SanteChoraleV4, Main, Exploration, bibRecord, 000061

Effects of Therapy With Semi-occluded Vocal Tract and Choir Training on Voice in Adult Individuals With Congenital, Isolated, Untreated Growth Hormone Deficiency.

Identifieur interne : 000061 ( Main/Exploration ); précédent : 000060; suivant : 000062

Effects of Therapy With Semi-occluded Vocal Tract and Choir Training on Voice in Adult Individuals With Congenital, Isolated, Untreated Growth Hormone Deficiency.

Auteurs : Bruna M R. De Andrade [Brésil] ; Eugenia H O. Valença [Brésil] ; Roberto Salvatori [États-Unis] ; Anita H O. Souza [Brésil] ; Luiz A. Oliveira-Neto ; Alaíde H A. Oliveira ; Mario C P. Oliveira [Brésil] ; Enaldo V. Melo [Brésil] ; Michelle S. Andrade [Brésil] ; Carolina A. Freitas [Brésil] ; Michela P. Santos [Brésil] ; Fillipe A. Custodio [Brésil] ; Gisane C. Monteiro [Brésil] ; Susana De Carvalho [Brésil] ; Manuel H. Aguiar-Oliveira [États-Unis]

Source :

Journal of voice : official journal of the Voice Foundation [ 1873-4588 ] ; 2019.

RBID : pubmed:29567051

Descripteurs français

KwdFr :
- Acoustique de la voix (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Chant (MeSH), Facteurs temps (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Nanisme hypophysaire (complications), Nanisme hypophysaire (diagnostic), Nanisme hypophysaire (physiopathologie), Orthophonie (méthodes), Qualité de la voix (MeSH), Résultat thérapeutique (MeSH), Sujet âgé (MeSH), Troubles de la voix (diagnostic), Troubles de la voix (physiopathologie), Troubles de la voix (thérapie), Troubles de la voix (étiologie), Éducation de la voix (MeSH), Études longitudinales (MeSH), Études prospectives (MeSH).
MESH :
- diagnostic : Nanisme hypophysaire, Troubles de la voix.
- méthodes : Orthophonie.
- physiopathologie : Nanisme hypophysaire, Troubles de la voix.
- thérapie : Troubles de la voix.
- étiologie : Troubles de la voix.
- complications : Acoustique de la voix, Adulte, Adulte d'âge moyen, Chant, Facteurs temps, Femelle, Humains, Mâle, Nanisme hypophysaire, Qualité de la voix, Résultat thérapeutique, Sujet âgé, Éducation de la voix, Études longitudinales, Études prospectives.

English descriptors

KwdEn :
- Adult (MeSH), Aged (MeSH), Dwarfism, Pituitary (complications), Dwarfism, Pituitary (diagnosis), Dwarfism, Pituitary (physiopathology), Female (MeSH), Humans (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Middle Aged (MeSH), Prospective Studies (MeSH), Singing (MeSH), Speech Acoustics (MeSH), Speech Therapy (methods), Time Factors (MeSH), Treatment Outcome (MeSH), Voice Disorders (diagnosis), Voice Disorders (etiology), Voice Disorders (physiopathology), Voice Disorders (therapy), Voice Quality (MeSH), Voice Training (MeSH).
MESH :
- complications : Dwarfism, Pituitary.
- diagnosis : Dwarfism, Pituitary, Voice Disorders.
- etiology : Voice Disorders.
- methods : Speech Therapy.
- physiopathology : Dwarfism, Pituitary, Voice Disorders.
- therapy : Voice Disorders.
- Adult, Aged, Female, Humans, Longitudinal Studies, Male, Middle Aged, Prospective Studies, Singing, Speech Acoustics, Time Factors, Treatment Outcome, Voice Quality, Voice Training.

Abstract

OBJECTIVES

Voice is produced by the vibration of the vocal folds expressed by its fundamental frequency (Hz), whereas the formants (F) are fundamental frequency multiples, indicating amplification zones of the vowels in the vocal tract. We have shown that lifetime isolated growth hormone deficiency (IGHD) causes high pitch voice, with higher values of most formant frequencies, maintaining a prepuberal acoustic prediction. The objectives of this work were to verify the effects of the therapy with a semi-occluded vocal tract (SOVTT) and choir training on voice in these subjects with IGHD. We speculated that acoustic vocal parameters can be improved by SOVTT or choir training.

STUDY DESIGN

This is a prospective longitudinal study without control group.

METHODS

Acoustic analysis of isolated vowels was performed in 17 adults with IGHD before and after SOVTT (pre-SOVTT and post-SOVTT) and after choir training (post training), in a 30-day period.

RESULTS

The first formant was higher in post training compared with the pre-SOVTT (P = 0.009). The second formant was higher in post-SOVTT than in pre-SOVTT (P = 0.045). There was a trend of reduction in shimmer in post-choir training in comparison with pre-SOVTT (P = 0.051), and a reduction in post-choir training in comparison with post-SOVTT (P = 0.047).

CONCLUSIONS

SOVTT was relevant to the second formant, whereas choir training improved first formant and shimmer. Therefore, this speech therapy approach was able to improve acoustic parameters of the voice of individuals with congenital, untreated IGHD. This seems particularly important in a scenario in which few patients are submitted to growth hormone replacement therapy.

DOI: 10.1016/j.jvoice.2018.02.018
PubMed: 29567051

Affiliations:

Brésil, États-Unis
Maryland, Sergipe

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000072
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Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en">Effects of Therapy With Semi-occluded Vocal Tract and Choir Training on Voice in Adult Individuals With Congenital, Isolated, Untreated Growth Hormone Deficiency.</title>
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<author><name sortKey="Valenca, Eugenia H O" sort="Valenca, Eugenia H O" uniqKey="Valenca E" first="Eugenia H O" last="Valença">Eugenia H O. Valença</name>
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<author><name sortKey="Oliveira, Mario C P" sort="Oliveira, Mario C P" uniqKey="Oliveira M" first="Mario C P" last="Oliveira">Mario C P. Oliveira</name>
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<author><name sortKey="Melo, Enaldo V" sort="Melo, Enaldo V" uniqKey="Melo E" first="Enaldo V" last="Melo">Enaldo V. Melo</name>
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<author><name sortKey="Andrade, Michelle S" sort="Andrade, Michelle S" uniqKey="Andrade M" first="Michelle S" last="Andrade">Michelle S. Andrade</name>
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<author><name sortKey="Freitas, Carolina A" sort="Freitas, Carolina A" uniqKey="Freitas C" first="Carolina A" last="Freitas">Carolina A. Freitas</name>
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<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Department of Speech Therapy, Federal University of Sergipe, Aracaju, Sergipe</wicri:regionArea>
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<author><name sortKey="Santos, Michela P" sort="Santos, Michela P" uniqKey="Santos M" first="Michela P" last="Santos">Michela P. Santos</name>
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<author><name sortKey="Custodio, Fillipe A" sort="Custodio, Fillipe A" uniqKey="Custodio F" first="Fillipe A" last="Custodio">Fillipe A. Custodio</name>
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<author><name sortKey="Monteiro, Gisane C" sort="Monteiro, Gisane C" uniqKey="Monteiro G" first="Gisane C" last="Monteiro">Gisane C. Monteiro</name>
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<country xml:lang="fr">Brésil</country>
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<author><name sortKey="De Carvalho, Susana" sort="De Carvalho, Susana" uniqKey="De Carvalho S" first="Susana" last="De Carvalho">Susana De Carvalho</name>
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<author><name sortKey="Aguiar Oliveira, Manuel H" sort="Aguiar Oliveira, Manuel H" uniqKey="Aguiar Oliveira M" first="Manuel H" last="Aguiar-Oliveira">Manuel H. Aguiar-Oliveira</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Dwarfism, Pituitary (complications)</term>
<term>Dwarfism, Pituitary (diagnosis)</term>
<term>Dwarfism, Pituitary (physiopathology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Longitudinal Studies (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Singing (MeSH)</term>
<term>Speech Acoustics (MeSH)</term>
<term>Speech Therapy (methods)</term>
<term>Time Factors (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Voice Disorders (diagnosis)</term>
<term>Voice Disorders (etiology)</term>
<term>Voice Disorders (physiopathology)</term>
<term>Voice Disorders (therapy)</term>
<term>Voice Quality (MeSH)</term>
<term>Voice Training (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Acoustique de la voix (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Chant (MeSH)</term>
<term>Facteurs temps (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Nanisme hypophysaire (complications)</term>
<term>Nanisme hypophysaire (diagnostic)</term>
<term>Nanisme hypophysaire (physiopathologie)</term>
<term>Orthophonie (méthodes)</term>
<term>Qualité de la voix (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Troubles de la voix (diagnostic)</term>
<term>Troubles de la voix (physiopathologie)</term>
<term>Troubles de la voix (thérapie)</term>
<term>Troubles de la voix (étiologie)</term>
<term>Éducation de la voix (MeSH)</term>
<term>Études longitudinales (MeSH)</term>
<term>Études prospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Dwarfism, Pituitary</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dwarfism, Pituitary</term>
<term>Voice Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Nanisme hypophysaire</term>
<term>Troubles de la voix</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Voice Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Speech Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Orthophonie</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Nanisme hypophysaire</term>
<term>Troubles de la voix</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dwarfism, Pituitary</term>
<term>Voice Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Voice Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Troubles de la voix</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Troubles de la voix</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Singing</term>
<term>Speech Acoustics</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
<term>Voice Quality</term>
<term>Voice Training</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Acoustique de la voix</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chant</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Nanisme hypophysaire</term>
<term>Qualité de la voix</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Éducation de la voix</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>Voice is produced by the vibration of the vocal folds expressed by its fundamental frequency (Hz), whereas the formants (F) are fundamental frequency multiples, indicating amplification zones of the vowels in the vocal tract. We have shown that lifetime isolated growth hormone deficiency (IGHD) causes high pitch voice, with higher values of most formant frequencies, maintaining a prepuberal acoustic prediction. The objectives of this work were to verify the effects of the therapy with a semi-occluded vocal tract (SOVTT) and choir training on voice in these subjects with IGHD. We speculated that acoustic vocal parameters can be improved by SOVTT or choir training.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b>
</p>
<p>This is a prospective longitudinal study without control group.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Acoustic analysis of isolated vowels was performed in 17 adults with IGHD before and after SOVTT (pre-SOVTT and post-SOVTT) and after choir training (post training), in a 30-day period.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The first formant was higher in post training compared with the pre-SOVTT (P = 0.009). The second formant was higher in post-SOVTT than in pre-SOVTT (P = 0.045). There was a trend of reduction in shimmer in post-choir training in comparison with pre-SOVTT (P = 0.051), and a reduction in post-choir training in comparison with post-SOVTT (P = 0.047).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>SOVTT was relevant to the second formant, whereas choir training improved first formant and shimmer. Therefore, this speech therapy approach was able to improve acoustic parameters of the voice of individuals with congenital, untreated IGHD. This seems particularly important in a scenario in which few patients are submitted to growth hormone replacement therapy.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29567051</PMID>
<DateCompleted><Year>2020</Year>
<Month>02</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>02</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-4588</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>33</Volume>
<Issue>5</Issue>
<PubDate><Year>2019</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Journal of voice : official journal of the Voice Foundation</Title>
</Journal>
<ArticleTitle>Effects of Therapy With Semi-occluded Vocal Tract and Choir Training on Voice in Adult Individuals With Congenital, Isolated, Untreated Growth Hormone Deficiency.</ArticleTitle>
<Pagination><MedlinePgn>808.e1-808.e5</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0892-1997(18)30006-7</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jvoice.2018.02.018</ELocationID>
<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Voice is produced by the vibration of the vocal folds expressed by its fundamental frequency (Hz), whereas the formants (F) are fundamental frequency multiples, indicating amplification zones of the vowels in the vocal tract. We have shown that lifetime isolated growth hormone deficiency (IGHD) causes high pitch voice, with higher values of most formant frequencies, maintaining a prepuberal acoustic prediction. The objectives of this work were to verify the effects of the therapy with a semi-occluded vocal tract (SOVTT) and choir training on voice in these subjects with IGHD. We speculated that acoustic vocal parameters can be improved by SOVTT or choir training.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">This is a prospective longitudinal study without control group.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Acoustic analysis of isolated vowels was performed in 17 adults with IGHD before and after SOVTT (pre-SOVTT and post-SOVTT) and after choir training (post training), in a 30-day period.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The first formant was higher in post training compared with the pre-SOVTT (P = 0.009). The second formant was higher in post-SOVTT than in pre-SOVTT (P = 0.045). There was a trend of reduction in shimmer in post-choir training in comparison with pre-SOVTT (P = 0.051), and a reduction in post-choir training in comparison with post-SOVTT (P = 0.047).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">SOVTT was relevant to the second formant, whereas choir training improved first formant and shimmer. Therefore, this speech therapy approach was able to improve acoustic parameters of the voice of individuals with congenital, untreated IGHD. This seems particularly important in a scenario in which few patients are submitted to growth hormone replacement therapy.</AbstractText>
<CopyrightInformation>Copyright © 2018 The Voice Foundation. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>de Andrade</LastName>
<ForeName>Bruna M R</ForeName>
<Initials>BMR</Initials>
<AffiliationInfo><Affiliation>Department of Speech Therapy, Federal University of Sergipe, Aracaju, Sergipe, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Valença</LastName>
<ForeName>Eugenia H O</ForeName>
<Initials>EHO</Initials>
<AffiliationInfo><Affiliation>Department of Speech Therapy, Federal University of Sergipe, Aracaju, Sergipe, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Salvatori</LastName>
<ForeName>Roberto</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Division of Endocrinology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Souza</LastName>
<ForeName>Anita H O</ForeName>
<Initials>AHO</Initials>
<AffiliationInfo><Affiliation>Division of Endocrinology, Federal University of Sergipe, Aracaju, Sergipe, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Oliveira-Neto</LastName>
<ForeName>Luiz A</ForeName>
<Initials>LA</Initials>
<AffiliationInfo><Affiliation>Division of Dentistry, Federal University of Sergipe, Aracaju, Sergipe Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Oliveira</LastName>
<ForeName>Alaíde H A</ForeName>
<Initials>AHA</Initials>
<AffiliationInfo><Affiliation>Division of Dentistry, Federal University of Sergipe, Aracaju, Sergipe Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Oliveira</LastName>
<ForeName>Mario C P</ForeName>
<Initials>MCP</Initials>
<AffiliationInfo><Affiliation>Department of Social Communication, Federal University of Sergipe, Aracaju, Sergipe, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Melo</LastName>
<ForeName>Enaldo V</ForeName>
<Initials>EV</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Federal University of Sergipe, Aracaju, Sergipe, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Andrade</LastName>
<ForeName>Michelle S</ForeName>
<Initials>MS</Initials>
<AffiliationInfo><Affiliation>Department of Speech Therapy, Federal University of Sergipe, Aracaju, Sergipe, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Freitas</LastName>
<ForeName>Carolina A</ForeName>
<Initials>CA</Initials>
<AffiliationInfo><Affiliation>Department of Speech Therapy, Federal University of Sergipe, Aracaju, Sergipe, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Santos</LastName>
<ForeName>Michela P</ForeName>
<Initials>MP</Initials>
<AffiliationInfo><Affiliation>Department of Speech Therapy, Federal University of Sergipe, Aracaju, Sergipe, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Custodio</LastName>
<ForeName>Fillipe A</ForeName>
<Initials>FA</Initials>
<AffiliationInfo><Affiliation>Department of Speech Therapy, Federal University of Sergipe, Aracaju, Sergipe, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Monteiro</LastName>
<ForeName>Gisane C</ForeName>
<Initials>GC</Initials>
<AffiliationInfo><Affiliation>Department of Speech Therapy, Federal University of Sergipe, Aracaju, Sergipe, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>de Carvalho</LastName>
<ForeName>Susana</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Speech Therapy, Federal University of Sergipe, Aracaju, Sergipe, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Aguiar-Oliveira</LastName>
<ForeName>Manuel H</ForeName>
<Initials>MH</Initials>
<AffiliationInfo><Affiliation>Division of Endocrinology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: herminio@infonet.com.br.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2018</Year>
<Month>03</Month>
<Day>19</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Voice</MedlineTA>
<NlmUniqueID>8712262</NlmUniqueID>
<ISSNLinking>0892-1997</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004393" MajorTopicYN="N">Dwarfism, Pituitary</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D063346" MajorTopicYN="Y">Singing</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013061" MajorTopicYN="Y">Speech Acoustics</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013070" MajorTopicYN="N">Speech Therapy</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014832" MajorTopicYN="N">Voice Disorders</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014833" MajorTopicYN="Y">Voice Quality</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014834" MajorTopicYN="Y">Voice Training</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Acoustic</Keyword>
<Keyword MajorTopicYN="N">Growth hormone</Keyword>
<Keyword MajorTopicYN="N">Singing</Keyword>
<Keyword MajorTopicYN="N">Voice formants</Keyword>
<Keyword MajorTopicYN="N">Voice training</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year>
<Month>01</Month>
<Day>04</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2018</Year>
<Month>02</Month>
<Day>21</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2018</Year>
<Month>3</Month>
<Day>24</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>2</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2018</Year>
<Month>3</Month>
<Day>24</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">29567051</ArticleId>
<ArticleId IdType="pii">S0892-1997(18)30006-7</ArticleId>
<ArticleId IdType="doi">10.1016/j.jvoice.2018.02.018</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Brésil</li>
<li>États-Unis</li>
</country>
<region><li>Maryland</li>
<li>Sergipe</li>
</region>
</list>
<tree><noCountry><name sortKey="Oliveira Neto, Luiz A" sort="Oliveira Neto, Luiz A" uniqKey="Oliveira Neto L" first="Luiz A" last="Oliveira-Neto">Luiz A. Oliveira-Neto</name>
<name sortKey="Oliveira, Alaide H A" sort="Oliveira, Alaide H A" uniqKey="Oliveira A" first="Alaíde H A" last="Oliveira">Alaíde H A. Oliveira</name>
</noCountry>
<country name="Brésil"><region name="Sergipe"><name sortKey="De Andrade, Bruna M R" sort="De Andrade, Bruna M R" uniqKey="De Andrade B" first="Bruna M R" last="De Andrade">Bruna M R. De Andrade</name>
</region>
<name sortKey="Andrade, Michelle S" sort="Andrade, Michelle S" uniqKey="Andrade M" first="Michelle S" last="Andrade">Michelle S. Andrade</name>
<name sortKey="Custodio, Fillipe A" sort="Custodio, Fillipe A" uniqKey="Custodio F" first="Fillipe A" last="Custodio">Fillipe A. Custodio</name>
<name sortKey="De Carvalho, Susana" sort="De Carvalho, Susana" uniqKey="De Carvalho S" first="Susana" last="De Carvalho">Susana De Carvalho</name>
<name sortKey="Freitas, Carolina A" sort="Freitas, Carolina A" uniqKey="Freitas C" first="Carolina A" last="Freitas">Carolina A. Freitas</name>
<name sortKey="Melo, Enaldo V" sort="Melo, Enaldo V" uniqKey="Melo E" first="Enaldo V" last="Melo">Enaldo V. Melo</name>
<name sortKey="Monteiro, Gisane C" sort="Monteiro, Gisane C" uniqKey="Monteiro G" first="Gisane C" last="Monteiro">Gisane C. Monteiro</name>
<name sortKey="Oliveira, Mario C P" sort="Oliveira, Mario C P" uniqKey="Oliveira M" first="Mario C P" last="Oliveira">Mario C P. Oliveira</name>
<name sortKey="Santos, Michela P" sort="Santos, Michela P" uniqKey="Santos M" first="Michela P" last="Santos">Michela P. Santos</name>
<name sortKey="Souza, Anita H O" sort="Souza, Anita H O" uniqKey="Souza A" first="Anita H O" last="Souza">Anita H O. Souza</name>
<name sortKey="Valenca, Eugenia H O" sort="Valenca, Eugenia H O" uniqKey="Valenca E" first="Eugenia H O" last="Valença">Eugenia H O. Valença</name>
</country>
<country name="États-Unis"><region name="Maryland"><name sortKey="Salvatori, Roberto" sort="Salvatori, Roberto" uniqKey="Salvatori R" first="Roberto" last="Salvatori">Roberto Salvatori</name>
</region>
<name sortKey="Aguiar Oliveira, Manuel H" sort="Aguiar Oliveira, Manuel H" uniqKey="Aguiar Oliveira M" first="Manuel H" last="Aguiar-Oliveira">Manuel H. Aguiar-Oliveira</name>
</country>
</tree>
</affiliations>
</record>

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Effects of Therapy With Semi-occluded Vocal Tract and Choir Training on Voice in Adult Individuals With Congenital, Isolated, Untreated Growth Hormone Deficiency.

Effects of Therapy With Semi-occluded Vocal Tract and Choir Training on Voice in Adult Individuals With Congenital, Isolated, Untreated Growth Hormone Deficiency.

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