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Year: 2012  Vol. 16   Num. Suppl. 1  - May
DOI: 10.7162/S1809-9777201200S1F-002
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11º CONGRESSO DA FUNDAÇÃO OTORRINOLARINGOLOGIA - Oral Presentation Audiology
Texto Text in Portuguese
NEUROGENIC OROPHARYNGEAL DYSPHAGIA: CLINICAL EVOLUTION, IN INTERN PATIENTS AFTER PHONOAUDIOLOGICAL INTERVENTION
DISFAGIA OROFARÍNGEA NEUROGÊNICA: EVOLUÇÃO CLÍNICA, EM PACIENTES INTERNADOS, APÓS INTERVENÇÃO FONOAUDIOLÓGICA
Author(s):
Camila de Paula Maria da Silva, Sheila Tamanini de Almeida, Renata Mancopes
Abstract:

OBJECTIVE: To analyze qualitatively the results of initial and final evaluations of swallowing adult patients with neurogenic oropharyngeal dysphagia. MATERIALS AND METHODS: A transversal, observational and descriptive, from a consecutive sample of patients from hospital health care system in a large hospital, from January to June of 2011. We used the Speech Therapy Protocol Risk Assessment for Dysphagia - PARD (Padovani et al 2007) that tests swallowing classifying the degree of dysphagia, and the Scale for Functional Oral Intake - FOIS (Crary, et al, 2005), which determines the level of oral intake. After, the patients received speech therapy three times a week until high speech or hospital. Data analysis was performed using the mean and absolute frequency. RESULTS: We evaluated 20 patients, 12 males, mean age of 49.5 years. 65% had a clinical diagnosis of stroke and other diseases or had other neurological syndromes. At baseline, 40% had severe dysphagia, dysphagia 35% moderate and 20% mild dysphagia. In the initial scale FOIS, 50% had levels 1-3 range. After a mean period of 24.7 days, patients were reassessed, noting that 15% had severe dysphagia, moderate dysphagia 5%, 40% mild dysphagia, 30% and 10% functional swallowing and normal swallowing. In the final scale FOIS 75% had levels of 5 to 7. CONCLUSIONS: speech development was demonstrated in relation to the improvement in the degree of oropharyngeal and better oral intake level. It is suggested randomized clinical trials to establish efficacy of auditory statistically these cases.

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