Risk of Dysphonia in Legal Professionals: Proposal for a Screening Protocol

Riesgo de disfonía en profesionales del derecho: propuesta de un protocolo de detección

Published 2023-11-30 — Updated on 2023-12-21

Open | Download
HTML Icon XML Icon PDF Icon Flip Icon
Issue
Vol. 5 No. 2 (2023)
Section
Research Article
How to Cite
1.
Risk of Dysphonia in Legal Professionals: Proposal for a Screening Protocol. Rev. Investig. Innov. Cienc. Salud [Internet]. 2023 Dec. 21 [cited 2024 Dec. 1];5(2):93-111. Available from: https://riics.info/index.php/RCMC/article/view/236
DOI

https://doi.org/10.46634/riics.236
Dimensions
PlumX
license
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Maria Beatriz Martini Ramalho Gullino
Department of Physiotherapy, Speech Therapy, and Occupational Therapy; Faculty of Medicine – FMUSP; University of São Paulo; São Paulo; Brazil
    https://orcid.org/0009-0000-9479-0274
    Marcia Simões-Zenari
    Department of Physiotherapy, Speech Therapy, and Occupational Therapy; Faculty of Medicine – FMUSP; University of São Paulo; São Paulo; Brazil
      https://orcid.org/0000-0003-0505-6655
      Danilo de Albuquerque Rodrigues
      Department of Physiotherapy, Speech Therapy, and Occupational Therapy; Faculty of Medicine – FMUSP; University of São Paulo; São Paulo; Brazil
        https://orcid.org/0000-0003-4051-3954
        Giselle Carvalho Said
        Department of Physiotherapy, Speech Therapy, and Occupational Therapy; Faculty of Medicine – FMUSP; University of São Paulo; São Paulo; Brazil
          https://orcid.org/0009-0006-3928-8154
          Katia Nemr
          Department of Physiotherapy, Speech Therapy, and Occupational Therapy; Faculty of Medicine – FMUSP; University of São Paulo; São Paulo; Brazil
            https://orcid.org/0000-0002-8662-2702
            Show authors biography

            Introduction. Due to the communicative requirements inherent to the profession, the legal professional benefits from speech therapy monitoring for the proper use of the voice and to avoid the occurrence of vocal disorders. The development of specific instruments will contribute with more relevant data to guide this monitoring.

            Objective. To verify the applicability of the General Dysphonia Risk Screening Protocol (DRSP-G) and the Specific Dysphonia Risk Screening Protocol for Legal Professionals (DRSP-LP) and to correlate the average scores of both with vocal deviation, sex, age, professional performance time, vocal signs and symptoms, and vocal self-assessment.

            Methods. Fifty legal professionals participated. All participants completed the DRSP-G and DRSP-LP and recorded their voices for detection of the presence of altered vocal quality.

            Results. Most participants presented a high risk of dysphonia, which was higher in men. Altered vocal quality was observed in 34% of the participants. The items with the highest scores in the DRSP-G were talking a lot (76%), excessive daily coffee intake (70%), contact with smokers (60%), and insufficient hydration and sleep (48%); in the DRSP-LP, alcohol consumption (68%) and exposure to air conditioning (64%). There was no correlation between risk scores and the degree of dysphonia, or with age or length of professional experience. The DRSP-G score correlated with vocal signs and symptoms and vocal self-perception.

            Conclusions. The joint application of the DRSP-G and the DRSP-LP enabled a quantitative and qualitative analysis of risk factors for dysphonia in legal professionals.

            Article visits 361 | PDF visits 94

            1. Dantas NP, Lima Júnior OP. A relevância da abordagem de práticas de comunicação, oratória e argumentação nas faculdades de Direito. Research, Society and Development 2022;11(16):e508111638462. doi: http://dx.doi.org/10.33448/rsd-v11i16.38462
            2. Sales NJ, Castaneda DFN, Barreto IDC, Paoliello M, Campanha SMA. Communication self-assessment by public prosecutors in a north-eastern Brazilian state. CoDAS. 2016;28(6):678-686. doi: http://dx.doi.org/10.1590/2317-1782/20162015238
            3. Chen D, Halberstam Y, Yu ACL. Perceived Masculinity Predicts U.S. Supreme Court Outcomes. PLOS ONE. 2016;11(10):e0164324. doi: http://dx.doi.org/10.1371/journal.pone.0164324
            4. Lei nº 8.906, de 4 de julho de 1994. Dispõe sobre o Estatuto da Advocacia e a Ordem dos Advogados do Brasil (OAB). Diário Oficial da União de 05/07/1994 (Jul 4, 1994). Available from: http://www.planalto.gov.br/ccivil_03/Leis/L8906.htm
            5. Phyland D, Miles A. Occupational voice is a work in progress: active risk management, habilitation and rehabilitation. Curr Opin Otolaryngol Head Neck Surg. 2019;27(6):439-447. doi: http://dx.doi.org/10.1097/MOO.0000000000000584
            6. Mori MC, Francis DO, Song PC. Identifying occupations at risk for laryngeal disorders requiring specialty voice care. Otolaryngology–Head and Neck Surgery. 2017;157(4),670–675. doi: http://dx.doi.org/10.1177/0194599817726528
            7. Marçal CCB, Peres MA. Self-reported voice problems among teachers: prevalence and associated factors. Rev. Saúde Pública. 2011;45(3):503-11. doi: http://dx.doi.org/10.1590/s0034-89102011005000025
            8. Souza LB, Gurlekian JA, Sabino APM, Pernambuco LA, Marquiony MS. Avaliação do risco vocal em professores do ensino fundamental. Rev. Ciênc. Méd. Biol. 2014;13(1):18-23. doi: https://doi.org/10.9771/cmbio.v13i1.9009
            9. Vieira ABC, Rocha MOC, Gama ACC, Gonçalves DU. Fatores causais e profilaxia da disfonia na prática docente. Cadernos de Educação. 2007; (28):255-70. Available from: https://periodicos.ufpel.edu.br/index.php/caduc/article/view/1803
            10. Behlau M, Pontes P, Moreti F. Higiene vocal: cuidando da voz. Rio de Janeiro: Revinter; 2017. 120 p.
            11. Ruiz DMCF, Tsuji SACN, Faccio CB, Romanini JS, Ghedini SG. Ocorrência de queixas vocais em advogados, juízes e promotores. Revista Pró-Fono.1997:9(1):27-30. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/lil-201981
            12. Cantor-Cutiva LC. Association between occupational voice use and occurrence of voice disorders: a meta-analysis. Areté. 2018; 18(2):1-10. doi: https://doi.org/10.33881/1657-2513.art.18201
            13. Nemr K, Simões-Zenari M, Duarte JMT, Lobrigate KE, Bagatini FA. Dysphonia risk screening protocol. Clinics. 2016;71(3):114-27. doi: https://doi.org/10.6061/clinics/2016(03)01
            14. Nemr K, Cota AR, Tsuji D, Simões-Zenari M. Voice deviation, dysphonia risk screening and quality of life in individuals with various laryngeal diagnoses. Clinics. 2018;73:e174. doi: https://doi.org/10.6061/clinics/2018/e174
            15. Rodrigues DA, Simões-Zenari M, Cota AR, Nemr K. Voice and communication in news anchors: what is the impact of the passage of time? J Voice. 2021;S0892-1997(21)00320-9. doi: https://doi.org/10.1016/j.jvoice.2021.09.022
            16. Silva BG, Chammas TV, Simões-Zenari M, Moreira RR, Samelli AG, Nemr K. Analysis of possible factors of vocal interference during the teaching activity. Rev. Saude Publica. 2017;51:124. doi: https://doi.org/10.11606/S1518-8787.2017051000092
            17. Duarte JMT, Souza GVS, Simões-Zenari M, Nemr K. The actor's voice: vocal performance assessment by different professionals. J Voice. 2022;36(3):440.e1-440.e9. doi: https://doi.org/10.1016/j.jvoice.2020.06.019
            18. Paulino LC, Simões-Zenari M, Nemr K. Protocolo de Rastreio do Risco de Disfonia para Atores de Teatro Musical: resultados preliminares. CoDAS. 2021;33(1):e20190112. doi: https://doi.org/10.1590/2317-1782/20202019112
            19. Behlau M, Rocha B, Englert M, Madazio G. Validation of the Brazilian Portuguese CAPE-V instrument-Br CAPE-V for auditory-perceptual analysis. J Voice. 2022;36(4):586.e15-586.e20. doi: https://doi.org/10.1016/j.jvoice.2020.07.007
            20. Yamasaki R, Madazio G, Leão SH, Padovani M, Azevedo R, Behlau M. Auditory-perceptual evaluation of normal and dysphonic voices using the Voice Deviation Scale. J Voice. 2017;31(1):67-71. doi: https://doi.org/10.1016/j.jvoice.2016.01.004
            21. Hunter EJ, Tanner K, Smith ME. Gender differences affecting vocal health of women in vocally demanding careers. Logopedics, Phoniatrics, Vocology 2011;36(3):128-36. doi: https://doi.org/10.3109/14015439.2011.587447
            22. Cielo CA, Finger LS, Rosa JC, Brancalioni AR. Lesões organofuncionais do tipo nódulos, pólipos e edema de Reinke. Rev. CEFAC. 2011;13(4):735-48. doi: https://doi.org/10.1590/S1516-18462011005000018
            23. Lyberg-Åhlander V, Rydell R, Fredlund P, Magnusson C, Wilén S. Prevalence of voice disorders in the general population, based on the Stockholm Public Health Cohort. J Voice. 2019;33(6):900-5. doi: https://doi.org/10.1016/j.jvoice.2018.07.007
            24. 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. doi: https://doi.org/10.1590/0102-311X00026015
            25. Silva BGM, Simões-Zenari M, Nemr K. What is the risk of dysphonia in workers who use their voice in a university environment? Audiol., Commun. Res. 2021;26:e2429. doi: https://doi.org/10.1590/2317-6431-2020-2429
            26. Nemr K, Simões-Zenari M, Cologis VCA, Martins GA, Saito IT, Gonçalves RS. COVID-19 and remote learning: predictive factors of perceived improvement or worsening of the voice in brazilian teachers. J Voice. 2021;S0892-1997(21)00290-3. doi: https://doi.org/10.1016/j.jvoice.2021.08.010
            27. LIF Voz (org.). Bem-estar vocal: guia prático [livro eletrônico]. São Paulo, SP: Sintropia Traduções; 2022. 45 p. Available from: https://www.instagram.com/lifvozfonousp/
            28. Puhl AE, Bittencourt MFP, Ferreira LP, Andrada e Silva MA. Tabagismo e ingestão alcoólica: prevalência em professores, cantores e teleoperadores e atores. Distúrb. Comun. 2017;29(4):683-91. doi: https://doi.org/10.23925/2176-2724.2017v29i4p683-691
            29. Ayoub MR, Larrouy-Maestri P, Morsomme D. The effect of smoking on the fundamental frequency of the speaking voice. J Voice. 2019;33(5):802.e11-802-e16. doi: https://doi.org/10.1016/j.jvoice.2018.04.001
            30. Yildiz MG,Bilal N, Kara I, Sagiroglu S, Orhan I, Doganer A. Voice Disorders in Lower Primary School Teachers: An Observational Study. J Voice. 2023;37(1):141.e1-141.e8. doi: https://doi.org/10.1016/j.jvoice.2020.12.001
            31. 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.e9-665.e18. doi: https://doi.org/10.1016/j.jvoice.2011.09.010
            32. Gomes ABP, Simões-Zenari M, Nemr K. Voz do idoso: o avanço da idade gera diferentes impactos? CoDAS 2021;33(6):e20200126. doi: https://doi.org/10.1590/2317-1782/20202020126
            33. Van Lierde KM, Dijckmans J, Scheffel L, Behlau M. Type and severity of pain during phonation in professional voice users and nonvocal professionals. J Voice. 2012;26(5):671.e19-671.e23. doi: https://doi.org/10.1016/j.jvoice.2011.11.008
            34. Penteado RZ, Silva NB, Calçada MLM, Montebello MIL. Voz, estresse, trabalho e qualidade de vida de técnicos e preparadores físicos de futebol. Distúrb Comun. 2015;27(4):778-88. doi: https://doi.org/10.1590/2317-1782/20152015021
            35. Lopes LW, Vilela EG. Self-assessment and readiness for change in dysphonic patients. CoDAS. 2016;28(3):295-301. doi: https://doi.org/10.1590/2317-1782/20162015111
            Publish with RIICS

            Scimago

            Most read in the last 30 days

            Sistema OJS 3.4.0.7 - Metabiblioteca |