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Prevalence of voice disorders in Portuguese Fado singers: preliminary results

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Presentation at 11° Corso Internazionale di Foniatria e Logopedia - La Voce Artistica 2017 (Ravenna, Italy)

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Prevalence of voice disorders in Portuguese Fado singers: preliminary results

  1. 1. Prevalence of voice disorders in Portuguese Fado singers: preliminary results Pedro Melo Pestana (PM Pestana) 1,2 Susana Vaz Freitas (S Vaz Freitas) 2,3 Maria Conceição Manso (MC Manso) 2, 4, 5 1 PMP terapia – Esposende - Portugal 2 University Fernando Pessoa - Faculty of Health Sciences – Porto – Portugal 3 Speech Pathology Unit of Otolaryngology Service – Centro Hospitalar do Porto - Portugal 4 Fernando Pessoa Energy, Environment and Health Research Unit (FP-ENAS), University Fernando Pessoa 5 LAQV, REQUIMTE, University of Porto - Portugal
  2. 2. Introduction •  Fado is an urban folk music from Portugal •  Origins in Brazil as a dance •  Substyles: Lisboa VS Coimbra •  Some acoustical and performance measures are different from other music styles (Mendes et al, 2013; Kahle, 2012) •  No previous clinical study was found 411 live singers ?? (Pestana et al, 2017) Ana Pinhal, António Reis
  3. 3. Aim Provide estimates of the prevalence of voice disorders in Fado singers 411 singersPopulation (Pestana et al, 2017) 199 singers 63 singers Expected sample (95% CI) Sample (until May 2017) Manuel Barbosa, João Pedro Cardoso
  4. 4. Methods •  Cross-sectional survey of 63 active adult Fado singers •  Questionaire through LimeSurvey •  6 groups; 55 questions •  Convenience and snowball sampling Augusto Ramos, Acácio Branquinho
  5. 5. Results 41.3 % (SE = 6.2%; 95% CI = 30.0%-53.6%) Maria de Fátima Couto
  6. 6. 203040506070 Age Male Female Age and gender
  7. 7. 17.46% 38.10% 23.81% 20.63% 010203040 Male Female Yes No Yes No Gender and Past Voice Problems (%) (F: 53.6%; M: 31.4%; Chi2, p=0.076)
  8. 8. 30.16% 39.68% 11.11% 19.05% 010203040 <50 >50 Yes No Yes No Age and Past Voice Problems (%) (<50-years: 43.2%; ≥50-years: 36.8%; p=0.639)
  9. 9. 20.63% 22.22% 20.63% 36.51% 010203040 With training Without training Yes No Yes No Singing Training and Past Voice Problems (%) (With: 48.1%; Without: 36.1%; p=0.337)
  10. 10. Fado singers
  11. 11. Ultime notizie! •  Until now – 85 singers •  Prevalence decreased – 37.6% •  Age – 40yo (18-72) •  Recordings – 3.85±11.23 •  Canceled performances due to voice issues – 1.34 (0-10) > risk ? •  Performances last month – 14 (0-40) •  Songs in each performance – 9.73 (3-30) •  Almost don’t use amplification - 82.1% •  No singing lessons – 56.5% •  Few singers warm up – 30.5% •  Most have secondary jobs – 55.3% •  Most don’t smoke – 68.2% •  Drink more water during performances – 67.1%
  12. 12. Testimonials “Fatigued due to overwork. Stop one year.” “Fatigued because I used to sing and to comment soccer. My ENT advised me to choose one!” “I totally lost my voice!”
  13. 13. 1º VINCITORE! 2º 3º water | voice exercises | vocal rest | sleep Common adopted strategies
  14. 14. Conclusion •  High prevalence of voice disorders •  Higher prevalence in women •  No relation with age (yet!) •  No relation with singing lessons (yet!) Next steps… •  (Increase the sample) •  Identify risk/protective factors •  Validate EASE to Portuguese Paulo Cangalhas
  15. 15. References Kahle, C. (2012) Qualidade vocal e ajustes vocais do cantor de Fado de Coimbra. Universidade Fernando Pessoa. Mendes, A. P., Rodrigues, A. F. and Guerreiro, D. M. (2013) ‘Acoustic and phonatory characterization of the fado voice’, Journal of Voice, 27(5). doi: 10.1016/j.jvoice.2012.10.008. Pestana, P. M., Vaz-Freitas, S. and Manso, M. C. (2017) ‘How many fado singers exist in Portugal? Regulation through cultural entrepreneurship’, in Negas, M. et al. (eds) 7a Conferência Ibérica de Empreendedorismo: Empreender para o Sucesso. Esposende: Empreend. Pestana, P. M., Vaz-Freitas, S. and Manso, M. C. (2017) ‘Prevalence of Voice Disorders in Singers: Systematic Review and Meta- Analysis’, Journal of Voice. doi: 10.1016/j.jvoice.2017.02.010. Ph.inisheD. !!! (almost) Pedro Pestana, Francisco Moreira

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