Effects of resonance tubes for the voice of elderly

Authors

DOI:

https://doi.org/10.15448/2357-9641.2023.1.44841

Keywords:

Voice, Voice Training, Voice Quality, Aging

Abstract

Objective: to evaluate the effects of the resonance tube technique on the voice of elderly choristers. Methods: this was a randomized crossover clinical trial that evaluated the immediate and short-term effects of resonance tubes. Two choirs, one female and one male, participated in the study, totaling 25 choristers. Participants were randomized into two groups, the fi rst starting with the resonance tube technique and the second with the vocal hygiene workshop. Before and after each intervention, the choristers were evaluated by measuring the maximum phonation times and vocal samples were recorded for later auditory-perceptual evaluation and acoustic analysis of the voice. After performing the exercise with the resonance tube, the participants were also asked about their vocal self-perception and if there was any feeling of discomfort. Results: there were no statistical differences when comparing the results of intra and intergroup assessments. However, a slight reduction in noise levels can be observed after the exercise with the resonance tube. In addition, more than half of the participants reported that voice production was easier, clearer and more stable. Conclusion: the resonance tube technique has been shown to promote positive effects for the voice of elderly choristers. Among them, greater phonatory comfort and an easier emission were reported by the study participants, suggesting, therefore, that the technique can be used as a strategy for the care and maintenance of vocal health in amateur choirs. Mudar aqui de acordo com as mudanças anteriores.

Downloads

Download data is not yet available.

Author Biographies

Camila Dalbosco Gadenz, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.

PhD and master's degree in Rehabilitation Sciences from the Federal University of Health Sciences of Porto Alegre (UFCSPA), in Porto Alegre, RS, Brazil; specialist in Voice by the Federal Council of Speech Therapy and in Integrated Geriatric Care by the Institute of Geriatrics of the Pontifical Catholic University of Rio Grande do Sul (PUCRS), in Porto Alegre, RS, Brazil; speech therapist.

Carla Machado de Figueredo, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil

Dysphagia Specialist; speech therapist. Collaborating researcher on the doctoral project that developed this study at the Federal University of Health Sciences of Porto Alegre (UFCSPA), in Porto Alegre, RS, Brazil.

Ângelo Gonçalves Bos, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.

Doctor of Medicine with an emphasis on Community Health from Tokai University – Japan, with post-doctorate at the American National Institute on Aging, post-doctorate at the Johns Hopkins University School of Public Health in Baltimore, United States; and by the Department of Health and Social Participation of the Tokyo Metropolitan Institute of Gerontology, Japan; specialist in Geriatrics and Gerontology from the Institute of Geriatrics and Gerontology of the Pontifical Catholic University of Rio Grande do Sul (PUCRS), in Porto Alegre, RS, Brazil; doctor. Permanent professor of the master's and doctorate program in Biomedical Gerontology and full professor at the School of Medicine of the Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, RS, Brazil.

Mauriceia Cassol, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.

PhD in Health Sciences from the Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil; with a postdoctoral degree in the area of voice from the University of Ghent (UZ GHENT), Belgium; specialist in Voice from the Voice Studies Center, PhD in Health Sciences from the Faculty of Medicine of the Pontifical Catholic University of Rio Grande do Sul (PUCRS), in Porto Alegre, RS, Brazil; speech therapist at the University of Santa Maria (UFSM), in Santa Maria, RS, Brazil. Associate Professor level IV at the Department of Speech Therapy and professor in the Postgraduate Program in Rehabilitation Sciences at the Federal University of Health Sciences of Porto Alegre (UFCSPA), in Porto Alegre, RS, Brazil

References

Cassol M, Bós AJG. Singing choir improves vocal symptoms in healthy elderly. RBCEH. 2006;113-22. https://doi.org/10.5335/rbceh.2012.76.

Çiyiltepe M, Şenkal ÖA. The ageing voice and voice therapy in geriatrics. Aging Clin Exp Res. 2016;29:403-10. https://doi.org/10.1007/s40520-016-0597-3.

Galluzzi F, Garavello W. The aging voice: a systematic review of presbyphonia, Eur Geriatr Med. 2018;9:559-70. https://doi.org/10.1007/s41999-018-0095-6.

D’haeseleer E, Claeys S, Bettens K, Leemans L, Van Calster A-S, Van Damme N et al. The impact of a teaching or singing career on the female vocal quality at the mean age of 67 years: a pilot study. J Voice. 2017,31:516. e19-26. http://.doi.org/10.1016/j.jvoice.2016.12.016.

Lortie CL, Rivard J, Thibeault M, Tremblay P. The moderating effect of frequent singing on voice aging. J Voice. 2017;31:112.e1-12. http://doi.org/10.1016/j.jvoice.2016.02.015.

Cohen GD, Perlstein S, Chapline J, Kelly J, Firth KM, Simmens S. The impact of professionally conducted cultural programs on the physical health, mental health, and social functioning of older Adults. Gerontologist. 2006;46:726-34. https://doi.org/10.1093/ geront/46.6.726.

Coulton S, Clift S, Skingley A, Rodriguez J. Effectiveness and cost-effectiveness of community singing on mental health-related quality of life of older people: randomised controlled trial. Br J Psychiatry. 2015:207:250-5. https://doi.org/10.1192/bjp.bp.113.12990.

Mansens D, Deeg DJH, Comijs HC. The association between singing and/or playing a musical instrument and cognitive functions in older adults. Aging Ment Health. 2017;1-8. https://doi.org/10.1080/13607863.2 017.1328481.

Batt-Rawden K, Andersen S. “Singing has empowered, enchanted and enthralled me”-choirs for wellbeing? Health Promot Int. 2019.35:140-50. https://doi.org/doi:10.1093/heapro/day122.

Cohen SM, Noordzij JP, Garrett CG, Ossof RH. Factors associated with perception of singing voice handicap. Otolaryngol Head Neck Surg. 2008;138:430-34. http://dx.doi.org/10.1016/j.otohns.2007.12.041.

Rosa M, Behlau M. Mapping of vocal risk in amateur choir. J Voice. 2017;31:118.e1-11. http://doi.org/doi:10.1016/j.jvoice.2016.03.002.

Crawley BK, Dehom S, Thiel C, Yang J, Cragoe A, Mousselli I et al. Assessment of clinical and social characteristics that distinguish presbylaryngis from pathologic presbyphonia in elderly individuals. JAMA Otolaryngol Head Neck Surg. 2018:144:56671. http://doi.org/10.1001/jamaoto.2018.0409.

dos Santos SB, Rodrigues SR, Gadenz CD, Anhaia TC, Spagnol PE, Cassol M. Verifying the effectiveness of using resonance tubes in voice therapy with elderly people. ACR. 2014;19:81-7. http://doi.org/10.1590/s231764312014000100014.

Guzman M, Saldivar P, Pérez R, Muñoz D. Aerodynamic, electroglottographic, and acoustic outcomes after tube phonation in water in elderly subjects. Folia Phoniatr Logop. 2018;70:149-55. http://doi.org/10.1159/000492326.

Piragibe PC, Silverio KCA, Dassie-Leite AP, Hencke D, Falbot L, Santos K et al. Comparison of the immediate effect of voiced oral high-frequency oscillation and flow phonation with resonance tube in vocally-healthy elderly women. CoDAS. 2020;32;e20190074. http://doi.org/10.1590/2317-1782/20192019074.

Paes SM, Zambon F, Yamasaki R, Simberg S, Behlau M. Immediate effects of the finnish resonance tube method on behavioral dysphonia. J Voice. 27;2013:717-22. http://doi.org/10.1016/j.jvoice.2013.04.007.

Granqvist S, Simberg S, Hertegård S, Holmqvist S, Larsson H, Lindestad P et al. Resonance tube phonation in water: high-speed imaging, electroglottographic and oral pressure observations of vocal fold vibrations – a pilot study. Logoped Phoniatr Vocol. 2015;40:113-21. http://doi.org/10.3109/14015439.2014.913682.

Mendes ALF, Carmo RD, Araújo AMGD, Paranhos R, Mota CSO, Dias SSV et al. The effects of phonation into glass, plastic, and LaxVox tubes in singers: a systematic review. J Voice. 2019;33:381.e1-9. http://doi.org/10.1016/j.jvoice.2017.12.005.

Behlau M. Consensus auditory - perceptual evaluation of voice (CAPE-V). ASHA 2003, refletindo sobre o novo. Rev Soc Bras Fonoaudiol. 2004;9:187-9.

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. 2012;26:e79-93. http://doi.org/10.1016/j.jvoice.2011.03.003.

Hemler RJB, Wieneke GH, Dejonckere PH. The effect of relative humidity of inhaled air onacoustic parameters of voice in normal subjects. J Voice. 1997;11:295-300. http://doi.org/10.1016/s0892-1997(97)80007-0.

Everett C, Blasi DE, Roberts SG. Climate, vocal folds, and tonal languages: connecting the physiological and geographic dots. Physical Sciences. 2015(112):1322-7. http://doi.org/10.1073/pnas.1417413112.

Costa CB, Costa LHC, Oliveira G, Behlau M. Immediate effects of the phonation into a straw exercise. Braz J Otorhinolaryngol. 2011;77:461-5. https://doi.org/10.1590/S1808-86942011000400009.

Simberg S, Laine A. The resonance tube method in voice therapy: description and practical implementations. Logoped Phoniatr Vocol. 2007;32:165-70. https://doi.org/10.1080/14015430701207790.

Andrade PA, 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. 2016:30:36-41. https://doi.org/10.1016/j.jvoice.2015.02.004.

Titze I. The physics of small-amplitude oscillation of the vocal folds. The J Acoust Soc Am. 1988;83:1536-52. https://doi.org/10.1121/1.395910.

Story BH, Laukkanen AM, Titze IR. Acoustic impedance of an artificially lengthened and constricted vocal tract. J Voice. 2000;14:455-69. https://doi.org/10.1016/s0892-1997(00)80003-x.

Lima JPM, Cielo CA, Scapini F. Phonation into a glass tube immerse in water: analysis perceptive auditory vocal and videolaryngostroboscopy in women without laryngeal disorders, complaints or vocal alterations. Rev CEFAC. 2015;17:1760-72. https://doi.org/10.1590/1982-021620151768814.

Ramig LO, Gray S, Baker K, Corbin-Lewis K, Buder E, Luschei E et al. The aging voice: a review, treatment data and familial and genetic perspectives. Folia Phoniatr Logop. 2001;53:252–265. https://doi.org/10.1159/000052680.

Dehqan A, Scherer RC, Dashti G. A. Ansari-Moghaddam, S. Fanaie, The effects of aging on acoustic parameters of voice. Folia Phoniatr Logop. 2012.64:265-70. https://doi.org/10.1159/000343998.

Guzman MA, Laukkanen A.-M, Krupa P, Horacek J, Svec JG, Geneid A. Vocal tract and glottal function during and after vocal exercising with resonance tube and straw. J Voice. 2013;27:523.e19–34. https://doi.org/10.1016/j.jvoice.2013.02.007.

Vampola T, Laukkanen A-M, Horacek J, Svec JG. Vocal tract changes caused by phonation into a tube: a case study using computer tomography and finite-element modeling. J Acoust Soc Am. 2011;129:310-5. https://doi.org/10.1121/1.3506347.

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. 2014;28:589-95. https://doi.org/doi:10.1016/j.jvoice.2013.11.004.

Tyrmi J, Laukkanen A.-M. How Stressful Is “Deep Bubbling”? J Voice. 2017;31:262.e16. https://doi.org/10.1016/j.jvoice.2016.04.013.

Downloads

Published

2023-12-04

How to Cite

Dalbosco Gadenz, C., Machado de Figueredo, C., Gonçalves Bos, Ângelo, & Cassol, M. (2023). Effects of resonance tubes for the voice of elderly. PAJAR - Pan American Journal of Aging Research, 11(1), e44841. https://doi.org/10.15448/2357-9641.2023.1.44841

Issue

Vol. 11 No. 1 (2023): Single Volume - Continuous Flow of Publication

Section

Original Article

License

Copyright (c) 2023 PAJAR - Pan American Journal of Aging Research

Creative Commons License

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

Copyright

The submission of originals to PAJAR implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite PAJAR as the site of original publication.

Creative Commons License

Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.