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Efecto inmediato de dos ejercicios con tracto vocal semiocluido en el contacto glótico de usuarios ocupacionales de la voz

Immediate effect of two semi-occluded vocal tract exercises in glottal contact of occupational voice users



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Efecto inmediato de dos ejercicios con tracto vocal semiocluido en el contacto glótico de usuarios ocupacionales de la voz. Rev. Investig. Innov. Cienc. Salud [Internet]. 2022 Feb. 5 [cited 2024 Nov. 19];4(1):26-42. Available from: https://riics.info/index.php/RCMC/article/view/76

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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.


Introducción. Los docentes son usuarios ocupacionales de la voz con alto riesgo de desarrollar patologías vocales a causa de su labor. Para enfrentar esta problemática, suelen usarse ejercicios con tracto vocal semiocluido (TVSO), estrategia de educación/rehabilitación empleada para generar un cambio en el patrón de vibración de los pliegues vocales, minimizando el riesgo de lesión vocal al reducir el estrés de colisión al que se someten los tejidos. Diversos reportes han indicado que este tratamiento tiene efectos en el cociente de cierre (CQ), medida indirecta del estrés de colisión.

Objetivo. Examinar el efecto fisiológico de dos ejercicios con TVSO en la actividad laríngea de profesores con esfuerzo vocal constante pero sin patología vocal.

Metodología. Se registraron muestras de 43 profesores antes, durante y después de la realización de dos ejercicios con TVSO (vibración lingual y fonación en tubos). Las muestras de electroglotografía se analizaron para obtener el CQ.

Resultados y conclusión. Se observó una diferencia significativa al comparar los valores del CQ antes y durante la realización de ambos ejercicios. No se encontraron cambios en este parámetro después de ejecutar la actividad. Estos hallazgos concuerdan con reportes previos en los cuales el CQ tiende a aumentar durante la fonación en tubos; contrariamente, la realización de la vibración lingual tiende a decrecer el valor del CQ. Es posible que este comportamiento se deba a los mecanismos biomecánicos particulares de cada ejercicio.


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  1. Vintturi J, Alku P, Lauri E-R, Sala E, Sihvo M, Vilkman E. Objective Analysis of Vocal Warm-Up with Special Reference to Ergonomic Factors. J Voice [Internet]. 2001;15:36-53.doi: https://doi.org/10.1016/S0892-1997(01)00005-4
  2. Vilkman E. Voice problems at work: A challenge for occupational safety and health arrangement. Folia Phoniatr Logop [Internet]. 2000;52:120-5. doi: https://doi.org/10.1159/000021519
  3. Cantor Cutiva LC, Vogel I, Burdorf A. Voice disorders in teachers and their associations with work-related factors: A systematic review. J. Commun. Disord [Internet]. 2013;143-55. doi: https://doi.org/10.1016/j.jcomdis.2013.01.001
  4. Munier C, Farrell R. Working Conditions and Workplace Barriers to Vocal Health in Primary School Teachers. J Voice [Internet]. 2016;30:127.e31-127.e41. doi: http://dx.doi.org/10.1016/j.jvoice.2015.03.004
  5. Martins RHG, Pereira ERBN, Hidalgo CB, Tavares ELM. Voice Disorders in Teachers. A Review. J Voice [Internet]. 2014;28:716-24. doi: https://doi.org/10.1016/j.jvoice.2014.02.008
  6. Cantor Cutiva LC, Burdorf A. Medical Costs and Productivity Costs Related to Voice Symptoms in Colombian Teachers. J Voice [Internet]. 2015;29:776.e15-776.e22. doi: http://dx.doi.org/10.1016/j.jvoice.2015.01.005
  7. Atará-Paraquive ÁP, Ángel-Gordillo LF. Amplificación vocal en el ámbito ocupacional educativo: una revisión de la literatura. Rev la Fac Med [Internet]. 2018;66:485-93. Recuperado a partir de: https://revistas.unal.edu.co/index.php/revfacmed/article/view/58517
  8. Titze IR. Voice Training and Therapy With a Semi-Occluded Vocal Tract: Rationale and Scientific Underpinnings. J Speech, Lang Hear Res [Internet]. 2006;49:448-59. doi: https://doi.org/10.1044/1092-4388(2006/035)
  9. Story BH, Laukkanen A-M, Titze IR. Acoustic impedance of an artificially lengthened and constricted vocal tract. J Voice [Internet]. 2000;14:455-69. doi: https://doi.org/10.1016/s0892-1997(00)80003-x
  10. Titze IR. Phonation into a straw as a voice building exercise. J Sing. 2000;57:27-8.
  11. Guzman M, Rubin A, Muñoz D, Jackson-Menaldi C. Changes in Glottal Contact Quotient During Resonance Tube Phonation and Phonation With Vibrato. J Voice [Internet]. 2013;27:305-11. doi: https://doi.org/10.1016/j.jvoice.2013.01.017
  12. Titze IR, Laukkanen A-M. Can vocal economy in phonation be increased with an artificially lengthened vocal tract? A computer modeling study. Logop Phoniatr Vocology [Internet]. 2007;32:147-56. doi: https://doi.org/10.1080/14015430701439765
  13. Simberg S, Sala E, Tuomainen J, Sellman J, Rönnemaa A-M. The Effectiveness of Group Therapy for Students With Mild Voice Disorders: A Controlled Clinical Trial. J Voice [Internet]. 2006;20:97-109. doi: https://doi.org/10.1016/j.jvoice.2005.01.002
  14. Amarante Andrade P, Wistbacka G, Larsson H, Södersten M, Hammarberg B, Simberg S, et al. The Flow and Pressure Relationships in Different Tubes Commonly Used for Semi-occluded Vocal Tract Exercises. J Voice [Internet]. 2016;30:36-41. doi: https://doi.org/10.1016/j.jvoice.2015.02.004
  15. Andrade PA, Wood G, Ratcliffe P, Epstein R, Pijper A, Svec JG. Electroglottographic Study of Seven Semi-Occluded Exercises: LaxVox, Straw, Lip-Trill, Tongue-Trill, Humming, Hand-Over-Mouth, and Tongue-Trill Combined With Hand-Over-Mouth. J Voice [Internet]. 2014;28:589-95. doi: https://doi.org/10.1016/j.jvoice.2013.11.004
  16. Maxfield L, Titze I, Hunter E, Kapsner-Smith M. Intraoral pressures produced by thirteen semi-occluded vocal tract gestures. Logop Phoniatr Vocology [Internet]. 2015;40:86-92. doi: https://doi.org/10.3109/14015439.2014.913074
  17. Vlot C, Ogawa M, Hosokawa K, Iwahashi T, Kato C, Inohara H. Investigation of the immediate effects of humming on vocal fold vibration irregularity using electroglottography and high-speed laryngoscopy in patients with organic voice disorders. J Voice [Internet]. 2017;31:48-56. doi: http://dx.doi.org/10.1016/j.jvoice.2016.03.010
  18. Ogawa M, Hosokawa K, Yoshida M, Iwahashi T, Hashimoto M, Inohara H. Immediate Effects of Humming on Computed Electroglottographic Parameters in Patients With Muscle Tension Dysphonia. J Voice [Internet]. 2014;28:733-41. doi: http://dx.doi.org/10.1016/j.jvoice.2014.02.004
  19. Laukkanen A-M, Titze IR, Hoffman H, Finnegan E. Effects of a Semioccluded Vocal Tract on Laryngeal Muscle Activity and Glottal Adduction in a Single Female Subject. Folia Phoniatr Logop [Internet]. 2008;60:298-311. doi: https://doi.org/10.1159/000170080
  20. Yiu EM-L, Lo MCM, Barrett EA. A systematic review of resonant voice therapy. Int J Speech Lang Pathol [Internet]. 2017;19:17-29. doi: https://doi.org/10.1080/17549507.2016.1226953
  21. Cielo CA, Frigo LF, Christmann MK. Pressão sonora e tempo máximo de fonação após a técnica de finger kazoo. Rev CEFAC [Internet]. 2013;15:994-1000. doi: https://doi.org/10.1590/S1516-18462013000400029
  22. Cordeiro GF, Montagnoli AN, Ubrig MT, Menezes MHM, Tsuji DH. Comparison of Tongue and Lip Trills with Phonation of the Sustained Vowel /ε/ Regarding the Periodicity of the Electroglottographic Waveform and the Amplitude of the Electroglottographic Signal. Open J Acoust [Internet]. 2015;05:226-38. doi: http://dx.doi.org/10.4236/oja.2015.54018
  23. Cordeiro GF, Montagnoli AN, Nemr NK, Menezes MHM, Tsuji DH. Comparative Analysis of the Closed Quotient for Lip and Tongue Trills in Relation to the Sustained Vowel /ε/. J Voice [Internet]. 2012;26:e17-22. doi: https://doi.org/10.1016/j.jvoice.2010.07.004
  24. Denizoglu II, Sahin M, Bayrak S, Uygun MN. Efficacy of Doctorvox Voice Therapy Technique for Mutational Falsetto. J Voice [Internet]. 2019;33:950.e1-950.e8. doi: https://doi.org/10.1016/j.jvoice.2018.05.012
  25. Saters TL, Ribeiro VV, Thaís L, Siqueira D, Marotti BD, Brasolotto AG, et al. The Voiced Oral High-frequency Oscillation Technique ’ s Immediate Effect on Individuals With Dysphonic and Normal Voices. J Voice [Internet]. 2017;32:449-58. doi: https://doi.org/10.1016/j.jvoice.2017.06.018
  26. Laukkanen A-M. About the so called “resonance tubes” used in Finnish voice training practice: An electroglottographic and acoustic investigation on the effects of this method on the voice quality of subjects with normal voice. Scand J Logop Phoniatr [Internet]. 1992;17:151-61. doi: https://doi.org/10.3109/14015439209098733
  27. Gaskill CS, Erickson ML. The effect of an artificially lengthened vocal tract on estimated glottal contact quotient in untrained male voices. J Voice [Internet]. 2010;24:57-71. doi: http://dx.doi.org/10.1016/j.jvoice.2008.05.004
  28. Gaskill CS, Quinney DM. The effect of resonance tubes on glottal contact quotient with and without task instruction: A comparison of trained and untrained voices. J Voice [Internet]. 2012;26:e79-93. doi: http://dx.doi.org/10.1016/j.jvoice.2011.03.003
  29. Gaskill CS, Erickson ML. The Effect of a Voiced Lip Trill on Estimated Glottal Closed Quotient. J Voice [Internet]. 2008;22:634-43. doi: http://dx.doi.org/10.1016/j.jvoice.2007.03.012
  30. Hamdan AL, Nassar J, Al Zaghal Z, El-Khoury E, Bsat M, Tabri D. Glottal contact quotient in Mediterranean tongue trill. J Voice [Internet]. 2012;26:669.e11-669.e15. doi: http://dx.doi.org/10.1016/j.jvoice.2011.07.008
  31. Guzman M, Calvache C, Romero L, Muñoz D, Olavarria C, Madrid S, et al. Do Different Semi-Occluded Voice Exercises Affect Vocal Fold Adduction Differently in Subjects Diagnosed with Hyperfunctional Dysphonia? Folia Phoniatr Logop [Internet]. 2015;67:68-75. doi: https://doi.org/10.1159/000437353
  32. Mailänder E, Mühre L, Barsties B. LaxVox as a voice training program for teachers: a pilot study. J voice [Internet]. 2017;31:262.e13-262.e22. doi: https://doi.org/10.1016/j.jvoice.2016.04.011
  33. Calvache-Mora CA CA. Efectividad del calentamiento vocal fisiológico para cantantes. Ciencias la Salud [Internet]. 2016;14:367-79. Recuperado a partir de: http://revistas.urosario.edu.co/index.php/revsalud/article/view/5145/3505
  34. Calvache C, Guzman M, Bobadilla M, Bortnem C. Variation on Vocal Economy After Different Semioccluded Vocal Tract Exercises in Subjects With Normal Voice and Dysphonia. J Voice [Internet]. 2020;34:582-9. doi: https://doi.org/10.1016/j.jvoice.2019.01.007
  35. Zamponi V, Mazzilli R, Mazzilli F, Fantini M. Effect of sex hormones on human voice physiology: from childhood to senescence. Hormones [Internet]. 2021;20:691-6. Recuperado a partir de: https://link.springer.com/10.1007/s42000-021-00298-y
  36. Nanjundeswaran C, Li NYK, Chan KMK, Wong RKS, Yiu EM-L, Verdolini-Abbott K. Preliminary Data on Prevention and Treatment of Voice Problems in Student Teachers. J Voice [Internet]. 2012;26:816.e1-816.e12. Recuperado a partir de: https://linkinghub.elsevier.com/retrieve/pii/S0892199712000665
  37. Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jacobson G, Benninger MS, et al. The Voice Handicap Index (VHI). Am J Speech-Language Pathol [Internet]. 1997;6:66-70. doi: https://doi.org/10.1044/1058-0360.0603.66
  38. Núñez-Batalla F, Corte-Santos P, Señaris-González B, Llorente-Pendás JL, Górriz-Gil C, Suárez-Nieto C. Adaptación y validación del índice de incapacidad vocal (VHI-30) y su versión abreviada (VHI-10) al español. Acta Otorrinolaringológica Española [Internet]. 2007;58:386-92. Recuperado a partir de: https://linkinghub.elsevier.com/retrieve/pii/S0001651907749543
  39. Howard DM. Electroglottography/electrolaryngography. In: Fried M, Ferlito A, editores. The larynx. San Diego: Plural Press; 2008. p. 1-17.
  40. Miller D. Voce Vista [Internet]. 2017. Recuperado a partir de: http://www.vocevista.com/
  41. Rothenberg M, Mahshie JJ. Monitoring Vocal Fold Abduction through Vocal Fold Contact Area. J Speech Lang Hear Res [Internet]. 1988;31:338. doi: https://doi.org/10.1044/jshr.3103.338
  42. Laukkanen A-M, Lindholm P, Vilkman E. Phonation into a Tube as a Voice Training Method: Acoustic and Physiologic Observations. Folia Phoniatr Logop [Internet]. 1995;47:331-8. doi: https://doi.org/10.1159/000266371
  43. Mills RD, Rivedal S, DeMorett C, Maples G, Jiang JJ. Effects of straw phonation through tubes of varied lengths on sustained vowels in normal-voiced participants. J Voice [Internet]. 2017;32(3):386. doi: http://dx.doi.org/10.1016/j.jvoice.2017.05.015
  44. Guzmán M, Castro C, Madrid S, Olavarria C, Leiva M, Muñoz D, et al. Air Pressure and Contact Quotient Measures During Different Semioccluded Postures in Subjects With Different Voice Conditions. J Voice [Internet]. 2016;30:759.e1-759.e10. doi: http://dx.doi.org/10.1016/j.jvoice.2015.09.010
  45. Radolf V, Laukkanen AM, Horáček J, Liu D. Air-pressure , vocal fold vibration and acoustic characteristics of phonation during vocal exercising . part 1 : measurement in vivo. Eng Mech [Internet]. 2014;21:53-9. doi: https://doi.org/10.1016/j.jvoice.2016.10.024
  46. Guzman M, Jara R, Olavarria C, Caceres P, Escuti G, Medina F, et al. Efficacy of Water Resistance Therapy in Subjects Diagnosed With Behavioral Dysphonia: A Randomized Controlled Trial. J Voice [Internet]. Elsevier Inc.; 2017;31:385.e1-385.e10. doi: http://dx.doi.org/10.1016/j.jvoice.2016.09.005
  47. Gaskill CS, O’Brien SG, Tinter SR. The Effect of Voice Amplification on Occupational Vocal Dose in Elementary School Teachers. J Voice [Internet]. 2012;26:667.e19-667.e27. Recuperado a partir de: https://linkinghub.elsevier.com/retrieve/pii/S0892199711002001
  48. Stathopoulos E, Felson Duchan J. History and Principles of Exercise-Based Therapy: How They Inform Our Current Treatment. Semin Speech Lang [Internet]. 2006;27:227-35. Recuperado a partir de: http://www.thieme-connect.de/DOI/DOI?10.1055/s-2006-955113
  49. Delprado-Aguirre F. Fisiología del ejercicio en la práctica de la vocología colombiana: una necesidad. Rev Investig e Innovación en Ciencias la Salud [Internet]. 2020;2:44-55. Recuperado a partir de: http://revistas.fumc.edu.co:8080/ojs/index.php/RCMC/article/view/31
  50. Titze IR. Principles of voice production. 2 ed. Iowa: Prentice-Hall; 2000.
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