ABSTRACT
RESUMO Objetivo Este estudo piloto teve como objetivo verificar a influência do uso do biofeedback EMG como método coadjuvante para auxiliar na manutenção dos resultados a longo prazo da terapia da deglutição em idosos com doença de Parkinson em uma abordagem profilática. Métodos Os sujeitos foram avaliados quanto ao nível de ingestão oral (Functional Oral Intake Scale - FOIS), qualidade de vida (questionário SWAL-QOL) e videofluoroscopia da deglutição das consistências sólida, pudim e líquida. A gravidade da disfagia foi avaliada por meio do Dysphagia Outcome and Severity Scale (DOSS). Todos os procedimentos foram realizados antes, após três meses e após seis meses do tratamento fonoaudiológico para disfagia orofaríngea. Resultados Três sujeitos foram tratados com terapia fonoaudiológica profilática e três com terapia convencional fonoaudiológica profilática utilizando biofeedback EMG coadjuvante em um total de 18 sessões. Seis pacientes apresentaram melhora nos níveis de ingestão oral, gravidade da disfagia e qualidade de vida após o programa de reabilitação. O nível de ingestão oral foi mantido seis meses após a terapia convencional para dois pacientes e todos os participantes tratados com biofeedback EMG. Conclusão Ambas as modalidades de terapia profilática mostraram melhora na qualidade de vida, nível de ingestão oral e gravidade da disfagia, mas os benefícios foram mantidos ao longo do tempo apenas para os participantes do grupo experimental.
ABSTRACT Purpose This pilot study aimed to verify the influence of using EMG biofeedback as an assisting method to maintain long-term results for swallowing therapy in older adults with Parkinson's disease in a prophylactic approach. Methods: Subjects were evaluated as to the oral intake level (Functional Oral Intake Scale - FOIS), quality of life (SWAL-QOL questionnaire), and videofluoroscopy of swallowing of solid, pudding and liquid consistencies. The severity of dysphagia was assessed using the Dysphagia Outcome and Severity Scale (DOSS). All procedures were performed before, after three months, and after six months of speech-language therapy treatment for oropharyngeal dysphagia. Results: Three subjects were treated with prophylactic speech-language therapy, and three with prophylactic speech-language conventional therapy using adjunctive EMG biofeedback in a total of 18 sessions. Six patients experienced a reduction of the severity of the dysphagia, improved oral intake levels and quality of life after the rehabilitation program. The oral intake level was maintained six months after conventional therapy for two patients and for all participants treated with EMG biofeedback. Conclusion Both therapy modalities with PSLT showed improved quality of life, oral intake level, and reduction of the severity of dysphagia, but the benefits were maintained over time only for participants in the experimental group.
Subject(s)
Humans , Male , Middle Aged , Aged , Aged, 80 and over , Parkinson Disease , Biofeedback, Psychology/methods , Deglutition Disorders/prevention & control , Deglutition Disorders/rehabilitation , Speech TherapyABSTRACT
Abstract Introduction Breathing is one of the vital functions of the body and is essential for the maintenance of life. Preventive measures for respiratory disorders can be used by the population, as well as early self-diagnosis and immediate search for treatment based on knowledge of this subject. Objective this study developed a weblog on the breathing function targeting young people and analyzed the statistical data of views until the present moment. Methods The weblog was developed, and the stages of analysis, design, development and implementation were followed. All texts were evaluated by the Flesch Reading Index to verify the language, and the statistical data were analyzed by the number of views, countries with the highest number of views, search terms used, most viewed pages and number of comments on the blog. Results Issues related to the breathing function and thosemost cited in the literature were selected. The blog was structured using pages with content and curiosities, with texts with minimum readability of 50%, and was made available on the internet by means of the Wordpress tool. The statistics showed an increase in the number of visits after August 2015; the countries with the highest number of views were Brazil, United States and Portugal; the search terms used were unknown or related to mouth breathing; the most viewed pages related to mouth breathing and the comments addressed questions on mouth breathing, reports and compliments. Conclusion The blog "How do I breathe?," aimed at young people and containing information about the breathing function, was developed and is available on the internet at the address: https://comoeurespiro.wordpress.com. (AU)
Subject(s)
Respiration , Blogging/statistics & numerical data , Mouth Breathing , Telemedicine/statistics & numerical data , Internet/statistics & numerical data , Speech, Language and Hearing Sciences , Health Communication/methodsABSTRACT
As novas tecnologias disponíveis para atender a população com disfagia orofaríngea à distância têm demonstrado inúmeras vantagens. Assim, o objetivo deste estudo foi realizar um levantamento na literatura sobre os trabalhos científicos na área de telessaúde em disfagia orofaríngea, buscando compreender a evidência científica em tele-educação e telerreabilitação. A busca de dados foi feita nas bases PubMed/ MEDLINE, LILACS e SciELO, sem delimitação de período, com os termos: telehealth e dysphagia, teleconsultation e dysphagia, telehealth e swallowing disorders, remote consultation e dysphagia. Foram incluídos artigos disponíveis online na íntegra gratuitamente, sendo trabalhos originais, revisões de literatura e relatos de casos sobre a disfagia em teleassistência ou tele-educação. Foram encontrados 34 estudos, somente na base de dados PubMed/MEDLINE e analisadas informações quanto à identificação do artigo, tipo de publicação, objetivo do estudo, características metodológicas, resultados, conclusões e nível de evidência. Os critérios de exclusão/inclusão foram aplicados e foram analisados 15 artigos, sendo a maioria de origem dos Estados Unidos e Austrália nos últimos cinco anos. Dos 15 estudos analisados, 11 são experimentais, quatro revisões de literatura e um estudo de caso; sendo 12 artigos em teleatendimento, dois em tele-educação e um revisando ambos. O objetivo da maioria era verificar a viabilidade do teleatendimento, tendo resultados promissores. O nível de evidência encontrado foi dois na maioria dos estudos, demonstrando carência de artigos nessa área. Assim, pode-se concluir que a literatura em telessaúde na área de disfagia orofaríngea tem abordado, predominantemente, o teleatendimento. Porém, observa-se a falta de estudos sobre essas técnicas.
The new technologies available to attend the population with oropharyngeal dysphagia using telehealth have shown numerous advantages. Thus, the aim of this study was to survey the scientific works in telehealth area in oropharyngeal dysphagia, seeking to understand the scientific evidence in tele-education and telerehabilitation. Data research was made in PubMed/MEDLINE, LILACS and SciELO, on unbounded period, with the terms: telehealth and dysphagia, teleconsultation and dysphagia, telehealth and swallowing disorders, remote consultation and dysphagia. There were included online original works, literature reviews and case reports of dysphagia in telecare and tele-education. Thirty four studies were found only in PubMed/MEDLINE database. The analysis included information about the subject of the article, type of publication, aim of the study, methodological characteristics, results, conclusions and the evidence level. The exclusion/inclusion criteria were applied and fifteen articles were analyzed, most from the United States and Australia, in the last five years. Eleven of the fifteen studies reviewed were experimental studies, four were reviews of the literature and one was a case report. Twelve of these articles were about teleconsultation, two were about tele-education and one of them reviewing on both. The aim of most researchers was to verify the viability of teleconsultation, pursuing promising results and conclusions. The level of evidence found was two in most studies, demonstrating lack of articles in this area. Thus, it was concluded that the literature in the oropharyngeal dysphagia tele-health has approached predominantly the teleconsultation. However, there is a lack of clinical studies on this area.
Las nuevas tecnologías disponibles para atender a la población con disfagia orofaríngea a distancia han demostrado numerosas ventajas. Se realizo una investigación científica con el fin de analizar los artículos científicos en el área de tele-salud en disfagia oro-faríngea en tele-educación y tele-servicio. La búsqueda de datos se realizó en PubMed/MEDLINE, LILACS e SciELO, sin límites de período, de acuerdo con los terminos: telehealth e dysphagia, teleconsultation e dysphagia, telehealth e swallowing disorders, remote consultation e dysphagia. Se encontraron 34 estudios, en la base de datos PubMed / MEDLINE y analizadas esas informaciones sobre la identificación del artículo, tipo de publicación, objetivo del estudio, características metodológicas, resultados, conclusiones y grado de comprobación. Criterios de exclusión/inclusión se aplicaron y se analizó 15 artículos, gran parte fueron originarios en los Estados Unidos y Australia en los últimos cinco años. De los 15 estudios revisados, 11 son experimentales, 4 revisiones de literatura y un estudio de caso; siendo 12 artículos en tele-servicio, 2 en tele-educación y 1 revisando ambos. El objetivo de la mayoría fue verificar la viabilidad del tele-servicio, habiendo resultados y conclusiones prometedoras. El nivel de evidencia encontrado fueron dos en la mayoría de los estudios, lo que demuestra la falta de artículos en este campo. Por lo tanto, se puede concluir que la literatura en tele-salud en el área de la disfagia oro-faríngea se ha ocupado principalmente del teleservició. Sin embargo, hay una falta de estudios clínicos sobre estas técnicas.