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1.
Int. j. pediatr. otorhinolaryngol ; 131: 1-29, Apr., 2020. ilus.
Artigo em Inglês | Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP | ID: biblio-1052848

RESUMO

OBJECTIVE: To characterize the eating behavior, orofacial, speech myofunctional conditions, and facial temperature of children with congenital heart disease. METHOD: This is a cross-sectional and analytical study. The sample consisted of 30 children with heart disease (cyanotic or acyanotic; mean of 5.48 ± 0.84 years old) and 28 healthy children (4.98 ± 0.64 years old). Parents were given a questionnaire to assess eating behaviors (Montreal Children's Hospital Feeding Scale). The orofacial myofunctional assessment protocol (OMES-E), the Child Language Test (ABFW), and thermography infrared of facial temperature were used. Data analysis was conducted by student's t-tests, Chi-square, logistic regression, and correlation analysis. RESULTS: Eating behavior in Parents did not perceive eating behavior differences between the heart disease and control groups. However, the percentage of children with some feeding difficulty was higher in the heart disease group. There was a difference between groups regarding the appearance and posture of structures, the mobility of the mandibular and cheek, swallowing function, and the total function score. Thermographic variables did not differ between the groups, but better performance in orofacial functions correlated with the temperature of the labial commissure and lower lip points. CONCLUSIONS: The frequency of children with eating difficulties was higher among those with congenital heart disease, as was the increased facial temperature at the medial eyelid commission point when submitted to interventional procedures. The orofacial myofunctional aspects showed changes in posture and position, mobility, and orofacial functions among children with heart disease as compared to the control group. There was a correlation between the temperature of the thermo-anatomical points of the labial commissure and the lower lip as well as the OMES-E function score. (AU)


Assuntos
Fonoterapia , Sistema Estomatognático , Termografia , Comportamento Alimentar
2.
Int J Pediatr Otorhinolaryngol ; 131: 109883, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31968274

RESUMO

OBJECTIVE: To characterize the eating behavior, orofacial, speech myofunctional conditions, and facial temperature of children with congenital heart disease. METHOD: This is a cross-sectional and analytical study. The sample consisted of 30 children with heart disease (cyanotic or acyanotic; mean of 5.48 ± 0.84 years old) and 28 healthy children (4.98 ± 0.64 years old). Parents were given a questionnaire to assess eating behaviors (Montreal Children's Hospital Feeding Scale). The orofacial myofunctional assessment protocol (OMES-E), the Child Language Test (ABFW), and thermography infrared of facial temperature were used. Data analysis was conducted by student's t-tests, Chi-square, logistic regression, and correlation analysis. RESULTS: Eating behavior in Parents did not perceive eating behavior differences between the heart disease and control groups. However, the percentage of children with some feeding difficulty was higher in the heart disease group. There was a difference between groups regarding the appearance and posture of structures, the mobility of the mandibular and cheek, swallowing function, and the total function score. Thermographic variables did not differ between the groups, but better performance in orofacial functions correlated with the temperature of the labial commissure and lower lip points. CONCLUSIONS: The frequency of children with eating difficulties was higher among those with congenital heart disease, as was the increased facial temperature at the medial eyelid commissions point when submitted to interventional procedures. The orofacial myofunctional aspects showed changes in posture and position, mobility, and orofacial functions among children with heart disease as compared to the control group. There was a correlation between the temperature of the thermo-anatomical points of the labial commissure and the lower lip as well as the OMES-E function score.

3.
Dysphagia ; 2019 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-31612287

RESUMO

The purpose of this study was to conduct a quantitative analysis of the temporal and sequential events of the pharyngeal phase of swallowing in 45 poststroke patients who presented or did not present with supraglottic penetration and/or laryngotracheal aspiration and to compare the groups with each other and to a group of 46 patients with normal swallowing. All individuals were assessed by videofluoroscopy and the temporal and sequential measures for the swallowing of 3 mL and 5 mL of thickened liquid, 3 mL of liquid, and 3 mL and 5 mL of pasty were obtained by analyzing the recorded exams on Virtual Dub software. The following events were measured: time of maximal displacement and sustaining of the hyoid and larynx, duration of velopharyngeal sphincter (VS) and supraglottic closure, total inversion time of the epiglottis, duration of pharyngeal constriction, and duration of upper esophageal sphincter (UES) opening. For the analysis of the temporal sequence, the initial time of larynx and hyoid elevation, VS closure, epiglottic inversion, supraglottic closure, pharyngeal constriction, and opening of the UES were obtained. For 5 mL of thickened liquid, the maximum hyoid elevation time was greater for patients with normal swallowing and the time the supraglottis remained closed was higher in the aspirators group. The time of pharyngeal constriction during swallowing of 3 mL of thickened liquid was lower in the aspirators group. During the swallowing of 3 mL of thin liquid, it was observed that in the aspirators group, the larynx took longer to reach its maximum elevation and the epiglottis took longer to complete its total inversion. The analysis of the temporal sequence showed that patients in the aspirators group presented greater disorganization with significant alteration of the time interval between the events.

4.
Codas ; 30(6): e20180001, 2018 Nov 29.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30517268

RESUMO

PURPOSE: To understand the benefits of cochlear implantation in adulthood under the perspective of users. METHODS: Qualitative study using Symbolic Interactionism and Straussian Grounded Theory as theoretical and methodological frameworks, respectively. The project was approved by the Research Ethics Committee of the aforementioned Institution (Opinion no. 482,019). Sixteen adult cochlear implant (CI) users aged 28-58 years participated in the study. The data collection instrument was a semi-structured interview with questions about changes caused by CI in the social relations, communication, family system, and personal, academic and professional spheres of life of users. RESULTS: The category Cochlear Implant Effects on Adulthood is part of a more comprehensive theoretical study that addresses how adult CI users cope with deafness. Together with its subcategories, it shows that CI intervenes in a revolutionary way in the lives of its users, because it increases their sense of security, enables them to see life from a new perspective, rescues self-confidence and self-esteem, enables them to communicate and interact more effectively, enjoy music and other entertainment, rescue old projects, and make plans for the future; thus assisting with the process of recovering independence in adult life. CONCLUSION: Subjective impressions of the users showed that cochlear implants not only improve their auditory performance, but also bring several positive changes to their social insertion and quality of life. Therefore, this intervention is highly beneficial to deaf adults.


Assuntos
Implante Coclear/reabilitação , Perda Auditiva/reabilitação , Qualidade de Vida , Adulto , Fatores Etários , Implante Coclear/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Pesquisa Qualitativa , Recuperação de Função Fisiológica , Resultado do Tratamento
5.
Cochlear Implants Int ; 19(4): 216-224, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29363411

RESUMO

OBJECTIVE: To understand the family's experience of a child who uses a cochlear implant (CI). Specifically, to identify the difficulties, changes, and feelings entailed by deafness and the use of the CI; the coping strategies; and to understand the role of the family for the child with a CI. METHOD: Qualitative research, using Symbolic Interactionism and Straussian Grounded Theory as the theoretical and methodological frameworks, respectively. Data collection instrument: semi-structured interview. A total of 9 families (32 individuals) participated in the study. The children's ages ranged from 6 to 11 years old (mean = 8.9 years old). RESULTS: Their experience is described in the following categories: Having to fight for results, Coping with difficult situations, Recognizing that you are not alone, Learning to overcome, and Having one's life restored by the implant. CONCLUSION: Cochlear implantation changes the direction of the child and the family's life by restoring the child's opportunity to hear and to obtain good results in her personal, social, and academic development. Even after implantation, the child continues to experience difficulties and requires the family's mobilization in order to be successful. The family is the principal actor in the process of the child's rehabilitation.


Assuntos
Implantes Cocleares/psicologia , Surdez/psicologia , Família/psicologia , Adaptação Psicológica , Criança , Implante Coclear , Surdez/cirurgia , Feminino , Humanos , Masculino , Pesquisa Qualitativa
6.
CoDAS ; 30(6): e20180001, 2018. tab
Artigo em Português | LILACS-Express | ID: biblio-984238

RESUMO

RESUMO Objetivo Compreender os benefícios da implantação coclear na idade adulta sob a perspectiva dos usuários. Método Pesquisa qualitativa, tendo o Interacionismo Simbólico e a Teoria Fundamentada nos Dados Straussiana como referencial teórico e metodológico, respectivamente. Projeto aprovado pelo Comitê de Ética em Pesquisa da instituição (Parecer n°482.019). Participaram do estudo 16 adultos usuários de implante coclear há pelo menos um ano, com idade entre 28 e 58 anos. O instrumento de coleta de dados foi a entrevista semiestruturada, que abrangeu questões inquirindo as mudanças causadas pelo implante coclear nas relações sociais, na comunicação, no sistema familiar e na vida pessoal, acadêmica e profissional do adulto. Resultados A categoria Repercussões do Implante Coclear na Vida Adulta faz parte de um estudo teórico fundamentado maior sobre o enfrentamento da surdez em adultos usuários de implante coclear. Junto às subcategorias que a compõem, ela evidencia que este dispositivo intervém de forma revolucionária na vida dos usuários, uma vez que ele aumenta a segurança, possibilita enxergar a vida sob uma nova perspectiva, resgata a autoconfiança e a autoestima, permite comunicar-se e interagir de modo mais eficaz, apreciar música e outros entretenimentos, retomar projetos e fazer planos para o futuro; ajudando, assim, no processo de resgate da independência da vida adulta. Conclusão As impressões subjetivas dos usuários mostraram que o uso do implante coclear não apenas melhora o aproveitamento auditivo, mas traz também inúmeras mudanças positivas para sua inserção social e sua qualidade de vida. Portanto, esta intervenção mostra-se altamente benéfica para adultos com surdez.


ABSTRACT Purpose To understand the benefits of cochlear implantation in adulthood under the perspective of users. Methods Qualitative study using Symbolic Interactionism and Straussian Grounded Theory as theoretical and methodological frameworks, respectively. The project was approved by the Research Ethics Committee of the aforementioned Institution (Opinion no. 482,019). Sixteen adult cochlear implant (CI) users aged 28-58 years participated in the study. The data collection instrument was a semi-structured interview with questions about changes caused by CI in the social relations, communication, family system, and personal, academic and professional spheres of life of users. Results The category Cochlear Implant Effects on Adulthood is part of a more comprehensive theoretical study that addresses how adult CI users cope with deafness. Together with its subcategories, it shows that CI intervenes in a revolutionary way in the lives of its users, because it increases their sense of security, enables them to see life from a new perspective, rescues self-confidence and self-esteem, enables them to communicate and interact more effectively, enjoy music and other entertainment, rescue old projects, and make plans for the future; thus assisting with the process of recovering independence in adult life. Conclusion Subjective impressions of the users showed that cochlear implants not only improve their auditory performance, but also bring several positive changes to their social insertion and quality of life. Therefore, this intervention is highly beneficial to deaf adults.

7.
Audiol., Commun. res ; 23: e1955, 2018. tab, graf
Artigo em Português | LILACS | ID: biblio-983922

RESUMO

RESUMO Objetivo Avaliar a percepção musical de adultos usuários de implante coclear, utilizando o Questionário de Música de Munique (Munich Music Questionnaire - MUMU). Métodos Pesquisa transversal, de abordagem quantitativa. Participaram do estudo 22 adultos pós-linguais, usuários de implante coclear há, pelo menos, um ano. O instrumento de coleta dos dados aplicado foi o Questionário de Munique, que abrange questões sobre a participação em atividades musicais e a respeito dos hábitos de ouvir música, em relação aos estilos musicais, aos diferentes instrumentos, ao ambiente de escuta e ao uso de dispositivos auxiliadores. Os dados foram computados em seus valores absolutos e relativos e foi utilizada estatística descritiva para caracterizar a amostra. Resultados Foi possível observar que houve melhora na frequência de música ouvida pós-implante coclear. Dos participantes, a maioria respondeu não ligar a música diretamente ao seu processador. A maioria dos pacientes mencionou que ouvia música por prazer e para relaxar e que conseguiam perceber, principalmente, o ritmo. O instrumento com maior frequência de detecção foi o piano, seguido da bateria. O gênero musical referido com grande satisfação foi música para dançar e religiosa. Dos 10 pacientes que tocavam instrumentos antes da perda auditiva, 4 voltaram a tocar após a implantação e 3, que não tocavam, começaram a tocar, após o implante coclear. Conclusão Foi possível observar que o uso do implante coclear propiciou melhora na percepção musical dos usuários, refletindo benefício na qualidade de vida. Por isso, a reabilitação deve incluir, dentro do treinamento auditivo, o desenvolvimento de habilidades musicais.


ABSTRACT Purpose To evaluate the musical perception of adults with cochlear implant using the Munich Music Questionnaire (MUMU). Methods Cross-sectional research with a quantitative approach, approved by the institution's Research Ethics Committee (Opinion n° 1,626,211). Twenty-one post-lingual adults who were cochlear implant users for at least one year participated in the study. The data collection instrument applied was the Munich Questionnaire, which covers questions about participation in musical activities and about the habits of listening to music in relation to musical styles, different instruments, the listening environment and the use of assistive devices. The data were computed in absolute and relative values ​​and descriptive statistics were used to characterize the sample. Results It was possible to observe that there was improvement in the frequency of music heard after cochlear implantation. Of the participants, most respondents did not connect the music directly to their processor. Most patients listen to music for pleasure and to relax, and they can mostly sense the rhythm. The instrument with the highest frequency of detection was the piano, followed by the drums. The musical genre referred to with great satisfaction was techno and religious. Of the 10 patients who played instruments before hearing loss, 4 played again after implantation and 3, who did not play, began to play after cochlear implantation. Conclusion It was possible to observe that the use of the cochlear implant provided an improvement in the users' musical perception, reflecting an improvement in the quality of life. Therefore, rehabilitation should include within the auditory training the development of musical abilities.


Assuntos
Humanos , Adulto , Percepção da Fala , Implante Coclear/reabilitação , Percepção Sonora , Música , Qualidade de Vida , Brasil , Perda Auditiva/reabilitação , Perda Auditiva Neurossensorial
8.
Rev. CEFAC ; 19(1): 82-89, jan.-fev. 2017. tab, graf
Artigo em Português | LILACS-Express | ID: biblio-842583

RESUMO

RESUMO Objetivo: analisar a força axial da língua e parâmetros relacionados por meio do FORLING. Método: foram analisados os dados de 92 participantes, entre homens e mulheres, com média de 23,3±7,7 anos. Resultados: no parâmetro força média da língua, identificaram-se valores médios de 13,0 N, já para a força máxima observou-se valor médio de 18,3 N. A força média e a máxima da língua apresentaram correlação positiva e associação altamente significante (p<0,001). A energia acumulada pela língua indicou valores de 131,1 N/s. O tempo médio gasto para que se alcance a força máxima da língua foi de 3,8 segundos, indicando um efeito do treinamento ao se comparar a 1ª à 3ª medida, com redução dos valores (p<0,001). Conclusão: o instrumento demonstrou ser capaz de mensurar parâmetros importantes para o fonoaudiólogo, indicando ser uma promissora ferramenta complementar à avaliação clínica fonoaudiológica.


ABSTRACT Purpose: to analyze axial tongue strength and related parameters by using the Forling. Methods: data regarding 92 participants, including men and women with a mean age of 23.3 ± 7.7 years, were analyzed. Results: the mean value of the mean tongue strength was 13.0 N, and the maximum strength value was 18.3 N. The mean and maximum tongue strengths showed positive correlation and highly significant association (p < 0.001). The energy accumulated by the tongue was 131.1 N/s. The mean time required for the maximum tongue strength to be reached was 3.8 s, and the decrease in time (p < 0.001) from the first to the third measurements indicates an effect of training. Conclusion: the instrument proved to be capable of measuring parameters that are important to the speech-language pathologist, indicating that it can be a promising complementary tool for clinical evaluation.

9.
Rev. bras. crescimento desenvolv. hum ; 27(3): 281-287, 2017. tab
Artigo em Inglês | LILACS | ID: biblio-958490

RESUMO

INTRODUCTION: Appropriate communication behaviors are developed when the complex language processes are well-balanced. OBJECTIVE: To investigate the occurrence of hearing and speech disorders and their associated factors in children. METHODS: Study based on interviews with secondary informants of 95 children of a waiting list for a medical consultant in a public pediatric primary care unit in a medium-sized city in southern Brazil. The interaction between the independent variables: gender, age, hearing complaints, bottle feeding and/or pacifier and number of siblings with the dependents variables: speech disorders and hearing impairment was verified. Data analysis included descriptive and analytical statistics (bivariate chi-square and Fisher's Exact test) with significance level at 5% (p ≤ 0.05). RESULTS: Seventy-nine (83.2%) respondents reported that the child hears well, and 16 (16.8%) didn't answer on this issue. The prevalence of oral breathing among respondents was 68.9% (62 children), 82,5% (52 children) had a history of breastfeeding and 22% (11 children) demonstrated signs of a speech disorder. Of school-age children, 3 (12.5%) reported learning difficulties. Mouth breathing appears to be associated with speech disorders (p = 0.041). Sex (p= 0.3), age (p = 0.3) and pacifier use and/or bottle (p = 0.96, p = 0.33) were not associated with speech disorders. CONCLUSION: The prevalence of speech disorders in the children studied was 22%. The sex, age or suspected hearing impairment were not associated with the occurrence of speech disorders and/or hearing complaints in the children studied.


INTRODUÇÃO: Comportamentos de comunicação apropriados se desenvolvem quando o complexo processo de linguagem está bem equilibrado. OBJETIVO: Avaliar a ocorrência de alterações auditivas, da fala e fatores associados em crianças. MÉTODO: Estudo baseado em entrevistas com informantes secundários de 95 crianças à espera de consulta em uma unidade básica de saúde. Verificou-se a associação entre as variáveis independentes: sexo, idade, queixas auditivas, uso de mamadeira e/ou chupeta e número de irmãos com as variáveis dependentes: distúrbios da fala e deficiência auditiva. A análise dos dados incluiu estatística descritiva e analítica (qui-quadrado bivariável e teste Exato de Fisher) com nível de significância de 5% (p ≤ 0,05) RESULTADOS: Setenta e nove (83,2%) entrevistados relataram que a criança ouvia bem, embora 16 (16,8%) não tenham respondido sobre esta questão. A prevalência de respiração oral entre os respondentes foi de 68,9% (n = 62), 52 (82,5%) crianças tiveram história de amamentação e 11 (22%) crianças demonstraram sinais de distúrbio de fala. Das crianças em idade escolar, 3 (12,5%) relataram dificuldades de aprendizagem. A respiração bucal parece estar associada a distúrbios da fala (p = 0,041). O sexo (p = 0,3), idade (p = 0,3) e uso de chupeta e/ou mamadeira (p = 0,96, p = 0,33) não foram associados a distúrbios da fala. CONCLUSÃO: A prevalência de distúrbios da fala nas crianças estudadas foi de 22%. O sexo, idade ou suspeita de deficiência auditiva não foram associados à ocorrência de distúrbios de fala e/ou queixas auditivas nas crianças estudadas.


Assuntos
Humanos , Masculino , Feminino , Criança , Atenção Primária à Saúde , Distúrbios da Fala , Fonoterapia , Criança , Perda Auditiva , Transtornos da Linguagem
10.
Rev. CEFAC ; 18(5): 1230-1237, set.-out. 2016. graf
Artigo em Português | LILACS-Express | ID: biblio-829580

RESUMO

RESUMO A preocupação com a qualidade de vida ocorre num movimento de busca da valorização de parâmetros mais amplos que o controle de sintomas, a diminuição da mortalidade ou o aumento da expectativa de vida. Dentro desses parâmetros, insere-se a qualidade de vida de indivíduos acometidos por paralisia facial, doença frequente no mundo, sem predileção quanto ao gênero e à faixa etária. A atuação integrada dos profissionais pode potencializar o processo de cuidado, gerando deslocamentos no tratamento à qualidade de vida do paciente. Este estudo foi realizado por meio de busca eletrônica nas bases bibliográficas Pubmed, por meio da National Center for Biothecnology Information (NCBI); Lilacs (Literatura Latino-Americana e do Caribe em Ciências da Saúde) e SciELO (Scientific Electronic Library Online). Nesta investigação, utilizou-se o mecanismo de pesquisa oferecido pela National Library of Medicine. A combinação dos descritores paralisia facial, qualidade de vida, pessoal de saúde, relações interprofissionais, comportamento cooperativo, equipe de assistência ao paciente e seus respectivos em inglês foi executada de diversas formas, com a finalidade de detectar o maior número possível de publicações. Evidenciaram-se poucos estudos referindo a relação entre todos os temas abordados. De uma forma geral, a revisão bibliográfica apontou que o trabalho interprofissional pode favorecer o redimensionamento das relações entre diferentes conteúdos, contribuindo para que a fragmentação dos conhecimentos possa ser superada. O trabalho interprofissional é referido como essencial para o desenvolvimento de uma força de trabalho, na qual os profissionais trabalham juntos com o objetivo de prestar assistência no âmbito da integralidade do cuidado.


ABSTRACT Concern about the quality of life seeks the appreciation of it in a broader movement than controlling symptoms, decreasing mortality rate or increasing lifespan. In this context, the quality of life of individuals affected by facial paralysis, a common disease in the world, is inserted with no distinction of gender or age. The integrated work of professionals can enhance the healthcare process thus generating changes in the treatment towards the patient's quality of life. This study was carried out through electronic search in the databases of Pubmed, via the National Center for Biothecnology Information (NCBI); Lilacs (Latin American and Caribbean Health Sciences), and SciELO (Scientific Electronic Library Online). A search tool was offered by the National Library of Medicine, by means of which the combination of the descriptors facial paralysis, quality of life, health workers, interprofessional relationship, cooperative behavior, patient care team was performed in a varied way in order to detect the largest possible number of publications. Evidence showed up few studies regarding to a relation among all addressed words. In general, the literature review indicated that the interprofessional work can favor the resizing of the relations among different contents, thus contributing to the overcoming of knowledge fragmentation. The interprofessional work is reckoned to be essential for the development of a workforce in the scope of which professionals work together in order to properly assist the integral healthcare.

11.
Codas ; 28(4): 345-54, 2016.
Artigo em Inglês, Português | MEDLINE | ID: mdl-27532438

RESUMO

PURPOSE: Translation and cross-cultural adaptation of the instrument Hearing Implant Sound Quality Index (HISQUI19), and characterization of the target population and auditory performance in Cochlear Implant (CI) users through the application of a synthesis version of this tool. METHODS: Evaluations of conceptual, item, semantic and operational equivalences were performed. The synthesis version was applied as a pre-test to 33 individuals, whose final results characterized the final sample and performance of the questionnaire. The results were analyzed statistically. RESULTS: The final translation (FT) was back-translated and compared with the original version, revealing a minimum difference between items. The changes observed between the FT and the synthesis version were characterized by the application of simplified vocabulary used on a daily basis. For the pre-test, the average score of the interviewees was 90.2, and a high level of reliability was achieved (0.83). CONCLUSION: The translation and cross-cultural adaptation of the HISQUI19 questionnaire showed suitability for conceptual, item, semantic and operational equivalences. For the sample characterization, the sound quality was classified as good with better performance for the categories of location and distinction of sound/voices.


Assuntos
Comparação Transcultural , Perda Auditiva/diagnóstico , Autoimagem , Inquéritos e Questionários , Traduções , Brasil , Implante Coclear , Implantes Cocleares , Feminino , Perda Auditiva/fisiopatologia , Humanos , Masculino , Reprodutibilidade dos Testes , Semântica
12.
CoDAS ; 28(4): 345-354, jul.-ago. 2016. tab, graf
Artigo em Português | LILACS-Express | ID: lil-795255

RESUMO

RESUMO Objetivo Traduzir e adaptar transculturalmente o instrumento HISQUI19 (Hearing Implant Sound Quality Index), e caracterizar a população e o desempenho auditivo em usuários de Implante Coclear (IC) pela aplicação da versão síntese. Método Realizou-se a avaliação das equivalências conceitual, de item, semântica e operacional. A versão síntese foi aplicada como um pré-teste que contou com 33 sujeitos no resultado final, caracterizando a amostra e o desempenho do questionário. Os resultados foram analisados estatisticamente. Resultado A tradução final (TF) foi retrotraduzida e comparada à versão original, mostrando diferença mínima entre itens, e as modificações da TF para a versão síntese caracterizaram-se pela aplicação de vocabulário simplificado utilizado no cotidiano. No pré-teste, o escore médio entre os entrevistados foi de 90,2 e confirmou-se alto grau de confiabilidade interna (0,83). Conclusão A tradução e a adaptação do questionário HISQUI19 mostraram adequação para as equivalências semântica, cultural, conceitual e de item. Na caracterização da amostra, a qualidade de som foi classificada como boa com melhor desempenho nas categorias de localização e distinção de sons/vozes.


ABSTRACT Purpose Translation and cross-cultural adaptation of the instrument Hearing Implant Sound Quality Index (HISQUI19), and characterization of the target population and auditory performance in Cochlear Implant (CI) users through the application of a synthesis version of this tool. Methods Evaluations of conceptual, item, semantic and operational equivalences were performed. The synthesis version was applied as a pre-test to 33 individuals, whose final results characterized the final sample and performance of the questionnaire. The results were analyzed statistically. Results The final translation (FT) was back-translated and compared with the original version, revealing a minimum difference between items. The changes observed between the FT and the synthesis version were characterized by the application of simplified vocabulary used on a daily basis. For the pre-test, the average score of the interviewees was 90.2, and a high level of reliability was achieved (0.83). Conclusion The translation and cross-cultural adaptation of the HISQUI19 questionnaire showed suitability for conceptual, item, semantic and operational equivalences. For the sample characterization, the sound quality was classified as good with better performance for the categories of location and distinction of sound/voices.

13.
Rev. CEFAC ; 18(2): 369-376, mar.-abr. 2016. tab
Artigo em Português | LILACS-Express | ID: lil-781470

RESUMO

RESUMO Objetivo: descrever as características de clustering e switching da prova de fluência verbal semântica e fonológica de deficientes auditivos adultos - usuários do português brasileiro - e verificar sua relação com o total de palavras evocadas e fatores biossociais. Métodos: 42 indivíduos deficientes auditivos adultos, usuários do português brasileiro oral participaram desta pesquisa. Realizaram as provas de fluência verbal semântica ("animais") e fonológica ("palavras com 'F'") e foram contabilizados: (a) número total de palavras, (b) número de categorias evocadas, (c) tamanho médio do cluster e (d) número de switches. Comparou-se aos dados biossociais e às características da deficiência auditiva e do dispositivo auditivo eletrônico. Resultados: o total de palavras evocadas foi de 16,38±6,18 para prova semântica e 10,88±6,1 para fonológica, sendo acessadas todas as categorias previamente estabelecidas. A média do tamanho do cluster foi de 1,41±0,8 para fluência verbal semântica e 0,71±0,73 para fonológica. O número médio de switches foi de 7,14±3,69 para fluência semântica e 6,36±4,17 para fonológica. Em ambas as provas, o número de switches apresentou relação forte e positiva com o total de palavras (p<0,001); e o tamanho do cluster com o total da prova fonológica (p=0,011). A escolaridade influenciou o total de palavras evocadas, o clustering e switching. O grau e época de aquisição da deficiência auditiva, bem como o uso de dispositivo auditivo eletrônico não tiveram relação com as variáveis avaliadas. Conclusão: as habilidades de clustering e switching nos deficientes auditivos são influenciadas pela escolaridade, sem relação direta com as características da deficiência auditiva.


ABSTRACT Purpose: to describe clustering and switching characteristics in semantic and phonetic verbal fluency of hearing-impaired adults - Brazilian Portuguese speakers - and to verify if there is relation between this characteristics, the total number of words recalled, and biosocial factors. Methods: 42 hearing-impaired adults, Brazilian-Portuguese speakers, were included. All performed the verbal fluency test by semantic and phonemic clue ("animals" and "letter F", respectively). We analyzed: (a) total words recalled, (b) number of categories recalled, (c) average cluster size, (d) number of switches. Moreover, evaluated the relationship of this data with biosocial information, hearing loss and hearing device characteristics. Results: total number of words recalled was 16.38±6.18 for semantic test and 10.88±6.1 for phonetic, on average. Participants retrieved all categories established. The average cluster size was 1.41±0.8 for semantic verbal fluency and 0.71±0.73 for phonetic. The average number of switches was 7.14±3.69 for semantic fluency and 6.36±4.17 for phonetic. For both tests the number of switches was strong and positively related to the total number of words (p<0.001); the average cluster size was related only for phonetic test (p=0.011). Educational level influenced the total number of words, clustering and switching. The hearing loss degree, age of hearing loss acquisition and the use of hearing devices did not present relation with any of evaluated variables. Conclusion: clustering and switching abilities in hearing-impaired subjects are influenced by educational level, without clear relation with hearing loss characteristics.

14.
Int. arch. otorhinolaryngol. (Impr.) ; 20(1): 13-17, Jan.-Mar. 2016. tab
Artigo em Inglês | LILACS | ID: lil-773506

RESUMO

Introduction The chin-tuck maneuver is the most frequently employed postural maneuver in the treatment of neurogenic oropharyngeal dysphagia caused by encephalic vascular strokes and degenerative diseases. Objective The purpose of this study was to investigate the effectiveness of this maneuver in patients with neurogenic dysphagia and factors that could interfere in it. Methods In this retrospective cohort, we analyzed the medical files and videofluoroscopy exams of 35 patients (19male - 54% and 16 female - 46%; age range between 20 and 89 years old; mean = 69 years). Results The results suggest that the effectiveness of chin-tuck maneuver is related to the overall degree of dysphagia: the more severe the dysphagia, the less effective the maneuver. Conclusion Chin-tuck maneuver should benefit dysphagic patients with delay in the swallowing trigger, reduced laryngeal elevation, and difficulties to swallow liquids, but is not the best compensatory strategy for patients with severe dysphagia.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Transtornos de Deglutição , Fluoroscopia , Queixo
15.
Int Arch Otorhinolaryngol ; 20(1): 13-7, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26722339

RESUMO

Introduction The chin-tuck maneuver is the most frequently employed postural maneuver in the treatment of neurogenic oropharyngeal dysphagia caused by encephalic vascular strokes and degenerative diseases. Objective The purpose of this study was to investigate the effectiveness of this maneuver in patients with neurogenic dysphagia and factors that could interfere in it. Methods In this retrospective cohort, we analyzed the medical files and videofluoroscopy exams of 35 patients (19 male - 54% and 16 female - 46%; age range between 20 and 89 years old; mean = 69 years). Results The results suggest that the effectiveness of chin-tuck maneuver is related to the overall degree of dysphagia: the more severe the dysphagia, the less effective the maneuver. Conclusion Chin-tuck maneuver should benefit dysphagic patients with delay in the swallowing trigger, reduced laryngeal elevation, and difficulties to swallow liquids, but is not the best compensatory strategy for patients with severe dysphagia.

16.
Folia Phoniatr Logop ; 68(4): 183-188, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-28171875

RESUMO

BACKGROUND/AIMS: Cone beam computed tomography (CBCT), which represents an alternative to traditional computed tomography and magnetic resonance imaging, may be a useful instrument to study vocal tract physiology related to vocal exercises. This study aims to evaluate the applicability of CBCT to the assessment of variations in the vocal tract of healthy individuals before and after vocal exercises. METHODS: Voice recordings and CBCT images before and after vocal exercises performed by 3 speech-language pathologists without vocal complaints were collected and compared. Each participant performed 1 type of exercise, i.e., Finnish resonance tube technique, prolonged consonant "b" technique, or chewing technique. The analysis consisted of an acoustic analysis and tomographic imaging. RESULTS: Modifications of the vocal tract settings following vocal exercises were properly detected by CBCT, and changes in the acoustic parameters were, for the most part, compatible with the variations detected in image measurements. CONCLUSION: CBCT was shown to be capable of properly assessing the changes in vocal tract settings promoted by vocal exercises.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Prega Vocal/diagnóstico por imagem , Treinamento da Voz , Voz , Humanos , Acústica da Fala , Tomografia Computadorizada por Raios X
17.
Rev. bras. crescimento desenvolv. hum ; 26(1): 54-60, 2016. tab
Artigo em Inglês | LILACS | ID: lil-791674

RESUMO

INTRODUCTION: For the assessment of child development in the deaf is effective protocols are needed for this population, as in Brazil, standardized tests for these children are still scarce 4.5. Thus, emphasis is placed on studying child development in deaf so that therapeutic and educational approaches are contemplated in accordance with the needs of each child. OBJECTIVE: Analyze the performance of children with hearing deficit in different areas: Communications-Issue, Communication-reception, aspects Motors and Cognitive Aspects of Language. METHODS: We have carried out a comparative study in an institutional clinic with 109 children, divided into 60 hearing individuals with typical development and 49 with hearing loss, severe to profound. The performance index was calculated for each child in these four domains. The index was analysed according to the equation: (number of responses in each area / number of assessed behaviours) x100. RESULTS: In all age groups, hearing-impaired children had a smaller performance when compared to hearing children in the Communication - Emission domain. The Communication-Reception domain showed significant differences (p < 0.05) from the 12-to-23-months to the 60-to-71-months age groups. The Cognitive Aspects domain demonstrated a significant difference (p < 0.01) between hearing-impaired and hearing children aged 24 to 35 months and onwards. Motor Aspects only had a significant difference (p < 0.01) in the last two age groups, 48-59 months and 60-71 months. The significance level was 5%. CONCLUSION: In all age groups, hearing-impaired children's performance was worse when compared to hearing children. The intervention made by health professionals ought to take place as soon as possible in order to develop the cognitive, motor and language skills of the hearing-impaired child.


INTRODUÇÃO: Para que a avaliação do desenvolvimento infantil em deficientes auditivos seja efetiva são necessários protocolos para esta população, já que, no Brasil, testes padronizados para estas crianças ainda são escassos 4,5. Assim, dá-se ênfase em estudar o desenvolvimento infantil em deficientes auditivos, para que abordagens terapêuticas e educacionais sejam contempladas de acordo com a necessidade de cada criança. OBJETIVO: Analisar o desempenho de crianças com déficit de audição nos diferentes domínios: Comunicação-Emissão, Comunicação-Recepção, Aspectos Motores e Aspectos Cognitivos da Linguagem. MÉTODO: Estudo comparativo em uma clínica institucional com 109 crianças, divididas em 60 crianças ouvintes com desenvolvimento típico e 49 crianças com perda auditiva neurossensorial de grau severo a profundo bilateral, para verificação dos desempenhos nos domínios Comunicação - Emissão e Recepção, Aspectos motores e Aspectos Cognitivos da Linguagem. Para cada criança foi calculado o índice de desempenho na Comunicação - Emissão e Recepção, Aspectos Motores e Aspectos Cognitivos da Linguagem. Os índices foram analisados da seguinte forma: (número respostas presentes em cada domínio/número de comportamentos avaliados) x100. RESULTADOS: Em todas as faixas etárias, encontramos desempenho inferior de crianças deficientes auditivas quando comparadas às crianças ouvintes no domínio Comunicação-Emissão. O domínio Comunicação-Recepção apresentou diferenças significantes (p < 0,05) a partir da faixa etária de 12 a 23 meses até a faixa de 60 a 71 meses. O domínio Aspectos Cognitivos da Linguagem apresentou diferença significante (p<0,01) entre crianças deficientes auditivas e ouvintes da faixa etária de 24 a 35 meses em diante. No domínio Aspectos Motores foi observada diferença significante (p<0,01) apenas nas duas últimas faixas etárias de 48 a 59 meses e 60 a 71 meses. O nível de significância adotado foi de 5%. CONCLUSÕES: Em todas as faixas etárias, encontramos desempenho inferior de crianças deficientes auditivas quando comparadas às crianças ouvintes.


Assuntos
Humanos , Masculino , Feminino , Criança , Desenvolvimento Infantil , Pessoas com Deficiência Auditiva , Perda Auditiva , Perda Auditiva Neurossensorial , Desempenho Psicomotor , Transtornos do Desenvolvimento da Linguagem
20.
Audiol., Commun. res ; 20(4): 336-348, out.-dez. 2015. tab, graf
Artigo em Inglês | LILACS | ID: lil-770545

RESUMO

RESUMO Objetivo: Apresentar as ferramentas metodológicas e de investigação de um inquérito domiciliar de distúrbios fonoaudiológicos autodeclarados, implementado no sul do Brasil. Métodos: Para a condução do estudo foi realizada uma longa etapa de planejamento e de atividades piloto, que incluíram seleção e treinamento de equipe de campo, elaboração, teste e reteste de instrumento de aferição de distúrbios fonoaudiológicos autodeclarados. Técnicas de abordagem e preenchimento dos questionários também foram testadas e aplicadas, em razão da dimensão do estudo. Resultados: O tempo médio de entrevista variou de 15 a 35 minutos, dependendo da experiência dos entrevistadores e diminuiu para ambos os grupos, depois de algum tempo de trabalho de campo. A ocorrência de “não sabe ou não respondeu” variou de 0,2% (IC 95% 0,0;1,6) a 6,1% (IC 95% 2,8;11,3), foi menor para as questões relativas à história de rouquidão e zumbido respondida por substitutos e maior para a questão relacionada à percepção de alteração na emissão vocal associada ao envelhecimento. Conclusão: Inquérito domiciliar é um método viável e relevante para verificar a carga dos distúrbios fonoaudiológicos na população em geral, embora seja necessário contar com amplo conhecimento dos aspectos relacionados a essa metodologia de estudo, bem como de elementos importantes para a seleção e formação contínua dos entrevistadores, a fim de aumentar a participação da população investigada.


ABSTRACT Purpose: This paper presents the methodology and research tools of a self-reported household survey of speech, language, swallowing and hearing (SLS-H) disorders implemented in southern Brazil. Methods: For the conduction of the study itself, a long step of planning and pilot activities was conducted. This included selection and training of field staff, development, test and retest measurement instrument of self- reported SLS-H disorders and approach techniques and completion of the questionnaires have been tested and applied, because of the complexity of the study. Results: The average time of interview varied from 35 to 15 minutes depending of interviewers experience and for both groups after some fieldwork the average time spent declined. The occurrence of “do not know or didn't inform” answer ranged from 0.2% (95% CI 0.0;1.6) and 6.1% (95% CI 2.8;11.3). Its lowest occurrence was for questions relating to the history of hoarseness and tinnitus by proxys. Incidence was higher for the question related to the perception of change in vocal emission associated with aging. Conclusion: Household survey is feasible and relevant to verify the burden of SLS-H disorders in the general population, although it required extensive knowledge of the study, selection and ongoing training of interviewers to increase the chance of participation, and logistics for the analysis and classification of the information collected.


Assuntos
Humanos , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Inquéritos Epidemiológicos , Transtornos da Audição , Distúrbios da Fala , Distúrbios da Voz , Transtornos de Deglutição , Transtornos da Linguagem , Fonoaudiologia
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