Effect of Resonance Tube Technique on Oropharyngeal Geometry and Voice in Individuals with Parkinson's Disease

Joice Maely Souza da Silva; Adriana de Oliveira Camargo Gomes; Hilton Justino da Silva; Silvio José de Vasconcelos; Maria das Graças Wanderley de Sales Coriolano; Zulina Souza de Lira

doi:10.1016/j.jvoice.2020.01.025

Effect of Resonance Tube Technique on Oropharyngeal Geometry and Voice in Individuals with Parkinson's Disease

J Voice. 2021 Sep;35(5):807.e25-807.e32. doi: 10.1016/j.jvoice.2020.01.025. Epub 2020 Mar 19.

Authors

Joice Maely Souza da Silva¹, Adriana de Oliveira Camargo Gomes², Hilton Justino da Silva³, Silvio José de Vasconcelos⁴, Maria das Graças Wanderley de Sales Coriolano⁵, Zulina Souza de Lira⁶

Affiliations

¹ Graduate Program in Human Communication Health at the Federal University of Pernambuco, Health Sciences Center, Speech-Language Pathology and Audiology Department, Recife, Pernambuco, Brazil (Programa de Pós-Graduação em Saúde da Comunicação Humana da Universidade Federal de Pernambuco, Centro de Ciências da Saúde, Departamento de Fonoaudiologia), Av. Prof. Artur de Sá, s/n - Cidade Universitária, Recife/PE, Brazil. Electronic address: joicemaely@hotmail.com.
² Graduate Program in Human Communication Health at the Federal University of Pernambuco, Health Sciences Center, Speech-Language Pathology and Audiology Department, Recife, Pernambuco, Brazil (Programa de Pós-Graduação em Saúde da Comunicação Humana da Universidade Federal de Pernambuco, Centro de Ciências da Saúde, Departamento de Fonoaudiologia), Av. Prof. Artur de Sá, s/n - Cidade Universitária, Recife/PE, Brazil. Electronic address: acamargogomes@gmail.com.
³ Graduate Program in Human Communication Health at the Federal University of Pernambuco, Health Sciences Center, Speech-Language Pathology and Audiology Department, Recife, Pernambuco, Brazil (Programa de Pós-Graduação em Saúde da Comunicação Humana da Universidade Federal de Pernambuco, Centro de Ciências da Saúde, Departamento de Fonoaudiologia), Av. Prof. Artur de Sá, s/n - Cidade Universitária, Recife/PE, Brazil. Electronic address: hiltonfono@hotmail.com.
⁴ Surgery Department, Health Sciences Center, University Federal of Pernambuco, Recife, Pernambuco, Brazil, Av. Prof. Artur de Sá, s/n - Cidade Universitária, Recife/PE, Brazil. Electronic address: silviojdv@gmail.com.
⁵ Graduate Program in Human Communication Health at the Federal University of Pernambuco, Health Sciences Center, Speech-Language Pathology and Audiology Department, Recife, Pernambuco, Brazil (Programa de Pós-Graduação em Saúde da Comunicação Humana da Universidade Federal de Pernambuco, Centro de Ciências da Saúde, Departamento de Fonoaudiologia), Av. Prof. Artur de Sá, s/n - Cidade Universitária, Recife/PE, Brazil. Electronic address: gracawander@hotmail.com.
⁶ Graduate Program in Human Communication Health at the Federal University of Pernambuco, Health Sciences Center, Speech-Language Pathology and Audiology Department, Recife, Pernambuco, Brazil (Programa de Pós-Graduação em Saúde da Comunicação Humana da Universidade Federal de Pernambuco, Centro de Ciências da Saúde, Departamento de Fonoaudiologia), Av. Prof. Artur de Sá, s/n - Cidade Universitária, Recife/PE, Brazil. Electronic address: zulinalira@gmail.com.

PMID: 32201236
DOI: 10.1016/j.jvoice.2020.01.025

Abstract

Objective: To verify the immediate effect of the flexible resonance tube vocal technique on the oropharyngeal geometry and vocal acoustic parameters of individuals with Parkinson's disease (PD) and to study the correlation between oropharyngeal geometry and the intensity and fundamental frequency (f0) parameters of the voice.

Methods: Forty individuals participated-20 with PD and 20 healthy individuals, with a mean age of 60.95 (± 5.69) years. There were 10 men and 10 women in each group. All underwent pharyngometric analysis of the vocal tract and voice acoustics parameters before and after use of the vocal technique with a flexible resonance tube.

Results: After the technique, there was a reduction in pharyngeal cavity volume only in females in the healthy group, a reduction in shimmer values in females in both groups and males in PD group and an improvement in noise parameters in females in the PD group. There was a negative correlation between vocal tract volume and intensity, between f0 and vocal tract volume, between f0 and oropharyngeal junction area, between f0 and oral cavity volume as well as a positive correlation between oral cavity length and f0.

Conclusion: The vocal technique with the flexible resonance tube applied to individuals with PD improved the subjects' voice quality in the perceptual and acoustic voice parameters. Regarding the oropharyngeal geometry, it was possible to observe its correlation with the parameters of vocal intensity and frequency in the studied population.

Keywords: Evaluation; Larynx; Oropharynx; Pharynx; Voice.

MeSH terms

Aged
Female
Humans
Male
Middle Aged
Parkinson Disease* / complications
Speech Acoustics
Voice Disorders* / diagnosis
Voice Disorders* / etiology
Voice Quality
Voice*