title: Cognitive Vocal Program applied to individuals with signals presbylarynx: preliminary results.
abstract: OBJECTIVE
  To propose and verify the feasibility of a vocal program intervention in patients with presbylarynx signs with or without vocal complaints.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Physical Therapy, Speech Language Pathology and Audiology and Occupational Therapy, School of Medicine, Universidade de São Paulo - USP, São Paulo, SP, Brazil.
authors.forename: Katia
authors.initials: K
authors.lastname: Nemr
authors.affiliation: Department of Physical Therapy, Speech Language Pathology and Audiology and Occupational Therapy, School of Medicine, Universidade de São Paulo - USP, São Paulo, SP, Brazil.
authors.forename: Glaucia Verena Sampaio de
authors.initials: GV
authors.lastname: Souza
authors.affiliation: Department of Physical Therapy, Speech Language Pathology and Audiology and Occupational Therapy, School of Medicine, Universidade de São Paulo - USP, São Paulo, SP, Brazil.
authors.forename: Marcia
authors.initials: M
authors.lastname: Simões-Zenari
authors.affiliation: Department of Otorhinolaryngology, School of Medicine, Universidade de São Paulo - USP, São Paulo, SP, Brazil.
authors.forename: Domingos Hiroshi
authors.initials: DH
authors.lastname: Tsuji
authors.affiliation: Department of Otorhinolaryngology, School of Medicine, Universidade de São Paulo - USP, São Paulo, SP, Brazil.
authors.forename: Adriana
authors.initials: A
authors.lastname: Hachiya
authors.affiliation: Department of Otorhinolaryngology, School of Medicine, Universidade de São Paulo - USP, São Paulo, SP, Brazil.
authors.forename: Gislaine Ferro
authors.initials: GF
authors.lastname: Cordeiro
authors.affiliation: Hospital das Clínicas, School of Medicine, Department of Otorhinolaryngology, Universidade de São Paulo - USP, São Paulo, SP, Brazil.
authors.forename: Guilherme Pecoraro
authors.initials: GP
authors.lastname: Nunes
authors.affiliation: Hospital das Clínicas, School of Medicine, Department of Otorhinolaryngology, Universidade de São Paulo - USP, São Paulo, SP, Brazil.
authors.forename: María Eugenia
authors.initials: ME
authors.lastname: Dajer
mesh_terms: D000368:Aged; D005260:Female; D006299:Health Services for the Aged; D006801:Humans; D007830:Larynx / Q000473:pathology; D008137:Longitudinal Studies; D015397:Program Evaluation; D014827:Vocal Cords / Q000503:physiopathology; D014831:Voice; D014832:Voice Disorders / Q000503:physiopathology / Q000534:rehabilitation*; D014833:Voice Quality