Immediate Effect of the Finger-Kazoo Technique Associated with Glissandos in the Voice of Individuals with Parkinson's Disease.

OBJECTIVE: To verify the immediate effect of the Finger Kazoo technique associated with glissandos in the voice of individuals with Parkinson's disease. METHOD: Thirty subjects with Parkinson's Disease comprised of 15 men and 15 women with a mean age of 63.8 years (± 6.88) and mean time of diagnosis of 97.33 (± 63.53) months, all with preserved cognition. The subjects' voice range profile (VRP), speech range profile (SRP), and the maximum phonation time were assessed, before and after applying the Finger Kazoo technique associated with ascending and descending glissando. After the technique, a vocal satisfaction questionnaire was completed. RESULTS: After the applied technique there was an increase in the minimum and maximum fundamental frequency recorded respectively in the SRP and in the VRP; there was an increase in the vocal range (measured in Hertz and semitones) of the women, recorded in the VRP; in the male population, there was an increase in maximum phonation time. A higher percentage of positive references to vocal improvement was observed after the exercise. CONCLUSION: In patients with Parkinson's Disease, the Finger Kazoo with glissando technique promoted an increase in the minimum fundamental frequency of the SRP and in the vocal extensions of women, as well as increasing the maximum phonatory time of men. In addition, patients reported satisfaction with the use of the technique and its results.

Queimadura de face: abordagem fonoaudiológica na prevenção de microstomia / Face burn: speech-language approach in the prevention of microstomia

A retração nos lábios pode determinar variados graus de microstomia, possibilitando alterações nas funções estomatognáticas. Inicialmente é indicado o tratamento conservador com o uso de splints orais (órteses), capazesde aplicar forças que possam parar ou inverter esse processo. O objetivo desse trabalho é apresentar a abordagem fonoaudiológica em um caso de de face, com retração das comissuras oral em evolução para microstomia, associando as técnicas específicas de terapia ao uso de órteses, visando à funcionalidade do sistema estomatognático.

The lips retraction may provide various degrees of microstomia, reduction in oral opening, allowing changes in the stomatognathic functions, difficultiesin dental procedures and aesthetic deformities. Initially, it is indicated theconservative treatment through the use of oral splints (orthoses) capable of applying forces which could halt or reverse the situation. The objectiveto present paper is the speech therapy approach in a case of face burn with oral commissures retraction evolving to microstomia, associating specific therapy techniques to the orthoses use, aiming the stomatognathic system functionality.