scholarly journals Estratégias fonoaudiológicas para o manejo da disfagia em pacientes acometidos por Covid-19: revisão integrativa

2020 ◽  
Vol 16 ◽  
pp. e5366
Author(s):  
Ana Flávia de Sales Cândido ◽  
Emmanuella Costa de Azevedo Mello ◽  
Ana Clara Amorim Sarmento Vieira ◽  
Ericka Costa de Azevedo Freire ◽  
Emmanoela de Almeida Paulino Lima ◽  
...  
Keyword(s):  
Deglutition Disorders ◽  
Speech Therapy ◽  
Web Of Science

Este artigo buscou apresentar as estratégias de atuação fonoaudiológica e os cuidados descritos na literatura para o manejo da disfagia em pacientes acometidos de COVID-19. Trata-se de uma revisão integrativa da literatura realizada em setembro de 2020 nas bases de dados PubMed/Medline, Lilacs, Scopus e Web of Science, utilizando os descritores “COVID-19”, “SARS-Cov-2”, “therapy”, “speech therapy” e “deglutition disorders”, combinados por meio dos operadores AND e OR. Foram inseridos estudos que abordavam a temática de interesse, pesquisas em humanos com COVID-19; publicações disponíveis em português, inglês ou espanhol, estudos do tipo artigos originais, caso controle, transversais e estudos de caso. Foi realizada leitura dos títulos e resumos, excluindo aqueles que não se encaixavam na pesquisa. Foram selecionados 3 artigos, cujo resultados mostraram relação do surgimento da disfagia com a COVID-19, em decorrência da intubação orotraqueal e dos danos neurológicos causados. Os cuidados com os atendimentos e a necessidade de acompanhamento também foram abordados. Verificou-se literatura escassa em relação aos procedimentos de avaliação e estratégias de intervenção fonoaudiológicas, mas sugerem atividades de estimulação sensorial e que promovam o fortalecimento dos músculos envolvidos na deglutição, além de estratégias de cuidado que visem proteger o paciente e os profissionais.

Fonoaudiología En Salas De Urgencias: Perspectiva Desde Una Revisión Documental

Areté ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Johanna Rodríguez Riaño ◽  
DANIELA MARCELA QUECHO RODRIGUEZ ◽  
MARIA PAULA RINCON PINILLA ◽  
PAULA VANESSA GARAVITO HERNÁNDEZ ◽  
DANIELA MARCELA QUECHO RODRIGUEZ ◽  
...  
Keyword(s):  
Emergency Room ◽  
Speech Therapy ◽  
Web Of Science ◽  
Speech Language Pathology ◽  
Toma De Decisiones ◽  
Language Pathology

Las salas de urgencias son espacios con protocolos coordinados y actuaciones diagnósticas y terapéuticas secuenciales. Los profesionales de rehabilitación en urgencias aportan a la toma de decisiones sobre conductas de hospitalización o egreso, planes caseros, ayudas diagnósticas y remisión a especialistas. El propósito de este análisis de literatura fue identificar evidencia internacional, sobre el fonoaudiólogo en sala de urgencias y sus acciones profesionales con pacientes, familiares y equipos de salud. Materiales y métodos. Se revisó evidencia de las bases de datos Ebsco, PubMed, Scielo, Elsevier y Web of Science, entre enero de 2015 hasta septiembre de 2020, con términos de búsqueda: speech language pathology, speech therapy, emergency room en español e inglés. Se seleccionaron documentos que informaran sobre procesos de rehabilitación en salas de urgencias, que incluyeran acciones desde fonoaudiología. Se analizaron 51 documentos según criterios de inclusión. La evidencia muestra la incursión del trabajo fonoaudiológico en un contexto no tradicional, motivado por las necesidades en la toma de decisiones clínicas en diálogo interdisciplinar, principalmente en condiciones de disfagia y alteraciones deglutorias. Las acciones profesionales en este contexto incluyen la promoción y prevención de ingresos a sala de urgencias, hasta la atención en condiciones críticas, agudas y al final de la vida. Este contexto representa retos profesionales hacia habilidades de juicio clínico, argumentación científico profesional, uso de instrumentos de detección y trabajo interdisciplinar. que hacen la diferencia entre aspectos como el egreso y la hospitalización, un tratamiento o procedimiento y en algunos casos, entre la vida y la muerte.

scholarly journals Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review

2020 ◽  
Vol 9 (8) ◽  
pp. 2618
Author(s):  
Isabel Diéguez-Pérez ◽  
Raquel Leirós-Rodríguez
Keyword(s):  
Systematic Review ◽  
Electrical Stimulation ◽  
Deglutition Disorders ◽  
Electric Stimulation ◽  
Web Of Science ◽  
Neuromuscular Electrical Stimulation ◽  
Electric Stimulation Therapy ◽  
Search Terms ◽  
Intensity Threshold ◽  
Strengthening Exercises

Background: Dysphagia causes severe complications among people with a stroke. Physiotherapy allows the cure of this pathology, and among the tools it offers is neuromuscular electrical stimulation. However, this is a technique that has not been protocolized. Therefore, it was considered necessary to carry out a systematic review on the efficacy of the various parameters of application of the neuromuscular electrical stimulation in dysphagia generated after a stroke. Methods: A systematic search for publications was conducted in March 2020 in the Pubmed, Cinahl, Medline, Web of Science and Scopus databases, using as search terms: Electric stimulation therapy, Deglutition disorders and Stroke. Results: 21 articles were obtained in which the application of neuromuscular electrical stimulation was applied in isolation (n = 7) or in combination with other techniques such as strengthening exercises and manual therapy techniques (n = 14), with this second modality of treatment having greater benefits for patients. Conclusion: The greatest efficacy of this technique is reached when applied at 60-80 Hz, 700 μs of pulse duration, at the motor intensity threshold and in sessions of 20–30 min.

Early gastrostomy associated with speech therapy in patients with amyotrophic lateral sclerosis

2018 ◽  
Vol 19 (3) ◽  
pp. 414
Author(s):  
Viviane Marques ◽  
Marco Orsini ◽  
Rossano Fiorelli ◽  
Victor Hugo Bastos ◽  
Silmar Teixeira ◽  
...  
Keyword(s):  
Amyotrophic Lateral Sclerosis ◽  
Deglutition Disorders ◽  
Motor Neurons ◽  
Speech Therapy ◽  
Life Time ◽  
Breathing Disorders ◽  
Clinical Impairment ◽  
The Impact ◽  
Lateral Sclerosis

Amyotrophic Lateral Sclerosis (ALS) is a degenerative disease that occurs with the deterioration of motor neurons. The beginning of clinical impairment may be bulbar with the average life time, after the first symptoms, between 2 to 5 years, presenting serious swallowing, speech and breathing disorders. Deglutition disorders can lead to malnutrition, dehydration, aspiration, displeasure, and more serious complications such as aspiration pneumonia and death. With the evolution of the disease, the patient needs procedures that generate doubts in the professionals and family, as the correct moment of indication of the use of alternative long-term feeding routes called gastrostomies (GTT). The objective of this article is to analyze the impact of dysphagias and the most favorable moment for the placement of gastrostomies. Early GTT placement may help prevent the patient from clinically debilitating more quickly, respond better to multidisciplinary team therapeutics, and feel more comfortable.Key-words: dysphagia, enteral nutrition, gastrostomy, deglutition disorders, motor neuron disease, amyotrophic lateral sclerosis.

scholarly journals Cuidados integrados de fonoaudiologia e enfermagem em disfagia orofaríngea

2018 ◽  
Vol 12 (10) ◽  
pp. 2844
Author(s):  
Suelem Frian Couto Dias ◽  
Gisella De Carvalho Queluci ◽  
Amanda Ribeiro Mendonça ◽  
Vinicius Rodrigues De Souza
Keyword(s):  
Deglutition Disorders ◽  
Nursing Care ◽  
Early Identification ◽  
Speech Therapy ◽  
Descriptive Study ◽  
Study Results

RESUMOObjetivo: evidenciar a importância do cuidado integrado de Fonoaudiologia e Enfermagem ao cliente disfágico. Método: trata-se de estudo bibliográfico, descritivo, tipo revisão integrativa, com recorte temporal de 2013-2018, realizada na Scielo, BVS e Pubmed/Medline, durante o mês de março de 2018. Agruparam-se os resultados de acordo com o ano de publicação, país, autor, periódico e tipo de estudo. Resultados: compôs-se a amostra de 14 estudos, que referem que os cuidados de fonoaudiologia baseiam-se em minimizar as complicações oriundas da disfagia e as de enfermagem, confirmam seu potencial no rastreio e gerenciamento da disfagia. Conclusão: considerou-se que a integração dos cuidados de fonoaudiologia e enfermagem favorece a identificação precoce da disfagia e pode resultar no desenvolvimento de diretrizes e protocolos de apoio a esses profissionais. Descritores: Fonoaudiologia; Enfermagem; Cuidados de Enfermagem; Deglutição; Transtornos de Deglutição; Revisão.ABSTRACTObjective: to highlight the importance of the Integrated Speech Therapy and Nursing to the dysphagia client. Method: this is a bibliographical, descriptive study, of integrative type, with a temporal cut of 2013-2018, carried out in Scielo, BVS and Pubmed / Medline, during the month of March 2018. The results were grouped according to the year of publication, country, author, journal and type of study. Results: a sample of 14 studies, which reported that speech therapy care based on minimizing complications from dysphagia and nursing, confirmed the potential for dysphagia screening and management. Conclusion: it was considered that the integration of speech therapy and nursing care favors the early identification of dysphagia and may result in the development of guidelines and protocols to support these professionals. Descriptors: Speech Language and Hearing Sciences; Nursing: Nursing Care; Deglutition; Deglutition Disorders; Review.RESUMENObjetivo: evidenciar la importancia del cuidado integrado de Fonoaudiología y Enfermería al cliente disfágico. Método: se trata de un estudio bibliográfico, descriptivo, tipo revisión integrativa, con recorte temporal de 2013-2018, realizada en Scielo, BVS y Pubmed / Medline, durante el mes de marzo de 2018. Se agruparon los resultados de acuerdo con el año de publicación, país, autor, periódico y tipo de estudio. Resultados: se compuso la muestra de 14 estudios, que refieren que los cuidados de fonoaudiología se basan en minimizar las complicaciones oriundas de la disfagia y las de enfermería, confirman su potencial en el rastreo y gestión de la disfagia. Conclusión: se consideró que la integración de los cuidados de fonoaudiología y enfermería favorece la identificación precoz de la disfagia y puede resultar en el desarrollo de directrices y protocolos de apoyo a esos profesionales. Descriptores: Fonoaudiología; Enfermería; Atención de Enfermería; Deglución; Trastornos de Deglución; Revisión.

Speech Therapy Services in a Large School System: A Six-Year Overview

1976 ◽  
Vol 7 (4) ◽  
pp. 207-219 ◽  
Author(s):  
Constance P. DesRoches
Keyword(s):  
School System ◽  
Speech Therapy ◽  
Factors Affecting ◽  
Case Load ◽  
Number Of Children ◽  
School Population ◽  
System A ◽  
Therapy Services ◽  
And Shifts ◽  
Selection Factors

A statistical review provides analysis of four years of speech therapy services of a suburban school system which can be used for comparison with other school system programs. Included are data on the percentages of the school population enrolled in therapy, the categories of disabilities and the number of children in each category, the sex and grade-level distribution of those in therapy, and shifts in case-load selection. Factors affecting changes in case-load profiles are identified and discussed.

Adolescent Students Who Stutter: A Qualitative Exploration of School Experiences

2019 ◽  
Vol 4 (6) ◽  
pp. 1327-1336
Author(s):  
Tiffany R. Cobb ◽  
Derek E. Daniels ◽  
James Panico
Keyword(s):  
High School ◽  
Middle School ◽  
Peer Relationships ◽  
Speech Therapy ◽  
School Setting ◽  
Image Data ◽  
School Experiences ◽  
Adolescent Students ◽  
Therapy Decision ◽  
Qualitative Phenomenological

Purpose The purpose of this study was to explore the ways in which adolescent students who stutter perceive their school experiences. Method This study used a qualitative, phenomenological research design. Semistructured interviews were conducted with 7 adolescent students who stutter (3 in middle school and 4 in high school). Participants were interviewed about their school experiences, including the effects of stuttering on academics, learning, teacher relationships, peer relationships, speech therapy experiences, and self-image. Data analysis consisted of transcribing interviews and analyzing them for emerging themes. Results Findings revealed that participants described a variety of experiences around the school setting. Participants reported less favorable middle school experiences. Middle school participants reflected more on teasing, bullying, and feelings of embarrassment, whereas high school participants revealed that teachers, staff, and peers were receptive and accepting of them and their stuttering. All participants reported that their speech therapy helped with classroom participation. Conclusions As a result of the participants' varied experiences, it is important to listen to and incorporate the voices of students who stutter into school, classroom, and therapy decision-making practices.

Reading Risk in Children With Speech Sound Disorder: Prevalence, Persistence, and Predictors

2020 ◽  
Vol 63 (11) ◽  
pp. 3714-3726
Author(s):  
Sherine R. Tambyraja ◽  
Kelly Farquharson ◽  
Laura Justice
Keyword(s):  
At Risk ◽  
Sound Production ◽  
Speech Therapy ◽  
Speech Sound ◽  
Reading Difficulties ◽  
School Age Children ◽  
Speech Sound Disorder ◽  
Word Decoding ◽  
School Year ◽  
School Based

Purpose The purpose of this study was to determine the extent to which school-age children with speech sound disorder (SSD) exhibit concomitant reading difficulties and examine the extent to which phonological processing and speech production abilities are associated with increased likelihood of reading risks. Method Data were obtained from 120 kindergarten, first-grade, and second-grade children who were in receipt of school-based speech therapy services. Children were categorized as being “at risk” for reading difficulties if standardized scores on a word decoding measure were 1 SD or more from the mean. The selected predictors of reading risk included children's rapid automatized naming ability, phonological awareness (PA), and accuracy of speech sound production. Results Descriptive results indicated that just over 25% of children receiving school-based speech therapy for an SSD exhibited concomitant deficits in word decoding and that those exhibiting risk at the beginning of the school year were likely to continue to be at risk at the end of the school year. Results from a hierarchical logistic regression suggested that, after accounting for children's age, general language abilities, and socioeconomic status, both PA and speech sound production abilities were significantly associated with the likelihood of being classified as at risk. Conclusions School-age children with SSD are at increased risk for reading difficulties that are likely to persist throughout an academic year. The severity of phonological deficits, reflected by PA and speech output, may be important indicators of subsequent reading problems.

Facilitating Parental Involvement in Speech Therapy for Children With Speech Sound Disorders: A Survey of Speech-Language Pathologists' Practices, Perspectives, and Strategies

2020 ◽  
Vol 29 (4) ◽  
pp. 1987-1996
Author(s):  
Sherine R. Tambyraja
Keyword(s):  
Parental Involvement ◽  
Online Survey ◽  
Speech Therapy ◽  
Speech Sound ◽  
Speech Sound Disorders ◽  
Speech Sound Disorder ◽  
Speech Language Pathologists ◽  
School Based ◽  
Homework Completion

Purpose This study investigated the extent to which speech-language pathologists (SLPs) facilitate parents' completion of homework activities for children with speech sound disorder (SSD). In addition, this study explored factors related to more consistent communication about homework completion and strategies considered particularly effective for supporting this element of parental involvement. Method Licensed SLPs serving at least one child with SSD were invited to participate in an online survey. Questions relevant to this study gathered information regarding (a) frequency of communication about homework distribution and follow-up, (b) demographic and workplace characteristics, and (c) an open-ended question about the specific strategies used to support parental involvement and completion of homework activities. Results Descriptive results indicated considerable variability with respect to how frequently SLPs engaged in communication about homework completion, but that school-based SLPs were significantly less likely to engage in this type of follow-up. Strategies considered effective, however, were similar across therapy contexts. Conclusion These results suggest potentially important differences between school-based services and therapy in other contexts with respect to this particular aspect of service provision for children with SSD.

Employing Latino Value Orientations to Facilitate Success in Stuttering Treatment

2008 ◽  
Vol 18 (3) ◽  
pp. 111-118
Author(s):  
Lourdes Ramos-Heinrichs ◽  
Lynn Hansberry Mayo ◽  
Sandra Garzon
Keyword(s):  
Foreign Language ◽  
Therapeutic Relationship ◽  
Service Provider ◽  
Speech Therapy ◽  
Cross Cultural ◽  
Value Orientations ◽  
Collaborative Partnership ◽  
The Family ◽  
Therapy Services ◽  
Cultural Connections

Abstract Providing adequate speech therapy services to Latinos who stutter can present challenges that are not obvious to the practicing clinician. This article addresses cultural, religious, and foreign language concerns to the therapeutic relationship between the Latino client and the clinician. Suggestions are made for building cross-cultural connections with clients and incorporating the family into a collaborative partnership with the service provider.

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