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1.
Rev. CEFAC ; 26(3): e2524, 2024. tab, graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1575639

RESUMEN

ABSTRACT Purpose: to characterize the electrical activation of the masseter and suprahyoid muscles at rest and during swallowing tasks, to compare it with clinical aspects of swallowing. Methods: a cross-sectional study, divided into mild osteogenesis imperfecta and moderate-to-severe osteogenesis imperfecta groups. Surface electromyography was performed on the masseter and suprahyoid muscles at rest and during swallowing tasks. The Orofacial Myofunctional Evaluation with Scores assessment form was used to assess clinical aspects of swallowing. Results: moderate-to-severe osteogenesis imperfecta participants presented a higher percentage of masseter activation than mild osteogenesis imperfecta ones. Regarding the clinical aspects of swallowing, the total sample presented 40.9% normal lip occlusion or with slight effort; 59.1% demonstrated tongue protrusion and 50% showed two other signs of atypical function. Furthermore, the higher the score for lip activity during swallowing, the lower the activation of the suprahyoid muscles at rest. Conclusions: the activation of the suprahyoid muscles while swallowing saliva and during consecutive swallows of liquid was similar, and activation during different tasks was higher in the moderate-to-severe osteogenesis imperfecta group. The better the labial myofunctional condition during swallowing, the lower the electrical activation of the suprahyoid muscles at rest.

2.
Rev. Fac. Odontol. Porto Alegre ; 64(1): e132759, dez 2023.
Artículo en Portugués | LILACS | ID: biblio-1526298

RESUMEN

Objetivo: avaliar a condição miofuncional orofacial de indivíduos com disfunção temporomandibular, caracterizar o padrão de mastigação e investigar a relação entre a condição miofuncional orofacial e o desempenho nas funções de mastigação e deglutição. Materiais e métodos: foram analisados prontuários de participantes de um projeto de extensão interdisciplinar de odontologia e fonoaudiologia. A idade mínima para compor a amostra foi 18 anos. Os participantes haviam realizado exame odontológico e avaliação fonoaudiológica, com o protocolo de Avaliação Miofuncional Orofacial com Escores. Os resultados foram apresentados por distribuição absoluta,relativa e medidas de tendência central.Foram aplicados o teste t-student para amostras independentes e correlação de Pearson para avaliar associação. O nível de significância adotado foi 5%. As análises foram realizadas no IBM SPSS Statistics 21. Resultados: Dezessete prontuários integraram a amostra. A média de idade dos participantes foi 41,2 anos (±12,2),76,5% eram do sexo feminino. A média do escore total (AMIOFE) indicou condição miofuncional normal (92,5±5,14), porém da mastigação (7,94±1,60) e deglutição (13,1±1,17) revelam prejuízos funcionais. Não houve diferença significativa entre homens e mulheres no escore total (p=0,687), tampouco nas diferentes categorias avaliadas. Discussão:Os escores totais encontrados neste estudo, na mastigação e deglutição, estão de acordo com outras pesquisas realizadas e revelam alteração na função. Conclusão: as alterações funcionais orofaciais encontradas nos indivíduos com disfunção temporomandibular crônica deste estudo estão relacionadas com a condição miofuncional orofacial de uma maneira geral, e devem ser consideradas na elaboração de planos de tratamento, com o objetivo de proporcionar maior estabilidade aos resultados.


Aim: to evaluate the orofacial myofunctional condition of individuals with temporomandibular disorders, to characterize the mastication pattern and to investigate the relationship between the orofacial myofunctional condition and performance in mastication and swallowing functions. Materials and methods: medical records of participants in an interdisciplinary extension project in dentistry and speech therapy were analyzed. The minimum age to compose the sample was 18 years old. The participants had undergone a dental examination and speech-language pathology assessment, using the Orofacial Myofunctional Evaluation Protocol With Score protocol. Results were presented by absolute and relative distribution and measures of central tendency. Student's t-test for independent samples and Pearson's correlation were applied to assess association. The significance level adopted was 5%. Analyzes were performed using IBM SPSS Statistics 21. Results: seventeen medical records were part of the sample. The participants' mean age was 41.2 years (±12.2), 76.5% were female. The mean total score (OMES) indicated normal myofunctional condition (92.5±5.14), but mastication (7.94±1.60) and swallowing (13.1±1.17) revealed functional impairments. There was no significant difference between men and women in the total score (p=0.687), nor in the different categories evaluated. Discussion: The total scores found in this study, in mastication and swallowing, are in agreement with other studies carried out and reveal changes in function. Conclusion: functional variations found in subjects with chronic temporomandibular joint dysfunction in this study are related to general myofunctional orofacial disorder, and must be taken into consideration in treatment plans, with the aim of granting stability to the results.


Asunto(s)
Trastornos de la Articulación Temporomandibular , Protocolos Clínicos , Registros Médicos
3.
Rev. Fac. Odontol. Porto Alegre ; 64(1): e133407, dez 2023.
Artículo en Portugués | LILACS | ID: biblio-1526569

RESUMEN

Aim: To evaluate the impact of the social distancing imposed by COVID-19 in the socioeconomic, familiar and health scope of the participants, as well as the relation of the gravity of the sign and symptoms of Temporomandibular disorder. Materials and methods: Two questionnaires were applied, one by telephone interview and the other virtual. The first asked about signs and symptoms of temporomandibular disorder and the second about behavior during the pandemic. Results: The sample was composed by 15 patients, mostly women who lived in Porto Alegre. 64,3% of the subjects declared there was a decrease in household income during this period. Concerning to difficulties found to access health service, make an appointment, and get health care, were the most cited, each pointed to 61,5% of the sample. The presence of anxiety and depression feelings were cited 64,3%. There was an increase in alcohol consumption during the pandemic as a decrease in the frequency of physical activity. Discussion: Several studies that were conducted during and after the pandemic, corroborate the findings that the social distancing cause negative repercussions in the mental health, socioeconomics situations and in the daily habits in the population from all over the world. Conclusion: With this study we could observed and analyzed how the patients who suffered with TMD faced the challenges proposed by the social distancing, due to COVID-19. We can conclude that the pandemic causes several negatives effects in most of the group.


Objetivo: Avaliar os impactos das medidas de distanciamento social impostas pelaCOVID-19 nas esferas socioeconômicas, familiar e de saúde dos participantes, bem como a relação com a gravidade dos sinais e sintomas de disfunção temporomandibular. Materiais e Métodos: Foram aplicados dois questionários sendo um por entrevista telefônica e outro virtual. O primeiro perguntava sobre sinais e sintomas da disfunção temporomandibular e o segundo sobre comportamento durante a pandemia. Resultados: A amostra foi composta por 15 pacientes, em sua maioria do sexo feminino e que residia na cidade de Porto Alegre. Desses, 64,3% dos entrevistados declararam que houve diminuição na renda familiar durante este período. Com relação às dificuldades encontradas para acesso aos serviços de saúde, a marcação de consultas e conseguir atendimento de saúde, foram as mais citadas, cada uma das dificuldades apontada por 61,5%. A presença de sentimentos de ansiedade e depressão foi citada por 64,3%. Houve aumento na ingestão de bebidas alcoólicas durante a pandemia, bem como diminuição da frequência de atividade física. Discussão: Diversos estudos realizados durante e após a pandemia, corroboram os achados de que o isolamento social causou repercussões negativas na saúde mental, nas situações socioeconômicas e nos hábitos diários da população em todo o mundo. Conclusão: Com este estudo conseguimos observar e analisar como os pacientes que sofrem com a disfunção temporomandibular enfrentaram os desafios propostos pelo isolamento social, decorrente da covid-19. Podemos concluir que a pandemia e o isolamento social causaram impactos negativos em grande parte do grupo em questão.


Asunto(s)
Adulto , Aislamiento Social , Salud Mental , Encuestas y Cuestionarios , Estudio Observacional
4.
Audiol., Commun. res ; 24: e2048, 2019. tab, graf
Artículo en Portugués | LILACS | ID: biblio-1001367

RESUMEN

RESUMO Objetivos Analisar as publicações científicas sobre audição em indivíduos com osteogênese imperfeita. Estratégias de pesquisa Trata-se de revisão sistemática de literatura. Foram selecionados os descritores Hearing OR Hearing Loss AND Osteogenesis Imperfecta. Duas revisoras consultaram as bases de dados Cochrane Library, PubMed, LILACS, Scopus e Embase. Critérios de seleção utilizaram-se os Descritores em Ciências da Saúde, não sendo delimitado período de publicação dos estudos. Foram critérios de inclusão estudos de coorte, seguimento, transversais, casos controle e em idioma inglês. Foram critérios de exclusão artigos editoriais, relatos/séries de casos, resumos de eventos e estudos conduzidos em animais. Os estudos selecionados foram analisados pela Iniciativa STROBE e pelo Sistema GRADE. Resultados Dos 652 estudos obtidos, foram selecionados 16. A perda auditiva do tipo condutiva foi o tipo mais comum na população com osteogênese imperfeita (OI) e seu início ocorre por volta da segunda década de vida. A definição e a classificação para aferição de perda auditiva, nas publicações com a população com osteogênese imperfeita, apresentaram discordância entre os estudos. Conclusão Esta revisão respondeu às perguntas a que se propôs, constatando que as alterações audiológicas encontradas em pacientes com OI são do tipo condutivo, neurossensorial e misto. Alterações condutivas são mais comuns em pacientes mais jovens e alterações neurossensoriais, em pacientes mais velhos. A Iniciativa STROBE apontou itens descritos de forma parcial e o Sistema GRADE concluiu que os estudos apresentaram alguma falha metodológica.


ABSTRACT Purpose To analyze scientific publications on the hearing issue of patients with osteogenesis imperfecta. Reserch strategy This study is a systematic literature review. The following descriptors were selected "Hearing" OR "Hearing Loss" AND "Osteogenesis Imperfecta". Two reviewers searched the Cochrane Library, Pubmed, Latin American and Caribbean Health Sciences Literature, Scopus and Embase databases. Selection criteria Descriptors in Health Sciences were used and the publication period of studies was not limited. Inclusion criteria were cohort, follow-up, cross-sectional, and control studies in English language. Exclusion criteria were editorial articles, case reports, case summaries, and animal studies. Selected studies were analyzed by the STROBE Initiative and the GRADE System. Results Of the 652 studies, 16 were selected. Conductive hearing loss is the most common type in the osteogenesis imperfecta (OI) population and its onset is around the second decade of life. Definition and classification for hearing loss measurement in publications with the osteogenesis imperfecta population present disparities among studies. Conclusion This review met the objectives proposed, concluding that audiological alterations found in OI patients are of conductive, sensorineural and mixed types; conductive alterations are more common in younger patients and sensorineural alterations in older ones. The STROBE initiative partially pointed out described items and the GRADE system concluded that studies present some methodological failure.


Asunto(s)
Humanos , Osteogénesis Imperfecta , Perdida Auditiva Conductiva-Sensorineural Mixta , Pérdida Auditiva Conductiva , Colágeno Tipo I , Osículos del Oído
5.
Int. arch. otorhinolaryngol. (Impr.) ; 20(1): 48-53, Jan.-Mar. 2016. tab
Artículo en Inglés | LILACS | ID: lil-773517

RESUMEN

Introduction Presbycusis is a consequence of aging. Prescription of hearing aids is part of the treatment, although the prevalence of use by elderly people is still small. Objective To verify whether or not self-assessment of hearing is a predictor for purchase of hearing aids. Methods Quantitative, cross-sectional, descriptive, and observational study. Participants were subjects who sought a private hearing center for selection of hearing aids. During the diagnostic interview, subjects answered the following question: On a scale of 1 to 10, with 1 being the worst and 10 the best, how would you rate your overall hearing ability? After that, subjects underwent audiometry, selected a hearing aid, performed a home trial, and decided whether or not to purchase the hearing aid. The variables were associated and analyzed statistically. Results The sample was comprised of 32 subjects, both men and women, with a higher number of women. Mean age was 71.41 ± 12.14 years. Self-assessment of hearing ranged from 2 to 9 points. Overall, 71.9% of the subjects purchased hearing aids. There was no association between scores in the self-assessment and the purchase of hearing aids (p = 0.263). Among those who scored between 2 and 5 points, 64.7% purchased the device; between 6 and 7 points, 76.09% purchased the device; and between 8 and 9 points, 50% purchased the device, respectively. Conclusion There is evidence that low self-assessment scores lead to the purchase of hearing aids, although no significant association was observed in the sample.


Asunto(s)
Humanos , Masculino , Femenino , Anciano , Audífonos , Pérdida Auditiva , Autoevaluación (Psicología) , Presbiacusia
6.
Int Arch Otorhinolaryngol ; 20(1): 48-53, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26722346

RESUMEN

Introduction Presbycusis is a consequence of aging. Prescription of hearing aids is part of the treatment, although the prevalence of use by elderly people is still small. Objective To verify whether or not self-assessment of hearing is a predictor for purchase of hearing aids. Methods Quantitative, cross-sectional, descriptive, and observational study. Participants were subjects who sought a private hearing center for selection of hearing aids. During the diagnostic interview, subjects answered the following question: "On a scale of 1 to 10, with 1 being the worst and 10 the best, how would you rate your overall hearing ability?" After that, subjects underwent audiometry, selected a hearing aid, performed a home trial, and decided whether or not to purchase the hearing aid. The variables were associated and analyzed statistically. Results The sample was comprised of 32 subjects, both men and women, with a higher number of women. Mean age was 71.41 ± 12.14 years. Self-assessment of hearing ranged from 2 to 9 points. Overall, 71.9% of the subjects purchased hearing aids. There was no association between scores in the self-assessment and the purchase of hearing aids (p = 0.263). Among those who scored between 2 and 5 points, 64.7% purchased the device; between 6 and 7 points, 76.09% purchased the device; and between 8 and 9 points, 50% purchased the device, respectively. Conclusion There is evidence that low self-assessment scores lead to the purchase of hearing aids, although no significant association was observed in the sample.

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