Biofeedback eletromiográfico no tratamento das disfunções orofaciais neurogênicas: revisão sistemática de literatura

Freitas, Gabriela Silva de; Mituuti, Cláudia Tiemi; Furkim, Ana Maria; Busanello-Stella, Angela Ruviaro; Stefani, Fabiane Miron; Arone, Marcela Maria Alves da Silva; Berretin-Felix, Giédre

doi:10.1590/2317-6431-2016-1671

Cited by 11 publications

(9 citation statements)

References 27 publications

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“…This approach has proved to be very efficient when used in combination with conventional therapy in the treatment of dysphagia in different clinical conditions. Studies have shown that there are improvements in the patients' swallowing function and quality of life 25,26 .…”

Section: Literature Reviewmentioning

confidence: 99%

Use of biofeedback combined with conventional therapy in the swallowing rehabilitation of older adults: an integrative literature review

2020

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Purpose: to identify biofeedback methods combined with conventional therapy in the swallowing rehabilitation of older adults. Methods :an integrative literature review that searched the LILACS, MEDLINE/PubMed, BIREME, SciELO, and Scopus databases, with no restrictions of time or language. The search items used were deglutition, biofeedback, elderly, rehabilitation, and their corresponding terms in Portuguese. The articles were evaluated with the adapted Newcastle-Ottawa Scale (NOS). Results: out of the 73 articles found in the databases, four, with a longitudinal design, were considered eligible. The biofeedback methods described were accelerometry, pressure balloon, and surface electromyography. The swallowing disorders observed were hypofunctioning of articulatory organs, increased oral transit, decreased laryngeal elevation, residues in pyriform sinuses and vallecula, reduced cough reflex, and change in voice quality. Regarding the effectiveness assessment of the recommended technique, a study used the clinical assessment combined with videofluoroscopy, before and after the treatment, two studies used the videofluoroscopy before the treatment and clinical assessment after it, and one study used clinical assessment prior to the treatment and swallowing videoendoscopy after it. As for the assessment of bias risk, one article was classified as low, two as intermediate, and one as high, in terms of risk. Conclusion: the biofeedback methods combined with conventional therapy to treat dysphagia in older adults were accelerometry, pressure balloon, and surface electromyography, whose use had positive effects.

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Section: Literature Reviewmentioning

confidence: 99%

Use of biofeedback combined with conventional therapy in the swallowing rehabilitation of older adults: an integrative literature review

2020

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“…It evaluates muscular function, making it a useful tool for the study of muscle dynamics during functions of the stomatognathic system, including deglutition. It contributes to better comprehension of the physiological mechanism of normal and pathological deglutition [11][12][13][14][15] .It is a method that is non-invasive, reproducible and of little discomfort for the patient during the exam 11,16 .…”

Section: Introductionmentioning

confidence: 99%

Deglutition pattern in Angle’s Class II malocclusion

et al. 2019

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Purpose: to analyze the electromyographic activity of the suprahyoid muscles during deglutition in participants with Angle's Class II malocclusion. Methods: electromyographic data recordings were performed in the supra-hyoid muscles during swallowing and at rest, in 30 volunteers, 15 Angle's Class I participants and 15 Angle's Class II malocclusion, aged 15-27 years old. The Root Means Square values for both tests were analyzed, and for the deglutition test, the Linear Envelope was used to observe the type of muscle activation pattern. Results: during the test at rest, there was no significant difference in Root Means Square values (p=0.22) between Class I and Class II subjects. During deglutition, it was found that Angle's Class II subjects had significantly higher RMS values (p=0.01) as compared to Class I volunteers. Regarding the type of muscle activation pattern, there was a significant difference between Class I and Class II participants with a predominance of type 1 peak for Class I and type 2 peak for Class II. Conclusion: there was a difference in electromyographic recordings during deglutition in participants with Angle's Class II as compared to Class I participants with a tendency towards two contraction peaks, showing a greater imbalance during the function. There was no difference between groups in the rest position.

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“…Biofeedback technological resources can also be employed as an effective therapeutic strategy, and can increase patient compliance with treatment. In tongue exercise therapy, electromyography biofeedback (12) and the biofeedback provided by the Iowa Oral Performance Instrument (IOPI), an instrument that measures the pressure exerted by the oral structures (11) , stand out.…”

Section: Introductionmentioning

confidence: 99%

Reabilitação da força da língua utilizando biofeedback: relato de caso

Maia

Furlan

Moraes

et al. 2019

CoDAS

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RESUMO Esta pesquisa teve o objetivo de relatar um caso clínico em que foi realizada a reabilitação da força lingual com estratégia de biofeedback. Trata-se de uma paciente de 20 anos de idade, cuja avaliação miofuncional orofacial evidenciou diminuição grave de força do terço anterior da língua e alterações na mobilidade e na coordenação linguais. A quantificação da pressão lingual foi realizada por meio do Iowa Oral Performance Instrument durante a elevação, a protrusão e a lateralização, tendo se verificado redução nos valores obtidos em todas as direções medidas em comparação aos padrões de normalidade. Foram realizadas 11 sessões de terapia, com frequência semanal, utilizando estratégia de biofeedback que consistia em jogos computacionais acionados pela língua. Um instrumento encaixado na cavidade oral funcionava como um joystick, sendo método de entrada para jogos digitais específicos. Em casa, a paciente realizou exercícios isométricos de pressão de ponta de língua contra espátula, retração exagerada de língua, afilamento lingual e isotônico de tocar comissuras e lábios alternadamente, diariamente. Após oito sessões, em relação à pressão na elevação, houve melhora de 28,6% para o ápice e 7,1% para o dorso. Quanto à protrusão, houve melhora de 123,5%. Nas medidas de lateralizações esquerda e direita, os valores aumentaram 53,8% e 7,4%, respectivamente. Após 12 sessões, percebeu-se melhora, em relação à avaliação inicial, de 35,7%, 7,4%, 164%, 76,9% e 40,7%, para elevação de ápice, de dorso, protrusão, lateralizações esquerda e direita, respectivamente. Apesar do aumento, valores preconizados na literatura, como normalidade para o sexo e a idade, não foram atingidos com 12 sessões.

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Biofeedback eletromiográfico no tratamento das disfunções orofaciais neurogênicas: revisão sistemática de literatura

Cited by 11 publications

References 27 publications

Use of biofeedback combined with conventional therapy in the swallowing rehabilitation of older adults: an integrative literature review

Use of biofeedback combined with conventional therapy in the swallowing rehabilitation of older adults: an integrative literature review

Deglutition pattern in Angle’s Class II malocclusion

Reabilitação da força da língua utilizando biofeedback: relato de caso

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