Validação do protocolo de avaliação do frênulo da língua em bebês

Martinelli, Roberta Lopes de Castro

doi:10.11606/t.25.2016.tde-17052016-150210

Cited by 13 publications

(17 citation statements)

References 19 publications

(28 reference statements)

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“…Criterion validity, construct validity, inter-intra rater agreement for tool administration, sensitivity, specificity, positive and negative values were included in the study. The content validity was defined in a previous study 13 . [21][22][23][24][25][26] .…”

Section: Discussionmentioning

confidence: 99%

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Validade e confiabilidade da triagem: "teste da linguinha"

Martinelli

Marchesan²,

Lauris

et al. 2016

Rev. CEFAC

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Purpose: to verify the psychometric properties -validity and reliability -and the sensitivity, specificity and predictive values of the "Neonatal Tongue Screening Test" from the Lingual Frenulum Protocol for Infants. Methods: this is an experimental retrospective study using data from 100 newborns. The infants were assessed within the first 48 hours after birth using the Neonatal Tongue Screening Test, and subsequently assessed at 30 days of life using the Lingual Frenulum Protocol for Infants. The assessments were performed by examiner 1, who collected images and data to be analyzed by examiner 2. Newborns with lingual frenulum alterations were referred to frenotomy, reassessed 30 days after surgery and followed until six months of life. Data were used for the validation process, which included the analyses of inter-intra rater agreement, criterion validity, construct validity, sensitivity, specificity, positive predictive value, and negative predictive value. Data were statistically treated. The study was approved by the Ethics Committee under the number CAAE 40784315.9.0000.5538. Results: the "Neonatal Screening Test" was able to identify newborns with lingual frenulum alteration and the changes after frenotomy; furthermore, the results demonstrated adequate values of sensitivity, specificity, and predictive values. Concerning inter-intra rater agreement, the consistency of results demonstrated reliability and excellent repeatability. Conclusion

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Section: Discussionmentioning

confidence: 99%

“…LFPI consists of clinical history, anatomofunctional evaluation, nutritive and non-nutritive suction evaluations. Content Validity of the LFPI was determined and subsequently the validation process was concluded 13 . In 2015, the Bristol Tongue Assessment Tool (BTAT), a four-item protocol, was published.…”

Section: Introductionmentioning

confidence: 99%

Validade e confiabilidade da triagem: "teste da linguinha"

Martinelli

Marchesan²,

Lauris

et al. 2016

Rev. CEFAC

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“…The Neonatal Tongue Screening Test from the Lingual Frenulum Protocol for Infants (LFPI), developed and validated by Martinelli (27) , was applied. The application was filmed with a Sony DSC-HX1 digital camera close to the feeding time.…”

Section: Methodsmentioning

confidence: 99%

“…The Breastfeeding Observation Aid (28) was applied during breastfeeding, and six categories were evaluated: mother (healthy or ill/depressed, relaxed and comfortable or tense and uncomfortable, signs of bonding between mother and child or no eye contact between mother and child); baby (healthy or Figure 1. Neonatal Tongue Sreening TEST, Martinelli (27) sleepy/ill, calm and relaxed or restless/crying, trying to reach or root for the breast if hungry or does not reach or root for the breast); breasts (healthy or looking red/swollen/sore, presence of pain or discomfort, whether the breast was well supported with the fingers away from the nipple or on the areola); baby's position (head and body in line/neck and head twisted to feed, baby held/not held close to mother's body, baby's whole body supported/supported by the head and neck only, baby approaches breast, nose/lower lip or chin to nipple); baby's attachment (more areola seen above baby's top lip or below bottom lip, baby's mouth wide opened/not wide opened, lower lip turned outwards/lips pointing forward or turned in, baby's chin touches breast or not); and suckling (slow deep/rapid shallow sucks with pauses, cheeks round when suckling/cheeks pulled in when suckling, baby releases breast when finished/mother takes baby off the breast, mother notices signs of oxytocin reflex or not). The categories of this protocol indicate favorable and unfavorable behaviors, pointing to normal or difficult beginning of breastfeeding, that is, with or without signs of difficulties in breastfeeding.…”

Section: Methodsmentioning

confidence: 99%

Association between ankyloglossia and breastfeeding

Campanha

Martinelli

Palhares

2019

CoDAS

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Purpose To analyze the association between ankyloglossia and breastfeeding. Methods A cross-sectional study was undertaken on 130 newborn infants in exclusive breastfeeding with Apgar score ≥ 8 within the first five days of life. The research was approved by the Ethics Committee on Human Research. The data collection was performed by the researcher and by three trained speech therapists of the team. The protocols applied were the Neonatal Tongue Screening Test from the Lingual Frenulum Protocol for Infants, the UNICEF Breastfeeding Observation Aid, and the collection of maternal complaints related to the difficulty in breastfeeding was also considered. The data were submitted to statistical analysis – chi-square test and Fisher’s exact test, with a significance level of 5%. Results When correlating the data, the statistical analysis revealed an association between ankyloglossia and the items of suckling category of the Breastfeeding Observation Aid. The association between complaint of difficulty in breastfeeding and ankyloglossia was also seen. Conclusion On the first days of life, ankyloglossia is associated with the mother’s breastfeeding complaint and with the newborn’s sucking difficulty.

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“…Na maior parte dos casos é possível a visualização do frênulo lingual a partir da manobra de elevação das laterais da língua. Quando o freio se encontra recoberto por uma cortina de mucosa deve-se utilizar uma manobra simultânea de elevação das margens laterais e posteriorização da língua 26 .…”

Section: Resultsunclassified

Influência da anquiloglossia neonatal no aleitamento materno: revisão de literatura

2021

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Introdução: Anomalia de desenvolvimento lingual, a anquiloglossia é caracterizada pela inserção atípica do frênulo lingual. Tal condição causa um impedimento na correta movimentação da língua e prejuízos a diversas áreas do sistema estomatognático. Objetivo: Realizar uma busca na literatura acerca das características da anquiloglossia neonatal e suas repercussões no sistema estomatognático que influenciam no aleitamento materno. Material e Método: Foram utilizados artigos disponíveis nas bases de dados PubMed e Biblioteca Virtual em Saúde (BVS), publicados nos idiomas inglês e português e publicados entre os anos de 2009 a 2019. Resultados: Após a aplicação dos critérios de inclusão e exclusão, foram selecionados 11 estudos. A anquiloglossia é uma é bastante estudada pela literatura, porém sua relação com o aleitamento materno ainda causa controvérsias entre alguns autores. Conclusão: A literatura aponta a influência sobre o freio lingual e sua implicação na nutrição nutritiva do lactente. Porém, mais parâmetros e estudos longitudinais para obter dados concisos acerca do correto diagnóstico e momento de tratamento desses bebês, ainda são necessários.

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Validação do protocolo de avaliação do frênulo da língua em bebês

Cited by 13 publications

References 19 publications

Validade e confiabilidade da triagem: "teste da linguinha"

Validade e confiabilidade da triagem: "teste da linguinha"

Association between ankyloglossia and breastfeeding

Influência da anquiloglossia neonatal no aleitamento materno: revisão de literatura

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