{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T14:38:43Z","timestamp":1775572723087,"version":"3.50.1"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CoDAS"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>RESUMO  Objetivo Verificar e comparar os efeitos da terapia manual lar\u00edngea (TML) e da estimula\u00e7\u00e3o el\u00e9trica nervosa transcut\u00e2nea (TENS) na diadococinesia lar\u00edngea de mulheres disf\u00f4nicas.  M\u00e9todo Participaram 20 mulheres com n\u00f3dulos vocais, divididas igualmente por sorteio em: Grupo TML\u2013aplica\u00e7\u00e3o de TML; Grupo TENS\u2013aplica\u00e7\u00e3o de TENS; ambos receberam 12 sess\u00f5es de tratamento, duas vezes por semana, 20 minutos cada, pelo mesmo terapeuta. As mulheres foram avaliadas quanto \u00e0 diadococinesia (DDC) lar\u00edngea em tr\u00eas momentos, diagn\u00f3stico, pr\u00e9-tratamento e p\u00f3s-tratamento, o que produziu tr\u00eas grupos de medidas. A grava\u00e7\u00e3o da DDC foi realizada por meio da repeti\u00e7\u00e3o entrecortada das vogais: \/a\/ e \/i\/. A an\u00e1lise da DDC foi realizada pelo programa Motor Speech Profile Advanced (MSP)-KayPentax. Os par\u00e2metros da DDC das tr\u00eas avalia\u00e7\u00f5es foram comparados entre si pelo teste t pareado (p\u22640,05).  Resultados Par\u00e2metros DDC se apresentaram semelhantes na fase sem tratamento, indicando que n\u00e3o houve variabilidade individual ao longo do tempo. N\u00e3o houve modifica\u00e7\u00e3o em rela\u00e7\u00e3o \u00e0 velocidade da DDC ap\u00f3s interven\u00e7\u00f5es, mas ap\u00f3s TML, a DDC da vogal \/i\/ se apresentou mais est\u00e1vel em rela\u00e7\u00e3o \u00e0 dura\u00e7\u00e3o do per\u00edodo e \u00e0 intensidade das emiss\u00f5es. Estes resultados indicam que TML melhorou a coordena\u00e7\u00e3o de movimentos das pregas vocais \u00e0 fona\u00e7\u00e3o. N\u00e3o houve modifica\u00e7\u00f5es dos par\u00e2metros da DDC em rela\u00e7\u00e3o \u00e0 estabilidade das emiss\u00f5es ap\u00f3s TENS.  Conclus\u00e3o TML promove maior regularidade de movimentos diadococin\u00e9ticos das pregas vocais em mulheres disf\u00f4nicas, o que amplia o conhecimento sobre o efeito do reequil\u00edbrio da musculatura lar\u00edngea na fun\u00e7\u00e3o fonat\u00f3ria, j\u00e1 TENS n\u00e3o proporciona efeitos na diadococinesia lar\u00edngea.<\/jats:p>","DOI":"10.1590\/2317-1782\/20172016191","type":"journal-article","created":{"date-parts":[[2017,5,16]],"date-time":"2017-05-16T19:44:07Z","timestamp":1494963847000},"source":"Crossref","is-referenced-by-count":6,"title":["Efeitos da terapia manual lar\u00edngea e da estimula\u00e7\u00e3o el\u00e9trica nervosa transcut\u00e2nea (TENS) na diadococinesia lar\u00edngea em mulheres disf\u00f4nicas: estudo cl\u00ednico randomizado"],"prefix":"10.1590","volume":"29","author":[{"given":"Larissa Tha\u00eds Donalonso","family":"Siqueira","sequence":"first","affiliation":[{"name":"Universidade Estadual do Centro-Oeste,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly Cristina Alves","family":"Silverio","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alcione Ghedini","family":"Brasolotto","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rinaldo Roberto de Jesus","family":"Guirro","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christiano Gi\u00e1como","family":"Carneiro","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mara","family":"Behlau","sequence":"additional","affiliation":[{"name":"Centro de Estudos da Voz,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/S0892-1997(05)80333-9","article-title":"Effects of the manual laryngeal musculoskeletal tension reduction technique as a treatment for functional voice disorders: perceptual and acoustic measures","volume":"7","author":"Roy N","year":"1993","journal-title":"J Voice"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/j.jvoice.2004.02.003","article-title":"Outcome of laryngeal manual therapy in four Dutch adults with persistent moderate-to-severe vocal hyperfunction: a pilot study","volume":"18","author":"Van Lierde KM","year":"2004","journal-title":"J Voice"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.jcomdis.2008.10.001","article-title":"Articulatory changes in muscle tension dysphonia: evidence of vowel space expansion following manual circumlaryngeal therapy","volume":"42","author":"Roy N","year":"2009","journal-title":"J Commun Disord"},{"issue":"3","key":"ref4","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.jvoice.2008.09.003","article-title":"The treatment of muscle tension dysphonia: a comparison of two treatment techniques by means of an objective multiparameter approach","volume":"24","author":"Van Lierde KM","year":"2010","journal-title":"J Voice"},{"issue":"3","key":"ref5","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.jvoice.2007.10.002","article-title":"Laryngeal manual therapy: a preliminary study to examine its treatment effects in the management of muscle tension dysphonia","volume":"23","author":"Mathieson L","year":"2009","journal-title":"J Voice"},{"issue":"3","key":"ref6","first-page":"189","article-title":"Transcutaneous electrical nerve stimulation in dysphonic women","volume":"20","author":"Guirro RRJ","year":"2008","journal-title":"Pr\u00f3-Fono R. 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