Protocolo fonoaudiológico de avaliação do risco para disfagia (PARD)

Padovani, Aline Rodrigues; Moraes, Danielle Pedroni; Mangili, Laura Davidson; Andrade, Cláudia Regina Furquim de

doi:10.1590/s1516-80342007000300007

Cited by 159 publications

(227 citation statements)

References 19 publications

(80 reference statements)

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“…It is thus an independent sign of worse outcomes and increased mortality after stroke 12,13 . Recognizing this is extremely important for the performance of the speech therapy team in relation to stroke patients, in order to prevent and reduce hospital admissions and readmissions due to aspiration pneumonia, thereby aiming to stabilize the nutritional characteristics and improve the patients' quality of life 24,25 .…”

Section: Discussionmentioning

confidence: 99%

Swallowing disorders after ischemic stroke

Remesso

Fukujima²,

Chiappetta

et al. 2011

Arq. Neuro-Psiquiatr.

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Objective: To investigate occurrences of swallowing disorders after ischemic stroke. Method: This was a retrospective study on 596 medical files. The inclusion criterion was that the patients needed to have been hospitalized with a diagnosis of ischemic stroke; the exclusion criteria were the presence of associated cardiac problems and hospital stay already more than 14 days. Results: 50.5% were men and 49.5% women; mean age 65.3 years (SD=±11.7) (p≤0.001). Among the risk factors, 79.4% had hypertension, 36.7% had diabetes (p≤0.001) and 42.7% were smokers. 13.3% of the patients died. Swallowing disorders occurred in 19.6%, among whom 91.5% had mild difficulty and 8.5% had severe difficulty. 87.1% had spontaneous recovery after a mean of 2.4 months. A lesion in the brainstem region occurred in 6.8% (p≤0.001). Conclusion: Swallowing disorders occurred in almost 20% of the population and most of the difficulty in swallowing found was mild. The predictors for swallowing disorders were older age, diabetes mellitus and lesions in the brainstem region.

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Section: Discussionmentioning

confidence: 99%

Swallowing disorders after ischemic stroke

Remesso

Fukujima²,

Chiappetta

et al. 2011

Arq. Neuro-Psiquiatr.

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“…It is also possible to find a time of 4 seconds for liquid consistency 17 . However, the identification of a reference to the location of the pharyngeal phase firing is still an object of study, beyond the time of its phases.…”

Section: Discussionmentioning

confidence: 99%

“…For the degree of agreement among evaluators, the Landis and Koch classification 17 , being found that: <0.00 poor agreement; 0.00 to 0.19 poor agreement; 0.20 to 0.39 weak agreement; 0.40 to 0.59 moderate agreement; 0.60 to 0.79 substantial agreement; 0.80 to 1.00 almost perfect agreement.…”

Section: Methodsmentioning

confidence: 96%

Efeitos do exercício muscular respiratório na biomecânica da deglutição de indivíduos normais

et al. 2015

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RESUMO: Objetivo: analisar os efeitos do exercício respiratórios na biomecânica da deglutição de sujeitos normais. Métodos: o exercício muscular respiratório em sujeitos normais foi aplicado por sete dias consecutivos por meio de incentivador respiratório a fluxo (três séries de dez repetições para inspiração e expiração). A biomecânica da deglutição foi avaliada por videofluoroscopia, utilizando variáveis temporais (tempo de transição faríngea) e visuoperceptuais (número de deglutições, resíduos em seios piriformes e valéculas, penetração/aspiração). Para análise estatística foi aplicado o Teste de Wilcoxon, Igualdade de Duas Proporções e Kappa. Resultados: foram avaliadas 16 jovens do sexo feminino com média de idade de 21,2±3,4 anos. Nas variáveis visuoperceptuais observou-se concordância quase perfeita entre os avaliadores (p<0,001), bem como na temporal (p = 1,00). Após o período de treinamento houve redução no tempo de transição faríngea (p=0,02). Conclusão: o uso de incentivador respiratório a fluxo influenciou significantemente na biomecânica da deglutição, principalmente na redução do tempo de transição faríngea.

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“…They constitute a syndrome that can present alimentary refusal, fatigue and cough during the feeding, oral escape, nasal regurgitation, chokes, breathlessness, asphyxia, cyanosis and alteration of the vocal quality, beyond pulmonary problems and aspiration (5). They can also cause nutritional deficits and dehydration, resulting in weight loss, pneumonia and death (15).…”

Section: Discussionmentioning

confidence: 99%

Deglutição em crianças com alterações neurológicas: avaliação clínica e videofluoroscópica

Marrara

Duca

Dantas

et al. 2008

Pró-Fono R. Atual. Cient.

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Background: swallowing in children with neurologic disorders. Aim: to relate the data obtained in the clinical and in the videofluoroscopic evaluations of swallowing in children with neurologic disorders. Methods: a retrospective analysis of 24 protocols of speech-language evaluation and of medical records of children, of both genders, referred to clinical and videofluoroscopic evaluations of swallowing at the School of Medicine of Ribeirão Preto -University of São Paulo, from January 2001 to June 2005. The following aspects were analyzed in the clinical evaluation: diet consistency, functional aspects of the swallowing mechanism and results of the cervical auscultation. Videofluoroscopic evaluation was performed to determine the dynamic aspects of the oral and pharyngeal phases. Results: during the clinical evaluation of the oral phase, for both liquid and pasty consistencies, a greater occurrence of inadequate bolus control was observed (n = 15 e n = 14, respectively). In the pharyngeal phase, also for both consistencies, an adequate cervical auscultate was more frequntly observed before swallowing (n = 16 e n = 13) followed by the inadequate cervical auscultation during swallowing (n = 15 e n = 12). In the videofluoroscopic evaluation, during the oral phase, for both consistencies, the presence of inadequate food propulsion was the most frequent finding (n = 13 e n = 13) and, in the pharyngeal phase, the most frequent finding was the absence of laryngotracheal aspiration (n = 12 e n = 17). There was a statistically significant correlation between the cervical auscultate and the excursion of the hyoid and the larynx, and between the cervical auscultate and laryngotracheal aspiration of liquid and pasty consistencies. Conclusion: both procedures are important and complementary in the diagnosis of dysphagia. Key Words: Children, Swallowing, Dysphagia. ResumoTema: deglutição em crianças com alterações neurológicas. Objetivo: relacionar os dados obtidos na avaliação clínica fonoaudiológica e avaliação videofluoroscópica da deglutição em crianças com alteração neurológica. Método: análise retrospectiva de 24 protocolos de avaliação fonoaudiológica e prontuários médicos de crianças de ambos os sexos, encaminhadas para avaliação clínica e videofluoroscópica da deglutição no Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto -Universidade de São Paulo, no período de janeiro de 2001 a junho de 2005. Na avaliação clínica foram analisados: a consistência da alimentação utilizada, aspectos funcionais do mecanismo de deglutição e os resultados da ausculta cervical. Na avaliação videofluoroscópica foram verificados os aspectos da dinâmica das fases oral e faríngea. Resultados: ao realizar a avaliação clínica na fase oral, com a utilização das consistências líquida e pastosa, verificou-se maior ocorrência do inadequado controle do bolo alimentar (n = 15 e n = 14, respectivamente). Na fase faríngea, para ambas as consistências, observou-se que a ausculta cervical adequada antes da deglutição foi a observ...

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Protocolo fonoaudiológico de avaliação do risco para disfagia (PARD)

Cited by 159 publications

References 19 publications

Swallowing disorders after ischemic stroke

Swallowing disorders after ischemic stroke

Efeitos do exercício muscular respiratório na biomecânica da deglutição de indivíduos normais

Deglutição em crianças com alterações neurológicas: avaliação clínica e videofluoroscópica

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