[Teachers' voice rehabilitation in sanatorium conditions]. 2021

Anna Sinkiewicz, and Agnieszka Garstecka, and Hanna Mackiewicz-Nartowicz, and Lidia Nawrocka, and Wioletta Wojciechowska, and Agata Szkiełkowska
Uniwersytet Mikołaja Kopernika w Toruniu / Nicolaus Copernicus University in Toruń, Toruń, Poland (Collegium Medicum w Bydgoszczy, Katedra Otolaryngologii, Foniatrii i Audiologii / Collegium Medicum in Bydgoszcz, Department of Otolaryngology, Phoniatrics and Audiology).

BACKGROUND Voice diseases occupy the third place among all of the diagnosed occupational disorders in Poland. There still exists the necessity to implement effective and economical methods of the primary and secondary prevention of voice disorders in teachers. The aim of this study was to assess the effectiveness of comprehensive voice rehabilitation in teachers, conducted within a health resort hospital. METHODS The results of comprehensive voice rehabilitation in 100 teachers with job seniority of 10-30 years (M = 17 years), conducted during 24-day-long staying in a sanatorium, are presented in this research. Phoniatrical and laryngological examinations (maximum phonation time [MPT], perceptual assessment of voice in GRBAS scale, laryngovideostroboscopy, and acoustic analysis of voice), self-assessment of voice (the Voice Handicap Index - VHI), logopedical estimation and audiometry were conducted during the first and the last day of the sanatorium stay. The therapeutic program included educational workshops on vocal hygiene, voice therapy, physiotherapy and psychotherapy. The inpatient therapy effects were also described by the teachers using a questionnaire. RESULTS Improvements of objective acoustic parameters, a perceptual assessment of voice, and a self-assessment of VHI and MPT were observed. Phonation style changes were confirmed in the laryngovideostroboscopic examination. Phonation closure improved significantly in 30% of the examined teachers. Moreover, 97% of the participants confirmed in the questionnaire the effectiveness and purposefulness of periodic recurrence of such rehabilitation courses. CONCLUSIONS The results of this research as well as the positive feedback from the participants of inpatient rehabilitation confirmed the effectiveness of occupational voice disorder rehabilitation in sanatorium (inpatient) conditions. Treatment and rehabilitation in a stationary form should aim to achieve voice improvement and job continuation. Such a procedure may contribute to reducing the financial outlays related to treatment, health leaves and occupational pensions. Med Pr. 2021;72(4):399-405.

UI MeSH Term Description Entries
D009784 Occupational Diseases Diseases caused by factors involved in one's employment. Diseases, Occupational,Occupational Illnesses,Disease, Occupational,Illnesse, Occupational,Illnesses, Occupational,Occupational Disease,Occupational Illnesse
D010699 Phonation The process of producing vocal sounds by means of VOCAL CORDS vibrating in an expiratory blast of air. Phonations
D006761 Hospitals Institutions with an organized medical staff which provide medical care to patients. Hospital
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013061 Speech Acoustics The acoustic aspects of speech in terms of frequency, intensity, and time. Acoustics, Speech,Acoustic, Speech,Speech Acoustic
D014832 Voice Disorders Pathological processes that affect voice production, usually involving VOCAL CORDS and the LARYNGEAL MUCOSA. Voice disorders can be caused by organic (anatomical), or functional (emotional or psychological) factors leading to DYSPHONIA; APHONIA; and defects in VOICE QUALITY, loudness, and pitch. Neurologic Voice Disorder,Voice Disorder, Neurologic,Voice Disturbance,Voice Fatigue,Disturbance, Voice,Disturbances, Voice,Fatigue, Voice,Fatigues, Voice,Neurologic Voice Disorders,Voice Disorder,Voice Disorders, Neurologic,Voice Disturbances,Voice Fatigues
D014833 Voice Quality That component of SPEECH which gives the primary distinction to a given speaker's VOICE when pitch and loudness are excluded. It involves both phonatory and resonatory characteristics. Some of the descriptions of voice quality are harshness, breathiness and nasality. Qualities, Voice,Quality, Voice,Voice Qualities

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