CoDAS, Volume: 34, Issue: 6, Published: 2022
  • Quality of life and self-perceived health of adolescents in Middle School Original Article

    Fernandes, Graziela Nunes Alfenas; Lemos, Stela Maris Aguiar

    Abstract in Portuguese:

    RESUMO Objetivo A qualidade de vida e a autopercepção de saúde são indicadores úteis associados a estados objetivos e subjetivos de saúde, incluindo aspectos físicos, cognitivos, sociais, emocionais e ambientais. Este estudo caracterizou adolescentes de uma escola brasileira de financiamento privado e analisou a associação entre qualidade de vida, autopercepção de saúde e perfil sociodemográfico. Método Trata-se de estudo observacional, analítico e transversal, realizado com 124 adolescentes estudantes do ensino fundamental. Foram aplicados os questionários de Caracterização dos participantes, Autopercepção de saúde e Pediatric Quality of Life Inventory™ (PedsQL™) aos adolescentes e, aos pais ou responsáveis, os questionários Critério de Classificação Econômica Brasil e PedsQLTM. Resultados A maioria dos participantes era do sexo feminino, pertencia à classe econômica A, declararam ter autopercepção de saúde excelente e atribuiu boa nota para sua saúde. A maior parte dos pais e dos adolescentes avaliou positivamente as dimensões física, psicossocial e qualidade de vida geral. Ter uma autopercepção positiva da saúde aumentou as chances de ter uma qualidade de vida boa e o aumento de um ano na idade diminuiu as chances de o adolescente ter uma avaliação positiva da qualidade de vida. Conclusão O estudo da adolescência e suas peculiaridades é fundamental para ampliar a compreensão de aspectos relacionados à qualidade de vida, tanto em sua dimensão física quanto psicossocial e à autopercepção de saúde. Esse conhecimento permitirá proporcionar aos adolescentes o incentivo para o seu bem-estar, melhor desempenho de suas atividades e maior preparo para a vida adulta.

    Abstract in English:

    ABSTRACT Purpose Quality of life and self-perception of health are useful indicators for children and adolescents, as they are associated with objective and subjective states of health, including physical, cognitive, social, emotional, and environmental aspects. This study aims to characterize the adolescents at a Brazilian private financing school and to analyze the association between quality of life, health self-perception, and the sociodemographic profile. Methods This is a cross-sectional, observational study conducted with 124 elementary school students. The questionnaires of Characterization of the participants, Health Self-perception and Pediatric Quality of Life Inventory ™ (PedsQL™) were applied to the adolescents and, to the parents or guardians, the Brazil Economic Classification Criteria questionnaires and PedsQLTM. Results The majority of the participants were female, belonged to economy class A, declared to have excellent health self-perception, and attributed a good score for their health. The majority of parents and adolescents evaluated positively the physical, psychosocial, and overall quality of life dimensions. Having a positive health self-perception increased the chances of having a good quality of life and the increase of one year in age decreased the chances of the adolescent having a positive quality of life assessment. Conclusion The study of adolescence is essential to broaden the understanding of aspects related to the quality of life, both in its physical and psychosocial dimension and to self-perception. This knowledge will provide adolescents with an incentive for their well-being, better performance of their activities, and greater preparation for adult life.
  • Normative nasalance scores in Chilean adults Original Article

    Inostroza-Allende, Felipe; Palomares-Aguilera, Mirta; Jara, Matías Gonzalez; Gaponov, Camilo Quezada; Villarroel, Carlos Giugliano; Pegoraro-Krook, María Inés

    Abstract in Portuguese:

    RESUMEN Objetivo El presente estudio tiene como objetivo determinar y comparar puntajes normativos de nasalancia en hombres y mujeres chilenos de habla hispana. Método Participaron 40 mujeres (rango de edad de 18 a 35, X = 25.79, DE = 5.83) y 36 hombres (rango de edad de 18 a 35, X = 26.45, DE = 4.08), todos sin ningún antecedente de tratamiento fonoaudiológico, patologías neurológicas, déficit intelectual, hipoacusia, síndromes u otras patologías diagnosticadas que podrían afectar la producción del habla. La adecuada función velofaríngea fue determinada en vivo a través de una evaluación perceptual de la resonancia. La nasalancia se determinó utilizando un Nasometer modelo 6450, durante la lectura de tres muestras de habla estandarizadas en español: un párrafo nasal (PN), un párrafo oronasal (PON) y un párrafo oral (PO). Además, se calculó la distancia de nasalancia. La comparación entre ambos sexos fue realizada con el test de Wilcoxon para muestras independientes. Resultados El PN presentó el mayor porcentaje de nasalancia con 52.13% (± 4.73), seguido del PON con 25.38% (± 3.7), y finalmente el PO, que presentó el valor más bajo de 14.15% (± 5.03). En tanto, la distancia de nasalancia fue del 37.98% (± 5.32). Por último, no se observaron diferencias significativas al comparar entre ambos sexos (p> 0.05). Conclusión Los valores de nasalancia obtenidos fueron similares a los observados para otros hispanohablantes. Además, hombres y mujeres mostraron puntuaciones similares. Los resultados de este estudio son una contribución a la evaluación indirecta de la función velofaríngea en adultos chilenos.

    Abstract in English:

    ABSTRACT Purpose The present study is aimed towards determining and comparing normative nasalance scores in Chilean Spanish-speaking adult men and women. Methods 40 women (age range 18 to 35, X = 25.79, SD = 5.83) and 36 men (age range 18 to 35, X = 26.45, SD = 4.08) were invited to participate, all of them without any previous speech therapy, neurological pathologies, intellectual deficits, hearing loss, syndromes, or other diagnosed pathologies that could impact speech production. A study of proper velopharyngeal function was performed, using a perceptual resonance evaluation. Nasalance was determined using a model 6450 Nasometer, during the reading of three standardized speech samples in Spanish: a nasal passage (NP), an oronasal passage (ONP), and an oral passage (OP). Also, the nasalance distance was calculated. Genders were compared using Wilcoxon tests for independent samples. Results The NP presented the highest percentage of nasalance, with 52.13% (± 4.73), followed by the ONP with 25.38% (± 3.7), and finally the OP, which presented the lowest value of 14.15% (± 5.03). Meanwhile, nasalance distance was 37.98% (± 5.32). Finally, no significant differences were observed when comparing the nasalance between genders (p >0.05). Conclusion The nasalance values obtained were similar to those observed for other Spanish speakers. Also, male and women showed similar scores. The results of this study are a contribution to the indirect assessment of velopharyngeal function in Chilean adults.
  • Developmental kindergarten classroom intervention for spatial relational terms Original Article

    Eising, Maggie; Karasinski, Courtney

    Abstract in English:

    ABSTRACT Purpose Relational ability is a key attribute of language. Knowledge of relational terms, including spatial terms, can facilitate development of relational ability. Acquisition of spatial terms can be challenging and necessitates experience and input due to the abstractness of the concepts. Service delivery models for school-based speech-language pathologists (SLPs) are changing from traditional “pull-out” therapy to intervention in the classroom. Response to Intervention (RtI) and multi-tiered system of support (MTSS) frameworks have expanded SLPs’ roles to working with all children at-risk for academic difficulties. Methods Given the importance of spatial terms, and the changing roles and service delivery models for school-based SLPs, this investigation evaluated a six-week classroom-based intervention targeting spatial terms in a developmental kindergarten classroom of five-year-old children. Results At post-test, more than half of the children who did not understand the targeted spatial terms at pre-test demonstrated understanding of the words first, front, last, behind, center, below, under, and right by correctly identifying pictures representing these words. Around and left were the only two words learned by fewer than half of the children. Conclusion These findings augment research used by SLPs providing language support to children within the first tier of Response to Intervention or multi-tiered system of support.
  • Digits-in-noise test in Brazilian Portuguese: how demographic and socioeconomic variables influence normal-hearing subjects Original Article

    Barros, Victor Vasconcelos; Nunes-Araújo, Aryelly Dayane da Silva; Silva, Aline Roberta Xavier da; Cavalcanti, Hannalice Gottschalck; Ferrari, Deborah Viviane; Balen, Sheila Andreoli

    Abstract in Portuguese:

    RESUMO Objetivo Verificar a influência das variáveis demográficas e socioeconômicas no limiar de reconhecimento de fala no ruído (LRF) obtidos no teste de dígitos no ruído (TDR) no Português Brasileiro em normo-ouvintes. Método Estudo transversal e prospectivo. A amostra de conveniência foi composta por 151 sujeitos normo-ouvintes com idade entre 12 e 79 anos (média =34,66) que realizaram audiometria tonal liminar e teste de dígitos no ruído branco com sequência de trios numéricos em estímulo diótico (inphase) no mesmo dia. O TDR foi realizado com um smartphone Motorola Z3 play com acesso à internet com fones de ouvido intra-auriculares. Os limiares de reconhecimento dos dígitos no ruído (LRF) foram analisados em função do sexo, idade, escolaridade e nível socioeconômico. Foi utilizado para comparar as amostras independentes, o teste não-paramétrico Kruskal-Wallis e Mann-Whitney, adotando-se o nível de significância de 5%. Resultados A média do LRF foi de -8,47 dBNA (dp -3,89), com mediana de -9,6 dBNA. O LRF foi proporcionalmente inverso à escolaridade e nível socioeconômico e mais negativo (isto é, melhor) com menor faixa-etária. Não houve evidência de influência do sexo no LRF do TDR. Conclusão Idade, escolaridade e nível socioeconômico mostraram influenciar o limiar no TDR; essas variáveis devem ser consideradas na análise de desempenho do TDR no Português Brasileiro em sujeitos normo-ouvintes.

    Abstract in English:

    ABSTRACT Purpose Verify how demographic and socioeconomic variables on the in-noise speech recognition threshold (SRT) from the digits-in-noise test (DIN) in Brazilian Portuguese influence normal-hearing subjects. Methods Cross-sectional, prospective study. The convenience sample had 151 normal-hearing subjects between 12 and 79 years (mean=34.66) who underwent pure tone audiometry and digits-in-noise test with white noise using a sequence of three numbers in diotic stimulus (in-phase) on the same day. The DIN was performed using a Motorola Z3 Play smartphone with internet access and in-ear headphones. In-noise digit speech recognition threshold (SRT) was analyzed for gender, age, educational levels, and socioeconomic status. We used the non-parametric version of the Kruskal-Wallis and Mann-Whitney U tests to compare independent samples adopting a significance level of 5%. Results The mean SRT was -8.47 dBNA (SD -3.89) with a median of -9.6 dBNA. The SRT was proportionally inverse to educational levels and socioeconomic status and more negative (better) with lower age groups. Gender did not influence the DIN SRT. Conclusion Age, educational levels, and socioeconomic status influenced the DIN threshold. These variables must be considered when analyzing DIN performance in Brazilian Portuguese in normal-hearing subjects.
  • Knowledge, Attitudes, and Practices of Speech Language Pathologists in India about Telerehabilitation Services during the COVID-19 pandemic Original Article

    Bajaj, Gagan; Karuppali, Sudhin

    Abstract in English:

    ABSTRACT Purpose The global impact of the COVID-19 pandemic has opened opportunities for service providers and patients to continue with clinical services in certain extraordinary settings and circumstances. Telerehabilitation in the field of speech language pathology in India is still at its infancy, with a majority of the Speech Language Pathologists (SLP) accustomed with the conventional face-to-face system of service delivery. The present study aims to gather the knowledge, attitudes, and practices (KAP) of SLPs in India regarding telerehabilitation services during the pandemic. Methods The study was conducted in three phases: phase I involved the development and validation of a questionnaire to explore the KAP of SLPs regarding telerehabilitation services. The items were framed based on a Likert rating scale (strongly agree, agree, neutral, disagree, and strongly disagree), yes-no-maybe format, open-ended, and multiple-choice format. Phase II involved data collection, while phase III involved data analysis. Descriptive statistics was done to derive the frequency and percentage for discrete variables and mean and SD for continuous variables. Results Many SLPs feel underprepared in their technical knowledge and skills needed for telerehabilitation. Furthermore, a majority of the SLPs also did report patients to be relatively lesser motivated and satisfied with tele practices due to issues that are discussed in the paper. Conclusion This study is an initial attempt to touch upon the fabric of telerehabilitation services delivered by SLPs of India. Future studies are directed to study the technical, professional, and personal issues encountered during telerehabilitation services specifically pertaining to specific communication disabilities.
  • AudBility: test-retest reliability in typically developing children aged 6 to 7 years Original Article

    Tanaka, Tamy Nathalia; Carvalho, Nádia Giulian de; Colella-Santos, Maria Francisca; Amaral, Maria Isabel Ramos do

    Abstract in Portuguese:

    RESUMO Objetivo investigar a confiabilidade teste-reteste do programa AudBility em crianças com desenvolvimento típico de seis a sete anos. Método 29 crianças, sexo masculino e feminino, destros, falantes nativos do Português e desempenho escolar adequado para a faixa etária estudada de acordo com o professor foram submetidas aos procedimentos de meatoscopia, imitanciometria e foi aplicado o programa AudBility, composto por questionário de autopercepção e tarefas auditivas. As tarefas incluíram localização sonora, fechamento auditivo, figura fundo, escuta dicótica, resolução temporal e ordenação temporal de frequência e duração. O programa foi reaplicado com um intervalo de 1 semana sob as mesmas condições de avaliação. O desempenho em cada tarefa foi apresentado a partir de dados de tendência central e dispersão e a confiabilidade a partir do Cálculo do Coeficiente intra-classe (CCI), com base no intervalo de confiança (IC) de 95%. Resultados As análises demonstraram CCI positivo e significante para o questionário e tarefas auditivas, exceto fechamento auditivo, nas orelhas direita e esquerda e figura-fundo na orelha esquerda. O CCI médio do questionário foi de 0,742 e variou de -0,012 a 0,698 para as tarefas auditivas. Conclusão Com base no resultado médio e no limite superior do IC, os achados demonstraram concordância entre os momentos de grau bom para o questionário, e de grau bom a moderado para cinco das sete variáveis auditivas analisadas (CCI>0,05 e < 0,9). Os achados do estudo de confiabilidade representam um parâmetro importante de validação do programa para a faixa etária estudada.

    Abstract in English:

    ABSTRACT Purpose to investigate the test-retest reliability of the AudBility program in typically developing children aged six-seven years. Methods 29 children, male and female, right-handed, native Portuguese speakers and adequate school performance for the age group studied, underwent previous meatoscopy, immittance measurements and the AudBility program was applied, composed of a self-perception questionnaire and auditory tasks, being analyzed the abilities of sound localization, auditory closure, figure-ground, dichotic digits test, temporal resolution, and temporal ordering of frequency and duration. The program was designed and reapplied with an interval of one week under the same conditions. The performance in each task was presented from central tendency and dispersion data and was conducted using the Intraclass Correlation Coefficient (ICC), based on the 95% confidence interval (CI). Results The analyses showed a positive and significant ICC (p<0.01) for the questionnaire and auditory tasks, except for auditory closure, in the right and left ears and figure-ground in the left ear. The questionnaire mean ICC was 0.742 and ranged from −0.012 to 0.698 for the auditory tasks. Conclusion Based on mean results and upper limit of the CI, the findings showed agreement between moments, classified as good for the questionnaire and moderate to good for five of the seven auditory analyzed tasks (ICC>0.05 and <0.9). The results of the reliability study represent an important parameter for validating the program for the studied age group.
  • The association between language and recognition of facial emotional expressions in elderly individuals Original Article

    Francisco, Helen Capeleto; Bregola, Allan Gustavo; Ottaviani, Ana Carolina; Luchesi, Bruna Moretti; Orlandi, Fabiana de Souza; Fraga, Francisco José; Costa-Guarisco, Letícia Pimenta; Pavarini, Sofia Cristina Iost

    Abstract in Portuguese:

    RESUMO Objetivo Verificar a associação entre o bom desempenho de linguagem e o reconhecimento de expressões faciais de emoções em idosos. Método Estudo transversal realizado com 118 idosos dos serviços de atenção primária à saúde de um município paulista. Foram coletados dados sociodemográficos, de desempenho da linguagem pelo domínio do Exame Cognitivo de Addenbrooke - Revisado e de Reconhecimento de Expressões Faciais de Emoções. A amostra foi dividida em tercis de acordo com o desempenho na linguagem: T1 = melhor, T2 = mediano e T3 = pior. Os grupos T1xT3 foram comparados em relação ao desempenho no reconhecimento de expressões faciais de raiva, nojo, medo, alegria, tristeza e surpresa e para as intensidades 40%, 60%, 80% e 100%. A associação das variáveis independentes sobre o desempenho de linguagem foi analisada por meio de regressão logística. O modelo multivariado foi construído a partir dos resultados das análises univariadas e incluiu as variáveis contínuas por emoção e por intensidade. Idade e escolaridade, associadas ao desempenho de linguagem no modelo univariado, foram incluídas no modelo multivariado para ajustar as análises de associação. Resultados A amostra era predominantemente feminina (84,7%), com idade média de 70,5 anos e 3,5 anos de escolaridade. As variáveis ​​associadas ao melhor desempenho de linguagem na análise comparativa de T1 e T3 foram: surpresa (OR= 1,485, IC 95% 1,194 – 1,846) e nojo (OR= 1,143, IC 95% 1,005 – 1,300). Conclusão O reconhecimento de expressões faciais das emoções surpresa e nojo mostraram-se importantes fatores associados ao bom desempenho da linguagem.

    Abstract in English:

    ABSTRACT Purpose To check the association between a good performance of language and the recognition of facial emotional expressions in elderly individuals. Methods Transversal study performed with 118 elderly individuals from the primary care services of health of a city in the state of São Paulo. Sociodemographic data were collected, regarding the performance of language through the domain of Addenbrooke Cognitive Examination – Revised and Recognition of Facial Emotional Expressions. The sample was divided in thirds according to the performance of language: T1 = the best, T2 = average, and T3 = the worst. The groups T1xT3 were compared regarding the performance of recognition of facial expressions of anger, disgust, fear, happiness, sadness, and surprise, and for the intensities of 40%, 60%, 80%, and 100%. The association of independent variables over the performance of language was analyzed through logistic regression. The multivariate model was built from the results of the univariate analyses and has included the continuous variables by emotion and by intensity. Age and schooling associated to the performance of language in the univariate model were included in the multivariate model in order to adjust association analyses. Results The sample was mainly female (84.7%), with an average age of 70.5 years old, and 3.5 schooling years. The variables associated to the best performance of language in comparative analysis of T1 and T3 were: surprise (OR = 1.485, IC 95% 1.194 – 1.846), and disgust (OR = 1.143, IC 95% 1.005 – 1.300). Conclusion The recognition of facial emotional expressions of surprise and disgust were shown as important factors associated to the good performance of language.
  • The Copenhagen Neck Functional Disability Scale: an analysis of singers with dysphonia and without vocal complaints Original Article

    Lopes, Thalita Ferreira Rodrigues; Lobo, Bárbara Pereira Lopes; Gama, Ana Cristina Côrtes

    Abstract in Portuguese:

    RESUMO Objetivo analisar e comparar o grau de incapacidade cervical em cantoras disfônicas e em cantoras sem queixas vocais autorreferidas. Método estudo observacional analítico transversal. Participaram do estudo 32 cantoras sem queixas vocais e 30 cantoras com diagnóstico fonoaudiológico e otorrinolaringológico de disfonia. Para as cantoras sem queixas vocais foram utilizados dois questionários aplicados virtualmente via GoogleForms, sendo um questionário composto por três perguntas referentes às queixas vocais e como cada cantora percebia sua voz de falada e de forma cantada e a Escala Funcional de Incapacidade do Pescoço de Copenhagen (EFIPC). Os dados referentes às cantoras disfônicas foram extraídos de um banco de dados previamente coletado por uma equipe de pesquisadores no Observatório de Saúde Funcional em Fonoaudiologia da Universidade Federal de Minas Gerais e a diferença na metodologia de coleta de dados entre os dois grupos deu-se devido às restrições apresentadas pela pandemia causada pelo coronavírus. Para a comparação entre os dois grupos, foi utilizado o teste Mann-Whitney e foi considerado um nível de significância de 5%. Resultados Houve diferença significativa entre os grupos (p=0,0001), demonstrando que as cantoras disfônicas sofrem mais com dores e desconfortos cervicais do que as cantoras sem queixas vocais. Conclusão cantoras disfônicas apresentam mais dor e desconforto cervical do que as cantoras sem queixas vocais, caracterizando uma maior incapacidade cervical.

    Abstract in English:

    ABSTRACT Purpose To analyze and compare the degree of cervical disability in singers with dysphonia and in singers without self-reported vocal complaints. Methods A cross-sectional observational analysis. Sixty-two singers participated in the study: Thirty-two singers without vocal complaints and 30 singers with a speech-language pathology and otorhinolaryngological diagnosis of dysphonia. For singers without vocal complaints, two questionnaires were applied via Google Forms: A three-question questionnaire regarding vocal complaints and how each singer perceived their speaking and singing voice, and the Copenhagen Neck Functional Disability Scale (CNFDS). Data on singers with dysphonia were extracted from a database previously collected by a team of researchers at the speech-language pathology department of the Federal University of Minas Gerais. The difference in data collection methodology between the two groups was due to restrictions presented by the coronavirus pandemic. The Mann-Whitney test was used to compare the two groups, at a significance level of 5%. Results There was a significant difference between the groups (p=0.0001), demonstrating that singers with dysphonia suffered more from cervical pain and discomfort than singers without vocal complaints. Conclusion Singers with dysphonia have more cervical pain and discomfort than singers without vocal complaints, thus presenting with greater cervical disability.
  • Frailty syndrome and risks for falling in the elderly community Original Article

    Taguchi, Carlos Kazuo; Menezes, Pedro de Lemos; Melo, Amanda Caroline Souza; Santana, Leonardo Santos de; Conceição, Wesley Rayan Santos; Souza, Gabrielle Feitosa de; Araújo, Brenda Carla Lima; Silva, Allan Robert da

    Abstract in Portuguese:

    RESUMO Objetivo Identificar a prevalência da Síndrome da Fragilidade em idosos e suas relações com o risco para quedas. Método Estudo clínico descritivo, transversal e analítico. Cento e um voluntários com mais de 60 anos, foram submetidos à avaliação audiológica, Dynamic Gait Index – Brazilian brief (DGI), Timed Up and Go(TUG) e Escala de Fragilidade de Edmonton (EFE) que determinaram, respectivamente, os limiares auditivos, síndrome da fragilidade, equilíbrio funcional e dinâmico e risco para quedas. Utilizou-se a distribuição percentual simples, o teste de Wilcoxon e de Correlação Bivariada com coeficiente de Pearson para a análise estatística. Foram adotados limites iguais inferiores a 1,0 e 5,0%. Resultados A EFE identificou 22,8% dos voluntários como frágeis e 22,8% como vulneráveis. O DGI e o TUG classificaram 34,6 e 84,1% de riscos para quedas. Ocorreu correlação significativa entre a EFE e o DGI (p<0,01), a EFE e o TUG (p<0,01) e o DGI e TUG (p<0,01). O coeficiente de Pearson entre EFE e o DGI, entre o EFE e o TUG e DGI e TUG foram -0,26, -0,41 e 0,46 respectivamente. Ocorreu associação entre DGI e TUG e idade (p<0,01). Não houve correlação entre a EFE com sexo e idade. Conclusão A fragilidade e pré-fragilidade foi identificada em uma parcela expressiva dos voluntários, sobretudo nos mais longevos. O equilíbrio funcional e o dinâmico se correlacionaram moderamente com fragilidade, o que demonstrou que a Síndrome da fragilidade aumenta o risco para quedas.

    Abstract in English:

    ABSTRACT Purpose To identify the prevalence of Frailty Syndrome in the elderly and the relationship with risk of falling. Methods Descriptive, cross-sectional, and analytical clinical study. One hundred and one volunteers over 60 years old were submitted to audiological evaluation, Dynamic Gait Index - Brazilian brief (DGI), Timed Up and Go (TUG) and Edmonton Fragility Scale (EFE) that verified, respectively, hearing thresholds, frailty syndrome, functional and dynamic balance, and risk of falling. The simple percentual distribution, the Wilcoxon´s test and the Bivariate Correlation with Pearson's coefficient were used for statistical analysis. Limits equal to or less than 1.0 and 5.0% were adopted. Results EFE identified 22.8% of volunteers as fragile and 22.8% as vulnerable. DGI and TUG found 34.6% and 84.1% of at risk for falls, respectively. Significant correlations between EFE and DGI (p <0.01), EFE and TUG (p <0.01), and DGI and TUG (p <0.01) were observed. Pearson's coefficient between EFE and DGI, EFE and TUG, and DGI and TUG were -0.26, -0.41, and 0.46, respectively. An association between DGI and TUG and age (p <0.01) was identified. No correlation between EFE and sex or age was found. Conclusion Frailty and pre-frailty were identified in a significant segment of the volunteers, especially in the oldest subjects. Functional and dynamic balance were moderately correlated with frailty, which demonstrated that frailty syndrome increases the risk of falls.
  • Oropharyngeal dysphagia telerehabilitation in the Intensive Care Unit for COVID-19: a case report Case Report

    Soyama, Shigeto; Mano, Tomoo; Kido, Akira

    Abstract in English:

    ABSTRACT The face-to-face assessment of and training for dysphagia are considered aerosol-generating procedures, and thus are contraindicated for patients who are positive or suspected of having severe acute respiratory syndrome coronavirus 2 infection. Considering the extremely infectious nature of the virus, transmission to other individuals during rehabilitation is possible. Some patients in the intensive care unit and those who are on endotracheal intubation and mechanical ventilation often have dysphagia. Therefore, assessment and training for oropharyngeal dysphagia are provided by rehabilitation professionals to restore normal feeding before patient discharged. Thus, we aimed to explore the advantages of telerehabilitation in dysphagia management during the coronavirus disease 2019 (COVID-19) pandemic. An infected 50-year-old man admitted to the hospital underwent extracorporeal membrane oxygenation rescue therapy and tracheostomy. Upon gradual respiratory status stabilization, extracorporeal membrane oxygenation therapy was discontinued, and he was weaned off the ventilator. He had difficulty swallowing and coughed after attempting to drink fluids. We considered the application of telerehabilitation for managing dysphagia while minimizing the risk of infection and usage of personal protective equipment. A videoconferencing software on a tablet device provided contactless telerehabilitation, thus reducing the risk of infection and preventing personal protective equipment shortage. Moreover, it facilitates discussion on the issues related to the evaluation of oropharyngeal dysphagia telerehabilitation. We highlight important considerations for the application of telerehabilitation in the assessment and treatment of dysphagia during the COVID-19 pandemic.
  • ERRATUM: Digits-in-noise test in Brazilian Portuguese: how demographic and socioeconomic variables influence normal-hearing subjects Erratum

Sociedade Brasileira de Fonoaudiologia Al. Jaú, 684, 7º andar, 01420-002 São Paulo - SP Brasil, Tel./Fax 55 11 - 3873-4211 - São Paulo - SP - Brazil
E-mail: revista@codas.org.br