Use of surface electromyography in phonation studies: an integrative review

Patricia Maria Mendes Balata; Hilton Justino da Silva; Kyvia Juliana Rocha de Moraes; Leandro de Araújo Pernambuco; Sílvia Regina Arruda de Moraes

doi:10.7162/S1809-977720130003000014

International Archives of Otorhinolaryngology, Inhaltsverzeichnis

Int Arch Otorhinolaryngol 2013; 17(03): 329-339
DOI: 10.7162/S1809-977720130003000014

Review Article

Thieme Publicações Ltda Rio de Janeiro, Brazil

Use of surface electromyography in phonation studies: an integrative review

Patricia Maria Mendes Balata

¹Doctor in Neuropsychiatry and Behaviour Science of Adolescent Health; Speech and Language Pathologist; Voice Specialist ; (Speech and Language Pathologist of the Hospital dos Servidores do Estado de Pernambuco).

,

Hilton Justino da Silva

²Doctor of Nutrition; Speech and Language Pathologist; Master of Anatomy; Specialist in oral Motricity (Teacher in the Speech and Language Pathology Department of the Universidade Federal de Pernambuco).

,

Kyvia Juliana Rocha de Moraes

³Master of Pathology; Physiotherapist (Teacher in the Physiotherapy Department of the Faculdade Estacio do Recife).

,

Leandro de Araújo Pernambuco

⁴Master of Pathology; Speech and Language Pathologist; Specialist in oral Motricity (Teacher in the Speech and Language Pathology Department of the Universidade Federal do Rio Grande do Norte; Doctoral Student in Public Health).

,

Sílvia Regina Arruda de Moraes

⁵Doctor of Sciences; Physiotherapist (Teacher in the Anatomy Department of the Universidade Federal de Pernambuco).

› Institutsangaben

Abstract

Summary

Introduction: Surface electromyography has been used to assess the extrinsic laryngeal muscles during chewing and swallowing, but there have been few studies assessing these muscles during phonation.

Objective: To investigate the current state of knowledge regarding the use of surface electromyography for evaluation of the electrical activity of the extrinsic muscles of the larynx during phonation by means of an integrative review.

Method: We searched for articles and other papers in the PubMed, Medline/Bireme, and Scielo databases that were published between 1980 and 2012, by using the following descriptors: surface electromyography and voice, surface electromyography and phonation, and surface electromyography and dysphonia. The articles were selectedon the basis ofinclusion and exclusion criteria.

Data Synthesis: This was carried out with a cross critical matrix. We selected 27 papers,i.e., 24 articles and 3 theses. The studies differed methodologically with regards to sample size and investigation techniques, making it difficult to compare them, but showed differences in electrical activity between the studied groups (dysphonicsubjects, non-dysphonicsubjects, singers, and others).

Conclusion: Electromyography has clinical applicability when technical precautions with respect to application and analysis are obeyed. However, it is necessary to adopt a universal system of assessment tasks and related measurement techniques to allow comparisons between studies.

Keywords

Electromyography - Phonation - Dysphonia - Laryngeal Muscles

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Referenzen

References
1 Mendes KDS, Silveira RCCP, Galvão CM. Integrative literature review: a research method to incorporate evidence in health care and nursing. Texto Contexto Enferm 2008; 17 (4) 758-64
2 Dietrich M, Verdolini AK. Vocal Function in Introverts and Extraverts During a Psychological Stress Reactivity Protocol. J Speech Lang Hear Res 2012; 55 (3) 973-87
3 Tamplin J, Brazzale DJ, Pretto JJ, Ruehland WR, Buttifant M, Brown DJ , et al. Assessment of breathing patterns and respiratory muscle recruitment during singing and speech in quadriplegia. Arch Phys Med Rehabil 2011; 92 (2) 250-6
4 Stepp CE, Heaton JT, Stadelman-Cohen TK, Braden MN, Jetté ME, Hillman RE. Characteristics of phonatory function in singers and nonsingers with vocal fold nodules. J Voice 2011; 25 (6) 714-24
5 Stepp CE, Heaton JT, Jetté ME, Burns JA, Hillman RE. Neck surfaceelectromyography as a measure of vocal hyperfunction before and after injection laryngoplasty. Ann Otol Rhinol Laryngol 2010; 119 (9) 594-601
6 Stepp CE, Hillman RE, Heaton JT. Use of neck strap muscle intermuscular coherence as an indicator of vocal hyperfunction. IEEE Trans Neural Syst Rehabil Eng 2010; 18 (3) 329-35
7 Silvério KCA. Avaliação vocal e atividade elétrica dos musculossupra-hioideos e esternocleidomastoideo em indivíduos com desordem temporomandibularmiogência em situações de repouso e fonação [dissertation]. [São Paulo]: Universidade Estadual de Campinas; 2002
8 Hocevar-Boltezar I, Janko M, Zargi M. Role ofsurface EMG in diagnosticsandtreatmentofmuscletensiondysphonia. Acta Otolaryngol 1998; 118 (5) 739-43
9 Silvério KCA. Atividade elétrica dos músculos esternocleidomastóideo e trapézio fibras superiores em indivíduos normais e disfônicos [thesis]. São Paulo: Universidade Estadual de Campinas; 1999
10 Redenbaugh MA, Reich AR. Surface EMG and related measures in normal and vocally hyperfunctional speakers. J Speech Hear Disord 1989; 54 (1) 68-73
11 Milutinoviæ Z, Lastovka M, Vohradník M, Janoseviæ S. EMG study of hyperkinetic phonation using surface electrodes. Folia Phoniatr (Basel) 1988; 40 (1) 21-30
12 Stepp CE, Hillman RE, Heaton JT. Modulation of neck intermuscular Beta coherence during voice and speech production. J Speech Lang Hear Res 2011; 54 (3) 836-44
13 Stepp CE, Heaton JT, Braden MN, Jetté ME, Stadelman-Cohen TK, Hillman RE. Comparison of neck tension palpation rating systems with surface electromyographic and acoustic measures in vocal hyperfunction. J Voice 2011; 25 (1) 67-75
14 Santos C, Caria P, Tosello D, Bérzin F. Behavior of cervical muscles in individuals with esophageal speech and artificial larynx. Rev CEFAC 2010; 12 (1) 82-90
15 Stepp CE, Heaton JT, Rolland RG, Hillman RE. Neck and face surface electromyography for prosthetic voice control after total laryngectomy. IEEE Trans Neural Syst Rehabil Eng 2009; 17 (2) 146-55
16 Guirro RRJ, Bigaton DR, Silvério KCA, Berni KCS, Distéfano G, Santos FL , et al. Estimulação elétrica nervosa transcutânea em mulheres disfônicas. Pró-Fono R. Atual. Cient 2008; 20 (3) 189-94
17 Mendes AP, Brown WS, Sapienza C, Rothman HB. Effects of vocal training on respiratory kinematics during singing tasks. Folia Phoniatr Logop 2006; 58 (5) 363-77
18 Pettersen V, Bjorkoy K, Torp H, Westgaard RH. Neck and shoulder muscle activity and thorax movement in singing and speaking tasks with variation in vocal loudness and pitch. J Voice 2005; 19 (4) 623-34
19 Pettersen V, Westgaard RH. The activity patterns of neck muscles in professional classical singing. J Voice 2005; 19 (2) 238-51
20 Loucks TMJ, Poletto CJ, Saxon KG, Ludlow CL. Laryngeal muscle responses to mechanical displacement of the thyroid cartilage in humans. J Appl Physiol 2005; 99 (3) 922-30
21 Heaton JT, Goldstein EA, Kobler JB, Zeitels SM, Randolph GW, Walsh MJ , et al. Surface electromyographic activity in total laryngectomy patients following laryngeal nerve transfer to neck strap muscles. Ann Otol Rhinol Laryngol 2004; 113 (9) 754-64
22 Sapir S, Baker KK, Larson CR, Ramig LO. Short-latency changes in voice F0 and neck surface EMG induced by mechanical perturbations of the larynx during sustained vowel phonation. J Speech Lang Hear Res 2000; 43 (1) 268-76
23 Laukkanen AM, Lindholm P, Vilkman E, Haataja K, Alku P. A physiological and acoustic study on voiced bilabial fricative/beta:/as a vocal exercise. J Voice 1996; 10 (1) 67-77
24 Larson KK, Sapir S. Orolaryngeal reflex responses to changes in affective state. J Speech Hear Res 1995; Oct; 38 (5) 990-1000
25 Sapir S, Larson KK. Supralaryngeal muscle activity during sustained vibrato in four sopranos: surface EMG findings. J Voice 1993; 7 (3) 213-8
26 Van Houtte E, Claeys S, D'haeseleer E, Wuyts F, Van Lierde K. An Examination of Surface EMG for the Assessment of Muscle Tension Dysphonia. J Voice 2013; 27 (2) 177-86
27 Nelli EA. Estudo da postura corporal em portadores de disfonia [dissetation]. [Bauru]: Universidade de São Paulo; 2006
28 Stepp CE. Surface electromyography for speech and swallowing systems: Measurement, analysis, and interpretation. J Speech Lang Hear Res 2012; 55 (4) 1232-46
29 Drost G, Stegeman DF, Van Engelen BGM, Zwarts MJ. Clinical applications of high-density surface EMG: A systematic review. J Electromyogr Kinesiol 2006; 16: 586-602