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Cited by 6Voice and Speech DisordersHeart Rate Variability and Autonomic ControlRespiratory and Cough-Related Research

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Associations Between Teachers’ Autonomic Dysfunction and Voice Complaints

Cardoso, Ricardo, Meneses, Rute F., Lumini-Oliveira, José, Pestana, Pedro·2021·Journal of Voice
DOI 10.1016/j.jvoice.2020.03.013
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Abstract

Objective This investigation aimed to verify if there were any differences in autonomic nervous system function and voice parameters of teachers with and without voice complaints. Study design Cross-sectional study. Methods The Questionnaire of Autonomic Dysfunction was answered by 24 teachers, 6 males, and 18 females, whose heart rate variability was also assessed. Aerodynamic assessment of voice, acoustic and auditory-perceptual analysis of voice were done. Participants were divided into two groups: without voice complaints (WVCG; n = 11) and with voice complaints (VCG; n = 13) based on the completion of the Sociodemographic and Clinical Questionnaire. Results For auditory-perceptual analysis, VCG showed significantly higher values on GRBASH subscales Grade (P < 0.001) and Roughness (P = 0.011). Regarding the heart rate variability, it was found that in the VCG, the square root of the mean squared difference of successive RR intervals (RMSSD) and the percentage of adjacent NN intervals differing by more than 50 milliseconds (pNN50) were significantly lower than in the WVCG (P = 0.023 and P = 0.032, respectively). The VCG presented a higher occurrence of neurovegetative symptoms directly related to voice, namely in fluctuating nose obstruction (P = 0.011), neck pain (while or after speaking) (P = 0.017) and in fatigability when speaking (P = 0.004). Concerning the aerodynamic assessment of voice, acoustic analysis of voice and neurovegetative symptoms not directly related to voice, no statistically significant differences between groups were found. Conclusions Findings indicated significantly lower values in RMSSD and pNN50 of teachers VCG when compared with teachers WVCG and that the teachers VCG presented a higher occurrence of neurovegetative symptoms directly related to voice than the ones WVCG.

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Metadata

Authors
Cardoso, R., Meneses, R. F., Lumini-Oliveira, J., & Pestana, P.
Affiliations
Fernando Pessoa University (PT)
Corresponding author
Cardoso, Ricardo
ORCID
Venue
Journal of Voice
Publisher
Elsevier BV
Published
2021-11
Volume
35
Issue
6
Pages
843-851
ISSN
0892-1997 (ISSN-L)
DOI
10.1016/j.jvoice.2020.03.013
OpenAlex
W3019526109
Cited by
6
References
4
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2021: 1
FWCI
0.15
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Voice (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Voice and Speech Disorders
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
Keywords
teachers, voice complaints, autonomic dysfunction, heart rate variability, voice quality, roughness, neurovegetative symptoms, voice disorders, vocal fatigue, neck pain
MeSH terms
Cross-Sectional Studies, Female, Humans, Male, Speech Acoustics, Voice, Voice Disorders, Voice Training

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