Voice amplifier: effects on dose and vocal intensity of teachers without dysphonia. / Amplificador de voz: efeitos na dose e na intensidade vocal de professoras sem disfonia.

PURPOSE: Analyze the interference of using the voice amplifier in vocal dose of non-dysphonic teachers. METHODS: This is an experimental study comparing people from the same ambience compound for 20 teachers from municipal elementary school in Belo Horizonte/MG. After consent, the participants were requested to answer the vocal symptom scale questionnaire (ESV) and later participated in two different moments of the study, for which they randomly selected. In the first moment, the participants used only the vocal dosimeter and in the second, they used the vocal dosimeter and the voice amplifier. The measurements were recorded by the device for 1h40m, in the classroom that the teachers taught. The time between the two measurements was one week, with the same room, the same time and the same discipline being taught, at both times. RESULTS: The intensity parameter was the only one that showed difference with the use of the voice amplifier. CONCLUSION: Use voice amplification while non-dysphonic teachers are teaching doesn't affect the fundamental frequency and vocal dose measure in the acoustics parameters. The vocal intensity is smaller when teacher uses the vocal amplification.

OBJETIVO: Analisar a interferência do uso do amplificador de voz na dose vocal de professoras não disfônicas. MÉTODO: Trata-se de um estudo experimental, comparativo intrassujeitos, composto por 20 professoras do ensino fundamental da Rede Municipal de Ensino de Belo Horizonte/MG. Após o consentimento as participantes, foram solicitadas a responder o questionário de Escala de Sintomas Vocais ­ ESV e posteriormente participaram de dois momentos do estudo, selecionados aleatoriamente. No primeiro momento as participantes utilizaram somente o dosímetro vocal e no segundo momento utilizaram o dosímetro vocal e o amplificador de voz. As medições foram registradas pelo aparelho durante 1h40m, na sala de aula que as professoras lecionavam. O espaço entre as duas medições foi de uma semana, sendo mantidas a mesma sala, mesmo horário e mesma disciplina lecionada, em ambos os momentos. RESULTADOS: O parâmetro intensidade foi o único que apresentou diferença com o uso de amplificação de voz. CONCLUSÃO: O uso da amplificação de voz durante a docência de professoras não disfônicas não interfere nos parâmetros acústicos de frequência fundamental, e nas medidas de dose vocal. A intensidade da voz é menor quando o professor faz uso de amplificação vocal.

Amplificador de voz: efeitos na dose e na intensidade vocal de professoras sem disfonia / Voice amplifier: effects on dose and vocal intensity of teachers without dysphonia

RESUMO Objetivo Analisar a interferência do uso do amplificador de voz na dose vocal de professoras não disfônicas. Método Trata-se de um estudo experimental, comparativo intrassujeitos, composto por 20 professoras do ensino fundamental da Rede Municipal de Ensino de Belo Horizonte/MG. Após o consentimento as participantes, foram solicitadas a responder o questionário de Escala de Sintomas Vocais - ESV e posteriormente participaram de dois momentos do estudo, selecionados aleatoriamente. No primeiro momento as participantes utilizaram somente o dosímetro vocal e no segundo momento utilizaram o dosímetro vocal e o amplificador de voz. As medições foram registradas pelo aparelho durante 1h40m, na sala de aula que as professoras lecionavam. O espaço entre as duas medições foi de uma semana, sendo mantidas a mesma sala, mesmo horário e mesma disciplina lecionada, em ambos os momentos. Resultados O parâmetro intensidade foi o único que apresentou diferença com o uso de amplificação de voz. Conclusão O uso da amplificação de voz durante a docência de professoras não disfônicas não interfere nos parâmetros acústicos de frequência fundamental, e nas medidas de dose vocal. A intensidade da voz é menor quando o professor faz uso de amplificação vocal.

ABSTRACT Purpose Analyze the interference of using the voice amplifier in vocal dose of non-dysphonic teachers. Methods This is an experimental study comparing people from the same ambience compound for 20 teachers from municipal elementary school in Belo Horizonte/MG. After consent, the participants were requested to answer the vocal symptom scale questionnaire (ESV) and later participated in two different moments of the study, for which they randomly selected. In the first moment, the participants used only the vocal dosimeter and in the second, they used the vocal dosimeter and the voice amplifier. The measurements were recorded by the device for 1h40m, in the classroom that the teachers taught. The time between the two measurements was one week, with the same room, the same time and the same discipline being taught, at both times. Results The intensity parameter was the only one that showed difference with the use of the voice amplifier. Conclusion Use voice amplification while non-dysphonic teachers are teaching doesn't affect the fundamental frequency and vocal dose measure in the acoustics parameters. The vocal intensity is smaller when teacher uses the vocal amplification.

Alteração vocal em idosos ativos e fatores associados / Vocal alteration in active elderly and associated factors

RESUMO Objetivo Verificar a suspeição de alteração vocal em idosos ativos e a associação com aspectos sociodemográficos, hábitos de vida relacionados à voz e desvantagem vocal. Métodos Estudo observacional transversal realizado com 254 idosos usuários de academias públicas do município de Belo Horizonte (MG). A coleta de dados incluiu uma entrevista, contendo informações sociodemográficas, hábitos de vida relacionados à voz e autorrelato de rouquidão, além da aplicação dos protocolos Índice de Desvantagem Vocal (IDV-10) e Rastreamento de Alteração Vocal em Idosos (RAVI). O resultado do RAVI foi considerado a variável resposta. Os dados foram submetidos à análise descritiva e de associação, por meio dos testes Qui-quadrado de Pearson e Regressão de Poisson, com variância robusta (nível de significância de 5%). Resultados Verificou-se que a maioria dos idosos era do sexo feminino (83,5%), na faixa etária de 60 a 70 anos (65,4%), aposentada (84,9%) e sem companheiros (61,8%). Segundo o protocolo RAVI, 44,5% dos idosos apresentaram suspeição de alteração vocal. Na análise multivariada, as variáveis autorrelato de rouquidão e desvantagem vocal apresentaram associação com a suspeição de alteração vocal mensurada pelo RAVI. Conclusão Foi elevada a suspeição de alteração vocal em idosos ativos, sendo maior entre os idosos com autorrelato de rouquidão e com desvantagem vocal.

ABSTRACT Purpose To verify suspected vocal alterations in active elderly and its association with sociodemographic, voice-related lifestyle habits and vocal handicap aspects. Methods Cross-sectional observational study conducted with 254 elderly users of public health gyms in Belo Horizonte municipality. Data collection included an interview containing sociodemographic information, voice-related life habits and hoarseness self-report, in addition to the application of protocols: vocal handicap index (IDV-10) and screening for voice disorders (RAVI in Portuguese). The result of RAVI was considered the outcome variable. The data were subject to descriptive and association analysis using Pearson's Chi-square and Poisson Regression tests with Robust variance (5% significance level). Results It was found that the majority of the elderly are female (83.5%), aged 60 to 70 years (65.4%), retired (84.9%) and without a partner (61.8%). According to the RAVI protocol, 44.5% of them are suspected of voice alteration. Through multivariate analysis, the self-reported variables of hoarseness and vocal handicap showed association with suspected vocal changes measured by RAVI. Conclusion The vocal alteration suspicion was high in the elderly actives. The suspicion of vocal alteration was higher among the elderly with self-reported hoarseness and with vocal handicap.

Occupational status and nutrition profile and health of public municipal employees / Estado ocupacional y perfil nutricional y salud de los empleados públicos municipales

Background: Unhealthy lifestyles occur more often in low-socioeconomic status (SES) groups. The assessment of isolated factors reduces the understanding of the problem instead of clarifying the dynamic interaction of these factors in influencing the health. Objective: To study the relationship between nutrition habits and health, and the coexistence of dietary risk factors, according to the occupational status of public municipal employees. Materials and Methods: An electronic epidemiological survey was conducted from September to December 2009. In total, 5,646 public municipal employees (temporary and permanent) of the municipality (14.7%) answered the questionnaire. Sociodemographic information, health, physical activity, nutritional profile, and working conditions related to eating were investigated. Occupational status was defined by the International Socio-Economic Index. The coexistence of dietary risk factors (low consumption of fruits and vegetables, high consumption of chicken skin and meat fat, and insufficient time to eat at work) were evaluated using Venn diagrams. Results: Arterial hypertension, diabetes mellitus and overweight were more frequently reported in the low occupational status, and positive self-reported health was directly related to the occupational status of participants. Conclusion: Differences in health conditions and in the dietary habits of individuals according to occupational status indicate its relevance in the development of public and institutional policies that aim to promote health and reduce inequalities and the need for greater focus on those with lower occupational status (AU)

Introducción: Estilos de vida poco saludables son más frecuentes en los grupos de bajo nivel socioeconómico. La investigación de factores aislados reduce la comprensión de los problemas en lugar de explicar la dinámica que los factores interactúan para influir en la salud. Objetivo: Estudiar la relación entre los hábitos nutricionales y el perfil de salud, y la coexistencia de factores de riesgo relacionados con la alimentación, según el estatus ocupacional de los empleados públicos municipales. Material y Método: Se realizó una encuesta epidemiológica electrónica de septiembre a diciembre de 2009. Un total de 5.646 empleados públicos municipales de la ciudad (14,7%) respondieron el cuestionario. Se investigaron información sociodemográfica, la salud, la actividad física, el perfil nutricional y las condiciones de trabajo relacionados con la alimentación. Para la definición del estatus ocupacional se utilizó el Índice Socioeconómico Internacional. Se evaluó la coexistencia de factores de riesgo dietéticos (bajo consumo de frutas y verduras, alto consumo de piel del pollo y grasa de carne, y la falta de tiempo para comer en el trabajo), de acuerdo con los diagramas de Venn (temporales y permanentes). Resultados: La hipertensión arterial, la diabetes mellitus y el sobrepeso fueron reportados con mayor frecuencia en el grupo de la categoría ocupacional más baja, y la autoevaluación positiva estuvo directamente relacionada con la situación ocupacional de los participantes. Conclusiones: Las diferencias en las condiciones de salud y alimentación de los individuos, de acuerdo con el estatus ocupacional, indican su relevancia en el desarrollo de políticas públicas e institucionales que buscan promover la salud y reducir las desigualdades. Es necesaria mayor atención a los grupos de categorías ocupacionales más bajas (AU)

Excesso de peso e ambiente de trabalho no setor público municipal / Overweight and workplace in munucipal public sector

RESUMO Objetivo: Identificar se características sociodemográficas, hábitos alimentares, situação de saúde e condições de trabalho estão relacionadas ao excesso de peso em servidores e empregados públicos municipais. Métodos: Inquérito epidemiológico eletrônico (online) com servidores do município de Belo Horizonte, Minas Gerais, de setembro a dezembro de 2009. Investigaram-se informações sociodemográficas, de saúde, hábitos relacionados à alimentação e nutrição e informações sobre condições e ambiente de trabalho. Foi realizada análise de Regressão de Poisson (p<0,05), ajustada por sexo, idade e tempo do funcionário na função. Resultados: Um total de 44,4% dos participantes (n=4.893) apresentou sobrepeso, que prevaleceu em mulheres (p<0,001) e pessoas com maior mediana de idade (p<0,001), com filhos (p<0,001), casadas ou em união estável (p=0,002), e com menor nível educacional (p<0,001) e status ocupacional (p<0,001), determinados pelo International Socio-Economic Index. A regressão de Poisson encontrou associação entre sobrepeso e auto-relato de diabetes mellitus (RP=1,15; IC95%=1,03-1,27), hipercolesterolemia (RP=1,24; IC95%=1,15-1,32), hipertensão arterial (RP=1,47; IC95%=1,37-1,58), autoavaliação de saúde (RP=1,20; IC95%=1,12-1,29), cozinhar habitualmente (RP=1,11; IC95%CI=1,04-1,20), consumir carne com gordura aparente (RP=1,16; IC95%=1,08-1,24), e frequentemente não pausar durante o trabalho (RP=1,10; IC95%=1,03-1,18). Conclusão: A relação entre ambiente de trabalho e excesso de peso, evidenciada pela associação com a privação de pausa no trabalho, denota a necessidade de medidas preventivas específicas que considerem as características do ambiente de trabalho.

ABSTRACT Objective: To determine whether sociodemographic characteristics, food habits, health status, and working conditions are related to excess weight in municipal civil servants. Methods: This online epidemiological survey collected data about the sociodemographic characteristics, health, food habits, nutrition, and workplace of civil servants from the municipality of Belo Horizonte, Minas Gerais, from September to December 2009. Poisson regression adjusted for gender, age, and job duration was performed using a significance level of 5% (p<0.05). Results: A total of 44.4% of the participants (n=4,893) had excess weight, which prevailed in women (p<0.001) and individuals with higher median age (p<0.001), who had children (p<0.001), who were married or had a partner (p=0.002), and who had lower education level (p<0.001) and occupational status, determined by the International Socioeconomic Index (p<0.001). Poisson regression found associations between overweight and self-reported diabetes mellitus (PR=1.15; 95%CI=1.03-1.27), hypercholesterolemia (PR=1.24; 95%CI=1.15-1.32), hypertension (PR=1.47; 95%CI=1.37-1.58), health self-assessment (PR=1.20; 95%CI=1.12-1.29), habitual cooking (PR=1.11; 95%CI=1.04-1.20), eating meat with visible fat (PR=1.16; 95%CI=1.08-1.24), and hardly taking work breaks (PR=1.10; CI95%: 1.03-1.18). Conclusion: The relationship between workplace and excess weight, evidenced by its association with infrequent work breaks, shows the need of specific preventive measures that take into account workplace characteristics.

Sickness absence among health workers in belo horizonte, brazil.

OBJECTIVES: To describe the prevalence of sickness absence and to analyze factors associated with the outcome according to gender in a sample of healthcare workers at the Belo Horizonte Health Department. METHOD: This study was based on a Belo Horizonte Health Department survey carried out between September 2008 and January 2009. From a randomly selected sample of 2,205 workers, 1,808 agreed to participate. Workers were classified into Health Staff or Health Care. Other explanatory variables were social and demographic data, work characteristics, and personal health. The Poisson regression was applied to analyze factors associated with sickness absence by the prevalence ratio (PR). RESULTS: The overall prevalence of sickness absence was 31.5% (23.8% for men and 34.6% for women). In the final model, we found higher rates of sickness absence in both male and female workers involved in tasks with high psychosocial demands (PR=1.86 men; PR=1.38 women) and in those that reported using medication for treating chronic diseases (PR=1.96 men; PR=1.50 women). Women having a permanent job contract had a higher prevalence of sickness absence than those having a temporary job contract (PR=1.71). CONCLUSION: Our findings suggest a paradox in how healthcare is organized: good results in terms of its global objective of providing healthcare for citizens contrast with lack of effective measures for protecting healthcare workers.

Perfil audiológico de idosos submetidos à reabilitação vestibular / Audiologic profile of older adults subjected to vestibular rehabilitation therapy

OBJETIVO: caracterizar o perfil auditivo de idosos com tontura submetidos à Reabilitação Vestibular e comparar os resultados obtidos nas avaliações auditivas de idosos sem tontura. MÉTODOS: estudo observacional analítico transversal com 87 idosos, sendo 35 no grupo com tontura e 52 no grupo sem tontura. Foram realizadas anamnese, audiometria tonal limiar e vocal. Para a análise estatística foi utilizado o programa estatístico Statistical Package for the Social Sciences versão 17.0, com nível de significância de 5% nas análises. RESULTADOS: a perda auditiva neurossensorial de grau leve e moderada esteve presente em 72,4% da amostra, com piora dos limiares de audibilidade por via aérea a partir de 4000Hz em ambos os grupos. O zumbido foi a queixa mais frequente observada na amostra. CONCLUSÃO: o perfil auditivo de idosos com tontura não se diferencia daquele encontrado em idosos sem tontura, sendo observada com maior frequência a perda auditiva neurossensorial leve bilateral de configuração descendente. .

PURPOSE: to characterize the auditory profile of older adults with dizziness undergoing vestibular rehabilitation therapy and to compare the results with the profile of older adults without dizziness. METHODS: a cross-sectional, observational, and analytical study conducted with 87 older adults, 35 in the group with dizziness and 52 in the group without dizziness. The participants were interviewed and subjected to pure-tone threshold audiometry and speech audiometry. Statistical analysis was performed using the software Statistical Package for the Social Sciences version 17.0, at 5% significance. RESULTS: approximately 72.4% of the sample exhibited mild sensorineural hearing loss, with the air conduction threshold of audibility beginning to be affected at 4,000 Hz in both groups. Tinnitus was the complaint most frequently reported by the participants. CONCLUSION: the auditory profile of older adults with dizziness did not differ from the profile exhibited by older adults without dizziness; bilateral mild sensorineural hearing loss with a downward sloping configuration was the most frequent finding. .

Diagnosis of dysphonia among municipal employees: individual and work factors.

OBJECTIVE: To investigate the association between occupational status and the distribution of dysphonia. METHODS: In 2009, a sample of 5646 (14%) of the population of 38,304 municipal employees of Belo Horizonte was obtained. A questionnaire was made available on an Internet Web site that could be entered only after the respondent had given consent. The response variable was drawn up with reference to the question: "Has a doctor ever told you that you have dysphonia?," for which the possible responses were yes or no. The following variables were included in the logistic regression model: sociodemographic data, work characteristics, and lifestyle habits. RESULTS: The associations relating to dysphonia were found to be different between men and women. Differing from men, occupational factors influenced the outcome among women. Among men, there were significant associations between dysphonia and sociodemographic characteristics, health-related factors, and lifestyle factors. CONCLUSION: Gender differentials should be taken into consideration in health promotion actions among this group of municipal employees.

Ocupação e disfonia em servidores municipais de Belo Horizonte / Ocupação e disfonia em servidores municipais de Belo Horizonte

Antecedentes: está reconhecido o peso da situação socioeconômica quando se estudam os diferenciais na distribuição dos eventos de saúde. As diferenças sociais explicam porque os grupos em desvantagem experimentam sistematicamente pior saúde ou maior risco de adoecimento que os grupos em vantagem. A associação entre categoria ocupacional e adoecimento pode ser atribuída a um diferencial de distribuição das condições de trabalho (tipo e qualidade) para os grupos ocupacionais. Com o crescimento do setor público, a massa de trabalhadores está submetida a novas formas de gestão da força de trabalho. Esse cenário indica uma tendência à precarização nas relações de emprego que promove, com isso, a intensificação do trabalho no serviço público e culmina, muitas vezes, com o adoecimento dos trabalhadores. As diferenças na distribuição das morbidades vocais de acordo com a profissão justificaram medidas de saúde e segurança no ambiente de trabalho em vários países e elas são baseadas em evidências concernentes ao peso dos fatores ambientais e contextuais no desencadeamento ou agravamento dos sintomas vocais. A comparação dos grupos de acordo com os diferenciais de trabalho é útil para se avaliar equidade e amparar a formulação de políticas públicas. Objetivo: investigar a associação entre disfonia e status ocupacional entre servidores municipais de Belo Horizonte. Métodos: em 2009 obteve-se uma amostra de 5.646 (14%) do universo de 38.304 servidores municipais de Belo Horizonte. Um questionário foi disponibilizado em sítio da internet elaborada com referência na pergunta: Algum médico já lhe disse que você tem disfonia?, sendo as possíveis respostas sim ou não. As variáveis explicativas selecionadas foram; 1) sociodemográficas: faixa etária, situação conjugal e declaração de filhos; 2) características do trabalho: status ocupacional, ruído e características psicossociais; 3) saúde e hábitos de vida: transtorno mental, rinite/sinusite, atividade física. A análise multivariável foi realizada estratificando a amostra por gênero, pois, no caso da disfonia, tal aspecto assume relevância na explicação do desfecho. Estimou-se um modelo de regressão logística baseado no modelo teórico. Permaneceram no modelo final as variáveis com nível de significância de <0,05. Resultados: participaram do estudo 1.729 (32,25%) trabalhadores do sexo masculino e 3.632 (67,75%) do sexo feminino, a maior proporção de trabalhadores foi observada na faixa etária de 40 a 49 anos de idade (29,61% masculino, 36,73% feminino). Evidenciou-se efeito distinto entre homens e mulheres quando as associações com a disfonia foram descritas. Diferentemente do sexo masculino, os fatores ocupacionais influenciaram o desfecho no grupo feminino. No grupo masculino, encontraram-se associações significativas entre disfonia e características sociodemográficas, aspectos relacionados à saúde e hábitos de vida. No grupo feminino, foram encontradas associações significativas entre disfonia e características sociodemográficas, trabalho e aspectos relacionados à saúde e hábitos de vida. Conclusão: a disfonia está relacionada à faixa etária, às características do trabalho (para as mulheres), saúde e hábitos de vida, resultados que sustentam a necessidade de políticas voltadas para a prevenção dos fatores de risco eminentes. Diferenciais de gênero devem ser considerados nas ações de promoção da saúde no grupo de servidores municipais. Ao adotar o conceito de gênero, procurou-se chamar a atenção para a construção social e histórica do feminino e do masculino e para as relações sociais entre os sexos, marcadas, em nossa sociedade, por uma forte assimetria.

Background: it is recognized the influence of socioeconomic status when studying the differences in the distribution of health events. Social differences explain why disadvantaged groups systematically experience worse health or increased health risk compared to the groups in advantage. The association between occupational category and the illness can be attributed to a differential distribution of working conditions (type and quality) for the occupational groups. With the growth of the public sector, workers are subjected to new forms of management of the workforce. This scenario indicates a tendency to precariousness employment relations that promote intensification of work in public service and often cause illness among workers. The differences in the distribution of vocal morbidity according to the profession justified measures of health and safety in the workplace in several countries and they are based on evidence of environmental and contextual factors in the development of vocal symptoms. The comparison of groups according to the differential work is useful to assess equity and sustain the formulation of public policies. Objective: to investigate the association between occupational status and the distribution of dysphonia of municipal employees of Belo Horizonte. Methods: in 2009, a sample of 5646 (14%) of the population of 38 304 municipal employees of Belo Horizonte was obtained. A questionnaire was made available on an Internet Web site that could be entered only after the respondent had given consent. The response variable was drawn up with reference to the question: Has a doctor ever told you that you have dysphonia?, for which the possible responses were yes or no. The explanatory variables were selected; 1) Socio-demographic: age group, conjugal situation and children, 2) work characteristics: occupational status, noise and psychosocial demand, 3) health and lifestyle characteristics: mental disorder, rhinitis/sinusitis and physical activity. Multivariate analysis was performed by stratifying the sample by gender, as in the case of dysphonia such aspect has some relevant in explaining the outcome. Was estimate logistic regression model based on the theoretical model. The final model included the variables with a significance level of <0.05. Results: participated in the study 1,729 (32.25%) male workers and 3,632 (67.75%) were females, the highest proportion of workers was observed in the age group 40-49 years old (29.61% male, 36.73% female). The associations relating to dysphonia were found to be different between men and women. Differing from men, occupational factors inuenced the outcome among women. Among men, there were signicant associations between dysphonia and sociodemographic characteristics, health-related factors, and lifestyle factors. In the female group, significant associations between dysphonia and sociodemographic characteristics, work and health-related characteristics and lifestyle habits were found. Conclusion: dysphonia is related to age, the characteristics of the job (for women), health and lifestyle, support the need for policies aimed at the prevention of eminent risk factors. Gender differentials should be taken into consideration in health promotion actions among this group of municipal employees. By adopting the concept of genre, we tried to draw attention to the social and historical construction of feminine and masculine and social relations between the sexes, in our society marked by strong asymmetry

Análise das emissões otoacústicas evocadas por produto de distorção em neonatos prematuros / Distortion product otoacoustic emission analysis in premature neonates

Objetivos: verificar a incidência de alterações nas Emissões Otoacústicas por Produto de Distorção em neonatos prematuros e analisar a amplitude das respostas em função da idade gestacional nessa população.Métodos: trata-se de um estudo transversal observacional, que contou com análise dos resultados do exame de emissões otoacústicas evocadas por produto de distorção dos neonatos pré-termos, triados em um hospital público de Belo Horizonte, no período de agosto de 2010 a fevereiro de 2011. Os neonatos avaliados foram divididos em três grupos de acordo com a idade gestacional, sendo o primeiro grupo constituído por neonatos de 28-30 semanas, o segundo de 31-33 semanas e o terceiro grupo de 34-36 semanas. Este estudo foi aprovado pelo Comitê de Ética da UFG sob parecer número 0210.0.203.000-10.Resultados: dentre as crianças avaliadas 44 (93,62%) apresentaram Emissões Otoacústicas Por Produto de Distorção (EOAPD) presentes e apenas três crianças (6,38%) apresentaram EOAPD ausentes. Com relação à análise das amplitudes das EOAs e suas comparações entre os grupos estudados, não foi encontrada diferença estatisticamente significante entre os grupos gestacionais, entretanto observou-se valores menores de p entre os grupos gestacionais nas frequências altas – 5KHz e 6KHz.Conclusão: observou-se que a prematuridade em si não constitui um fator que influencia no resultado de EOAPD em neonatos prematuros.

Purpose: to verify the incidence of changes in otoacoustic emission distortion product in premature infants and to analyze the magnitude of responses in relation to the gestational age in this population.Methods: observational cross-sectional study, which included results analysis of distortion product otoacoustic emissions of preterm newborns, screened in a public hospital in Belo Horizonte, from August 2010 to February, 2011. The infants were divided into three groups according to the gestational ages, the first group consisting of neonates aging 28-30 weeks, the second was of 31-33 weeks and third group of 34-36 weeks. This study was approved by the Ethics Committee of UFMG number 0210.0.203.000-10.Results: among the 44 children studied (93.62%) distortion product otoacoustic emissions (DPOAE) were present and only three children (6.38%) had absent DPOAEs. Regarding the amplitude analysis of the otoacoustic emissions and their comparisons between groups, no statistically significant difference was found between gestational groups, however we observed lower p values between gestational groups at high frequencies – 6kHz and 5KHz.Conclusion: prematurity in itself is not a factor that influences the outcome of DPOAE in premature neonates.

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study / Analise dos aspectos de qualidade de vida em voz em professores apos alta fonoaudiologica: estudo longitudinal

PURPOSE: To evaluate the long-term effects of voice therapy on the life quality of teachers who were discharged or abandoned the voice therapy for dysphonia. METHODS: This was a longitudinal study based on analysis of assessments with teachers of municipal schools in Belo Horizonte, who were referred to voice therapy and were discharged or abandoned the speech-language therapy for more than six months. A total of 33 teachers in the discharged group and 20 teachers in the abandoned group were contacted by phone and invited to participate in the study by answering the Voice activity and participation profile, which was forwarded to the researchers and sent via letter. RESULTS: At the moment of the pre speech therapy, the discharged and abandoned groups were homogeneous, except in relation to daily communication parameter. Comparing the discharged group in the pre and post speech-language therapy, it was showed improvements in social communication parameter as well as in the total score. The discharged group presented worsening in self-perception parameter when comparing the average values in the post therapy and current moments, and the group abandoned presented worsening in work, social communication and total score when comparing to the average values in the pre therapy and current moments. The discharged and abandoned groups differ in the present moment in all investigated parameters. CONCLUSION: Speech-language therapy for dysphonia have long term positive effects on life quality and voice of teachers who were soon discharged from the therapy and in a period of two years on average. Teachers who have abandoned treatment and did not obtain improvement in the voice showed negative impact in life quality and voice in a time of 2 years and 2 months on average. .

OBJETIVO: Avaliar os efeitos em longo prazo da fonoterapia na qualidade de vida de professoras que receberam alta ou abandonaram o tratamento fonoaudiológico para disfonia. MÉTODOS: Tratou-se de um estudo longitudinal baseado na análise das avaliações realizadas com docentes da rede municipal de ensino de Belo Horizonte, encaminhados para fonoterapia, que tiveram alta ou abandonaram o tratamento fonoaudiológico há mais de seis meses. Participaram 33 professoras no grupo alta e 20 no grupo abandono que foram contatadas, por meio de ligações telefônicas, e convidadas a responder ao protocolo Perfil de participação em atividades vocais, enviado e reencaminhado às pesquisadoras por meio de carta. RESULTADOS: No momento pré-fonoterapia, os grupos alta e abandono eram homogêneos, exceto em relação ao parâmetro comunicação diária. Na comparação do grupo alta nos momentos pré e pós-fonoterapia observou-se melhora no parâmetro comunicação social e no escore total. O grupo alta apresentou piora no parâmetro autopercepção na comparação das médias nos momentos pós-fonoterapia e atual, e no grupo abandono houve piora nos parâmetros trabalho, comunicação social e no escore total na comparação das médias pré-fonoterapia e atual. Os grupos alta e abandono apresentaram diferença no momento atual em todos os parâmetro pesquisados. CONCLUSÃO: O tratamento fonoterápico para professoras disfônicas impacta positivamente na qualidade de vida relacionada à voz, logo após a alta e em um seguimento de dois anos em média. Em professores que abandonaram o tratamento, e consequentemente não obtiveram melhora do quadro vocal, o impacto na qualidade de vida e voz se torna mais negativo em um seguimento ...

Parâmetros vocais, laríngeos e de autopercepção de professoras disfônicas: análise após tratamento fonoaudiológico / Vocal, laryngeal and self-perception measurements of dysphonic teachers: analysis after voice therapy

OBJETIVO: analisar os resultados das avaliações vocais, laríngeas e de autopercepção após tratamento fonoaudiológico em um grupo de professoras disfônicas. MÉTODO: trata-se de estudo retrospectivo com revisão de 42 prontuários de mulheres portadoras de disfonia comportamental, com coleta de dados referente à análise perceptivo-auditiva, acústica, de avaliação laríngea e de protocolo de autopercepção vocal (PPAV) nas situações pré e pós-fonoterapia. As professoras foram atendidas por estudantes do curso de Fonoaudiologia supervisionados por um único profissional. Foram utilizadas terapia direta com a realização de técnicas vocais e indireta com orientação sobre cuidados com a saúde vocal. RESULTADOS: com relação à análise perceptivo-auditiva, 73,8% das vozes foram descritas como melhores após a fonoterapia. Os parâmetros que mais se modificaram foram o grau da disfonia (G) e a rugosidade (R). No que concerne à análise acústica, os parâmetros que melhoraram significantemente após o tratamento foram o jitter, quociente de perturbação de frequência, shimmer e quociente de perturbação de amplitude. A avaliação laríngea demonstrou que 43% das pacientes apresentaram melhora no exame após o tratamento fonoaudiológico; 38% dos exames não sofreram alteração com o tratamento e 19% pioraram no momento da alta. A partir do PPAV, constatou-se melhora estatisticamente significante para todos os domínios no momento pós-fonoterapia, sendo que a maior diferença entre as médias pré e pós-tratamento foi referente ao parâmetro "efeitos no trabalho". CONCLUSÃO: observou-se melhora dos parâmetros perceptivo-auditivos de grau geral da disfonia e rugosidade, nas medidas acústicas de jitter e shimmer, bem como melhora da imagem laríngea e impacto positivo da voz na qualidade de vida das professoras avaliadas após o tratamento fonoaudiológico.

PURPOSE: to analyze the results of evaluations vocals, laryngeal and self-perception after speech therapy in a group of dysphonic teachers. METHOD: this is a retrospective study carried out using a handbook review of 42 patients with hyperfunctional dysphonia, yielding data of hearing-perceptual and acoustic analysis, laryngeal exams and Voice Activity and Participation Profile (VAPP) before and after speech therapy. Patients were treated by students of speech language therapy, under supervision of a single professional using direct therapy, which consists in vocal techniques, and indirect, with exposure about vocal health care. RESULTS: in respect to hearing-perceptual assessment, 73,8% of voice samples were described as better in post treatment situation. The parameters grade of dysphonia (G) and roughness (R) most contributed for voice improvement. In acoustic analysis, there was significantly change after therapy for jitter, perturbation of frequency, shimmer and perturbation of amplitude parameters. Laryngeal analysis demonstrated that 43% have improved in visual-perceptual assessment after vocal therapy; 38% of the exams had no change with therapy and 19% were worst at discharge moment. Considering VAPP, was possible to verify significant improvement in post treatment situation for all parameters, and the biggest difference between the averages before and after vocal therapy refers to "effects of this alteration at work". CONCLUSIONS: there was an improvement of hearing-perceptual parameters grade of dysphonia (G) and roughness (R), acoustic parameters of perturbation of frequency and amplitude, in larynx image and a positive impact of voice in evaluated patient's quality of life after voice therapy.

Relationship between adherence to speech therapy in patients with dysphonia and quality of life.

OBJECTIVE: The present study analyzed if aspects of voice-related quality of life (VRQOL) were associated with adherence to voice therapy in teachers. STUDY DESIGN: Retrospective survey in which the medical records of 179 dysphonic teachers (62, abandonment group and 114, discharge group) who underwent speech therapy at the Speech Therapy Clinic at the Hospital das Clínicas of the Universidade Federal de Minas Gerais (AV-HCUFMG) were analyzed. METHODS: Female teachers with dysphonia referred by Gerência de Saúde e Perícia Médica (Department of Health and Medical Analysis) of Belo Horizonte City Hall were included. The variables of interest were: age, number of voice therapy sessions attended (attendance), number of sessions missed (absence), type of dysphonia, and Vocal Activity and Protocol Profile (VAPP) scores administered during the first therapy session as a component of voice assessment. The chi-square test was used to assess categorical variables. For continuous variables, the Mann-Whitney test, a nonparametric test for independent samples, was used. RESULTS: The groups differed with regard to the type of dysphonia as well as the several parameters of the VAPP: vocal self-perception, effects at work, effects on daily communication, effects on emotion, and the total VAPP score. CONCLUSIONS: Individuals with less favorable VRQOL scores were less adherent to voice therapy compared with subjects with more favorable VRQOL.

Qualidade de Vida em Voz: estudo na doença de Parkinson idiopática e na disfonia espasmódica adutora / Quality of life in voice: a study in Parkinson's disease and in adductor spasmodic dysphonia

OBJETIVO: avaliar o impacto causado pela alteração vocal na qualidade de vida (QV) dos pacientes com doença de Parkinson (DP) idiopática e com disfonia espasmódica adutora (DEA). MÉTODO: o estudo foi realizado com 56 indivíduos do sexo feminino, dos quais 28 compunham o grupo controle; 14, o grupo de DEA, no período anterior ao tratamento com toxina botulínica; e 14, o grupo de DP idiopática. Os participantes preencheram o questionário de Qualidade de Vida em Voz (QVV) validado para o português brasileiro. Para verificar a diferença entre as médias dos grupos foi utilizado o método de análise de variância por postos de Kruskal-Wallis e o teste de Tamhane para comparações múltiplas, com significância <0,05. RESULTADOS: as médias de idade dos grupos foram 66,18 para o grupo controle, 67,21 DP e 59,7 DEA, não havendo diferença estatística entre as médias. No protocolo QVV as médias dos domínios sócio-emocional, físico e escore total foram maiores para o grupo controle, seguido pelo grupo de DP idiopática e por fim o grupo da DEA, sendo a diferença entre elas estatisticamente significante. Além disso, houve diferença estatística para cada par de grupos, referente aos domínios do protocolo QVV, exceto no que se refere ao par controle e DP idiopática, no domínio sócio emocional (p=0,076). CONCLUSÃO: o maior impacto negativo na QV relacionado à voz está nos indivíduos com DEA, seguido por aqueles com DP idiopática e por fim os indivíduos do grupo controle.

PURPOSE: to evaluate the impact of voice disorders on quality of life of patients with idiopathic Parkinson's disease and with adductor spasmodic dysphonia. METHOD: the study consisted of 56 females, 28 in the control group; 14, the adductor spasmodic dysphonia group in the period prior to treatment with botulinum toxin; and 14, the group of idiopathic Parkinson's disease. The participants filled in the Voice-Related Quality of life (V-RQOL) questionnaire validated for Brazilian Portuguese. To check the difference between averages of the groups it was used the method of analysis of variance by Kruskal-Wallis and Tamhane test for multiple comparisons, with significance <0.05. RESULTS: the average age of the groups were 66.18 for the control group, 67.21 for the Parkinson's disease group and 59.7 for the adductor spasmodic dysphonia group, with no statistical difference between the groups. In the V-RQOL protocol the mean domain social-emotional, physical functioning and total score were higher in the control group, followed by group of Parkinson's disease and, finally, the group of adductor spasmodic dysphonia with statistically significant difference between them. In addition, there was statistical difference for each pair of groups, concerning the areas V-RQOL protocol, except as regards the pair control and Parkinson's disease group in the social-emotional domain (p= 0,076) CONCLUSION: the negative impact of voice on quality of life is greatest in the adductor spasmodic dysphonia group, followed by Parkinson's disease group and at last, the control group.

Adherence of the dysphonic teachers in speech therapy.

PURPOSE: To study the possible factors associated with adherence to the speech-language pathology treatment of dysphonia in female teachers of municipal schools of Belo Horizonte. METHODS: This was a retrospective study that analyzed the medical records of 251 teachers treated at the Voice Ambulatory Speech Language Pathology Service, Hospital das Clínicas da Universidade Federal de Minas Gerais (AV-UFMG) from August 2007 to December 2009. The collected data included age, number of scheduled sessions, number of absences, number of children, type of dysphonia, degree of dysphonia, monthly family income, and education. We calculated the distance, in kilometers, of the residence to the place of treatment and the workplace to place of treatment. We also analyzed the social vulnerability index of the workplace. RESULTS: The results of this research indicated that of the 135 records that were included in the study, 89 (65.93%) corresponded to the discharged group and 46 (34.07%) corresponded to the abandonment group. In comparison with all the variables studied, only the number of faults and the type of dysphonia were associated with poor adherence to voice therapy. CONCLUSION: Results showed that the number of absences in sessions, treatment-related factor, organofuncional dysphonia type, and clinical-related factor were all associated with the abandonment of voice therapy.

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study.

PURPOSE: To evaluate the long-term effects of voice therapy on the life quality of teachers who were discharged or abandoned the voice therapy for dysphonia. METHODS: This was a longitudinal study based on analysis of assessments with teachers of municipal schools in Belo Horizonte, who were referred to voice therapy and were discharged or abandoned the speech-language therapy for more than six months. A total of 33 teachers in the discharged group and 20 teachers in the abandoned group were contacted by phone and invited to participate in the study by answering the Voice activity and participation profile, which was forwarded to the researchers and sent via letter. RESULTS: At the moment of the pre speech therapy, the discharged and abandoned groups were homogeneous, except in relation to daily communication parameter. Comparing the discharged group in the pre and post speech-language therapy, it was showed improvements in social communication parameter as well as in the total score. The discharged group presented worsening in self-perception parameter when comparing the average values in the post therapy and current moments, and the group abandoned presented worsening in work, social communication and total score when comparing to the average values in the pre therapy and current moments. The discharged and abandoned groups differ in the present moment in all investigated parameters. CONCLUSION: Speech-language therapy for dysphonia have long term positive effects on life quality and voice of teachers who were soon discharged from the therapy and in a period of two years on average. Teachers who have abandoned treatment and did not obtain improvement in the voice showed negative impact in life quality and voice in a time of 2 years and 2 months on average.

Adesão das professoras disfônicas ao tratamento fonoterápico / Adherence of the dysphonic teachers in speech therapy

OBJETIVO: Estudar os possíveis fatores associados à adesão ao tratamento fonoaudiológico para a disfonia, em mulheres professoras da Rede Municipal de Ensino de Belo Horizonte. MÉTODOS: Trata-se de um estudo retrospectivo, no qual foram analisados 251 prontuários de professores atendidos no Ambulatório de Voz do Serviço de Fonoaudiologia do Hospital das Clínicas da Universidade Federal de Minas Gerais (AV-UFMG) no período de 2007 a 2009. Foram coletados os seguintes dados: idade, número de sessões programadas, número de faltas, número de filhos, tipo de disfonia, grau da disfonia, renda mensal familiar e escolaridade. Calculou-se a distância, em quilômetros, da residência ao local do tratamento e do local de trabalho ao local do tratamento fonoaudiológico. Analisou-se também o Índice de Vulnerabilidade Social do local de trabalho. RESULTADOS: Dos 251 prontuários analisados, 135 preencheram os critérios de inclusão. Destes 89 (65,93%) correspondem ao grupo que recebeu alta e 46 (34,07%) ao grupo que abandonou o tratamento. Das variáveis estudadas, apenas o número de faltas e o tipo de disfonia apresentaram relação com a adesão à terapia de voz. CONCLUSÃO: O número de ausências às sessões, fator relacionado ao tratamento, e a disfonia do tipo organofuncional, aspecto referente ao quadro clínico, mostraram-se associados ao abandono da terapia de voz.

PURPOSE: To study the possible factors associated with adherence to the speech-language pathology treatment of dysphonia in female teachers of municipal schools of Belo Horizonte. METHODS: This was a retrospective study that analyzed the medical records of 251 teachers treated at the Voice Ambulatory Speech Language Pathology Service, Hospital das Clínicas da Universidade Federal de Minas Gerais (AV-UFMG) from August 2007 to December 2009. The collected data included age, number of scheduled sessions, number of absences, number of children, type of dysphonia, degree of dysphonia, monthly family income, and education. We calculated the distance, in kilometers, of the residence to the place of treatment and the workplace to place of treatment. We also analyzed the social vulnerability index of the workplace. RESULTS: The results of this research indicated that of the 135 records that were included in the study, 89 (65.93%) corresponded to the discharged group and 46 (34.07%) corresponded to the abandonment group. In comparison with all the variables studied, only the number of faults and the type of dysphonia were associated with poor adherence to voice therapy. CONCLUSION: Results showed that the number of absences in sessions, treatment-related factor, organofuncional dysphonia type, and clinical-related factor were all associated with the abandonment of voice therapy.

Absenteísmo-doença segundo autorrelato de servidores públicos municipais em Belo Horizonte / Absenteeism and sickness as per self-reports by municipal public employees in Belo Horizonte, Brazil / Ausentismo-enfermedad según auto-relato de empleados públicos municipales en Belo Horizonte

O objetivo do estudo é analisar o perfil de um conjunto de servidores públicos municipais que relataram, por ocasião de um inquérito, absenteísmo-doença nos últimos 12 meses. Em 2009 obteve-se uma amostra de 5.646 (14%) do universo de 38.304 servidores municipais de Belo Horizonte. Um questionário foi disponibilizado em sítio da Internet, cuja entrada dependia do consentimento do respondente. Regressão de Poisson foi utilizada para determinar os fatores associados. A prevalência do absenteísmo-doença foi maior entre os servidores do sexo feminino (RP 1,12) e diminuiu com o aumento das faixas etárias: 30-39 anos (RP 0,79); 40-49 anos (RP 0,72); e 50 anos ou mais (RP 0,68). Absenteísmo-doença mostrou-se associado às atividades ligadas aos grupos de fiscalização e vigilância (RP 1,46), serviços gerais (RP 1,22), informação, educação e cultura (RP 1,50) e saúde (RP 1,50). As comorbidades mais presentes foram LER/Dort (RP 1,19), lombalgia (RP 1,16), depressão/ ansiedade (RP 1,20) e percepção de cansaço mental (RP 1,12). O relato de uso de medicação para depressão/ansiedade se mostrou fator protetor (RP 0,82). Maior probabilidade de transtorno mental (RP 1,23) segundo o SRQ20, insatisfação com a capacidade de trabalho (RP 1,08), condições razoáveis (RP 1,21) e condições precárias de trabalho (RP 1,19) foram associadas ao desfecho. Programas de promoção da saúde no trabalho visando a prevenção de comorbidades musculoesqueléticas e queixas psicossociais atenuariam as situações que provavelmente estão na origem do absenteísmo-doença.

The purpose of this study was to analyze the profile of municipal public servants who reported illnessrelated absenteeism in the preceding 12 months. The study involved a sample of 5,646 (14%) of all 38,304 municipal workers in the city of Belo Horizonte, Minas Gerais, Brazil, in 2009. A questionnaire was placed on the Internet, where entry depended on the respondents' consent. Poisson regression analysis was used to determine the associated factors. Absenteeism due to illness was highly correlated with women (PR 1.12) and decreased with age: 30-39 years (PR 0.79), 40-49 years (PR 0.72) and 50 years of over (PR 0.68). Sickness-related absenteeism was closely associated with work involving monitoring and surveillance groups (PR 1.46), general services (PR 1.22), information, education and culture (PR 1.50), and health (PR 1.50). Comorbidities included WRMD (PR 1.19), lower-back pain (PR 1.16), depression / anxiety (PR 1.20) and perception of mental fatigue (PR 1.12). The reported use of medication for depression / anxiety proved to be a protective factor (PR 0.82). Factors such as Greater likelihood of mental disorder (PR 1.23) according to SRQ20, Dissatisfaction with one's ability to work (PR 1.08), Reasonable conditions (PR 1.21) and Poor working conditions (PR 1.19), were associated with the outcomes. Health promotion programs would be useful to decrease illness-related absenteeism because interventions for preventing musculoskeletal comorbidity and psychosocial complaints would attenuate situations that are probably the source of absenteeism due to illness.

El objetivo del estudio es analizar el perfil de un conjunto de empleados públicos municipales que relataron, en el marco de una investigación, su ausentismo-enfermedad en los últimos 12 meses. En el 2009 se obtuvo una muestra de 5.646 (14%) del universo de 38.304 empleados municipales de Belo Horizonte. Se puso a disposición en un sitio de Internet un cuestionario, cuya entrada dependía del consentimiento de la persona que lo contestaría. La regresión de Poisson fue utilizada para determinar los factores asociados. La prevalencia del ausentismo-enfermedad fue mayor entre los empleados del sexo femenino (RP 1,12) y se redujo con el aumento de los grupos de edad: 30-39 años (RP 0,79); 40-49 años (RP 0,72); y 50 años o más (RP 0,68). El ausentismo-enfermedad se mostró asociado a las actividades vinculadas a los grupos de fiscalización y vigilancia (RP 1,46), servicios generales (RP 1,22), información, educación y cultura (RP 1,50) y salud (RP 1,50). Las comorbilidades más frecuentes fueron LER/Dort (RP 1,19), lumbago (RP 1,16), depresión/ansiedad (RP 1,20) y percepción de cansancio mental (RP 1,12). El relato de uso de medicación para depresión/ansiedad se mostró un factor protector (RP 0,82). Una mayor probabilidad de trastorno mental (RP 1,23) según el SRQ20, insatisfacción con la capacidad de trabajo (RP 1,08), condiciones razonables (RP 1,21) y condiciones precarias de trabajo (RP 1,19) fueron asociadas al desenlace. Programas de promoción de la salud en el trabajo con miras a prevenir comorbilidades musculoesqueléticas y quejas psicosociales atenuarían las situaciones que probablemente se sitúan en el origen del ausentismo-enfermedad.

Idiopathic Parkinson's disease: vocal and quality of life analysis.

OBJECTIVE: To compare voice and life quality of male patients with idiopathic Parkinson's disease, with individuals without disease (Control Group). METHODS: A cross-sectional study that evaluated the voice of individuals with Parkinson's disease, the group was composed of 27 subjects, aged from 39 to 79 years-old (average 59.96). The Control Group was matched on sex and age. Participants underwent voice recording. Perceptual evaluation was made using GRBASI scale, which considers G as the overall degree of dysphonia, R as roughness, B as breathiness, A as asthenia, S as strain and I as instability. The acoustic parameters analyzed were: fundamental frequency, jitter, shimmer, and harmonic to noise ratio (NHR). For vocal self-perception analysis, we used the Voice Related Quality of Life protocol. RESULTS: Fundamental frequency and jitter presented higher values in the Parkinson's group. NHR values were higher in the Control Group. Perceptual analysis showed a deviation ranging. The vocal disorder self-perception demonstrated a worse impact on quality of life. CONCLUSIONS: Individuals with Parkinson's disease have an altered voice quality and a negative impact on quality of life.

Idiopathic Parkinson's disease: vocal and quality of life analysis / Doença de Parkinson idiopática: análise vocal e da qualidade de vida

OBJECTIVE: To compare voice and life quality of male patients with idiopathic Parkinson's disease, with individuals without disease (Control Group). METHODS: A cross-sectional study that evaluated the voice of individuals with Parkinson's disease, the group was composed of 27 subjects, aged from 39 to 79 years-old (average 59.96). The Control Group was matched on sex and age. Participants underwent voice recording. Perceptual evaluation was made using GRBASI scale, which considers G as the overall degree of dysphonia, R as roughness, B as breathiness, A as asthenia, S as strain and I as instability. The acoustic parameters analyzed were: fundamental frequency, jitter, shimmer, and harmonic to noise ratio (NHR). For vocal self-perception analysis, we used the Voice Related Quality of Life protocol. RESULTS: Fundamental frequency and jitter presented higher values in the Parkinson's group. NHR values were higher in the Control Group. Perceptual analysis showed a deviation ranging. The vocal disorder self-perception demonstrated a worse impact on quality of life. CONCLUSIONS: Individuals with Parkinson's disease have an altered voice quality and a negative impact on quality of life.

OBJETIVO: Comparar a qualidade vocal e a qualidade de vida entre pacientes do sexo masculino com doença de Parkinson idiopática e indivíduos sem a doença (Grupo Controle). MÉTODOS: Estudo transversal que avaliou a voz de 27 indivíduos com doença de Parkinson, com idades entre 39 a 79 anos (média de 59,96). O Grupo Controle foi pareado em sexo e idade. Avaliação perceptiva foi feita usando escala GRBASI, que considera G como o grau global da disfonia, R como a rugosidade, B como soprosidade, A como astenia, S como tensão e I como instabilidade. Os parâmetros acústicos analisados foram: frequência fundamental, jitter, shimmer e harmonic to noise ratio (NHR). Para análise da autopercepção vocal, utilizou-se o protocolo Qualidade de Vida e Voz. RESULTADOS: As medidas frequência fundamental e jitter apresentaram valores mais altos no grupo com doença de Parkinson. Valores de NHR foram maiores no Grupo Controle. Análise perceptivo-auditiva mostrou desvio da qualidade vocal. O distúrbio de autopercepção vocal demonstrou impacto negativo na qualidade de vida. CONCLUSÕES: Indivíduos com doença de Parkinson idiopática apresentam qualidade vocal alterada e impacto negativo na qualidade de vida.