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Revista CEFAC

Print version ISSN 1516-1846

Abstract

SIMAO, Sináira Santos Seixas et al. Clinical evaluation of the relationship of posture, breathing and swallowing in chronic-state post-stroke patients: case report. Rev. CEFAC [online]. 2013, vol.15, n.5, pp.1371-1378. ISSN 1516-1846.  https://doi.org/10.1590/S1516-18462013000500035.

The Stroke is a neurological disorder that disables more adults. The breathing, posture and swallowing have a direct relationship in this disease, thus requiring a multidisciplinary approach. The goal of this study was to conduct a clinical evaluation integrated to analyze the relationship between these disorders. This case is a female patient aged 37 with six years of diagnosis of ischemic stroke with right hemiparesis complete predominantly crural, hypertension, dysphagia and dysarthrophonia. In history, reported symptoms related to dyspnea, pain in the lumbar spine, the presence of coughing and choking and drooling to food, especially during the speech. The patient has scoliosis, thoracic kyphosis and abdominal weakness. The evaluation showed a respiratory expiratory force below the expected range. The peak cough flow is lower than expected, demonstrating not have the strength to cough. The research revealed changes in speech increased time to eat, need to drink to help swallow solid food before any leaks, the need for multiple swallows due to the sense of stasis in laryngeal-pharyngeal cavity and decreased taste and thick and viscous saliva. Using physical and speech therapy evaluations, we concluded that a patient with stroke in chronic respiratory presents alterations that may prevent it from effectively protecting the lower airways, which, added to postural changes and swallowing show the importance of integrated assessment for future therapeutic interventions more effective.

Keywords : Stroke; Deglutition; Physiotherapy; Speech, Language and Hearing Sciences; Posture; Respiration.

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