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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Enquadramento&#58;</span> A exposi&#231;&#227;o cr&#243;nica ao ru&#237;do de baixa frequ&#234;ncia &#40;RBF&#41; &#40;&#8804; 500<span class="elsevierStyleHsp" style=""></span>Hz&#44; incluindo infra-sons&#41; pode conduzir ao desenvolvimento da doen&#231;a vibroac&#250;stica &#40;VAD &#8211; <span class="elsevierStyleItalic">vibroacoustic disease</span>&#41;&#44; uma patologia sist&#233;mica caracterizada pela prolifera&#231;&#227;o anormal das matrizes extracelulares&#46; O aparelho respirat&#243;rio &#233; alvo do RBF&#44; como foi observado em doentes com VAD atrav&#233;s de bi&#243;psia e confirmado com modelos animais expostos a RBF&#44; sendo um dos aspectos mais evidentes a fibrose intersticial da traqueia&#46; A an&#225;lise ac&#250;stica vocal pode detectar pequenas varia&#231;&#245;es na massa&#44; tens&#227;o&#44; actividade muscular e neuronal das pregas vocais atrav&#233;s de par&#226;metros como frequ&#234;ncia fundamental &#40;F<span class="elsevierStyleInf">0</span>&#41;&#44; <span class="elsevierStyleItalic">jitter</span>&#44; <span class="elsevierStyleItalic">shimmer</span> e &#237;ndice harm&#243;nico-ru&#237;do &#40;H&#47;R&#41;&#46; Dado que o sistema respirat&#243;rio &#233; a fonte de energia do processo fonat&#243;rio&#44; e sabendo das altera&#231;&#245;es morfol&#243;gicas na traqueia dos doentes com VAD&#44; pode perguntar-se quais os efeitos destas altera&#231;&#245;es na voz&#46;O objectivo deste estudo foi determinar se os par&#226;metros ac&#250;sticos dos doentes com VAD diferem dos dados normativos&#46; <span class="elsevierStyleBold">M&#233;todos&#58;</span> Nove indiv&#237;duos diagnosticados com a VAD &#40;5 homens e 4 mulheres&#41; foram gravados durante a produ&#231;&#227;o de tarefas fonat&#243;rias e foram efectuadas as an&#225;lises ac&#250;sticas vocais&#46; <span class="elsevierStyleBold">Resultados&#58;</span> Os doentes com a VAD apresentaram valores elevados de F<span class="elsevierStyleInf">0</span>&#44; <span class="elsevierStyleItalic">shimmer</span> e H&#47;R e valores reduzidos de <span class="elsevierStyleItalic">jitter</span> e extens&#227;o m&#225;xima de frequ&#234;ncia vocal&#46; <span class="elsevierStyleBold">Conclus&#245;es&#58;</span> Os doentes com a VAD&#44; quando comparados com dados normativos&#44; apresentaram diferentes par&#226;metros ac&#250;sticos vocais&#44; espectrais e de perturba&#231;&#227;o&#44; podendo indicar altera&#231;&#245;es morfol&#243;gicas no sistema fonat&#243;rio&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2006&#59; XII &#40;4&#41;&#58; 375-382</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Background&#58;</span> Long-term low frequency noise exposure &#40;LFN&#41; &#40;&#8804; 500<span class="elsevierStyleHsp" style=""></span>Hz&#44; including infrasound&#41; may lead to the development of vibroacoustic disease &#40;VAD&#41;&#44; a systemic pathology characterized by the abnormal growth of extra-cellular matrices&#46; The respiratory system is a target for LFN&#46; Fibrosis of the respiratory tract epithelia was observed in VAD patients through biopsy&#44; and confirmed in animal models exposed to LFN&#46; Voice acoustic analysis can detect vocal fold variations of mass&#44; tension&#44; muscular and neural activity&#46; Frequency perturbation &#40;jitter&#41;&#44; amplitude perturbation &#40;shimmer&#41; and harmonic-to-noise ratio &#40;HNR&#41; are used in the evaluation of the vocal function&#44; and can be indicators of the presence and degree of severity of vocal pathology&#46; Since the respiratory system is the energy source of the phonation process&#44; this raises questions about the effects of VAD on voice production&#46; The purpose of this study was to determine if voice acoustic parameters of VAD patients are different from normative data&#46; <span class="elsevierStyleBold">Methods&#58;</span> Nine individuals &#40;5 males and 4 females&#41; diagnosed with VAD were recorded performing spoken and sung tasks&#46; The spoken tasks included sustaining vowels and fricatives&#46; The sung tasks consisted of maximum phonational frequency range &#40;MPFR&#41;&#46; Voice acoustic parameters analysed were&#58; fundamental frequency &#40;F<span class="elsevierStyleInf">0</span>&#41;&#44; jitter&#44; shimmer&#44; HNR and temporal measures&#46; <span class="elsevierStyleBold">Results&#58;</span> Compared with normative data&#44; both males and females diagnosed with VAD exhibited increased F<span class="elsevierStyleInf">0</span>&#44; shimmer and HNR&#46; Jitter&#44; MPFR and one temporal measure were reduced&#46; <span class="elsevierStyleBold">Conclusions&#58;</span> VAD individuals presented voice acoustic parameter differences in spectral&#44; temporal and perturbation measures&#44; which may be indicative of small morphological changes in the phonatory system&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2006&#59; XII &#40;4&#41;&#58; 375-382</span></p></span>"
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Artigo Original\Original Article
Padrões acústicos da voz em indivíduos com a doença vibroacústica
Voice acoustic patterns of patients diagnosed with vibroacoustic disease
Ana Mendes1, Mariana Alves-Pereira2, Nuno A.A. Castelo Branco3
1 Escola Superior de Saúde, Instituto Politécnico de Setúbal
2 ERISA, Universidade Lusófona, Lisboa
3 Centro da Performance Humana, Lisboa.
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Enquadramento&#58;</span> A exposi&#231;&#227;o cr&#243;nica ao ru&#237;do de baixa frequ&#234;ncia &#40;RBF&#41; &#40;&#8804; 500<span class="elsevierStyleHsp" style=""></span>Hz&#44; incluindo infra-sons&#41; pode conduzir ao desenvolvimento da doen&#231;a vibroac&#250;stica &#40;VAD &#8211; <span class="elsevierStyleItalic">vibroacoustic disease</span>&#41;&#44; uma patologia sist&#233;mica caracterizada pela prolifera&#231;&#227;o anormal das matrizes extracelulares&#46; O aparelho respirat&#243;rio &#233; alvo do RBF&#44; como foi observado em doentes com VAD atrav&#233;s de bi&#243;psia e confirmado com modelos animais expostos a RBF&#44; sendo um dos aspectos mais evidentes a fibrose intersticial da traqueia&#46; A an&#225;lise ac&#250;stica vocal pode detectar pequenas varia&#231;&#245;es na massa&#44; tens&#227;o&#44; actividade muscular e neuronal das pregas vocais atrav&#233;s de par&#226;metros como frequ&#234;ncia fundamental &#40;F<span class="elsevierStyleInf">0</span>&#41;&#44; <span class="elsevierStyleItalic">jitter</span>&#44; <span class="elsevierStyleItalic">shimmer</span> e &#237;ndice harm&#243;nico-ru&#237;do &#40;H&#47;R&#41;&#46; Dado que o sistema respirat&#243;rio &#233; a fonte de energia do processo fonat&#243;rio&#44; e sabendo das altera&#231;&#245;es morfol&#243;gicas na traqueia dos doentes com VAD&#44; pode perguntar-se quais os efeitos destas altera&#231;&#245;es na voz&#46;O objectivo deste estudo foi determinar se os par&#226;metros ac&#250;sticos dos doentes com VAD diferem dos dados normativos&#46; <span class="elsevierStyleBold">M&#233;todos&#58;</span> Nove indiv&#237;duos diagnosticados com a VAD &#40;5 homens e 4 mulheres&#41; foram gravados durante a produ&#231;&#227;o de tarefas fonat&#243;rias e foram efectuadas as an&#225;lises ac&#250;sticas vocais&#46; <span class="elsevierStyleBold">Resultados&#58;</span> Os doentes com a VAD apresentaram valores elevados de F<span class="elsevierStyleInf">0</span>&#44; <span class="elsevierStyleItalic">shimmer</span> e H&#47;R e valores reduzidos de <span class="elsevierStyleItalic">jitter</span> e extens&#227;o m&#225;xima de frequ&#234;ncia vocal&#46; <span class="elsevierStyleBold">Conclus&#245;es&#58;</span> Os doentes com a VAD&#44; quando comparados com dados normativos&#44; apresentaram diferentes par&#226;metros ac&#250;sticos vocais&#44; espectrais e de perturba&#231;&#227;o&#44; podendo indicar altera&#231;&#245;es morfol&#243;gicas no sistema fonat&#243;rio&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2006&#59; XII &#40;4&#41;&#58; 375-382</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Background&#58;</span> Long-term low frequency noise exposure &#40;LFN&#41; &#40;&#8804; 500<span class="elsevierStyleHsp" style=""></span>Hz&#44; including infrasound&#41; may lead to the development of vibroacoustic disease &#40;VAD&#41;&#44; a systemic pathology characterized by the abnormal growth of extra-cellular matrices&#46; The respiratory system is a target for LFN&#46; Fibrosis of the respiratory tract epithelia was observed in VAD patients through biopsy&#44; and confirmed in animal models exposed to LFN&#46; Voice acoustic analysis can detect vocal fold variations of mass&#44; tension&#44; muscular and neural activity&#46; Frequency perturbation &#40;jitter&#41;&#44; amplitude perturbation &#40;shimmer&#41; and harmonic-to-noise ratio &#40;HNR&#41; are used in the evaluation of the vocal function&#44; and can be indicators of the presence and degree of severity of vocal pathology&#46; Since the respiratory system is the energy source of the phonation process&#44; this raises questions about the effects of VAD on voice production&#46; The purpose of this study was to determine if voice acoustic parameters of VAD patients are different from normative data&#46; <span class="elsevierStyleBold">Methods&#58;</span> Nine individuals &#40;5 males and 4 females&#41; diagnosed with VAD were recorded performing spoken and sung tasks&#46; The spoken tasks included sustaining vowels and fricatives&#46; The sung tasks consisted of maximum phonational frequency range &#40;MPFR&#41;&#46; Voice acoustic parameters analysed were&#58; fundamental frequency &#40;F<span class="elsevierStyleInf">0</span>&#41;&#44; jitter&#44; shimmer&#44; HNR and temporal measures&#46; <span class="elsevierStyleBold">Results&#58;</span> Compared with normative data&#44; both males and females diagnosed with VAD exhibited increased F<span class="elsevierStyleInf">0</span>&#44; shimmer and HNR&#46; Jitter&#44; MPFR and one temporal measure were reduced&#46; <span class="elsevierStyleBold">Conclusions&#58;</span> VAD individuals presented voice acoustic parameter differences in spectral&#44; temporal and perturbation measures&#44; which may be indicative of small morphological changes in the phonatory system&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2006&#59; XII &#40;4&#41;&#58; 375-382</span></p></span>"
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Article information
ISSN: 08732159
Original language: Portuguese
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