{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T21:21:32Z","timestamp":1760217692734},"reference-count":16,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CoDAS"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:p>                PURPOSE:                 To propose and verify the feasibility of a vocal program intervention in patients with presbylarynx signs with or without vocal complaints.                                           METHOD:                 Among 20 elder participants of the current research, 3 female patients with median age of 67 years were chosen for the pilot study. Laryngological examination, vocal recording with CAPE-V (Consensus Auditory-Perceptual Evaluation of Voice) protocol, and Screening Protocol of Risk of Dysphonia (SPRD) were conducted before and after the program intervention. They joined the Cognitive Vocal Program for presbyphonia based on the genetic epistemology by Jean Piaget associated with vocal techniques based on scientific literature. This program is structured with six sessions and each one of them is focused in different aspects of vocal production.                                           RESULTS:                 After the program intervention, some aspects such as loudness, coordination between breathing and speaking, accuracy in articulatory movements, jitter, and harmonics-to-noise ratio improved with parameters within the expected range for the age group. Three female participants were observed for better vocal quality, higher fundamental frequency, and better maximum phonation time. In two cases, tension related to loudness elevation and better scores on SPRD was observed. Using by high-speed laryngeal image, we also observed reduction of presbylarynx signs, and remarkable improvement in glottis closure competence and mucosal wave movement of the patients with and without vocal complaints.                                           CONCLUSION:                 The preliminary results suggest encouraging prospects for the proposal with improvement in the aspects analyzed. This program was well designed and did not require any further adjustments.<\/jats:p>","DOI":"10.1590\/2317-1782\/20142014108","type":"journal-article","created":{"date-parts":[[2015,1,10]],"date-time":"2015-01-10T19:19:42Z","timestamp":1420917582000},"page":"503-508","source":"Crossref","is-referenced-by-count":10,"title":["Cognitive Vocal Program applied to individuals with signals presbylarynx: preliminary results"],"prefix":"10.1590","volume":"26","author":[{"given":"Katia","family":"Nemr","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo - USP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glaucia Verena Sampaio de","family":"Souza","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo - USP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcia","family":"Sim\u00f5es-Zenari","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo - USP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domingos Hiroshi","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo - USP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Hachiya","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo - USP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gislaine Ferro","family":"Cordeiro","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo - USP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guilherme Pecoraro","family":"Nunes","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo - USP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Eugenia","family":"Dajer","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo - USP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","article-title":"Presbifonia e disfonia na terceira idade: compreendendo os sinais t\u00edpicos e at\u00edpicos","author":"Nascimento LT","year":"2011","journal-title":"Rev Soc Bras Fonoaudiol"},{"issue":"1","key":"ref2","first-page":"9","article-title":"Efeitos do envelhecimento e do fumo nas pregas vocais: uma revis\u00e3o sistem\u00e1tica","volume":"27","author":"Vasconcelos SV","year":"2009","journal-title":"ACTA ORL"},{"key":"ref3","series-title":"Voz: o livro do especialista, 1","first-page":"53","volume-title":"Conceito de voz normal e classifica\u00e7\u00e3o das disfonias","author":"Behlau M","year":"2001"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1590\/S2179-64912011000100008","article-title":"Efeito imediato do exerc\u00edcio de sopro sonorizado na voz do idoso","volume":"23","author":"Siracusa MGP","year":"2011","journal-title":"J Soc Bras Fonoaudiol"},{"key":"ref5","series-title":"A epistemologia gen\u00e9tica de Jean Piaget na reabilita\u00e7\u00e3o vocal do laringectomizado","author":"Nemr NK","year":"2000"},{"issue":"6","key":"ref6","first-page":"805","article-title":"Fatores cognitivos na adapta\u00e7\u00e3o vocal ap\u00f3s laringectomia total","volume":"68","author":"Nemr K","year":"2002","journal-title":"Rev Bras Otorrinolaringol"},{"issue":"3","key":"ref7","first-page":"187","article-title":"Consensus Auditory - Perceptual Evaluation of Voice (CAPE-V), ASHA 2003: Refletindo sobre o novo\/Nex reflexions","volume":"9","author":"Behlau M","year":"2004","journal-title":"Rev Soc Bras Fonoauldiol"},{"key":"ref8","series-title":"19\u00ba Congresso Brasileiro e 8\u00ba Congresso Internacional de Fonoaudiologia; 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