ISSN 1516-1846 printed version
ISSN 1982-0216 online version



Escope and policy

REVISTA CEFAC: Atualização Científica em Fonoaudiologia – (Rev. CEFAC.), ISSN 1516-1846, indexed in LILACS and SciELO database, it is bimonthly published aiming at recording the scientific production on relevant issues for Speech Therapy and related areas. Only original articles in Portuguese, English or Spanish are considered for publication; articles must not have been previously published, or in the process of analysis by another journal. The following can be sent for consideration: original research articles, reviews, special articles, clinical case report, opinion texts, and letters to the editor.

In the selection of articles for publication, the following are considered: originality, relevance of the issue, and the quality of the scientific methodology used, as well as conforming to the norms adopted by the journal. Articles that do not follow technical requirements and that are not in accordance with the norms for publication will not be accepted for analysis, and the author will be informed, these articles can be submitted again for consideration after the necessary changes are made.

All articles, after the initial technical evaluation and approval by the Editorial Board will be sent for analysis and peer review of at least two peers with acknowledged expertise in the subject approached and whose confidentiality is assured during the trial process. Comments will be complied and sent to authors so that the suggested changes can be made or justified in case they are maintained. After the corrections suggested by reviewers, the final format of the work and the letter of response commenting the observations of peers in details must be sent, in an attached word file to the address Authors will be informed if their articles have been accepted only after the final approval of the reviewers and editors, then the articles will be submitted for publication. Refused articles will receive a notification on the reasons for refusal and will not be returned.

The editorial department of Revista CEFAC has the right to make changes in articles if necessary to standardize technical terms, and the presentation of the manuscript with no harm to their contents. CEFAC journal is the only one entitled to reproduce in other journals the articles contained here. In such cases, authors must submit a written authorization request to Revista CEFAC .

Types of Articles

Original Research Articles: original articles represent the communication of unpublished outcomes of scientific research both qualitative and quantitative; they are complete works with all the relevant information to readers wanting to repeat the author’s work and to assess its outcomes and conclusions. The formal structure must present the following topics: Introduction, Methods, Results, Discussion and
The use of legends is recommended especially in discussion. Clinical implications and limitations of the study must be pointed out. When appropriate, the topic “Methods” should be detailed, informing the outline of the study, place where it was performed, participants, clinical outcomes of interest, intervention and approval by the Ethic Committee, and the number of the process. Abstract must be structured with no more than 250 words and must include the following headings: Purpose, Methods, Results and Conclusion. The manuscript must have up to 15 pages typed single spaced, (counted from introduction until before references), a maximum of 10 tables (or figures) and 40 references with at least 70% of articles published in national and international journals and, among these articles,  70% must have been published in the last 5 years.

Literature review articles: These are systematic review articles, they are critical and commented reviews on the field of interest in the area of Audiology and Speech Therapy, as long as they bring new insights on the issue, point out flaws of knowledge on the subject, and lead to new discussions or new paths to be researched, preferentially as an invitation by the editors. Its formal structure must present the following topics: Introduction justifying the review issue and the objective; Methods regarding the search strategy used (data base, references from other articles, etc), and the details on the selection criteria of the literature researched (e.g.: last 3 years, only case reports on the issue, etc.); Literature Review commented with discussion and Conclusion. The review must be structured with no more than 250 words with the following headings: Background, Purpose and Conclusion. Manuscript must have up to 15 pages typed single spaced (counted from introduction until before references), a maximum of 10 tables (or figures) and 60 references with, at least, 70% of the articles published in national and international journals, and, among these articles, 70% of them must have been published in the last 10 years.

Special Articles: these articles are chosen according to the editor criteria, following the format of reviews, however they will be preferentially published in English. Special situations regarding the format must be dealt with the editorial board of the journal.

Clinical case reports: rare cases or uncommon cases are reported, especially cases of interest that lead to either new knowledge and treatment techniques or to reflections. They must be original and unpublished. Its formal structure must present the headings: Introduction, brief and based on the literature that justifies the presentation of the clinical case; Case presentation, description of the history and the procedures performed; Results, clearly demonstrating the evolvement achieved; supported Discussion, and Conclusion that must be important to the report. The abstract must be structured with no more than 250 words with the following headings: Background, Procedures, Results, and Conclusion. The manuscript must have up to 15 pages typed single spaced (counted from introduction up to before the references), a maximum of 10 tables (or figures) and 30 references made of, at least, 70% of articles published in national and international literature, and 70% of these must have been published in the last 5 years.

Opinion texts: they include debate or comments supported by the literature or by studies presented in national or international scientific events that point out to new tendencies or controversies of interesting issues. The manuscript must have up to 5 single spaced typed pages (counted from the introduction up to before the references) a maximum of 10 tables (or figures), and 10 bibliographical references.

Letters to the editor: they refer to the messages with comments or discussions of studies recently published in the journal (last two years); suggestions or critiques pointing out to issues of scientific interest, as well as reports and information on ongoing original research. Letters must have up to 3 pages, typed single spaced (counted from the introduction up to before the references), a maximum of 3 tables (or figures), and of 6 bibliographical references.


Format and preparation of manuscripts

The norms of the journal are based on the format proposed by the International Committee of Medical Journal Editors and published on the article: Uniform requirements for manuscripts submitted to biomedical journals, version of February 2006 available from:

Revista CEFAC supports the policies for record of clinical essays of the World Health Organization (WHO) and of the International Committee of Medical Journal Editors (ICMJE), acknowledging the importance of these initiatives for the international record and publication of information on clinical trials in an open access. A clinical trial is any study that allocates human beings prospectively to intervention or comparison groups to assess the cause-effect relationship between a medical intervention and a health outcome. Clinical trials must be recorded in one of the following registries:

Australian Clinical Trials Registry

Clinical Trials

ISRCTN Register

Nederland’s Trial Register

Authors are encouraged to refer to the guidelines relevant to their specific research outline. To obtain reports from randomized controlled studies the following guidelines may be referred to CONSORT ( ).

 Technical Requirements

a) Word files, page format A4 (212 X 297 mm), typed single spaced, Arial source in size 12, top margin, bottom margin, right and left margin 2.5 cm, with pages numbered in Arabic numerals, in the following sequence: title page, abstract, keywords, text, acknowledgment, references, tables or figures and legends.

b) permission to reproduce the photographic material of patients, or taken from other authors, when it is the case, must be followed by an attached copy of the “Informed Consent”, with the approval to use the images in scientific journals.

c) approval by the Ethics Research Committee (CEP), when referring to research with human beings is necessary. Authors must present the number of the approval protocol of the Ethics Committee of the institution where the research took place, as well as the information regarding signing the “Informed Consent”, by all subjects involved, or their guardians (Determination MS/CNS/CNEP # 196/96 from October 10, 1996).

d) cover letter signed by all authors stating that the manuscript is original and that authors are responsible for the content of the article, and that it has never been published or sent to another journal, releasing the copyright to CEFAC journal and authorizing changes to the text to suit the format of the journal, maintaining its content. Fail to sign will be interpreted as lack of interest or disapproval to the publication and the person will not be part of the list of authors. Each author must have participated enough in the writing of the manuscript to take public credit for its content. The credit and authorship must be based solely on: 1) substantial contributions for the conception and outline, data collection or analysis and data interpretation; 2) writing or critical review of the article regarding the intellectually important content; 3) final approval of the version to be published.

Editors may request explanations regarding the total number of authors when it exceeds eight. New authors cannot be included once the first peer review is received.

Preparation of Manuscripts

1. Title Page: must carry the following information: a) article title in Portuguese (or Spanish) and English, it must be concise and informative; b) summarized title with up to 40 characters, including spaces, in Portuguese, English or Spanish; c) full name of authors numbered, as well as profession, position, institution or academic affiliation and highest academic degree, acronym of the institution, city, state and country; d) name, mailing address, fax and e-mail of the author to whom mailing correspondences are to be sent; e) indicate the field: Language, Orofacial Motor Function, Voice, Audiology, Collective Health or Themes from Correlated Fields, applied to the work; f) identification of the type of manuscript: original research article, literature review article, special articles, case report, clinical cases, opinion text or letters to the editor; g) mentioning sources of research support or indicating funding for the work as well as any conflicts of interest (if there is none, authors must put none).

Manuscript Checklist:

Manuscript title: In Portuguese, Spanish and in English.

Summarized Title: up to 40 characters in Portuguese, Spanish or English.

Main Author (1), First Co-Author (2)...

(1) profession, position, academic or institutional affiliation, acronym of the institution, City, State, Country; highest academic degree.

(2) profession, position, academic or institutional affiliation, acronym of the institution, City, State, Country; highest academic degree.

Name, address, telephone, fax and e-mail of the responsible author.


Type of manuscript:

Source of support:

Conflict of Interest:

2. Abstract and descriptors: the second page must contain an abstract, in Portuguese (or Spanish) and English, with no more than 250 words. It must be structured according to the type of work, as mentioned above, in Portuguese and English. The abstract aims at providing a clear view of the main part of the work, highlighting the most significant data, new aspects of the content and conclusions of the work. Symbols, formulas, equations and acronyms should not be used.

Specify the keywords defining the topic of the work below the abstract: use a minimum of three and a maximum of six words. Descriptors must be based on DeCS (Health Science Descriptors) published by Bireme, and which is a translation of MeSH (Medical Subject Headings) of the National Library of Medicine, available from the electronic address:, go to: health terminology – DeCS search; or straight to the following address: Exact descriptors must be used.

In the case of Clinical Essays indicate the registry number in the database of Clinical Trials below the Abstract (

3. Text: texts must follow a structure for each type of work. Avoid abbreviations. When abbreviations are necessary, the spelled-out abbreviation must come before the abbreviation on first mention on the text. References should be cited, numbered consecutively in the order they appear on the text, using superscript Arabic numerals. Avoid indicating the name of authors.

Introduction must contain data that introduce the theme to readers in a concise and clear fashion; the objective must be clearly exposed in the last paragraph of the introduction. For example: The objective (s) of this study was (were)....

The Method must be described in details. We suggest that all inclusion and exclusion criteria in the study be specified. Procedures must be clearly described so as to enable reproducing the study or fully understanding what and how it was performed. Relevant protocols to understand the method must be incorporated into the methodology in the end of this item rather than as an attachment, and the theoretical assumption of the study must be present (protocols adapted from authors, used as a basis or totally used etc.). On the next to last paragraph of this item, authors must include the project approval by the Ethics Research Committee (ERC) with the number of protocol. The last paragraph must present the type of statistical analysis used, describing the tests conducted and the value considered as significant. If hypothesis tests have not been used, specify how the results will be presented.

Results can be demonstrated descriptively, with tables or figures (graphics or charts are called figures), and those most convenient are chosen. Authors are asked not to repeat on charts or text the data presented.

4. Acknowledgments: it includes collaboration of people who must be acknowledged, but however, who should not be included as authors; acknowledgment for financial support, technical support and others.

5. References:

The presentation must be based on a format called “Vancouver Style”, as demonstrated by the examples below and the titles of journal must be abbreviated according to the style presented at the List of Journal Indexed in Index Medicus, of the National Library of Medicine and made available from:

They must be consecutively numbered according to the order they were mentioned on the text and identified with superscript Arabic numerals. If they are in sequence they must be hyphen-separated. If they are random, they must be separated by commas.

Authors are referred to by their last name, and only the initial is capitalized, followed by the abbreviated name(s) without period.

For all references, mention all authors, unless there are more than six, in which case list the first six plus et al.

Personal communication, unpublished work or work in preparation may be cited when absolutely necessary, however, they must not be included in the list of references; but rather mentioned on the text.

Journal Articles (Serials)

Author(s) of the article. Title of the article. Abbreviated name of the journal. Date, Year of Publication; Volume (number): initial-final page of the article.

E.g.: Shriberg LD, Flipsen PJ, Thielke H, Kwiatkowski J, Kertoy MK, Katcher ML et al. Risk for speech disorder associated with early recurrent otitis media with effusions: two retrospective studies. J Speech Lang Hear Res. 2000;43(1):79-99.

Observation: When the pages of the article used present coinciding numbers, eliminate the repeated digits. Eg: p. 320-329; use 320-9.

E.g.: Halpern SD, Ubel PA, Caplan AL. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002Jul;25(4):284-7.

Absence of Authorship

Title of the article. Abbreviated title of the journal. Year of Publication; volume (number): initial-final page of the article.

E.g.: Combating undernutrition in the Third World. Lancet. 1988;1(8581):334-6.


Book Author(s). Book title. Edition. Place of Publication: Publisher; Year of Publication.

E.g.: Murray PR, Rosenthal KS, Kobayashi GS, Pfaller MA. Medical microbiology. 4th ed. St. Louis: Mosby; 2002.

Book Chapters

Author(s) of the chapter. Title of the chapter. “In”: author(s) name(s) or editor(s). Title of the Book. Edition. Place of publication: Publisher; Year of publication. Initial-final page of the chapter.

E.g.: Meltzer PS, Kallioniemi A, Trent JM. Chromosome alterations in human solid tumors. In: Vogelstein B, Kinzler KW, editors. The genetic basis of human cancer. New York: McGraw-Hill; 2002. p. 93-113.

Observations: In the identification of the city of publication, the acronym of the state or province can also be added in parentheses. Ex.: Berkeley (CA); and when it is a country, it can be added spelled-out. E.g.: Adelaide (Australia);

When it is the first edition of a book, there is no need to identify it;

The indication of the number of the edition will be according to the abbreviation in Portuguese. E.g.: 4ª ed.

Annals of Congress

Author(s) of the work. Title of the work. Title of the event; date of the event; place of the event. City of publication: Publisher; Year of publication.
E.g.: Harnden P, Joffe JK, Jones WG, editors. Germ cell tumours V. Proceedings of the 5th Germ Cell Tumour Conference; 2001 Sep 13-15; Leeds, UK. New York: Springer; 2002.

Works presented in congresses

Author(s) of the work. Title of the work presented. “In”: editor(s) responsible for the event (if there is any). Title of the event: Proceedings or Annals of the event title; date of the event; place of event. City of publication: Publisher; Year of Publication. Initial-final page of the chapter.

E.g.: Christensen S, Oppacher F. An analysis of Koza's computational effort statistic for genetic programming. In: Foster JA, Lutton E, Miller J, Ryan C, Tettamanzi AG, editors. Genetic programming. EuroGP 2002: Proceedings of the 5th European Conference on Genetic Programming; 2002 Apr 3-5; Kinsdale, Ireland. Berlin: Springer; 2002. p. 182-91.

Dissertation, Thesis and Course Final paper:

Author. Title of the work [type of document]. City of the institution (state): institution; Year the work was presented.

E.g.: Borkowski MM. Infant sleep and feeding: a telephone survey of Hispanic Americans [dissertation]. Mount Pleasant (MI): Central Michigan University; 2002.

E.g.,: TannouriI AJR, Silveira PG. Campanha de prevenção do AVC: doença carotídea extracerebral na população da grande Florianópolis [course final paper]. Florianópolis (SC): Universidade Federal de Santa Catarina. Curso de Medicina. Departamento de Clínica Médica; 2005.

E.g.: Cantarelli A. Língua: que órgão é este? [dissertation]. São Paulo (SP): CEFAC – Saúde e Educação; 1998.

Unpublished Material (In press)

Author(s) of the article. Title of the article. Abbreviated title of the article. Point out that it is in press, and put the probable year it will be published after approval.

E.g.: Tian D, Araki H, Stahl E, Bergelson J, Kreitman M. Signature of balancing selection in Arabidopsis. Proc Natl Acad Sci USA. In press 2002.

Audiovisual Material

Author(s). Material Title [type of material]. City of publication: Publisher; Year.

E.g.: Marchesan IQ. Deglutição atípica ou adaptada? [Video Tape]. São Paulo (SP): Pró-Fono Departamento Editorial; 1995. [Video Course].

Electronic Documents

ASHA: American Speech and Hearing Association. Otitis media, hearing and language development. [cited 2003 Aug 29]. Available from:

 Journal Articles in Electronic Format

Author(s) of article(s). Title of the Article. Abbreviated title of journal [serial on the Internet]. Publication date [Access date with the expression “accessed on”]; volume (number): [approximated number of pages]. Website address with the expression “available from:”

E.g.: Abood S. Quality improvement initiative in nursing homes: the ANA acts in an advisory role. Am J Nurs [serial on the Internet]. 2002 Jun [cited 2002 Aug 12]; 102(6):[about 3 p.]. Available from:

Dissertations on the Internet

Author(s). Title [dissertation on the Internet]. City of publication: Publisher; date of publication [Access date with the expression “accessed on”]. Website address with the expression “Available from:”.

E.g.:  Foley KM, Gelband H, editors. Improving palliative care for cancer [dissertation on the Internet]. Washington: National Academy Press; 2001 [accessed on 2002 Jul 9]. Available from:

Cd-Rom, DVD, Disk

Author (s). Title [type of material]. City of publication: Producer; year.

E.g.: Anderson SC, Poulsen KB. Anderson's electronic atlas of hematology [CD-ROM]. Philadelphia: Lippincott Williams & Wilkins; 2002.  


Homepage author(s) (if present). Homepage title [Internet homepage]. City: institution; record date(s)* [date from the last update with the expression “updated on”; Access date with the expression “accessed on“]. Website address with the expression “available from:”

Ex.: [Internet homepage]. New York: Association of Cancer Online Resources, Inc.; c2000-01 [updated on May, 16, 2002; accessed on Jul 9, 2002]. Available from:

Internet database

 Database author(s) (if present). Title [Internet database]. City: Institution. Registry date(s) [date of the last update with the expression “updated on” (if present); access date with the expression “accessed on“]. Website address with the expression “available from:”

E.g.: Jablonski S. Online Multiple Congential Anomaly/Mental Retardation (MCA/MR) Syndromes [Internet database]. Bethesda (MD): National Library of Medicine (US). [EMGB1] 1999 [updated on Nov 20, 2001; accessed on Aug 12, 2002]. Available from:

 6. Tables

Each table must be sent on a separate page after the references. They must be self-explanatory so that there is no need to refer to the text or other tables, and they must be numbered consecutively in Arabic numerals in the order they were cited on the text. They must have the heading capitalized on the top with no period aligned left, after the indication of the table number. Below each table, following the same alignment of the title, legends must be written, together with statistical test performed (test name and p value), and the source where information was obtained (when it is not from authors themselves). Lines must be bold and simple on the top and bottom and on the division between the heading and the content. There must be no external vertical lines since they are for charts rather than tables.

7. Figures (charts, photographs, drawings)

× Each figure must be sent on a separate page after the references. They must be consecutively numbered in Arabic numerals in the order they were cited on the text. Legends must be clearly presented, described below the figures outside the frames. When using statistical tests, describe the name of the test, p value and the source of information (when it is not from authors themselves). Charts must be preferentially presented as columns. In the case of photographs, point out details with arrows, numbers and symbols that must be clear and big enough to accept reduction. Formats must be either JPG (Graphics Interchange Format) or TIF (Tagged Image File Format), in high resolution (minimum 300 dpi) so they can be reproduced. Reproduction of drawings already published must be followed by the authorization of the publisher and author. All drawings must be black and white.

8. Legends: print legends using double space, one on each separate page. Each legend must be numbered in Arabic numerals, corresponding to each table or figure in the order they were mentioned on the text.

9. Statistical Analysis

Authors must demonstrate that the statistical procedures adopted have been appropriate to test the study hypothesis and have also been correctly interpreted. Statistical significance levels must be mentioned (e.g.: p < 0.05; p < 0.01; p < 0.001).

10. Abbreviations and Acronyms: must be spelled-out before when mentioned for the first time. Legends of tables and figures must be followed by their names spelled-out. When there are abbreviations and acronyms on tables and figures, their respective meaning must be present on the legends. They must not be used on the title or abstract.

11. Units: Units of measure must be referred according to the standards of the International System of Units, available from:


Sending manuscript for submission

Documents must be sent to REVISTA CEFAC – ATUALIZAÇÃO CIENTÍFICA EM FONOAUDIOLOGIA, electronically at the following website:; e-mail:, in an attached Word file.

 Receipt confirmation, contacts, and any other correspondence must be sent to the Journal through e-mail.

Statement of Responsibility – Model

We, (Name(s) of author(s) with, RG (Identity card number) and CPF (social security number), are responsible for the content and authenticity of this work entitled ______________________ and we declare that the referred article has never been published or sent to another journal. Revista CEFAC has the right of exclusivity to trade, edit and publish the article either printed or online in the Internet. We authorize editors to change the form, maintaining the content.

Date, Signature of all Authors


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