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1.
Codas ; 32(5): e20180052, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-33174981

RESUMO

PURPOSE: To verify the association between laryngopharyngeal reflux (LPR) with age, gender, vocal deviation and voice complaints. METHODS: The study included patients between 18 and 70 years old, referred to the Otorhinolaryngology service for complaints of voice or reflux, of both sexes. Endolaryngeal findings were classified using the Reflux Finding Score (RFS) scale. The presence or absence of vocal and reflux complaints was verified and correlated with the RFS classification. On the same date, they were submitted to sustained vowel voice recording and chained speech. The auditory-perceptual assessment was performed by a speech therapist, classifying the general degree of vocal deviation based on the GRBASI scale. RESULTS: Ninety-seven patients were evaluated, with a mean age of 42. 6 years, 62. 3% female, and mean RFS scores of 6. 26 points. Among the patients, 48 subjects had vocal complaints, 34 women with a mean age of 44. 9 years and an average RFS score of 6. 94 points. The other 49 individuals had no vocal complaints, and of these 27 were women, with a mean age of 41. 2 years and a mean RFS score of 5. 5 points. The variables "reflux complaint", "vocal complaint" and age were the ones that most correlated with the RFS scale scores. CONCLUSION: There is a relationship among reflux complaints, laryngeal findings and vocal complaint.


Assuntos
Refluxo Laringofaríngeo , Voz , Adolescente , Adulto , Idoso , Feminino , Humanos , Refluxo Laringofaríngeo/complicações , Refluxo Laringofaríngeo/diagnóstico , Masculino , Pessoa de Meia-Idade , Qualidade da Voz , Adulto Jovem
2.
CoDAS ; 32(5): e20180052, 2020. tab, graf
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1133536

RESUMO

RESUMO Objetivo: Verificar a associação entre Refluxo laringofaríngeo (RLF) com idade, sexo, desvio vocal e queixas de voz. Método: Participaram do estudo pacientes entre 18 e 70 anos, encaminhados ao serviço de otorrinolaringologia por queixas de voz ou refluxo, de ambos os sexos. Os achados endolaríngeos foram classificados utilizando a escala Reflux Finding Score (RFS). A presença ou não de queixas vocais e de refluxo foi verificada e correlacionada com a classificação RFS. Na mesma data, os pacientes foram submetidos à gravação de voz de vogal sustentada e fala encadeada. A avaliação perceptivo-auditiva foi realizada por uma fonoaudióloga, classificando o grau geral do desvio vocal com base na escala GRBASI. Resultados: Foram avaliados 97 pacientes, com média de idade de 42,6 anos, sendo 62,3% do sexo feminino e média dos escores da escala RFS igual a 6,26 pontos. Do total de pacientes, 48 indivíduos apresentavam queixas vocais, sendo 34 mulheres com idade média de 44,9 anos e escore RFS médio de 6,94 pontos. Os outros 49 indivíduos não apresentavam queixas vocais, e desses 27 eram mulheres, com idade média de 41,2 anos e média de escore RFS igual a 5,5 pontos. As variáveis "queixa de refluxo", "queixa vocal" e idade foram as que mais se correlacionaram com os escores da escala RFS. Conclusão: Há relação entre queixas de refluxo, achados laríngeos e queixa vocal.


ABSTRACT Purpose: To verify the association between laryngopharyngeal reflux (LPR) with age, gender, vocal deviation and voice complaints. Methods: The study included patients between 18 and 70 years old, referred to the Otorhinolaryngology service for complaints of voice or reflux, of both sexes. Endolaryngeal findings were classified using the Reflux Finding Score (RFS) scale. The presence or absence of vocal and reflux complaints was verified and correlated with the RFS classification. On the same date, they were submitted to sustained vowel voice recording and chained speech. The auditory-perceptual assessment was performed by a speech therapist, classifying the general degree of vocal deviation based on the GRBASI scale. Results: Ninety-seven patients were evaluated, with a mean age of 42. 6 years, 62. 3% female, and mean RFS scores of 6. 26 points. Among the patients, 48 subjects had vocal complaints, 34 women with a mean age of 44. 9 years and an average RFS score of 6. 94 points. The other 49 individuals had no vocal complaints, and of these 27 were women, with a mean age of 41. 2 years and a mean RFS score of 5. 5 points. The variables "reflux complaint", "vocal complaint" and age were the ones that most correlated with the RFS scale scores. Conclusion: There is a relationship among reflux complaints, laryngeal findings and vocal complaint.

3.
J Clin Neurophysiol ; 32(4): 274-83, 2015 08.
Artigo em Inglês | MEDLINE | ID: mdl-26241236

RESUMO

Laryngeal electromyography is considered a valuable diagnostic tool for voice disorders. The technique, described almost 70 years ago, evolved 3 decades later, mainly because of the growing interest of laryngologists and speech pathologists. In the authors' opinion, the reduced number of neurophysiologists involved in laryngeal electromyography groups is, at some instance, related to the difficulty to start the learning process and the multidisciplinary approach the field requires. This review highlights the anatomy and physiology needed to perform laryngeal electromyography and its clinical usefulness in the new field known as neurolaryngology.


Assuntos
Eletromiografia/métodos , Músculos Laríngeos/fisiopatologia , Laringe/patologia , Distúrbios da Voz/diagnóstico , Humanos , Laringe/fisiopatologia
4.
Rev. CEFAC ; 15(6): 1512-1524, nov.-dez. 2013. tab
Artigo em Português | LILACS-Express | LILACS | ID: lil-700033

RESUMO

OBJETIVO: avaliar o conhecimento sobre cuidados com pacientes com disfagia pela equipe de enfermagem que atua em Unidade de Terapia Intensiva, visando à obtenção de um perfil de conhecimento da enfermagem sobre disfagia, e suas implicações para o cuidado dos pacientes internados em UTI que apresentam esta complicação clinica. MÉTODO: estudo quantitativo descritivo e comparativo entre dois grupos de profissionais de enfermagem (terapia intensiva e outros setores) que atuam em um Hospital Universitário, que responderam um questionário estruturado com questões sobre disfagia analisadas estatisticamente pelo teste de Fischer e Diferenças de Proporção. RESULTADOS: os profissionais dos dois grupos tinham conhecimento adequado sobre definição e complicações da disfagia, mas não sobre as fases, causas e cuidados específicos referentes à nutrição, medicação e higiene nos casos de disfagia; na auto-avaliação referiram pouco preparo na realização de alguns cuidados a pacientes disfágicos. CONCLUSÕES: a avaliação constatou que existe conhecimento teórico e prático parcial a respeito dos cuidados de enfermagem aos pacientes disfágicos, demonstrando a necessidade de educação permanente, especialmente nas terapias intensivas. Sugere-se criação de curso de especialização de enfermagem em disfagia.


PURPOSE: to evaluate the knowledge about the care with dysphagia patients from the nurses who work in intensive care units, in order to evaluate their knowledge about dysphagia, and its implications on intensive care unit patients with this clinical complication. METHOD: a quantitative, descriptive and comparative study between two groups of nurses (intensive care and other sectors) working in a University Hospital, who answered a structured questionnaire with questions about dysphagia which was statistically analyzed by Fischer's test and the Differences in Proportion. RESULTS: professionals in both groups had an adequate knowledge about the definition and complications of dysphagia, but they did not know about the stages, causes and specific care related to nutrition, medication and hygiene in cases of dysphagia, the self-assessment reported lack of training in conducting some procedures to patients with dysphagia. CONCLUSIONS: the assessment found that there is a partial theoretical and practical knowledge about nursing care to patients with dysphagia, demonstrating the need for continuing education, especially in intensive care. We suggest the creation of the nursing specialization course in dysphagia.

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