Voice care aimed at primary school teachers: a narrative review
DOI:
https://doi.org/10.63434/30286999.42Keywords:
voice, educational personne, schools, voice disordersAbstract
Teachers in basic primary educational institutions are an occupational group that uses the voice as their work tool, providing knowledge to favour students' teaching and learning process.
Objective: to describe the voice care in basic primary school teachers reported in the literature from 2019 - 2023.
Materials and methods: A narrative review, with the following phases: problem identification, bibliographic search, evaluation and data analysis. The search was carried out using the following databases: PubMed, Scopus, Virtual Health Library, SAGE Journals, ScienceDirect and Ovid.
Results: 27 articles were included. There is a stable publication trend in the last five years. The countries with the highest scientific production on the subject of study were Brazil, China and the United States of America. Three main categories were identified: health promotion and prevention of voice disorders, detection and treatment, economic cost, and health effects. Most of the care
was provided by speech therapists.
Conclusions: Voice care strategies for school teachers include psychological support to avoid stress, appropriate breathing techniques, hydration, preventing the consumption of substances that affect the vocal apparatus, modulation of the tone, active pauses and control of environmental aspects that cause voice wear in teachers. Interdisciplinary work must continue to be strengthened to preserve the voice of this occupational group.
References
1. Zhang S, Bowers AJ, Mao Y. Authentic leadership and teachers’ voice behaviour: The mediating role of psychological empowerment and oderating role of interpersonal trust. Educational Management Administration & Leadership. 2021; 49 (5): 768-785. https://doi.org/10.1177/1741143220915925
2. Patjas M, Vertanen-Greis H, Pietarinen P, Geneid A. Voice symptoms in teachers during distance teaching:a sur vey during the COVID-19 andemic in Finland. Eur Arch Otorhinolar yngol. 2021; 278 (11): 4383-4390. https://doi.org/10.1007/s00405-021-06960-w
3. Domínguez-Alonso J, López-Castedo A, Núñez-Lois S, Portela-Pino I, Vázquez-Varela E. Perturbación de la voz en docentes. Rev. Esp. Salud Publica [Internet]. 2019 [citado 2024 Mayo 30]; 93: e201908055. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57272019000100050&lng=es.
4. Ministerio de Salud y Protección Social. Decreto 1477 de 2014 "por el cual se expide la tabla de enfermedades laborales" [Internet]. 2014. olombia [citado 2024 mayo 30]. Disponible en: https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=58849
5. Obser vatorio de Seguridad y Salud en el Trabajo del Consejo Colombiano de Seguridad. Siniestralidad laboral en Colombia anual 2023. isponible en: https://ccs.org.co/obser vatorio/Home/fasecolda
6. Garzón-Godoy YF, Pineda Duque JA. Condiciones laborales en docentes de colegios privados. Rev Soc. Econ. 2022; 46: 1-22. 5. tps://doi.org/10.25100/sye.v0i46.11210
7. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005; 52 (5): 546-53. https://doi.org/10.1111/j.1365-2648.2005.03621.x
8. Martínez A, Gijon-Nogueron G. La evidencia científica: método de evaluación de resultados clínicos, el camino para la podología. Revista Española de Podología. 2017; 28 (1): 58 – 60. https://doi.org/10.1016/j.repod.2017.03.001
9. Ministerio de Salud y Protección Social. Resolución 8430 de 1993 "por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud" [Internet]. 1993. Colombia [citado 2024 Mayo 30]. Disponible en: htps://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.pdf
10. Sharp E, Cook R. Voice symptoms and wellbeing in school teachers in England. J Voice. 2022 Mar 17:S0892-1997 (22)00034-0. https://doi.org/10.1016/j.jvoice.2022.02.005
11. Lutovac S, Uitto M, Keränen V, Kettunen A, Flores MA. Teachers’ work today: exploring ifnnish teachers’ narratives. Teach Teach Educ. 2023; 137: 104378. https://doi.org/10.1016/j.tate.2023.104378
12. Santos EC, Espinosa MM, Marcon SR. Qualidade de vida, saúde e trabalho de professores do ensino fundamental. Acta Paul Enferm 2020;33:eAPE20180286. https://doi.org/10.37689/acta-ape/2020AO02
13. Schaeffler F, Parr y AM, Beck J, Rees M, Schaeffler S, Whittaker T. Comparing vocal health and attitudes to voice care in primar y teachers and voiceover artists - a sur vey study using the health belief model. J Voice. 2023 Mar 18: S0892-1997(23)00039-5. https://doi.org/10.1016/j.jvoice.2023.02.005
14. Rezende BA, Abreu MNS, Assunção AÁ, de Medeiros AM. Factors associated with the limitation at work because of the voice: study with teachers of basic education in Brazil. J Voice. 2023 Jan;37(1):79-91. https://doi.org/10.1016/j.jvoice.2020.11.003
15. Porcaro CK, Hower y S, Suhandron A, Goller y T. Impact of vocal hygiene training on teachers' willingness to change vocal behaviors. J Voice. 2021 May;35(3):499.e1-499.e11. https://doi.org/10.1016/j.jvoice.2019.11
16. Alshuhayb BS, Alkhars AZ, AlMaghlouth MK, Alkhars FS, Alamer ZA, Alarfaj AA, et al. Voice disorders among teachers in Al-Ahsa, Eastern Region, KSA: vocal complaints, treatment-seeking behaviors, and knowledge of vocal care. J Voice. 2022 Aug 12:S0892-1997(22)00204-1. https://doi.org/10.1016/j.jvoice.2022.07.001
17. Nallamuthu A, Boominathan P, Arunachalam R, Mariswamy P. Outcomes of vocal hygiene program in facilitating vocal health in female school teachers with voice problems. J Voice. 2023 Mar;37(2):295.e11-295.
e22. https://doi.org/10.1016/j.jvoice.2020.12.041
18. Liu H, Chen S, Gao L, Li J, Liu B, Raj H, Xie Q, Duan H, Jiang Z, Liu Y, Chen B, Liu Y, Jiang J. Comparison between combination of resonant voice therapy and vocal hygiene education and vocal hygiene education only for female elementary school teachers. J Voice. 2022 Nov;36(6):814-822. https://doi.org/10.1016/j.jvoice.2020.09.028
19. Tao Y, Lee CT, Hu YJ, Liu Q. Relevant work factors associated with voice disorders in early childhood teachers: a comparison between kindergarten and elementar y school teachers in Yancheng, China. Int J Environ Res Public Health. 2020 Apr 28;17(9):3081. https://doi.org/10.3390/ijerph17093081
20. Coledam DHC, de Arruda GA, Ribeiro EAG, Cantieri FP. Self-rated health among teachers: prevalence, predictors, and impact on absenteeism, presenteeism, and sick leave. Rev Bras Med Trab. 2021 Dec30;19(4):426-436. https://doi.org/10.47626/1679-4435-2021-619
21. Kyriakou K, Theodorou E, Petinou K, Phinikettos I. Risk factors for voice disorders in public school teachers in Cyprus. J Prev Med Hyg. 2020 Jul 4;61(2):E221-E240. https://doi.org/10.15167/2421-4248/jpmh2020.61.2.1403
22. Lia L, De Francesco S, Mannocci A, Di Nucci V, La Torre G. A cross sectional study on the vocal handicap index applied to a sample of teachers in nurseries and primar y school. Ann Ig. 2019 May-Jun;31(3):230-235. https://doi.org/10.7416/ai.2019.2285
23. Yu L, Lu D, Yang H, Zou J, Wang H, Zheng M, Hu J. A comparative and correlative study of the voice-related quality of life (V-RQOL) and the voice activity and participation profile (VAPP) for voice-related quality of life among teachers with and without voice disorders. Medicine (Baltimore). 2019 Mar;98(9):e14491. https://doi.org/10.1097/MD.0000000000014491
24. Penha PBDC, Lima Filho LMA, Ferreira LP, Almeida AAF, Lopes LW, Lima Silva MFB. Effectiveness of a blended-learning intervention in teachers' vocal health. J Voice. 2023 Jul;37(4): 635.e1-635.e13. ttps://doi.org/10.1016/j.jvoice.2021.03.012
25. Putus T, Vilén L, Atosuo J. The association between work-related stress, indoor air quality and voice problems among teachers - is there a trend? J Voice. 2024 Mar;38(2): 541.e21-541.e29. https://doi.org/10.1016/j.jvoice.2021.09.007
26.Medeiros AM, Vieira MT. Ausência ao trabalho por distúrbio vocal de professores da educação básica no Brasil. Cad. Saúde Pública (Online). 2019; 35 (supl.1): e00171717. https://doi.org/10.1590/0102-311X00171717
27. Calcinoni O, Borgonovo G, Cassanelli A, Banfi E, Bassoli A. Herbs for voice Database: developing a rational approach to the study of herbal remedies used in voice care. J Voice. 2021 Sep;35(5): 807.e33-807.e41. https://doi.org/10.1016/j.jvoice.2019.12.027
28. Nemr K, Simões-Zenari M, Cologis VCA, Martins GA, Saito IT, Gonçalves RDS. COVID-19 and remote learning: predictive factors of perceived improvement or worsening of the voice in brazilian teachers. J Voice. 2024 Jan;38(1): 246.e27-246.e38. https://doi.org/10.1016/j.jvoice.2021.08.010
29. Llorente-Ortega M, Podhorski A, Fernandez S. Introducing a new dosimeter for the assessment and monitoring of vocal risk situations and voice disorders. J Voice. 2022 Oct 6: S0892-1997(22)00239-9. https://doi.org/10.1016/j.jvoice.2022.08.007
30. Payten CL, Chiapello G, Weir K A, Madill CJ. Frameworks, terminology and definitions used for the classification of voice disorders: a scoping review. J Voice. 2022 Mar 19:S0892-1997(22)00039-X. https://doi.org/10.1016/j.jvoice.2022.02.009
31. Medeiros AM, Lobo MF, Vieira MT, Duarte L, Car valho JPM, Teodoro AC, et al. Social vulnerability of Brazilian metropolitan schools and teachers' absence from work due to vocal and psychological symptoms:a multilevel analysis. Int J Environ Res Public Health. 2023 Feb 8;20(4):2972. https://doi.org/10.3390/ijerph20042972
32. Feng S, Weng C, Cai S, Yang Z, Wu M, Kang N. The prevalence and risk factors for perceived voice disorders in public school teachers. Laryngoscope Investig Otolaryngol. 2022 Apr 27;7(3):790-798. https://doi.org/10.1002/lio2.803
33. Cantor-Cutiva LC, Banks RE, Hunter EJ. The effect of upper air way ailments on teachers' experience of vocal fatigue. J Voice. 2022 Mar;36(2):226-231. https://doi.org/10.1016/j.jvoice.2020.05.024
34. Chen BL, Cheng YY, Lin CY, Guo HR. Incidence of voice disorders among private school teachers in Taiwan:a nationwide longitudinal study. Int J Environ Res Public Health. 2022 Jan 20;19(3):1130. https://doi.org/10.3390/ijerph19031130
35. . Byeon H. The risk factors related to voice disorder in teachers: a systematic review and meta-analysis. Int J Environ Res Public Health. 2019 Sep 30;16(19):3675. https://doi.org/10.3390/ijerph16193675
36. Barbosa IK, Behlau M, Lima-Silva MF, Almeida LN, Farias H, Almeida AA. Voice symptoms, perceived voice control, and common mental disorders in elementar y school teachers. J Voice. 2021 Jan;35(1): 158.e1-158.e7. https://doi.org/10.1016/j.jvoice.2019.07.018
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Salud, Trabajo y Sostenibilidad

This work is licensed under a Creative Commons Attribution 4.0 International License.
