doi.org/10.1016/j.jvoice.2019.11.011 DOI: https://doi.org/10.1016/j.jvoice.2019.11.011

Karjalainen S, Sahlén B, Falck A, Brännström J, Lyberg-Åhlander V. Implementation and evaluation of a teacher intervention program on classroom communication. Logop Phoniatr Vocology. 2020;45(3):110-22. https://doi.org/10.1080/14015439.2019.1595131 PMid:31116615 DOI: https://doi.org/10.1080/14015439.2019.1595131

Souza CL, Carvalho FM, Araújo TM, Reis EJFB, Lima VMC, Porto LA. Fatores associados a patologias de pregas vocais em professores. Rev Saúde Pública. 2011;45(5):914-21. https://doi.org/10.1590/S0034-89102011005000055 PMid:21829977 DOI: https://doi.org/10.1590/S0034-89102011005000055

Masson MLV, Ferrite S, Pereira LMA, Ferreira LP, Araújo TM. Em busca do reconhecimento do distúrbio de voz como doença relacionada ao trabalho: movimento histórico-político. Cienc Saúde Colet. 2019;24(3):805-16. https://doi.org/10.1590/1413-81232018243.00502017 PMid:30892502 DOI: https://doi.org/10.1590/1413-81232018243.00502017

Behlau M, Zambon F, Madazio G. Managing dysphonia in occupational voice users. Curr Opin Otolaryngol Head Neck Surg. 2014;22(3):188-94. https://doi.org/10.1097/MOO.0000000000000047 PMid:24670489 DOI: https://doi.org/10.1097/MOO.0000000000000047

Dragone MLOS. Programa de saúde vocal para educadores: ações e resultados. Rev CEFAC. 2010;13(6):1133-43. https://doi.org/10.1590/S1516-18462010005000059 DOI: https://doi.org/10.1590/S1516-18462010005000059

Fillis MMA, Andrade SM, González AD, Melanda FN, Mesas AE. Frequência de problemas vocais autorreferidos e fatores ocupacionais associados em professores da educação básica de Londrina, Paraná, Brasil. Cad Saúde Pública. 2016;32(1):e00026015. https://doi.org/10.1590/0102-311X00026015 PMid:26886187 DOI: https://doi.org/10.1590/0102-311X00026015

Anhaia TC, Gurgel LG, Vieira RH, Cassol M. Intervenções vocais diretas e indiretas em professores: revisão sistemática da literatura. Audiol Commun Res. 2013;18(4):361-6. https://doi.org/10.1590/S2317-64312013000400019 DOI: https://doi.org/10.1590/S2317-64312013000400019

Aoki MCS, Soria FS, Gomes RHS, Martins BMM, Santos RS, Brasolotto AG. Conteúdos didáticos nas intervenções de saúde vocal do professor: uma revisão integrativa. Distúrb Comun. 2018;30(1):128-39. https://doi.org/10.23925/2176-2724.2018v30i1p128-139 DOI: https://doi.org/10.23925/2176-2724.2018v30i1p128-139

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009;6(7):e1000100. https://doi.org/10.1371/journal.pmed.1000100 PMid:19621070 PMCid:PMC2707010 DOI: https://doi.org/10.1371/journal.pmed.1000100

Silverio KCA, Gonçalves CGO, Penteado RZ, Vieira TPG, Libardi A, Rossi D. Ações em saúde vocal: proposta de melhoria do perfil vocal de professores. Pró-Fono R Atual Cient. 2008;20(3):177-82. https://doi.org/10.1590/S0104-56872008000300007 PMid:18852965 DOI: https://doi.org/10.1590/S0104-56872008000300007

Simões-Zenari M, Latorre MRDO. Mudanças em comportamentos relacionados com o uso da voz após intervenção fonoaudiológica junto a educadoras de creche. Pró-Fono R Atual Cient. 2008;20(1):61-6. https://doi.org/10.1590/S0104-56872008000100011 PMid:18408866 DOI: https://doi.org/10.1590/S0104-56872008000100011

Luchesi KF, Mourão LF, Kitamura S. Ações de promoção e prevenção à saúde vocal de professores: uma questão de saúde coletiva. Rev CEFAC. 2010;12(6):945-53. https://doi.org/10.1590/S1516-18462010005000112 DOI: https://doi.org/10.1590/S1516-18462010005000112

Xavier IALN, Santos ACO, Silva DM. Saúde vocal do professor: intervenção fonoaudiológica na atenção primária à saúde. Rev CEFAC. 2013;15(4):976-85. https://doi.org/10.1590/S1516-18462013000400027 DOI: https://doi.org/10.1590/S1516-18462013000400027

Chan RWK. Does the voice improve with vocal hygiene education? A study of some instrumental voice measures in a group of kindergarten teachers. J Voice. 1994;8(3):279-91. https://doi.org/10.1016/S0892-1997(05)80300-5 DOI: https://doi.org/10.1016/S0892-1997(05)80300-5

Bovo R, Galceran M, Petruccelli J, Hatzopoulos S. Vocal problems among teachers: evaluation of a preventive voice program. J Voice. 2007;21(6):705-22. https://doi.org/10.1016/j.jvoice.2006.07.002 PMid:16979870 DOI: https://doi.org/10.1016/j.jvoice.2006.07.002

Ribas TM, Penteado RZ, García-Zapata MTA. Qualidade de vida relacionada à voz de professores: uma revisão sistemática exploratória da literatura. Rev CEFAC. 2014;16(1):294-306. https://doi.org/10.1590/1982-021620144812 DOI: https://doi.org/10.1590/1982-021620144812

Gomes NR, Medeiros AM, Teixeira LC. Autopercepção das condições de trabalho por professores de ensino fundamental. Rev CEFAC. 2016;18(1):167-73. https://doi.org/10.1590/1982-021620161819515 DOI: https://doi.org/10.1590/1982-021620161819515

Barros APB, Portas JG, Queija DS, Lehn CN, Dedivitis RA. Autopercepção da desvantagem vocal (VHI) e qualidade de vida relacionada à deglutição (SWAL-QOL) de pacientes laringectomizados totais. Rev Bras Cir Cabeça Pescoço [Internet]. 2007 [cited 2021 Feb 6];36(1):33-7. Avaiable fom: https://bit.ly/3aCHW9z

Almeida LNA, Lopes LW, Costa DB, Silva EG, Cunha GMS, Almeida AAF. Características vocais e emocionais de professores e não professores com baixa e alta ansiedade. Audiol Commun Res. 2014;19(2):179-85. https://doi.org/10.1590/S2317-64312014000200013 DOI: https://doi.org/10.1590/S2317-64312014000200013

Buosi MMB, Ferreira LP, Momensohn-Santos TM. Percepção auditiva de professores disfônicos. Audiol Commun Res. 2013;18(2):101-8. https://doi.org/10.1590/S2317-64312013000200008 DOI: https://doi.org/10.1590/S2317-64312013000200008

Ribeiro VV, Frigo LF, Bastilha GR, Cielo CA. Aquecimento e desaquecimento vocais: revisão sistemática. Rev CEFAC. 2016;18(6):1456-65. https://doi.org/10.1590/1982-0216201618617215 DOI: https://doi.org/10.1590/1982-0216201618617215

Pizolato RA, Mialhe FL, Barrichelo RCO, Rehder MIBC, Pereira AC. práticas e percepções de professores, após a vivência vocal em um programa educativo para a voz. Odonto [Internet]. 2012 [cited 2021 Feb 6];20(39):35-44. Available from: http://bit.ly/2YRTPD6 DOI: https://doi.org/10.15603/2176-1000/odonto.v20n39p35-44

Carlino FC, Denari FE, Costa MP. Programa de orientação fonoaudiológica para professores da educação infantil. Distúrb Comun [Internet]. 2011 [cited 2021 Feb 6];23(1):15-23. Available from: http://bit.ly/3jnioB6