Persona: Filipa M.B., Lã
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Filipa M.B., Lã
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Publicación Singing at menopause: a systematic review with pedagogical implications(SAGE, 2021-12-16) Sevillano García, María Luisa; Filipa M.B., Lã; Barro Fiuza, Mauro; Filipa M.B., LãMenopause is a certainty in a female singer’s life; depletion of estrogens may lead to physical, mental, and vocal symptoms. To investigate the extent to which these symptoms affect singers, a systematic literature review was carried out using eight interdisciplinary bibliographic databases. Combinations of the following key words were used: menopause, climacterium, singing, singers, and choir. From 18 studies, including three doctoral dissertations and a master’s thesis, only 10 met the inclusion criteria. The heterogeneity of study designs and methods of data collection and analysis precluded the carrying out of a meta-analysis. Instead, descriptors of symptoms affecting the voice, and vocal characteristics associated with menopause (menopause descriptors) were categorized, and their frequency of occurrence determined, according to six types of primary dataset: (1) self-reported symptoms, (2) acoustic characteristics, (3) observations of the larynx, (4) perceptual evaluations, (5) analysis of electrolaryngographic waveform characteristics, and (6) analysis of hormone concentrations. The descriptors that occurred most frequently in the literature concerned aspects of voice production, whereas those concerning vocal health, and vocal practice and performance, were less common. Of the three subsystems that comprise the vocal instrument, the vibrating vocal folds seem to be more affected than breathing and resonance. Changes in vocal range, timbre, endurance, and vocal fold mobility occur during menopause, affecting singers’ voice quality. Some singers reported that their ability to perform was compromised, mainly due to memory lapses and lack of confidence. Maintaining regular singing and practicing semi-occluded vocal tract exercises throughout the menopausal transition seem to help singers to overcome the negative impacts of menopause on vocal performance.Publicación Real-Time visual feedback in singing pedagogy: current trends and future directions(MDPI, 2022-10-25) Filipa M.B., Lã; Barro Fiuza, Mauro; Filipa M.B., LãSinging pedagogy has increasingly adopted guide awareness through the use of meaningful real-time visual feedback. Technology typically used to study the voice can also be applied in a singing lesson, aiming at facilitating students’ awareness of the three subsystems involved in voice production—breathing, oscillatory and resonatory—and their underlying physiological, aerodynamical and acoustical mechanisms. Given the variety of real-time visual feedback tools, this article provides a comprehensive overview of such tools and their current and future pedagogical applications in the voice studio. The rationale for using real-time visual feedback is discussed, including both the theoretical and practical applications of visualizing physiological, aerodynamical and acoustical aspects of voice production. The monitorization of breathing patterns is presented, displaying lung volume as the sum of abdominal and ribcage movements signals. In addition, estimates of subglottal pressure are visually displayed using a subglottal pressure meter to assist with the shaping of musical phrases in singing. As to what concerns vibratory patterns of the vocal folds and phonatory airflow, the use of electroglottography and inverse filters is applied to monitor the phonation types, voice breaks, pitch and intensity range of singers of different music genres. These vocal features, together with intentional voice distortions and intonation adjustments, are also displayed using spectrographs. As the voice is invisible to the eye, the use of real-time visual feedback is proposed as a key pedagogical approach in current and future singing lessons. The use of such an approach corroborates the current trend of developing evidence-based practices in voice education.Publicación Menopausal Voice-Related Work Limitation Scale (MenoVWL): development and validation(Elsevier, 2022-11-30) Filipa M.B., Lã; Mateos Ramírez, Ana; Ardura Martínez, Diego; Barro Fiuza, Mauro; Polo Cano, Nuria; Filipa M.B., LãObjectives Menopause has been reported to affect the voice of female professional voice users (FPVUs). The present study aims at the development and validation of a scale to measure self-perceived menopausal voice-related limitation to work in FPVUs, henceforth the Menopausal Voice-Related Work Limitation Scale (MenoVWL). Methods Items were drawn from previous studies on impacts of sex steroid hormones on voice, available validated scales, and in-depth interviews with post-menopausal FPVUs. A preliminary version with 16 items was evaluated by a panel of 15 voice experts. The resulting revised version was filled in online, together with questions on current endocrinological reproductive status and related symptoms, history of amenorrhea, professional occupation, and demographic information. Responses concerning only professional voice users were selected and inclusive and exclusive criteria were applied for correct allocation of participants into pre- and post-menopausal stages within a restrict age range;192 responses were subject to factorial analysis for MenoVWL validation. Cronbach's alpha measured internal reliability. The scale was tested by comparing MenoVWL scores between pre- and post-menopausal FPVUs (98 and 94, respectively). Results Thirteen items were retained from the expert panel evaluation. Items presented a high Content Validity Index (.94 out of 1) and high Item Acceptance Ratio (86.25 %). Both exploratory and confirmatory factorial analysis rendered one dimension scale with an excellent internal consistency (Cronbach's alpha = .9). The results of a Mann-Whitney test showed a higher MenoVWL score for post- as compared to pre-menopausal FPVUs (Z = - 2.818; P = .005). Conclusions MenoVWL is a comprehensive and validated scale with a known factor structure. It constitutes a health care and safety outcome self-perceived measure of value to the early detection of voice-related limitations to work in FPVUs during menopause.Publicación Development and Validation of the Singing Voice Function Self-Efficacy Scale (Singing-VoSES)(['SAGE', 'SEMPRE'], 2023-02-11) Filipa M.B., Lã; Barro Fiuza, Mauro; Ardura Martínez, Diego; Filipa M.B., LãThis investigation aimed at developing and validating a scale measuring perceived self-efficacy in singing with respect to voice function, the Singing Voice Function Self-Efficacy Scale (Singing-VoSES). Voice experts validated an 18-item scale, subsequently administered online, targeting specifically professional and semi-professional female singers. These inclusion criteria were met by a total of 439 participants. Results of both exploratory and confirmatory factorial analysis suggest that Singing-VoSES is a valid scale, with items grouped into three self-efficacy dimensions: Higher Range and Transitions, Middle Range and Lower Range. Middle Range and Lower Range dimensions were both significantly higher than Higher Range and Transitions. Singing high notes and notes within transitional vocal ranges require a refined neuromotor control of the voice, and thus may be particularly challenging. Comparisons between pre and postmenopausal singers were made, as menopause has been associated with changes in voice function. Significantly lower self-efficacies for Higher Range and Transitions and Middle Range were found in post as compared to premenopausal singers. This result, together with the possible lack of coping strategies, may contribute to negative impacts on singers’ performances and, ultimately, lead to premature retirement from public performances. Thus, monitoring self-efficacy with respect to voice function seems relevant, particularly when assisting singers experiencing menopause-related voice difficulties.