Fonoaudiologia baseada em evidências: o papel das revisões sistemáticas

RESUMO Há diversas abordagens que podem ser utilizadas para atingir os objetivos terapêuticos nos distúrbios relacionados às funções de mastigação, deglutição, fala e respiração. Entretanto, a literatura necessita de evidências que fundamentem o uso na prática clínica fonoaudiológica. O objetivo desta revisão foi mapear as sínteses de evidências sobre intervenção fonoaudiológica nas áreas de respiração, mastigação, deglutição e fala em adultos e idosos. Foram incluídos apenas estudos classificados por seus autores como revisão sistemática, que abordaram terapia para disfunções orofaciais em indivíduos maiores de 18 anos. Os procedimentos realizados foram: busca eletrônica e manual; seleção dos estudos; extração dos dados; avaliação da qualidade dos estudos e análise de dados. Foi possível observar diversos tipos de intervenções principalmente voltadas à função de deglutição, abarcando desde a terapia tradicional até a utilização de dispositivos. Contudo, devido às limitações dos estudos, os dados devem ser interpretados com cautela.

Section: Discussionunclassified

Intervenções da Fonoaudiologia nas áreas de respiração, mastigação, deglutição e fala: uma revisão de escopo

Pereira,

Gatti,

Ribeiro

et al. 2024

“…Scientific research in Speech Therapy seeks to provide reliable evidence for the clinic (159,163,(185)(186)(187) based on evidence-based practice (188). In this practice, clinicians are faced with different results, and need to compare evidence that answers their questions and assists in decision making in search of the best results.…”

Section: Discussionmentioning

confidence: 99%

Mapping of the characteristics in the CoDAS journal publications in the voice area: a scoping review

Chamun

Ribeiro

Madazio

et al. 2023

Purpose To map and describe the characteristics present in the publications of the CoDAS journal in the voice segment. Research strategies The research was carried on the Scielo database using the descriptor voice. Selection criteria CoDAS publications in the field of voice. Data analysis Specific data collected according to delineation, summarized by descriptive analysis and analyzed in narrative format. Results Studies published in 2019 and with cross-sectional delineation were more frequent. The most frequent result in the cross-sectional studies was the vocal self-assessment. Most intervention studies were of immediate single-session-only effect. The most frequent procedures in the validation studies were translation and transcultural adaptation. Conclusion There was a gradual increase in the number of publications of voice studies, though these had heterogeneous characteristics.

“…For this, instruments can be used to analyze the methodological quality or risk of bias. Secondary research with a systematic review design usually includes an assessment of methodological quality, as well as a single conclusion, which makes this design the one providing the best scientific support for clinical decision-making and for the development of healthcare guidelines (14) .…”

Section: Scientific Research: From Laboratory To Clinical Routinementioning

confidence: 99%

Reducing the GAP between science and clinic: lessons from academia and professional practice - part A: perceptual-auditory judgment of vocal quality, acoustic vocal signal analysis and voice self-assessment

Behlau

Almeida

Amorim

et al. 2022

During the XXVIII Brazilian Congress of SBFa, 24 specialists met and, from a leading position on scientific research as a tool for connecting laboratory and clinic, five fronts of knowledge of the voice specialty were discussed as following: Perceptual-auditory judgment of vocal quality; 2. Acoustic analysis of the vocal signal; 3. Voice self-assessment; 4. Traditional techniques of therapy; 5. Modern techniques of electrostimulation and photobiomodulation (PBMT) in voice. Part “a” of this publication was associated with the consolidation of the analyses of the first three aspects. The trend in the perceptual-auditory judgment of vocal quality was related to the use of standard protocols. The acoustic evaluation of the vocal signal is accessible and can be done descriptively or by extraction of parameters, thus preferring multiparametric measures. Finally, the analysis of the individual himself closes this triad of voice documentation, which will be the basis for the conclusion of the evaluation, reference for monitoring progress, and evaluation of treatment results.