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PROGRAMA ASSOCIADO DE PÓS-GRADUAÇÃO EM FONOAUDIOLOGIA (PPGFON)

UNIVERSIDADE FEDERAL DA PARAÍBA

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Dissertations/Thesis

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2024
Description
EDICLEIDE MARTINS DA SILVA FACTORS THAT INFLUENCE THE DEVELOPMENT OF ORAL LANGUAGE IN EARLY CHILDHOOD Advisor : LUCIANA FIGUEIREDO DE OLIVEIRA Date: Aug 30, 2024 Time: 13:00 Show Summary Introduction: The development of oral language in early childhood is a multifaceted and essential process for the formation of cognitive, social and emotional skills that last throughout life. Biological and socio-environmental influences can imply the acquisition and development of this skill. Objectives: The objective of the first article was to map the risk factors for the development of oral language, and the objective of the second article was to investigate the prevalence of language complaints in the development of oral language in children enrolled in Municipal Early Childhood Education Centers - CMEI and outline the factors that influence this scenario. Method: The first article consists of a scoping review carried out according to the guidelines of the Joanna Briggs Institute (JBI) and written in accordance with the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis - extension for scoping reviews (PRISMA-ScR ). The second article is a cross-sectional, exploratory, descriptive and field research, with a qualitative-quantitative approach. The research was carried out at the Municipal Early Childhood Education Centers - CMEI, located in the city of João Pessoa PB, from April/2023 to December/2023, after approval by the Ethics Committee under opinion no. 6,018,552. 140 guardians of children aged between one and a half to three years old enrolled in CMEI participated. Results: The results of the first article demonstrated that risk factors, such as genetic predispositions, medical conditions, low-income environments, exposure to toxic substances, and neglect, can compromise language development. The results of the second article described that 43% of participants have some type of language complaint, with speech delay (80%) being the most mentioned complaint and the majority of this sample (53%) have a family history of changes in this ability. Conclusion: It is concluded that intrinsic and extrinsic factors influence the acquisition and development of language and that there is a significant prevalence of complaints related to the development of this skill.
ISABELLA CAVALCANTE FRANCO SELF-ASSESSMENT OF TASTE IN INDIVIDUALS WITH AMYOTROPHIC LATERAL SCLEROSIS Advisor : LEANDRO DE ARAUJO PERNAMBUCO Date: Aug 30, 2024 Time: 09:00 Show Summary Amyotrophic Lateral Sclerosis (ALS) is a rare neuromuscular disease that affects the upper and lower motor neurons, affecting daily functional performance. Since many studies approach the disease as being purely motor, further investigations are needed on how sensory perception occurs in ALS, especially taste. Alterations in this sense directly impact stomatognathic and motor functions, with emphasis on swallowing. In view of this, two questions led to this study: 1) what instruments are used to assess taste in people with ALS?; 2) what is the performance of individuals with ALS in taste assessment tasks? Two articles were prepared to answer these questions. The objective of article 1 was to map the taste assessment instruments in people with ALS, and the objective of article 2 was to investigate the performance of taste perception in six patients with ALS. Article 1 consists of a scoping review conducted in accordance with the guidelines of the Joanna Briggs Institute (JBI) and written in accordance with the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA-ScR). Article 2 consists of a case series study, carried out in a specialized outpatient clinic of a university hospital and whose collection followed four stages: a) anamnesis; b) cognitive assessment; c) taste perception test based on four primary flavors manipulated in a pharmacy; d) smell perception test based on odors presented from filter paper. The results of article 1 demonstrated that the instruments for assessing taste in patients with ALS are not standardized and are based on taste perception performance tests or on patients' self-report. The results of article 2 describe that sweet taste was the only one perceived by all volunteers in the taste perception test and secondary factors such as age or alternative eating route influence these responses. This study concluded that people with ALS, regardless of type, have alterations in taste perception.
MARIA LOUIZE JUSTINO FREIRE OROFACIAL MYOFUNCTIONAL ASPECTS IN PERSONS WITH TRISSOMY OF CHROMOSOME 21 BEFORE AND AFTER INTERVENTION ON THE ORBICULAR MUSCLE OF THE MOUTH Advisor : GIORVAN ANDERSON DOS SANTOS ALVES Date: Aug 29, 2024 Time: 16:00 Show Summary Introduction: Trisomy 21 (T21) is a genetic alteration known as Down Syndrome (DS), which affects 1 in every 700 live births in Brazil. Objectives: To characterize the clinical findings of the structures and functions of the stomatognathic system in people with Trisomy 21 and to investigate the effect of myotherapeutic lip exercises associated and not associated with photobiomodulation, in people with trisomy 21. Methods: The study was carried out at the Speech Therapy School Clinic of the Federal University of Paraíba - UFPB, Campus I and at the Integrated Support Center Foundation for People with Disabilities - FUNAD. Data collection was carried out between August 2023 and June 2024. The AMIOFE-E Protocol and the Pró-fono (PLL) tongue-lip biofeedback were applied. During the intervention phase, the individuals were divided into two groups: one group received the active laser plus isometric and isotonic lip exercises, and the other received the placebo laser plus isometric and isotonic lip exercises. Descriptive analysis was performed, as well as inferential statistics, using nonparametric tests, based on the data distribution. Results: In stomatognathic functions, statistically significant results were identified in the respiratory mode, lip behavior during swallowing, jaw slippage during swallowing, food escape during swallowing, and uncoordinated jaw movements during chewing. A statistically significant difference was observed in the comparison of pre- and post-measurements only in the group that received the active LBP. After the intervention, in the intergroup comparisons, of the four measures considered, three of them were statistically significant, with higher values obtained in the active laser group. Conclusion: The use of low-power laser favored the gains achieved with the performance of myotherapy exercises (isotonic and isometric) of the lips, resulting in an immediate effect that made it possible to obtain significant results in a speech therapy session.
PAULA RAYANA BATISTA CORREIA OROFACIAL MYOFUNCTIONAL THERAPY IN PEOPLE WITH TRISSOMY OF CHROMOSOME 21 Advisor : GIORVAN ANDERSON DOS SANTOS ALVES Date: Aug 29, 2024 Time: 14:00 Show Summary Introduction: The discovery of Trisomy 21 (T21), known as Down's Syndrome, was made in 1866 by the physician John Langdon Down and to this day, studies are being carried out to gain a better understanding of this condition and to contribute to it. Due to its characteristics, speech therapy interventions are extremely important for the development and performance of aspects related to the stomatognathic system and the disorders that may be associated with it. As a result, various technologies are being associated with diagnoses and treatments in the field of speech therapy, enhancing performance. Aims: To map the literature on speech therapy interventions for oral functions in people with Trisomy 21 and to analyze the effects of masticatory training alone and combined with photobiomodulation on masticatory function in people with T21. Method: Two studies were carried out. The first was a scoping review conducted according to the methodology of the Joanna Briggs Institute (JBI). The literature was searched in the EMBASE, LILACS, Pubmed/Medline, Scopus, Web of Science and ASHA databases. The eligibility criteria followed the PCC (Population, Concept and Context) strategy. The second study was an interventional, experimental, quantitative, immediate-effect, triple-blind study. Subjects diagnosed with T21 who met the eligibility criteria were included and divided into two groups: one for speech therapy intervention with masticatory training associated with active low-power laser (LBP) and the other group associated with placebo LBP. After the evaluations and interventions, a descriptive and inferential statistical analysis was carried out, using the Wilcoxon test to compare the groups. Results: 2,028 articles were identified in the databases and 104 studies in the gray literature repositories. After removing duplicates, a total of 1731 articles were identified. After applying the eligibility criteria, 9 studies were included addressing speech therapy interventions in oral functions in people with T21. In the interventional study, differences were observed in the pre and post group comparison of the variables tongue pressure, right bite force and left bite force with and without the application of active laser and placebo, however, the results were not statistically significant. Conclusion: There is a need for more studies looking at speech therapy interventions for people with Trisomy 21 in order to make a scientific contribution to guiding therapies for these individuals.
MICAL TIBNE PERES DE OLIVEIRA Auditory perceptual judgment of judges with expertise in voice in the characterization of prosodic parameters of Brazilian Portuguese in the various emotions. Advisor : ANNA ALICE FIGUEIREDO DE ALMEIDA QUEIROZ Date: Aug 26, 2024 Time: 13:30 Show Summary The auditory-perceptual judgment (JPA) of speech therapists who are experts in voice proves to be an important aspect in understanding the parameters related to the voice and speech of Brazilian Portuguese (BP) in various emotions. This dissertation is divided into two articles: 1) This is an observational and cross-sectional study that aimed to verify whether there is a difference in the classification of perceptual-auditory prosodic parameters of voice and speech in Brazilian Portuguese in different emotions from the perspective of expert judges; and 2) It is an observational and cross-sectional study that aimed to investigate the influence of the sociodemographic and professional characteristics of voice experts on the auditory-perceptual judgment of various emotions. The first study involved the participation of 33 judges who judged 43 audios relating to a semi-spontaneous speech that makes up EMOVox-BR. Each audio contained ten parameters intrinsic to emotion, voice and speech: emotion valence, emotion, emotion intensity, pitch, loudness, articulation, speech rate, melodic curve, silent pause and pause. Speech therapists who are experts in voice were able to identify that the measures pitch, loudness, speech rate and melodic curve are essential parameters in the discrimination of basic emotions in BP. In the second article, 26 judges with voice expertise participated and judged 43 audios, 39 of which were related to EMOVox-BR with an increase in the repetition rate. The characteristics analyzed were: Gender, marital status, family income, region where the expert lives, level of education, time since training, work in the voice area, sector of activity and specialization in the voice area. The results obtained allowed us to identify that having specialization in voice is an elementary factor in the JPA of varied emotions.
DEBORA PONTES CAVALCANTE ALMEIDA SPEECH-LANGUAGE PATHOLOGY ASSESSMENT BASED ON APPLIED BEHAVIOR ANALYSIS FOR PEOPLE WITH AUTISM SPECTRUM DISORDER Date: Mar 25, 2024 Time: 08:00 Show Summary Introduction: The success of interventions for children with Autism Spectrum Disorder (ASD) heavily relies on accurate assessments of language skills. This dissertation presents the outcomes of a scope review and a content validation study, both focused on the creation and refinement of a language assessment instrument based on Applied Behavior Analysis (ABA), aiming to ensure the clinical applicability of the tool. Objective: to review the scope of existing instruments for the language assessment in ASD based on ABA and to validate the content of a new instrument, with the purpose of optimizing language evaluation in this population. Methods: The scope review followed the guidelines of the Joanna Briggs Institute (JBI) and the recommendations of PRISMA, focusing on the identification of existing instruments and their characteristics. The content validation study involved a panel of experts who assessed each item of the proposed new instrument using the Content Validity Index (CVI), establishing a cutoff point for the inclusion or exclusion of items. Results: The scope review identified some instruments but highlighted the need for more specific and comprehensive tools for language assessment in ASD. In the validation study, some items of the new instrument did not reach the CVI cutoff point and were excluded, resulting in a more refined instrument with improved content validity. The final version demonstrated potential for a detailed assessment of language skills in children with ASD. Conclusion: The AFLACA instrument, developed from the conducted scope review and enhanced by content validation, allows for precise evaluations, essential for the development of effective interventions. Furthermore, the integrated process of review and validation underscores the importance of rigorous and collaborative approaches in the development of assessment tools, ensuring they are both theoretically sound and practical for professional use.
REBECA VILA NOVA DE ARAUJO TORRES Immediate effects of Photobiomodulation in individuals with healthy voice after vocal overload. Date: Feb 28, 2024 Time: 14:00 Show Summary Introduction: Vocal fatigue represents self-reported or physiological damage to vocal function after prolonged use of the voice. There is still no consensus regarding the ideal methods for measuring vocal fatigue in healthy individuals. Selecting intervention mechanisms to assist in managing vocal fatigue has also been a challenging mission. Photobiomodulation (FBM) is a technology with therapeutic characteristics that aims to boost the capacity of cellular functions, and has demonstrated beneficial effects on muscle performance and reducing signs of fatigue. Objectives: (1) Map the phonatory tasks and outcome measures used to assess vocal fatigue in vocally healthy individuals in the scientific literature. (2) Analyze the immediate effects of photobiomodulation in reducing the manifestations of vocal fatigue in vocally healthy individuals undergoing vocal overload activity. Method: A Scoping Review (SR) was carried out based on a search strategy that followed the following PCC: Population = Vocally healthy adult individuals; Concept= phonatory tasks and vocal assessment measures; Context= vocal fatigue. A prospective, triple-blind randomized clinical trial (RCT) was also carried out. Vocally healthy individuals were randomized into: LASER Group, which received application of FBM followed by the glottal firming technique, preceding a vocal overload activity; and PLACEBO Group, which received the same protocol, differing only in the application of placebo FBM. Acoustic, auditory-perceptual and self-reported measurements were collected before and after the entire intervention. Results: In RE, the sustained vowel /a/ and reading texts and sentences, at usual intensity and frequency, were the most used tasks. Acoustic analysis and self-assessment were the most used fatigue assessment methods, highlighting the acoustic measures: fundamental frequency (mean, standard deviation and variance), sound pressure level-SPL, jitter, shimmer and CPP, and the instruments Perceived Phonatory Effort Scale (PPE), Visual Analogue Scale (VAS) and Borg CR-10 Scale. In the RCT, slight differences were observed within and between the LASER and PLACEBO groups. The comparison between the groups at the post-intervention moment showed higher values in the Hfno and HI-H2 acoustic measures of the usual vowel /a/ in the LASER group and in all variations of the GNE for the counting task in the PLACEBO group. The comparison of pre and post intra-group moments showed a worsening in self-assessment for both and an increase in H1-H2 values for the LASER group. Conclusion: Acoustic analysis and vocal self-assessment should be the preferred methods for assessing immediate vocal fatigue. The vocal sample most used for this measurement was the vowel /a/ sustained at usual intensity and frequency. The effects of FBM to minimize vocal fatigue in this study were discrete, with consistent responses only in relation to the elevation of the H1-H2 acoustic measure in the LASER group and the differentiation of the Hfno, H1-H2 and GNE measures between the LASER and PLACEBO groups in the moment post-intervention. The findings suggest a possible reduction in contact between the vocal folds and less vocal hyperfunction in the group that received FBM.
ISABELA DOS SANTOS Cross-cultural adaptation and validation of the Voice-related Experiences of Nonbinary Individuals - VENI to Brazilian Portuguese. Date: Feb 27, 2024 Time: 08:00 Show Summary Introduction: The speech therapy practice related to gender affirmation through voice requires the use of specific self-assessment tools for non-binary individuals who have vocal demands with their characteristics. The only instrument available worldwide is the North American protocol Voice- related Experiences of Nonbinary Individuals (VENI). Cross-cultural adaptation and validation of this instrument are necessary to enable its valid and reliable use in Brazilian Portuguese to measure the self-perception of communication experiences of non-binary people and contribute to the development of their vocal identity. Purpose: To cross-culturally adapt and validate the VENI for Brazilian Portuguese. Method: This is a cross-sectional study. The cross-cultural adaptation and validation procedures followed the World Health Organization (WHO) guidelines and the COnsensus-based Standards for selecting health Measurement Instruments (COSMIN). This study is presented through two articles:1) Cross-cultural adaptation of the VENI and 2) Validation of the VENI. 1) The process of cross- cultural adaptation involved five phases: a) translation into Brazilian Portuguese (BP); b) synthesis of translations; c) back-translation; d) review by an expert committee; e) pre-test with 21 participants from the target population. 2) Validation occurred after cross-cultural adaptation. The sample consisted of 30 non-binary groups (NBG) and 49 individuals in the cisgender group (CG). Both groups answered the VENI-Br once, and the NBG answered a second time within a two to 14-day interval from the first completion. Data were submitted to validity analysis (construct validity and discriminant validity) and reliability (reliability and reproducibility). Results: 1) In the translation phase, there were disagreements on the title, instructions, answer key, and 15 items. There were divergences in 12 items in form and four in content in the back-translation. The expert committee recommended adjustments to the title, instructions, answer key, and eight items to ensure equivalence. The pre-test showed a significant predominance of responses from the usual answer key of the instrument, compared to the not applicable option. 2) The study compared 30 non- binary and 49 cisgender individuals using the cross-culturally adapted version of the VENI, the VENI-Br. Exploratory factor analysis (EFA) indicated a change from three to two factors and the need to exclude two items. After adjustments, the VENI-Br obtained 70% of the explained variance and a KMO of 0.871. Confirmatory factor analysis (CFA) validated the factorial structure of the VENI-Br. Reliability was high, with internal consistency of 0.919 to 0.952 and test-retest of 0.772 to 0.897. Discriminant validity indicated significantly higher scores for non-binary individuals than cisgender individuals in all factors and total scores. Conclusion: 1) The cross-cultural adaptation to Brazilian Portuguese of the VENI successfully resulted in the version "Experiências relacionadas a Voz de Pessoas Não Binárias - VENI-Br." 2) The VENI-Br with 15 items and two factors has a robust factorial structure and proved reliable and valid for measuring the communicative experiences of non-binary people.
EDUARDA DE LIMA AMARANTE SYNTACTIC AWARENESS IN TRISOMY 21 AND ITS RELATIONS WITH WORKING MEMORY AND VOCABULARY, BEFORE AND AFTER SPEECH-LANGUAGE PATHOLOGY INTERVENTION. Date: Feb 26, 2024 Time: 14:00 Show Summary Introduction: In studies on the population with Trisomy 21, the characteristics of language disorders are frequently addressed. The development of metalinguistic skills is delayed and usually incomplete. Linguistic ability has repercussions and is influenced by cognitive impairment. Objective: In view of these aspects, the main objective of this research is to relate syntactic awareness performance with phonological working memory, receptive and expressive vocabulary in adolescents and young adults with Trisomy 21, before and after speech-language pathology intervention. Method: This is a "before and after" intervention study, of a qualitative-quantitative nature. A group of 7 participants, aged between 13 and 23 years, were the object of this study, carried out in an extension project at a higher education institution. The methodological procedures involve the evaluation by means of the syntactic awareness test, the phonological working memory test not words and digits, ABFW child language test, in the vocabulary area and USP figure vocabulary test. Initial data collection consisted of 4 sessions of 40 minutes, once a week, where the pre-intervention evaluation protocols were applied. After these procedures and analysis of the assessments, 15 intervention sessions were conducted, based on the stimulation of linguistic and metalinguistic skills for adolescents and young adults with Trisomy 21. After this period, the reassessment was carried out in 4 sessions. Pearson's coefficient was used to verify the correlation between the variables in question. Results: The following variables were significantly correlated: syntactic awareness test score with non-word score of pre- and post-intervention working memory; syntactic awareness test score with post-intervention working memory digit score; syntactic awareness test score with TVFUSP score before and after intervention; syntactic awareness test score with ABFW score, designation by usual word after intervention. Conclusion: The study confirms the presence of difficulties and correlation in the competencies examined in adolescents and young people with Trisomy 21. The relationship between these skills should be considered in speech-language pathology rehabilitation programs to promote cognitive development and communication in individuals who reveal some specificity of neurodevelopment.
PÂMELA PONTES DOS SANTOS SPEECH-LANGUAGE PATHOLOGY INTERVENTION IN ORAL LANGUAGE AND METALANGUAGE FOR ADOLESCENTS AND YOUNG ADULTS WITH TRISOMY 21 Date: Feb 26, 2024 Time: 09:00 Show Summary Introduction: Trisomy 21 (T21) or commonly known as Down Syndrome (DS) is a genetic alteration in the 21st pair of chromosomes, being identified as an extra copy or excess of genetic material due to a failure in the cell division of the fertilized egg, presenting cognitive and physical deficits, which may vary considerably between individuals. Objective: In the first study, to develop and validate the content of an intervention plan for adolescents and young adults with T21 focused on vocabulary, working memory, and syntactic awareness. The second study aims to report the results of the speech- language pathology intervention aimed at improving vocabulary and working memory in adolescents and young adults with T21, as well as to verify the relationship between receptive and expressive vocabulary skills and working memory in adolescents and young adults with T21 after speech- anguage pathology intervention sessions. Method: The project was submitted to and accepted by the Human Research Ethics Committee. The first article was a methodological study, with stages of validation of the intervention proposal. An evaluation was carried out with 10 judges. The judges were selected through non-probability convenience sampling. The Content Validity Index (CVI) was used to evaluate the content quantitatively. The second article was an exploratory-descriptive case series, of a quantitative-qualitative nature. The research was developed in a speech-language pathology clinic and 7 individuals participated in the sample, consisting of 3 stages: 1. Pre- intervention evaluation; 2. Speech-language pathology intervention; 3. Post-intervention evaluation. Results: The first article presents the following results: The oral language intervention plan focusing on vocabulary, working memory and syntactic awareness was elaborated and the content validated for adolescents and young adults between 13 and 25 years and 11 months. The proposal included 15 sessions of 40 minutes, weekly. In the second article, it was possible to verify the correlation between working memory and receptive vocabulary. Conclusion: It was possible to present the process of development and validation of the Therapeutic Plan in Oral Language with a focus on Vocabulary, Working Memory and Syntactic Awareness for people with T21 with the agreement of the judges, in addition to the existing relationships between the skills mentioned.

2023
Description
VANESSA VIEIRA FARIAS EVALUATION OF VESTIBULAR CHANGES IN CHILDREN AND ADOLESCENTS Date: Sep 29, 2023 Time: 09:30 Show Summary Introduction: Vertigo and dizziness are common symptoms in childhood, but they are often overlooked due to the belief that they are symptoms associated with diseases in adulthood or the elderly. As a result, diagnosing vestibular alterations in these subjects is a challenge, leading to few records of dizziness in the age group of children and adolescents from six to 17 years old, justifying studies that aim to identify, characterize tests, and/or diagnose these alterations. Objective: To describe and analyze two instruments for assessing dizziness in children: the Pediatric Visually Induced Dizziness Questionnaire and the Vestibular Evoked Myogenic Potential. Method: This involves the development of two studies: a diagnostic, observational, and cross-sectional study, involving the application of a culturally adapted and translated questionnaire in Brazilian Portuguese called the Pediatric Visually Induced Dizziness Questionnaire (PVID), with correlations to tests already used in the battery of vestibular evaluation tests in the adult population, adapted for acquisition like the Videonystagmography (VENG) exam, oculomotor tests, caloric testing, and the Dizziness Handicap Inventory (DHI) questionnaire adapted for the pediatric population. Inclusion criteria for the study group were subjects aged six to 17 years with complaints of vestibular alterations, and exclusion criteria were auditory complaints and motor alterations affecting body balance. The second study was a systematic review described according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA Statement), with electronic searches in the MEDLINE (via PubMed), EMBASE, ScienceDirect, Scopus databases, as well as LILACS and SciELO, from April to May 2022 and reviewed in July 2023, with no restriction on publication year and language, focusing on the use of the Vestibular Evoked Myogenic Potential (VEMP) exam, both ocular and cervical, in studies involving the pediatric population. Results: Correlation was identified in children who presented vestibular complaints, with altered VENG results and a high rate of visually induced vestibular complaints in the application of the PVID questionnaire. Regarding the analysis of articles found in the systematic review, it is possible to include the VEMP exam, both ocular and cervical, with defined acquisition patterns in the battery of tests for pediatric vestibular evaluation. Conclusion: The PVID questionnaire can be used as a screening tool for visually induced dizziness. In relation to VEMP, a diagnostic protocol was developed for children based on data reported in the literature.
RENATA LIGIA LIMA BATISTA Relationship between dysarthria, mental health and quality of life of people with Amyotrophic Lateral Sclerosis Date: Sep 28, 2023 Time: 16:00 Show Summary Abstract: Introduction: Amyotrophic Lateral Sclerosis (ALS) is a disease linked to the motor neuron, which leads to weakness of muscles throughout the body, which compromises, in addition to other functions, the phonation function. This impact has repercussions on the mental health and quality of life of these individuals, requiring an interdisciplinary approach by the team involved in the case. Objective: To verify the relationship between dysarthria, mental health and quality of life of people with ALS, as well as to identify the correlation between the presence of vocal/speech disorders and clinical variables in patients with ALS; Characterize the impact of dysarthria on the quality of life of individuals with ALS; To investigate the impact of dysarthria on the mental health of individuals with ALS. Method: This work will be divided into two studies: the first is a documental, observational cross-sectional study through a LIEV database where data related to the questionnaire "Vocal Handicap Index - IDV-10" were collected. , to the Amyotrophic Lateral Sclerosis Functional Assessment Protocol ALFRS-R, the vocal quality and the result of the Peak Flow exam. The sample consisted of 08 patients diagnosed with ALS, six (75%) of the appendicular type and two (25%) of the e bulbar type. The mean age was 49.37 years, with six (75%) males and two (25%) females. Spearman's correlation test was applied and the significance level was 5%. The second study is a primary, observational, cross-sectional study. The self-assessment protocols Living with Disarthria-VcD and Self-Reporting Questionnaire (SRQ-20) will be applied and voice recording will be performed using the Sound Forge 4.5 program. The following tasks will be recorded: prolonged vowel a and diphthong iu repeatedly, with a model offered by the researchers, in usual frequency and intensity, self-selected by the individual, in order to establish the correlation between these variables. For data verification and interpretation, descriptive and inferential statistical analysis of the results of the instruments used will be performed. Data will be submitted to Spearman's correlation test to correlate the variable Degree of Dysarthria with the variables Protocol VcD and SRQ 20, and the development of a multiple linear regression model. Expected results: In study 1, it is expected that a correlation will be found between the time of diagnosis and the presence of vocal alteration in patients with ALS. Study 2: It is believed that there is a correlation between self-perceived mental health, quality of life and dysarthria in these patients. Understanding the relationship between these variables will provide relevant information for speech therapy monitoring and therapeutic planning.
MATHEUS LEÃO DE MELO Multiparametric acoustic indexes in the evaluation of dysphonic and non-dysphonic individuals. Date: Sep 28, 2023 Time: 14:00 Show Summary Introduction: Currently there is a gradual growth of interest in acoustic analysis with multiparametric approaches. This analysis demonstrates a strong relationship with the auditory-perceptual assessment and great reliability in the detection of dysphonia. However, the multiparametric acoustic indexes (MAI) follow different forms of proposition and validation. Thus, it becomes necessary to understand the different steps taken to validate the MAI, and based on this, propose a manual for the construction and validation of the MAI. Objectives: Map, describe and analyze the phases and steps taken during the construction and validation of MAI; to present a manual of recommendations for the creation and validation of multiparametric acoustic indices used in vocal acoustic evaluation. Methodology: This dissertation was divided into two studies. 1) The first is a scope review whose PCC was P - individuals with and without vocal problems C - construction and validation of MAI and C - voice area. An electronic search was carried out in Pubmed/Medline, LILACS/BVS, Scopus, Web of Science, EMBASE and Cochrane Library, ClinicalTrials, ASHA Wire, Brazilian Digital Library of Theses and Dissertations and ProQuest. Data on the phases and stages of AMI validation were extracted. The analysis was carried out descriptively. 2) Data about the steps and phases that must be carried out during the construction and validation phase of the MAI were analyzed after reviewing the scope and crossed with methodologies described by associations and researchers in the field of test validation. Results: 1) Studies on the construction and validation of MAI were published between 2000 and 2022, mostly studying the AVQI and the DSI. 98 studies were classified in the scale evaluation phase and 86 in the validity tests phase, with accuracy tests, ROC curve and likelihood ratio calculation being widely used. 2) The recommendations for creating and validating IAMs were compiled in a manual. Conclusion: The processes for constructing and validating AMIs are diverse and there is no consensus among authors regarding which of these phases are essential. The creation of a guideline with step-by-step instructions on how to create and validate an MAI will facilitate the reproducibility of future studies in the area.
CLARA MORENA DE MEDEIROS CAVALCANTI Early identification of hearing loss in Brazil Date: Sep 28, 2023 Time: 09:00 Show Summary Introduction: Neonatal Hearing Screening (NHS) aims to timely identify hearing impairment in newborns and infants and should be universally implemented. In Brazil, NHS services across different points of the healthcare network must be constantly evaluated according to quality indicators established by the "Guidelines for Neonatal Hearing Screening." Federal university hospitals serve as important reference centers, also engaging in auditory health care activities, ranging from NHS to actions focused on hearing (re)habilitation. Considering this, it was deemed important to profile Brazilian university hospitals concerning these activities, conducting an analysis using quality indicators to gather crucial information about the effectiveness of the programs in place. Additionally, it is relevant to understand the profile of scientific production related to early hearing loss identification in Brazil. Objective: (1) Characterize early hearing loss identification programs, specifically within the stages of Neonatal Hearing Screening, in Brazilian university hospitals. (2) Map the national scientific production concerning early hearing loss identification. Methodology: Dissertation structured into two articles. (1) Analytical observational cross-sectional study conducted nationwide, with data collection through an online questionnaire directed at speech-language pathologists within a network of university hospitals, surveying aspects related to service structure and processes. Collected data were tabulated in Excel spreadsheets, and descriptive statistical analysis was performed for each studied variable. (2) Bibliometric literature review involving searches across databases such as Scielo, LILACS, Medline, Scopus, Web of Science, Brazilian Digital Library of Theses and Dissertations, and Google Scholar. Keywords in both English and Portuguese were utilized, and search strategies were adapted based on each database's specificities. Publications were selected based on eligibility criteria, initially through title analysis, followed by abstract reading, and concluding with full-text reading of the remaining publications. Results: (1) Information was obtained from 35 out of a total of 41 hospitals in the network. Among the 33 participating hospitals, 21 have births, and only 1 of these lacks neonatal hearing screening. Only 9 hospitals met the recommended live births coverage as per guidelines. Thirteen hospitals perform NHS before discharge, and six do so both before and after, indicating efforts to adhere to the recommended timing. (2) The search yielded a total of 1,757 publications. After excluding 1,736 for not meeting inclusion criteria, 21 were selected for full-text reading and bibliometric analysis. Conclusion: These studies contribute to understanding the early hearing loss identification programs developed in Brazil, highlighting gaps and opportunities for improvement in services provided to the population. Gaps related to structure and processes, evaluated through quality indicators, were evident. Thus, there is a need for restructuring services to promote comprehensive auditory health care in childhood, enabling early identification and intervention for hearing loss. Literature covering the entire diagnostic process is scarce and lacks cohesion among authors across different regions.
JAYNE DE FREITAS BANDEIRA VARIABILITY OF HYOID BONE MOTION MEASUREMENTS DURING SWALLOWING OBTAINED BY ULTRASONOGRAPHY Date: Sep 28, 2023 Time: 09:00 Show Summary Introduction: The movement of the hyoid bone during swallowing contributes to the protection of the lower airways and adequate functional performance. This swallowing parameter can be analyzed using ultrasound, which makes it possible to extract measures such as time, displacement and speed. Knowing the interindividual variability of these measures is crucial to define whether they are accurate for use in clinical practice. Objective: To verify the inter-individual variability of measurements obtained by ultrasonography for analysis of time, displacement and speed of movement of the hyoid bone during swallowing. Method: This is an observational, cross-sectional, retrospective study with a quantitative approach. A database was used with measures of time, displacement and speed of movement of the hyoid bone during the swallowing of liquid and thickened liquid (10 mL each), captured by transcutaneous laryngeal ultrasound. After applying the eligibility filters, 52 records of 26 women aged between 19 and 78 years (mean 44.77 ± 16.52 years) were considered, 12 (46.2%) with swallowing complaints and 14 (53 .8%) without complaint. From the mean and standard deviation values of each of the three measures of interest in the two swallowing tasks, the coefficient of variation (CV) was calculated. The analysis considered the entire sample and groups by age group (18 to 39 years; 40 to 59 years; 60 years or more) and by swallowing complaint (yes or no). Results: in the general sample and in the group with complaints, the CV was lower in the three measurements for the consistency of thickened liquid. In the group without complaints, CV indicated less dispersion in liquid consistency in displacement and velocity measurements. In the three age groups analyzed, the thickened liquid also presented a better overall performance when compared to the liquid consistency. Conclusion: measurements of time, displacement and velocity of movement of the hyoid bone obtained by ultrasonography have medium to high interindividual variability (CV > 20%). The measurement of time was e more homogeneous in all contexts in the task of swallowing thick liquid
THALES ROGES VANDERLEI DE GÓES EFFECTS OF PHOTOBIOMODULATION ASSOCIATED WITH VESTIBULAR REHABILITATION IN THE TREATMENT OF PATIENTS WITH VESTIBULAR SYMPTOMS AND Tinnitus: a triple-blind randomized clinical trial. Date: Sep 28, 2023 Time: 09:00 Show Summary Introduction: Vestibular symptoms (SV) and tinnitus are extremely common in clinical practice and may occur simultaneously or independently. Vestibular Rehabilitation (VR) is a consolidated treatment in the literature for VS, whereas tinnitus has very diversified therapies, with varying degrees of success. Currently, photobiomodulation (FBM) has been identified as one of them, but there is no consensus in the literature about it, especially when it comes to patients associated with VS. Objective: (1) to investigate whether there is an immediate therapeutic effect of FBM on potentials (ECochG and ABR), in order to validate the dosage used in the clinical trial (2) To investigate whether there is an effect of FBM associated with VR in the treatment of patients with VS and tinnitus. Method: Dissertation structured in two articles. (1) experimental, randomized cross-over study, with a sample of 60 ears, divided into Research Group (RG) and Control Group (GC), a transmeatal FBM protocol was used with pre- and post-test evaluation immediately after the application, by through electrophysiological measurements in GP and GC. (2) Randomized triple-blind clinical trial, with a sample of 20 subjects with VS and tinnitus, randomly divided into GP (VR + active FBM) and GC (RV + FBM sham), an evaluation session was carried out, one of reassessment and ten of therapeutic intervention, twice a week, for 5 weeks. T and Mann-Whitney tests were used to compare the means of records. Results: (1) A statistically significant effect of FBM was observed between GP and GC, in the analysis of SP amplitude and SP/AP area and amplitude ratios. (2) The two groups showed significant differences in the reassessment in relation to the SV instruments, but only the GP group showed an improvement in tinnitus scores. As for the intergroup analysis of the SV, the GP showed better performance in dynamic visual acuity in the post-test. Conclusion : The influence of the immediate effect of FBM on the ECochG potential was observed. FBM associated with VR contributed to the reduction of tinnitus discomfort and improvement of the VOR parameters in relation to the CG.
MAIARA CRISTINE OLIVEIRA DE ALMEIDA ACCURACY OF THE FINGER TEST WITH NOISE AND THE SPEECH, SPATIAL AND HEARING QUESTIONNAIRE IN THE ELDERLY. Date: Sep 26, 2023 Time: 14:00 Show Summary Abstract: Introduction: There is a high prevalence of hearing loss in the elderly and much has been studied about auditory and cognitive decline resulting from aging alone. Initial identification and referrals can be streamlined through the use of hearing screenings. Hearing screening is a quick, effective and safe method for identifying possible hearing disorders, referrals in a democratized way and with equity in care. Objective: To verify the accuracy of the Digits in Noise Test, based on software, in Brazilian Portuguese and the accuracy of the Speeach, Spatial and Qualities (SSQ) questionnaire in the elderly. Method: This is a descriptive, quantitative, cross-sectional, prospective and analytical study, through tonal and vocal audiometry, immittanciometry, application of the digits in noise test and the Speech, Spatial and Qualities of Hearing Scale ( SSQ), in the short version with 12 items in Brazilian Portuguese, associating these findings in a population of 136 elderly people. The tests were performed on elderly people registered in a social association for the elderly in a municipality in the state of Alagoas. Results: Existence of alteration in the TDR, the elderly with hearing loss have lower values in the TDR when compared to those without hearing loss and the occurrence of a positive association when relating hearing loss in the elderly with the application of the SSQ. Conclusion: Elderly people with hearing loss have more positive noise recognition threshold values when compared to the group without hearing loss. As for the SSQ, the average of all skills in the group with hearing loss have reduced scores when compared without losses. TDR and SSQ tests are sensitive for detecting hearing loss
LIDIANE LAURINDA MARIA ELIAS DE HOLANDA LIVING WITH DYSARTRIA QUESTIONNAIRE (VcD): content validation and internal consistency based on Item Response Theory (IRT) Date: Sep 25, 2023 Time: 14:00 Show Summary This dissertation researched the quality of life in people with dysarthria based on the validation of an instrument called Living with Dysarthria (VcD). This dissertation is divided into two articles: 1) present the content validation of the Living with Dysarthria Questionnaire (VcD) for Brazilian Portuguese; and 2) present evidence of validity based on the internal structure of the VcD, with the application of Item Response Theory (IRT). The content validation article included an expert panel of five judges and involved the translated and adapted version of the VcD into Brazilian Portuguese, with 50 questions. The judges judged the relevance of the item, theoretical and textual relevance. When calculating the CVI on item relevance, items 6,9,10,15,37,38 had low scores and were considered bad, and for this reason they were excluded from the questionnaire. The theoretical and textual relevance of the 50 items was assessed. Items 3,4,6,7,8,9,10,12,15,18,24,27,30,32,37,38 and 45 had a final CVC below that recommended, and therefore the 17 items were excluded of the questionnaire, which resulted in the final version of the VcD with 33 items. The second article was a study to validate internal consistency and used data from 269 individuals, 127 people with neurological diagnoses and 142 people without a diagnosis. The following analyzes were performed: Cronbach's Alpha, Exploratory Factor Analysis (AFE), Confirmatory Factor Analysis (CFA) and Item Response Theory (IRT). The study proceeded in two stages. The first stage demonstrated good internal consistency of the instrument, based on Cronbach's Alpha coefficient. The AFE was carried out. The tests indicated an adequate sample, significant Bartlett's test of sphericity. The Measure of Sample Adequacy (MSA) test and all items presented scores above those recommended. The AFE did not eliminate any item and indicated the factorial structure of a single factor. A single-factor CFA was carried out, where six items out of the thirty-three were excluded, namely items 13, 22, 33, 34, 39 and 42, confirming the factorial structure of 27 items. The second stage of the study was to carry out the Item Response Theory (IRT), the items with the highest difficulty (b) and discrimination (a) values were observed, in addition to the item characteristic curves (ICCs), It was seen that the items are polytomous. Thus, it is concluded that the VcD presents adequate validity evidence based on the internal structure. The current version of the instrument is composed of twenty-seven items referring to a single, polytomous factor, which reflects an answer key on a six-point Likert scale.
ANTÔNIO VÍTOR DA SILVA ROSENO ANALYSIS OF THE RELATIONSHIP BETWEEN READING EFFICIENCY, PHONOLOGICAL PROCESSING AND VOCABULARY IN CHILDREN WITH LEARNING DIFFICULTIES Date: Sep 22, 2023 Time: 09:00 Show Summary Reading efficiency is a measure that evaluates reading ability and is related to the ability to read words accurately and fluently. The process of reading is a complex interaction of diverse skills, ranging from oral language to written language, through metalinguistic comprehension. Children who present obstacles in the learning process often encounter difficulties in mastering reading. Objective: To analyze the relationship between reading efficiency, phonological processing and vocabulary in children with learning difficulties. Method: This is a cross-sectional, descriptive field study with a quantitative approach. The study population was composed of a non-probabilistic sample of 16 children, of both sexes, with learning difficulties. A questionnaire was used to collect the complaints, the CONFIAS to assess phonological awareness, the TIN to evaluate vocabulary, the Phonological Working Memory Test, the TENA to evaluate the rapid automatic naming and the reading subtest of the TDE-II to measure reading efficiency. Data were statistically analyzed, descriptively and inferentially, using the Chi-Square test and t-Student, with significance of 5%. Results: The study revealed a favorable relationship between reading efficiency, phonological processing and vocabulary in children with learning difficulties. Conclusion: The investigation of the abilities of rapid automatic naming, phonological working memory, phonological awareness and expressive vocabulary were crucial for us to understand the respective associations with reading efficiency. This aspect indicates the great technical-scientific impact in the stimulation of these skills in speech therapy for children with reading difficulties.
PAULA LUANNA CARVALHO DE OLIVEIRA IMPACT OF PARENTAL TRAINING ON THE COMMUNICATIVE PROFILE OF VERBAL CHILDREN WITH AUTISM SPECTRUM DISORDER Date: Sep 20, 2023 Time: 14:00 Show Summary Introduction: The possible language alterations commonly present in autism may reflect on the performance of communicative functions, more or less interactive, and influence the communicative behavior of their communication partners. It is necessary to ensure that the communicative skills and strategies worked in a clinical environment are generalized to other communication partners in uncontrolled environments. Involving caregivers and caregivers in this process can be seen as a strategy of intensification of stimuli, reduction of time to achieve goals and enable the generalization of skills, since these are the subjects with whom children are, commonly, most of their time. A resource for this teaching through parents and guardians is the Parental Training, being possible to carry out this through the recording of videos with the model of the target behavior to be established, a process called video modeling. Objective: To analyze the impact of parental training on the communicative profile of verbal children with Autism Spectrum Disorder. Methodology: Controlled experimental study, longitudinal, quantitative and qualitative, composed of 33 subjects of both sexes, diagnosed with Autism Spectrum Disorder and aged between 03 and 12 years, who made use of verbal communication and performed speech therapy at the institute where the research was conducted. The sample was randomly divided into two groups: experimental group, composed of 17 subjects whose guardians or caregivers agreed to perform the parental training program; and control group, composed of 16 subjects, who did not have their guardians submitted to intervention through the parental training program. The analysis of the communicative profile of the children was performed before and after the intervention, which took place through the parental training program by video modeling. Results: 78.79% of the sample was composed of male children and 21.21% of females. The median age was 6 years for both groups. Regarding the aspects that characterize the communicative profile of the children in this sample, in both groups, there were no significant differences before and after the intervention, both in the intragroup and intergroup evaluation. However, regarding the qualitative analysis of the parents or guardians about the intervention through parental training by video modeling, most classified it as important and effective for the gain of new communicative skills for their children. Conclusion: Further studies are needed to provide a greater understanding of the adjustments and definitions of parental training programs that aim at considerable impacts on the communication of autistic children. Although the results were not statistically significant, there was a decline in barrier behaviors and expansion of verbal behaviors through parental training
CLAUDIO DA CRUZ SANTOS Body Pain and Voice Disorders Self-Reported by Teleoperators: Interdisciplinary Perspectives. Date: Sep 19, 2023 Time: 14:30 Show Summary Voice plays an essential role for CIOP emergency teleoperators, a group exposed to occupational risks arising from excessive voice use and other health conditions. The work environment of emergency tele-operators presents risks that contribute to the predisposition to RSVR and MSD, along with caller pressure and excessive workload. These factors may not only affect the voice, but also cause muscle pain, tension, and other body disorders. Objectives: The aim of this study is to characterize the body pains of emergency teleoperators and to investigate the correlation between these pains and possible self-reported vocal disorders. Methodology: This dissertation is structured in two manuscripts: Article 1 "Correlation between body pains and voice disorders self-reported by teleoperators of an emergency call center: observational study", a field, observational, cross-sectional, descriptive research and quantitative approach, carried out between May 2022 and January 2023, in the state of Paraíba; Article 2 "Comparative analysis of Voice disorders in teleoperators of military and non-military emergencies", an observational, descriptive, analytical, cross-sectional and quantitative study. Results: 150 teleoperators participated in the study. Regarding the characterization of body pain, 40% of the participants reported pain. It was also observed that, in relation to these pains, it was possible to correlate them with voice disorders. In study 2, 90 people participated, who also presented some type of body pain correlated to voice disorders, in addition to xxxxxxxxxxxx. Final Considerations: The results found point to a correlation between body pain and voice disorders self-reported by emergency tele-operators, whether they are military personnel or trainees, providing a basis of scientific evidence to support future interdisciplinary studies between speech therapy and physiotherapy, as well as any other health science in the area of professional voice.
ADRIANA BENEVIDES DUARTE LEITE MELO Auditory Perception of Children with Autism Spectrum Disorder: Creating an Assessment Instrument Date: Sep 18, 2023 Time: 09:30 Show Summary Autism Spectrum Disorder involves genetic, neurological and social factors of the child, being considered a developmental disorder, classified into different levels of severity. Hyperacusis and changes in auditory perception are observed in individuals with this disorder. Despite the functional impairment, little is known about its prevalence in this population. The evaluation can be carried out through questionnaires and behavioral and electrophysiological hearing tests. Objective: To develop an instrument to assess auditory perception and hyperacusis in children with Autism Spectrum Disorder. Method: This dissertation is divided into two studies: 1) First an integrative review. An electronic search was carried out in Pubmed/Medline, Scopus, Scielo and LILACS databases to analyze the existing scientific literature on hyperacusis and auditory perception in people with Autistic Spectrum Disorder (ASD), in addition to the protocols used to identify these alterations in this public. Peer-reviewed articles published between 2013 and 2023 were included. Article selection and data extraction were performed by two blinded and independent reviewers. Disagreements were resolved by consensus. Data analysis was done descriptively. 2) The second was to create a questionnaire containing items contemplating functions of consciousness, orientation functions and auditory questions and obtain its validation by applying it to 11 expert judges in speech therapy, with clinical practice in the area for over 5 years. Data collection was performed using Google Forms. Data were analyzed descriptively. Results: 1) The publications addressed hearing assessment and electrophysiological assessment in order to verify the presence of hearing loss, hyperacusis, but the studies did not present specific protocols for assessing auditory perception in people with ASD, except for the ABQ Auditory Behavior Questionnaire, which did not was found in the validated version in Portuguese. 2) The instrument was structured in 10 items, containing aspects about consciousness functions, orientation functions and auditory questions. The first stage of validation was the evaluation of the domains, which were evaluated by 11 expert speech therapists in the area of ASD, according to the Content Validity (CVI) and Content Validity Ratio (CRV) calculations, the level of agreement of the judges was 80% in the three domains, indicating that they are adequate. On the other hand, 20% suggested adding questions to complement the identification of auditory symptoms. Conclusion: 1) The review suggests the importance of developing risk instruments for hyperacusis and that assess auditory perception in people with ASD. 2) The instrument is capable of assessing auditory sensitivity, analyzing auditory perception and comprehension in children with ASD, directing parents and/or guardians and helping the clinical practice of speech therapists for an early diagnosis.
GLAUREA REGINA DE SANTANA NUNES THE USE OF A COMBINED STRATEGY AND HERING MONITORING IN THE EARLY IDENTIFICATION OF CHILDHOOD HEARING IMPAIRMEN Date: Jul 7, 2023 Time: 10:00 Show Summary Neonatal Hearing Screening aims to identify as early as possible a possible hearing impairment in newborns and infants, favoring diagnosis and intervention of hearing impairment in a timely manner. However, it does not guarantee that the child will develop without the possibility of acquiring a hearing loss in the following years. Hearing monitoring is essential to ensure timely conduct. Objective: .To describe the use of a combined strategy in the early identification of childhood hearing impairment and to emphasize the importance of auditory monitoring. Methodology: this is an ecological study, descriptive of time series of newborns who underwent the automatic brainstem auditory evoked potential examination in neonatal hearing screening, from 2008 to 2020 in all Brazilian states. Data were extracted from the website of the Department of Informatics of the Brazilian Unified Health System, the website of the Beneficiary Information System and the National Register of Health Establishments. We analyzed the number of Automatic Brainstem Auditory Evoked Potential tests performed in all Brazilian states, the presence of Automatic Brainstem Auditory Evoked Potential equipment in public hospitals and Neonatal Intensive Care Unit beds, and finally compared the number of Otoacoustic Emissions tests with the Automatic Brainstem Auditory Evoked Potential. Based on a case study, the trajectory of a child who was submitted to neonatal hearing screening (NHS) with a negative result for hearing loss and in 1999 and developed an acquired hearing loss was described. Illustrates the importance of auditory monitoring. Results: There was an increase in the coverage of Neonatal Hearing Screening within the investigated period, but despite this increase, the coverage was still below the recommended level. The varied characteristics within the national scenario contributed to very different results between regions. Conclusions: Although Neonatal Hearing Screening is guaranteed in its universality, the data show that the services implemented in different regions of Brazil have not yet reached coverage numbers within the recommended range. NHS is the first step in children's hearing health and follow-up at a basic health unit to monitor auditory and language development is fundamental.
DENILMA LÍGIA DA SILVA ALVES PINHEIRO NEURODEVELOPMENT ASPECTS, STOMATOGNATIC SYSTEM AND EATING DISORDERS IN INFANTS WITH TRISSOMY 21 Date: Jul 7, 2023 Time: 09:30 Show Summary Trisomy 21 is characterized by being a genetic condition caused by the presence of an extra. The delay in the development of children with T21 can occur due to multiple factors, as a result of the cognitive and neurological alterations inherent to the syndrome; the lack of adequate stimuli during the mother-infant interaction; delayed neuropsychomotor development; breathing, heart and hearing problems; and changes in the stomatognathic system. Objective: to observe the implications between the neurodevelopment process, the stomatognathic aspects and feeding difficulties in babies with trisomy 21 using the application of the Denver II, Amiofe-E Infants and the Brazilian Infant Feeding Scale, in order to guide the skills acquired and nonacquired to objectify therapeutic planning. Method: This is an analytical cross-sectional study, of a quantitative nature, which will use an inductive approach and statistical comparative procedure. Direct documentation technique will be used, with application of Protocol and record of results. Results: The study found, through the crossing of the Denver II Test, Infant Amiofe-E and EBAI, associations between delays in neurodevelopmental skills, the structures of the stomatognathic system and complaints from parents and/or guardians about the feeding of infants with T21. Conclusion: The importance of early screening of skills and changes in the population with T21, leads the team to formalize an effective therapeutic planning, focused on their individual needs in order to promote evolution in a clinical environment.
SANDRA FERNANDES PEREIRA DE MÉLO THE CORRELATION BETWEEN CERVICALGIA, TEMPOROMANDIBULAR DYSFUNCTION AND ANXIETY IN MEDICAL STUDENTS Date: Mar 29, 2023 Time: 14:00 Show Summary Temporomandibular disorders (TMD) and cervical spine dysfunction encompass clinical problems of the musculoskeletal structures of the masticatory system and cervical spine. Clinical manifestations such as pain, joint noises and irregular or deviated mandibular function are frequent. The association between signs and symptoms of the muscles of the stomatognathic system and the cervical system or other areas is also common. The literature describes psycho-emotional factors, including anxiety, as causing or aggravating temporomandibular disorders, sometimes requiring treatment of these factors prior to joint treatment. The main objective of the research is to verify the correlation between neck pain, anxiety, temporomandibular dysfunction in medical students. The present research is characterized as a field study, with a descriptive character, where it will present a quantitative approach with the purpose of verifying the relationships between neck pain, anxiety, temporomandibular disorder of medical students. The sample consists of 119 students, an average of 15 students from the first to the eighth period of the course were selected through randomization. Three instruments were used for the research, the Neck Bournemouth Questionnaire (NBQ-Brasil), an instrument that has already been translated into Portuguese and validated, the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) instrument, in its summarized version, and the instrument in Portuguese of the State-Trait Anxiety Inventory (STAI). The mean age found was 24.55 years, with 58% of participants being female. The research pointed out that 37% of the participants have neck pain and 80.7% have symptoms related to TMD. Through the application of IDATE, it was observed that all students had some degree of anxiety, with the average degree having the highest incidence, with 59.6%. Despite the literature found massively correlating the three conditions, when an in-depth study was carried out through inferential statistics, using Pearson's Qi-square tests and Spearman's Test, there is no correlation between temporomandibular disorders, neck pain and anxiety in the studied population. Temporomandibular dysfunction; Cervicalgia; Anxiety; Medical students
EWELIN MARIA LEMOS FERNANDES EVALUATION OF THE GOSPEL SINGER'S VOCAL PRODUCTION Advisor : MARIA FABIANA BONFIM DE LIMA SILVA Date: Mar 27, 2023 Time: 15:30 Show Summary In the style of gospel music, there are two main segments: Pentecostal, characterized by a higher speech rate to accompany the accelerated rhythm; and the adoration one, which conveys a smoother emission and a more relaxed tempo. In general, to carry out their activities, singers from evangelical churches are not submitted to vocal speech-language evaluations for selection in worship groups, and because they do not have specific preparation, many have complaints regarding vocal health. Objective: to identify speech therapy practices in vocal assessment of gospel singers through an integrative review, as well as to describe the vocal performance of gospel singer Aline Barros at different times of her career, from the point of view of vocal expressiveness. Method: The present study will be divided into two distinct stages through the elaboration of two articles, where the theme that involves both are gospel singers. In article 1, the research was carried out based on combinations of descriptors in English and Portuguese that involved the theme of gospel singers and speech therapy practices in vocal assessment, in the databases PubMed, LILACS, SciELO, Scopus, Web of Science and Google Scholar. In article 2, the instrument used is the Roteiro de Observação Fonoaudiológico da Expressividade (ROFOE). The sample consists of two videos, accessed on the YouTube platform, in two different moments of the singer's career. The analysis of the sample and its results were carried out based on a consensus formed by three speech therapist judges with experience in vocal assessment of singers. Results: in article 1 the initial search resulted in 253 articles. Ten studies were included, complying with the inclusion and exclusion criteria. As for article 2, when analyzing the performances of the years 2010 and 2015, the singer Aline Barros demonstrated naturalness/spontaneity, captivating singing and vocal mastery in both moments. He also maintained excellent oral articulation, balanced resonance and his vocal quality met the singing work situation. There was vocal pitch variation in the second moment, which was perceived as more serious than in the first moment. Body gestures and facial expressions were present and were consonant with the singing, although little movement was observed on stage in both performances. Maintained eye contact with the audience in both presentations. Oral articulation, gestures and facial expressions were considered strong points in moments 1 and 2. Bodily movement on stage in moments 1 and 2 were identified as challenges. Vocal quality and vocal resonance were marked as a challenge only in the second moment. Conclusion: in article 1, the most used speech therapy practice in vocal assessment was through self-assessment questionnaires, highlighting the Índice de Desvantagem para o Canto Moderno (IDCM). With regard to article 2, in the perceptive-auditory and visual assessment of the expressiveness of the singer Aline Barros, there were differences in the professional's expressiveness between the 2010 and 2015 presentations, in which there was a predominance of variations and negative points in the second moment regarding the initial impact, vocal and non-verbal aspects of singing, demonstrating less confidence and less pleasant or comfortable singing, lower vocal quality with lower vocal pitch and laryngopharyngeal resonance and monotonous body movement on stage, indicating the need to improve vocal expressiveness and singer's body in this period.
LUYÊNIA KÉRLIA GOMES MARTINS DEVELOPMENT AND CONTENT VALIDATION OF A WEB PROTOCOL FOR VOICE SELF-ASSESSMENT OF SPOKEN VOICE PROFESSIONALS (PAPROvoz) Date: Feb 27, 2023 Time: 14:00 Show Summary The use of voice in high demand becomes essential for some spoken voice professionals. This fact associated with the characteristics of the environment and working conditions may favor the genesis of Work-Related Voice Disorder (WRVD) and limit the performance of occupational activities. It is necessary to know the reality of these professionals based on specific validated instruments to assess their perspective on their vocal demand in the midst of working conditions. OBJECTIVES: To develop and verify evidence of content validity of a web protocol for self-assessment of the voice of spoken voice professionals METHODS: This is a validation, accuracy and prospective study. It followed the recommendations of the Standards for Educational and Psychological Testing (SEPT), which even describe procedures for obtaining evidence of contentbased validity. Initially, a broad review of the literature was carried out with the aim of supporting the researchers in the elaboration of the items and composing the first version of the self-assessment protocol. This version was forwarded and analyzed by the panel of specialists, formed by five speech therapists with expertise in the performance of spoken voice professionals. Later, the individual prior analysis of each judge could be discussed consensually by all, online, using the Delphi method. Based on this consensual analysis, where items were eliminated, combined or adjusted, the researchers structured a second version of the protocol. It was then sent to the judges to analyze remotely, using a form, item by item to extract agreement rates regarding the criteria of relevance, clarity, objectivity and content addressed according to a Likert scale. Based on these analyses, adjustments were made to form a third version. Agreement was measured by Item Content Validity Index (CVI-I) and Content Validity Index (CVI). RESULTS: In its first version, the PAPROvoz consisted of 85 items and ended in its third version with 71 items, with a Likert scale response key, resulting in four marking possibilities, distributed in eight domains related to health and factors of the self. individual, external conditions related to the performance and work environment, voice habits and symptoms, and work activity monitoring measures. All items had the CVI-I at 1.0, except one item resulted in 0.8. The CVI obtained a value of 0.98. Both concordance analysis indices were above the acceptability threshold. CONCLUSION: The PAPROvoz obtained evidence of content validity, it has 71 items, divided into eight domains, response key in Likert scale and all item concordance analysis indices performed by the expert panel obtained acceptable values.
DENIS DE JESUS BATISTA VOLITIVE AND NON-VOLITIVE DEVICES USED IN THERAPY AND VOCAL TRAINING Date: Feb 23, 2023 Time: 14:00 Show Summary Introduction: Devices can be used in vocal intervention as a complementary strategy to modify targets and optimize results. Objective: To map, categorize and describe the volitional and non-volitional devices used by speech and language therapists in vocal training and rehabilitation; to analyze the determining factors for the use of devices in vocal interventions, and to characterize their use by Brazilian speech and language therapists. Method: This dissertation was divided into two studies. 1) The first is a scoping review whose question was: What are the volitional and non-volitional devices used in vocal training and rehabilitation?. An electronic search was performed in the MEDLINE, LILACS, SCOPUS, Web of Science, EMBASE and Cochrane Library databases and a manual search was performed in the BDTD, ASHA WIRE, ClinicalTrials, Journal of Voice and ProQuest sources. Studies with adult or elderly participants who used some device in vocal intervention were included. Selection and extraction was performed by two blind reviewers. The analysis was performed by frequency. 2) The second study had a cross-sectional design. Participants were 148 speech and language therapists with clinical practice in the field of voice. They answered a questionnaire about sociodemographic data, performance and professional training, and about the use of devices in vocal interventions. Data collection was performed using Google Forms. Data were analyzed descriptively and inferentially. Results: 1) There was a higher frequency of publications between 2014 and 2020. Individuals with behavioral dysphonia and voice therapy interventions were more frequent. The volitional devices used were: biofeedback, straws, tubes, incentives and respiratory devices, vocal amplifiers, electrical stimulation associated with phonation, vibratory stimulation associated with phonation and a hybrid device. The non-volitional devices used were: electrical stimulation during vocal rest, vibratory stimulation during vocal rest, Kinesiotaping, acupuncture associated with electrical stimulation during vocal rest and nebulizers. Articles focusing on the target of vocal function were more frequent, followed by musculoskeletal function, respiratory function, somatosensory function and auditory function. 2) A speech therapist with specialization in voice is more likely to use thermotherapy and not use elastic bandage, therapeutic ultrasound and nebulizer. Voice specialists are less likely to use electrostimulation. The time of performance in voice determines the use of photobiomodulation and feedback and auditory monitoring; training time in speech therapy influences the use of electrostimulation and the professional's age influences the use of vibratory stimulation. In voice professionals, there is a greater probability of using vibratory stimulation, auditory feedback and monitoring device, thermotherapy and nebulization, and less chance for the nebulizer. In children, there is less chance for photobiomodulation; in adolescents, there were greater chances of using vibratory stimulation and, in the elderly, thermotherapy. Conclusion: Volitional devices, with emphasis on electromyographic biofeedback, the target of vocal function and participants with behavioral dysphonia were more frequent in the publications. Specialization, time since training and practice, as well as the target population of care were the main determining factors for the use of devices among Brazilian speech therapists.
DENIS DE JESUS BATISTA VOLITIVE AND NON-VOLITIVE DEVICES USED IN THERAPY AND VOCAL TRAINING Date: Feb 23, 2023 Time: 14:00 Show Summary Introduction: Devices can be used in vocal intervention as a complementary strategy to modify targets and optimize results. Objective: To map, categorize and describe the volitional and non-volitional devices used by speech and language therapists in vocal training and rehabilitation; to analyze the determining factors for the use of devices in vocal interventions, and to characterize their use by Brazilian speech and language therapists. Method: This dissertation was divided into two studies. 1) The first is a scoping review whose question was: What are the volitional and non-volitional devices used in vocal training and rehabilitation?. An electronic search was performed in the MEDLINE, LILACS, SCOPUS, Web of Science, EMBASE and Cochrane Library databases and a manual search was performed in the BDTD, ASHA WIRE, ClinicalTrials, Journal of Voice and ProQuest sources. Studies with adult or elderly participants who used some device in vocal intervention were included. Selection and extraction was performed by two blind reviewers. The analysis was performed by frequency. 2) The second study had a cross-sectional design. Participants were 148 speech and language therapists with clinical practice in the field of voice. They answered a questionnaire about sociodemographic data, performance and professional training, and about the use of devices in vocal interventions. Data collection was performed using Google Forms. Data were analyzed descriptively and inferentially. Results: 1) There was a higher frequency of publications between 2014 and 2020. Individuals with behavioral dysphonia and voice therapy interventions were more frequent. The volitional devices used were: biofeedback, straws, tubes, incentives and respiratory devices, vocal amplifiers, electrical stimulation associated with phonation, vibratory stimulation associated with phonation and a hybrid device. The non-volitional devices used were: electrical stimulation during vocal rest, vibratory stimulation during vocal rest, Kinesiotaping, acupuncture associated with electrical stimulation during vocal rest and nebulizers. Articles focusing on the target of vocal function were more frequent, followed by musculoskeletal function, respiratory function, somatosensory function and auditory function. 2) A speech therapist with specialization in voice is more likely to use thermotherapy and not use elastic bandage, therapeutic ultrasound and nebulizer. Voice specialists are less likely to use electrostimulation. The time of performance in voice determines the use of photobiomodulation and feedback and auditory monitoring; training time in speech therapy influences the use of electrostimulation and the professional's age influences the use of vibratory stimulation. In voice professionals, there is a greater probability of using vibratory stimulation, auditory feedback and monitoring device, thermotherapy and nebulization, and less chance for the nebulizer. In children, there is less chance for photobiomodulation; in adolescents, there were greater chances of using vibratory stimulation and, in the elderly, thermotherapy. Conclusion: Volitional devices, with emphasis on electromyographic biofeedback, the target of vocal function and participants with behavioral dysphonia were more frequent in the publications. Specialization, time since training and practice, as well as the target population of care were the main determining factors for the use of devices among Brazilian speech therapists.
ANA CARLA CARDOSO GUEDES MOREIRA THE AUDITORY SKILLS IN THE FORENSICS EXAMINATION OF THE COMPARISON OF SPEAKERS: AN EXPERT CONSENSUS Date: Feb 16, 2023 Time: 14:00 Show Summary To develop a consensus among speech-language-hearing therapists specialized in audiology regarding the hearing skills involved in forensic speaker comparison (SC). Method: The Delphi method was used in a panel of experts to obtain a consensus of the hearing skills associated with SC tasks. In Phase 1, five specialists in central auditory processing skills were interviewed by experts to gather their opinions on hearing skills possibly related to forensic SC tasks. Based on their answers, a questionnaire was constructed with 22 items regarding the nine SC tasks. Then, another 13 specialists were recruited to analyze each item and indicate their level of agreement on a 5-point Likert scale. The degree of agreement between judges was investigated with the content validity coefficient (CVC), thus selecting the final items in the consensus. Results: Auditory closure, figure-ground, temporal resolution, temporal ordering, binaural integration, binaural separation, and auditory memory were the hearing skills on which the specialists agreed (CVC > 0.80) concerning their association with improved forensic SC task performance. Conclusion: The specialists reached a consensus on the relationship between hearing skills and forensic SC tasks. Training these hearing skills auditory closure, figure-ground, temporal resolution, temporal ordering, binaural integration, binaural separation, and auditory memory can improve the experts performance in specific forensic SC tasks.

2022
Description
ELISANGELA RODRIGUES BRANDAO ELDERLY HEARING SCREENING: TRANSLATION AND CROSS-CULTURAL ADAPTATION OF THE REVISED SELF-ASSESSMENT FOR ELDERLY HEARING SCREENING (SHSE-R) INTO BRAZILIAN PORTUGUESE AND INTEGRATIVE REVIEW Date: Aug 29, 2022 Time: 20:30 Show Summary age-related hearing loss, also known as presbycusis, is characterized by a decline in hearing function. The audiogram is usually represented by a progressive, bilateral and symmetrical sensorineural hearing loss. In addition to the physical consequences, presbycusis can be associated with cognitive decline, depression, loss of quality of life, financial losses and social isolation. Thus, the importance of screening and monitoring methods for presbycusis that are accessible and less costly is evident. Objective: To translate and cross-culturally adapt the Self-assessment for Hearing Screening of the Elderly Revised (SHSE-R) questionnaire into Brazilian Portuguese and comprehensively review the scientific production on hearing screening methods for the elderly between 2016 and 2022, providing a description and general categorization of publications and analyzing quantitative studies in the area. Method: The process of transcultural translation and adaptation was divided into the following stages: Initial translation, Synthesis of translations, Evaluation by the Expert Committee, Evaluation by the target audience and reverse translation. The content analysis performed by the experts was calculated using the Content Validity Coefficient (CVC). For the comprehensive review on hearing screening in the elderly, data were collected from articles published between 2016 and May 2022, in the following databases: PubMed, Scopus, LILACS, Web of Science and Google Scholar, in Portuguese and English. The articles were categorized by year, type of article, authors and screening instrument. Results: throughout the stages of the translation and adaptation process, the instrument required semantic, idiomatic, conceptual and experiential equivalence, especially after evaluation by experts and the target population. The CVC was mostly acceptable. The retranslation proved to be equivalent to the original version. The comparison between the original, translated and back-translated versions enabled the elaboration of the final version. In addition, the data are analyzed with suggestions of potential aspects to be considered for future research in the area. 36 articles were found based on eligibility criteria. The peak of publications referring to the study occurred in the 2020s. Studies published in English predominated, with only 3 in Portuguese. In total, there were 6 studies by Brazilian researchers, with 3 publications in English and 3 in Portuguese. Brazilian authors represent 16%, which shows the need to expand research in the area. Conclusion: After rigorously going through all the methodological stages, the SHSE-R was translated and adapted to Brazilian Portuguese, being considered suitable for the validation stage. The integrative review shows that hearing screening for the elderly is a very promising field of study because at the moment it is not a topic with many studies, even though it is relevant to public health and health promotion programs.
WEIDINARA DE OLIVEIRA RODRIGUES DA FONSECA APNEA AND TINNITUS IN ADULTS Advisor : MARINE RAQUEL DINIZ DA ROSA Date: Aug 29, 2022 Time: 16:00 Show Summary Obstructive sleep apnea (OSA) can result in changes in sleep architecture, generating negative health consequences by leading to systemic hypoxia. In the long term, it can bring about several physiological damages, such as cardiovascular and auditory symptom alterations. Tinnitus is a symptom present in a large portion of the population with hearing loss, and the perception of it may be closely related to OSA. It is an auditory sensation in the absence of any external sound stimulus, which negatively affects quality of life and interferes with concentration, sleep, social activities and even emotional stability. Objective: The objective of this study is to characterize and observe individuals with OSA and tinnitus. Methodology: This is an observational, non-interventional and prospective study. The search consisted of 38 volunteers diagnosed with obstructive sleep apnea, of both sexes, aged between 27 and 84 years. They underwent an anamnesis regarding sleep and tinnitus complaints, vocal and tonal audiometry and impedancemetry tests, in addition to type 3 polysomnography and the Epworth Sleepiness Scale (ESS). For those with tinnitus, the Tinnitus Handicap Inventory (THI) and the visual analogue scale (VAS) were applied. Results: In the studied sample, there was a greater number of men (52.6%), mean age of 49.33 and Body Mass Index (BMI) of 31.08. In the ESS, there was an above-normal average of 11.3 and 27.89 in the Apnea and Hypopnea Index (AHI), in which 46.2% (n=18) had a severe classification in the AHI. Most patients, about 73.7% (n=28) had hearing loss and 47.4% (n=18) reported tinnitus, most of which were mild on the VAS. It was noticed that individuals with a severe degree of apnea obtained a higher tinnitus rating on the THI and reported a higher score on the VAS, demonstrating greater tinnitus annoyance. Conclusion: Obstructive sleep apnea is more common in obese men. In addition, we can observe a greater degree of tinnitus annoyance in patients who had severe obstructive apnea, requiring further studies that can relate the two symptoms and corroborate their association for a better tinnitus therapy.
KAROLINE VASCONCELOS BEZERRA VERAS ACCURACY OF QUESTIONNAIRES FOR OROPHARYNGEAL DYSPHAGIA SCREENING IN YOUNG AND OLDER ADULTS: A SYSTEMATIC REVIEW Date: Aug 29, 2022 Time: 14:00 Show Summary Introduction: Application of certain screening questionnaires is considered as practical alternative to early identification of oropharyngeal dysphagia. However, it is essential that the questionnaires represent an adequate accuracy. Objective: to verify the accuracy of oropharyngeal dysphagia questionnaires developed for screening among young and older adults. Method: the literature search was performed by using seven electronic databases (CINAHL, EMBASE, LILACS, LIVIVO, PubMed, SCOPUS, Web of Science) and from gray literature sources (Google Scholar, Open Gray and Proquest). Eligible articles search, selection and extraction were performed blindly by two independent evaluators, without restriction of language or publication date. The risk of bias was assessed by QUADAS-2 tool and the quality of evidence by using GRADE. Results: We found two questionnaires specific for older adults. One questionnaire showed sensitivity (90.9%), specificity (67.5%) and area under the curve (AUC) of 0.84, yet presented a high risk of bias. The second questionnaire demonstrated sensitivity (80%), specificity (89%), positive predictive value (95%), negative predictive value (63%), positive likelihood ratio (7, 64), negative likelihood ratio (0.22) and AUC of 0.88, with low risk of bias. The quality of evidence was very low. Conclusion: There are only two questionnaires for oropharyngeal dysphagia screening in adults, both specific for older population. The accuracy of the questionnaires varied between 0.84 and 0.88, with a low risk of bias presented by one instrument and high risk by second, both with very low quality of evidence.
RAYANA RODRIGUES GONÇALVES AUTOMATIC CLASSIFICATION OF ANXIETY THROUGH VOICE ACOUSTIC MEASURES Date: Aug 29, 2022 Time: 14:00 Show Summary Pathological anxiety is associated with considerable functional disability and high health costs . It presents physiological alterations that can be reflected in acoustic measures of the voice captured during the clinical evaluation process, but it was not possible to reach a consensus on the literature on an acoustic attribute of vocal quality that characterizes the presence of anxiety . In this sense, the The application of classification systems has shown to be growing and promising in pattern recognition of emotion in speech . _ It is expected that by properly selecting the voice parameters and using an adequate technique for classification, it is possible to create a recognition system with satisfactory performance . Objective: Characterize the voices of people with high and low anxiety in order to gather the set of acoustic measures that can classify the presence of high anxiety through quadratic discriminant analysis (QDA), in addition to identifying the potential of these measures in the classifier between men and women . Methodology: This dissertation is structured in two manuscripts: Article 1 Characterization of High Anxiety in Men and Women e Partir d e Acústicas da Voz , a secondary, observational and cross-sectional study that, based on the analysis of vocal samples from a pre-exist database, describes and identifies the set of measures that best discriminate people with high and low anxiety ; Article 2 Performance of Voice Acoustic Measures in the Classification of High Anxiety , a documentary study , characterized as secondary, observational and cross-sectional that uses Quadratic Discrimination Analysis (QDA) to classify individuals with high anxiety from traditional acoustic measures , intensity and noise, formant and cepstral. Results : The group with high anxiety showed a significant difference for the measurements of F0 Deviation and F0 Range in the group of men. And for formant measures (F1 minimum, F2 Deviation, F2 minimum, F2 maximum, F2 Range, F3 Deviation, F3 minimum, F3 Range, F4 maximum) and CPPS measure in the group of women. Traditional acoustic, intensity and noise, formant and cepstral measures have a discrimination potential between high and low anxiety classes . Demonstrating better classification performance in the male group for the combination of formant measures (F1 and F2) ( acur = 74.00 ± 1.50, sens = 100.00 ± 0.00 and spec = 10.00 ± 5.09) and for the 10 to 10 combination of measures between classes (acur = 67.98 ± 2.77 , sens = 56.91 ± 5.72 and spec = 78.56 ± 3.49 ) in the group of women. Final Considerations: Traditional acoustic measures, of intensity and noise, formant and cepstral are able to discriminate people with high and low anxiety, presenting the potential for classification for high anxiety with the Quadratic Discriminant Analysis (QDA) technique.
DAVID SILDES FIDELIS FLORENCIO The effectiveness of non-surgical treatments in trigeminal neuralgia: An overview protocol Date: Aug 26, 2022 Time: 14:00 Show Summary Purpose: to present an Overview protocol of systematic reviews (SRs) to synthesize and describe available evidence on the effectiveness of non-surgical treatments in trigeminal neuralgia. Methods: the protocol will follow the method proposed by the PRISMA-P guidelines for reporting protocols. The search will be carried out in electronic databases: MEDLINE, EMBASE, Lilacs, COCHRANE, Web of Science, Scopus, SpeechBITE, PeDRO, in addition to consulting the gray literature (Google Scholar and ProQuest Dissertations and Theses). No language or publication period restrictions. A search strategy has been developed for MEDLINE and will be adapted for each database. The screening of articles by title and abstract will be performed by two independent reviewers. Then they will read the full texts of the articles included, according to the eligibility criteria. In disagreement, a third reviewer will make the consensus. Data will be extracted using a standardized form. Information on risk of bias and GRADE assessment will be recorded. The AMSTAR II tool will assess the overall confidence of the SR results. The results will be presented in a flowchart, tables and narrative description. Final Considerations: the execution of this protocol will describe the current body of research on the topic and will identify gaps in the evidence base.
JOANA DOMITILA FERRAZ SILVA Impact of the Use of Face Protection Masks on the Communicative Performance of Reporters During the COVID-19 Pandemic Advisor : MARIA FABIANA BONFIM DE LIMA SILVA Date: Aug 26, 2022 Time: 09:00 Show Summary Article 1 is a cross-sectional, descriptive study that sought to identify the impact of the use of face protection masks on the communicative performance of reporters during the COVID-19 pandemic. Thirty-two reporters participated, who answered an online form about: the reporter's vocal self-perception and the reporter's communicative performance from the use of a mask during the pandemic. According to the results obtained, surgical-type masks were the most used by the participants (87.5%), followed by those made of fabric (12.5%). When using face protection masks during the reports, most participants reported difficulty hearing and/or being heard by the interviewee in noisy places (87.5%), realizing their voice was lower, with little volume or muffled (87.5%) and feeling a difference in the quality of their voice (62.5%), having to make an effort to speak during the reports (65.6%). It was possible to observe in the significant associations the difference between the self-perception of voice quality with the use of masks (p=0.018), with the feeling of low voice, with little volume or muffled (p=0.006) and the realization of a greater effort vocal. Regarding breathing, it was observed that difficulty breathing with masks was associated with greater vocal effort (p=0.003) and self-reported tiredness (p<0.001), which worsens when exposed to an environment. noisy outside (p=0.028). This article concluded that the use of a face protection mask had an impact on the communicative performance of reporters during the COVID-19 pandemic regarding aspects related to being heard in noisy places, vocal intensity and quality, vocal effort and speech articulation. Article 2 is a retrospective, observational, descriptive study with a focus group. The purpose of this was to analyze the non-verbal and vocal resources of reporters during and after the COVID-19 pandemic. For this, videos of two reporters (one woman and one man) from Jornal da CNN were selected, through the YouTube platform, in three moments or temporal margins (2020, 2021 and 2022). Then, these videos were analyzed, in consensus, by three speech-language pathologist judges, with experience in the Speech-Language Pathology Guide for Observation of Expressivity RoFOE. The results revealed that with regard to vocal aspects, in all videos, both reporters had a natural speech that was consistent with their work activity. Regarding expressiveness, the pauses in their entirety were respiratory pauses, in quick takes and sometimes associated with noisy breathing, both when wearing a mask (2020 and 2021) or without a mask (in 2022). In most videos, the speech pattern was accelerated, and the most present resonance pattern was balanced (83.3%), followed by pharyngeal resonance (16.7%). In all the videos analyzed, there was movement of eyebrows, eyes, maintenance of eye contact, consonant movement of arms and hands that accompanied the speech. It was observed in the reporters that, in moments with a face protection mask, there is more joint imprecision, as well as articulatory slips, in addition to the loss of expressive information of the lower third of the face, covered by the masks. In the period without a mask, the two reporters were safer and more expressive. However, rapid intakes and noisy breathing were present regardless of the use of a face protection mask.
MANOEL LUIS PALHANO DE LIMA MELO ISOLATED EFFECTS AND ASSOCIATED WITH NON-INVASIVE LOW-POWER LASER APPROACHES ON SIGNS AND SYMPTOMS OF TEMPOROMANDIBULAR DYSFUNCTIONS: Overview Advisor : GIORVAN ANDERSON DOS SANTOS ALVES Date: Aug 26, 2022 Time: 09:00 Show Summary Photobiomodulation with the use of low-level laser (LBP) is an auxiliary therapeutic mechanism, which has been widely studied in several scientific studies and used in the clinical context for the treatment of individuals with temporomandibular disorders (TMD), which may be associated with other non-invasive approaches. The application of LBP varies according to the therapeutic objective and the dosimetric and luminous parameters, which must be adopted according to the individual characteristics of each patient, based on the pathological condition presented. In this context, one of the difficulties encountered is the lack of standardization of the protocols for the application of this technique and the existing methodological limitations, which has implied in the heterogeneity of the results obtained in the research and caused restriction in the reliability of the findings of the studies. Therefore, this systematic review (PROSPERO record; Ref. CRD 42020201265) sought to analyze the effects of photobiomodulation with the use of LBP applied alone and associated with other non-invasive therapies in the treatment of individuals with temporomandibular disorders. PRISMA guidelines and Cochrane Collaboration guidelines were followed. The construction of the search strategy was carried out by the researchers and adapted for each database, considering their specific Boolean descriptors and operators, using terms selected after a previous search carried out using the MESH and EMTREE Terms algorithms. The search was performed in PubMed, Lilacs (via Virtual Health Library), Web of Science, Cochrane Library, Embase, Scopus databases, with additional search of the gray literature on Google Scholar. Systematic reviews of intervention, without time or language restriction, involving groups with the application of low-level laser alone or in combination with other non-invasive therapeutic modalities, in the treatment of TMD, and that evaluated the signs or symptoms before and after the intervention. Duplicate studies were removed using the online End Note Web software. The selection of studies was divided into two stages: reading the title and abstract, followed by reading the full text, performed independently by two reviewers and in case of disagreement, a third evaluator performed the judgment. In the data extraction stage, the relevant information was collected independently by the two reviewers, using a specific instrument. Bias risk analysis was also performed independently, using the MeaSurement Tool to Assess Systematic Reviews 2 (AMSTAR-2). All the studies listed in the present study were classified as having low quality of evidence, presenting flaws in the critical aspects of AMSTAR-2. Due to this data, added to the methodological heterogeneity and the findings described by the articles analyzed, it is suggested to carry out new studies, with greater methodological rigidity and standardization of the parameters of application of the LLLT, in order to provide clinical data with high quality of evidence and trustworthiness.
RUBENS JONATHA DOS SANTOS FERREIRA COVID-19 AND AUDIO-VESTIBULAR CONDITIONS Date: Jul 15, 2022 Time: 14:00 Show Summary Introduction: The last few years have been marked by the COVID-19 pandemic, which has impacted different sectors, especially human health care. The post-COVID-19 syndrome is composed of a set of symptoms, present in those who had SARS-Cov-2 infection, with different clinical manifestations. Among these symptoms, we can highlight the triggering and/or worsening of audiovestibular symptoms, already described in the literature. Therefore, further investigation of these symptoms is necessary, as well as the characterization of their impact on patients. Objective: To describe audiovestibular alterations and their impact on COVID-19 recoveries. Methodology: This dissertation is structured in two manuscripts: Article 1 Auditory and Vestibular Symptoms After COVID-19 Infection: A Preliminary Brazilian Report, a pilot study with an observational, descriptive and quantitative approach carried out from September 2020 to May 2021, in the state from Paraiba; Article 2 Post-COVID-19 Tinnitus: Functional and Emotional Repercussions, an observational, exploratory, cross-sectional study. Results: Of the audiovestibular symptoms, 43.9% of the participants reported tinnitus, 35% dizziness, and 37% ear fullness after COVID-19 infection. An increase in audiovestibular symptoms was observed, even in those who did not present them before COVID. There was no worsening of tinnitus impact scores in the post-COVID-19 population when compared to pre-pandemic scores. Conclusion: The results of this research point to the occurrence of auditory and vestibular symptoms, mainly tinnitus and dizziness, stable and present so far, in most cases. In addition, it can be seen that the impact of tinnitus for this population is similar to those reported in the pre-pandemic period, thus characterizing tinnitus with manifestations close to the conventional ones.
ILÍADA LIMA FRANCO PREVALENCE OF CHEWING CHANGES IN ELDERLY PEOPLE RESIDENT IN THE COMMUNITY: SYSTEMATIC REVIEW AND META-ANALYSIS Date: Jul 8, 2022 Time: 14:00 Show Summary Introduction: Masticatory disorders in elderly people can occur due to physiological and anatomical changes inherent to aging and greater vulnerability to comorbidities. However, estimates of the prevalence of these disorders in community-dwelling elderly people are imprecise. Objective: to verify the prevalence of masticatory disorders in elderly people living in the community. Methods: This is a systematic review study. A search was performed in the electronic databases Cinahl, Embase, Lilacs, Livivo, PubMed/Medline, Scopus, Web of Science, and in the gray literature Google Scholar, OpenGrey and Proquest. The search strategy was adapted to each database using specific descriptors and keywords. Population-based, cross-sectional/ecological studies that used questionnaires to identify masticatory disorders in people aged 60 years and over, residing in the community, were included. The Joanna Briggs Institute protocols were used to analyze the risk of bias and the GRADE to assess the certainty of the evidence. A meta-analysis was performed with a random effect model, weighted by the inverse variance method. To calculate the variance, expressed by the Tau² values, the DerSimonian-Laird estimator was used and the heterogeneity was calculated by the inconsistency index (I²). Meta-regression with a random effect model was also performed. Results: 7,008 articles were identified in the gray literature and databases. Of these, 12 articles were included for data extraction and analysis. High heterogeneity was found between the estimates of prevalence of masticatory disorders (I2 = 100%) for the different studies included in the analysis, not being explained by the mean age of the study population or by its sample size when taken to a target model -regression (p > 0.05). Thus, we chose to present the individual estimates of each study, through qualitative analysis and by grouping 4 studies that used the same definition for masticatory disorder. The prevalence of masticatory disorders in older people in the grouped studies was 0.30 (95%CI = 0.23;0.38 I2 = 98%), with individual estimates from each study ranging from 4.3% to 61.7%. Conclusion: The prevalence of masticatory disorders in elderly people is approximately 30%.
LAURINDA SOARES DA FRANCA PEREIRA Effect of Neurolinguistic Programming associated with therapy in the treatment of patients with tinnitus: a randomized controlled clinical trial Date: Jul 1, 2022 Time: 09:00 Show Summary Introduction: Tinnitus is a symptom that can negatively interfere with quality of life. Sound Therapy contributes to the reduction of discomfort through a sound generator, which accentuates the perception of environmental sounds and promotes the habituation of tinnitus in the Central Auditory System. Neurolinguistic Programming (NLP) is a tool that encourages assertive reasoning and new choices. Objective: To evaluate the efficacy of Neurolinguistic Programming associated with sound therapy in the treatment of tinnitus. Method: This is a randomized controlled, double-blind clinical trial, conducted in individuals with chronic tinnitus, registered in the tinnitus research group of a Public Higher Education Institution. They were randomly divided into two groups according to the intervention to be applied, sound therapy and NLP associated with sound therapy. They were randomly divided into two groups, according to the intervention to be applied, sound therapy and NPL associated with sound therapy. The volunteers underwent ENT evaluation, audiometric tests, Tinnitus Handicap Inventory questionnaire and Visual Analog Scale. The interventions lasted thirty minutes and were 5 sessions, performed 2,4,8 and 12 weeks after the first session. Sound therapy involved sound enrichment and counseling, and NPL, mental map remodeling techniques, anchoring and resignification. Results: There was similarity between the groups with and without NLP. However, more expressive results were obtained with NLP, which reduced tinnitus perception, discomfort, and severity (p<0.05). Conclusion: The use of NLP associated with sound therapy contributed to the reduction of the degree of severity and improvement of tinnitus from the fourth session, acting in reducing the impact of tinnitus on the lives of individuals.
HIONARA NASCIMENTO BARBOZA USE OF MOBILE APPLICATIONS FOR THE TINNITUS SYMPTOM Date: Feb 24, 2022 Time: 09:00 Show Summary Introduction: Tinnitus is a perception of sound in the absence of an external stimulus. It can be perceived in one ear, in both ears or in the head. Much has been discussed about new tools to help in the evaluation and treatment of tinnitus, such as innovation of therapeutic techniques and evaluation methods, being the technological innovation a great ally for the development of these tools. Thus, applications (apps) are tools that have expanded in the health area. In what concerns the tinnitus area, it is no different, apps are being developed to help in the treatment and evaluation of the symptom. Thus, it becomes necessary to carry out usability tests to verify the effectiveness, efficiency and user satisfaction, in order to provide a scientifically proven application. Methodology: This dissertation is structured in two scientific articles. Article 1 is entitled "Mobile applications for tinnitus: an integrative review". It is an integrative review study, its main objective was to carry out a survey about the existing applications for tinnitus, from the search in the app stores, as well as to analyze the studies about the theme from the literature search. Article 2 is entitled "Usability test of the tinnitus evaluation application (AVAZUM)". It is a usability study, in which its objective is to carry out the usability of the tinnitus evaluation application (AVAZUM). Results: Regarding the search in the two app stores, it was possible to select 43 apps in total on the two main systems surveyed, android and iOS. The apps offer three main functions, sound therapy, mindfulness, and tinnitus assessment. No assessment apps with a multi-professional interface were found, and few performed usability testing. Regarding the avazum usability test, it was carried out in 48 patients/users who have tinnitus. Thus, the average SUS score found is consistent with a satisfactory average score, which implies that the application does not present serious usability problems, as well as the percentage of promoting users, besides the overall NPS percentage showed that user satisfaction is very good. Regarding effectiveness, it was possible to observe that avazum reaches the proposed objectives, besides being efficient, as it presents a clear language and comfortability during use. Final Considerations: Thus, it is possible to evidence that there are no assessment apps with a multiprofessional interface, with functions of user referrals and tips and guidance such as avazum, available in the app stores, in addition to few apps tested for tinnitus Thus, the usability test of avazum was carried out, in which it obtained as a result very good satisfaction from the users, presented a SUS (System Usability Questionnaire) score average consistent with a satisfactory result, which implies that the application does not present serious usability problems, besides reaching the proposed working objectives, making it effective and efficient, presenting a clear language and comfortability during use.
HIONARA NASCIMENTO BARBOZA USE OF MOBILE APPLICATIONS FOR THE TINNITUS SYMPTOM Date: Feb 24, 2022 Time: 09:00 Show Summary Introduction: Tinnitus is a perception of sound in the absence of an external stimulus. It can be perceived in one ear, in both ears or in the head. Much has been discussed about new tools to help in the evaluation and treatment of tinnitus, such as innovation of therapeutic techniques and evaluation methods, being the technological innovation a great ally for the development of these tools. Thus, applications (apps) are tools that have expanded in the health area. In what concerns the tinnitus area, it is no different, apps are being developed to help in the treatment and evaluation of the symptom. Thus, it becomes necessary to carry out usability tests to verify the effectiveness, efficiency and user satisfaction, in order to provide a scientifically proven application. Methodology: This dissertation is structured in two scientific articles. Article 1 is entitled "Mobile applications for tinnitus: an integrative review". It is an integrative review study, its main objective was to carry out a survey about the existing applications for tinnitus, from the search in the app stores, as well as to analyze the studies about the theme from the literature search. Article 2 is entitled "Usability test of the tinnitus evaluation application (AVAZUM)". It is a usability study, in which its objective is to carry out the usability of the tinnitus evaluation application (AVAZUM). Results: Regarding the search in the two app stores, it was possible to select 43 apps in total on the two main systems surveyed, android and iOS. The apps offer three main functions, sound therapy, mindfulness, and tinnitus assessment. No assessment apps with a multi-professional interface were found, and few performed usability testing. Regarding the avazum usability test, it was carried out in 48 patients/users who have tinnitus. Thus, the average SUS score found is consistent with a satisfactory average score, which implies that the application does not present serious usability problems, as well as the percentage of promoting users, besides the overall NPS percentage showed that user satisfaction is very good. Regarding effectiveness, it was possible to observe that avazum reaches the proposed objectives, besides being efficient, as it presents a clear language and comfortability during use. Final Considerations: Thus, it is possible to evidence that there are no assessment apps with a multiprofessional interface, with functions of user referrals and tips and guidance such as avazum, available in the app stores, in addition to few apps tested for tinnitus Thus, the usability test of avazum was carried out, in which it obtained as a result very good satisfaction from the users, presented a SUS (System Usability Questionnaire) score average consistent with a satisfactory result, which implies that the application does not present serious usability problems, besides reaching the proposed working objectives, making it effective and efficient, presenting a clear language and comfortability during use.
DESIRÉ DOMINIQUE DINIZ DE MAGALHÃES Ultrasound measurements of time, amplitude and velocity of movement of the hyoid bone during swallowing after thyroidectomy Date: Feb 22, 2022 Time: 14:00 Show Summary Introduction: Thyroidectomy can negatively impact the movement of the hyoid bone (HO) during swallowing. Ultrasonography can analyze kinematic measurements of this event. Objective: 1) To synthesize the kinematic measurements of HO movement during swallowing, obtained by ultrasound in adults; 2) To compare the ultrasonographic measurements of time, amplitude and velocity of HO movement between patients sumitted and not submitted to thyroidectomy. Method: 1) Integrative literature review; 2) Cross-sectional study with analysis of 58 swallowing ultrasound exams (liquid and thickened liquid, 10 mL each) of 29 individuals separated into an experimental group (EG - 12 people who submitted to thyroidectomy) and a comparison group (CG - 17 people without thyroid disease). Two trained speech therapists extracted and analyzed the measures independently and in a standardized way, for comparison between groups. In the EG, measurements were also related to clinical characteristics. Results: 1) 26 articles were included, with great variability of objectives and methods. The most researched measures were movement, time and speed, the first being the most frequent. The levels of reliability and accuracy were little investigated. 2) Measurements were not different between groups. In the EG, the speed was significantly higher in individuals with swallowing complaints. Conclusion: 1) Amplitude is the kinematic measure of HO movement most investigated by ultrasonography, however, using different methods; 2) There is no difference in the measures evaluated between the groups. Women submitted to thyroidectomy have a higher speed of HO movement in the presence of a swallowing complaint.

2021
Description
ÉMERSON SOARES PONTES PHOTOBIOMODULATION APPLIED TO VOICE: CONSENSUS BASED ON THE OPINION OF BRAZILIAN SPEECH THERAPISTS THROUGH THE DELPHI METHOD Date: Dec 21, 2021 Time: 10:00 Show Summary Photobiomodulation is a therapeutic resource that has attracted the interest of many health professionals. Currently used in clinical practice and studied and revised in the academic context, it is a non-invasive procedure that promotes biostimulation in the irradiated area through the stimulation of cellular processes. It has been used as one of the vocal therapy strategies, both for the rehabilitation of dysphonic individuals and for the training/conditioning of the professional voice. Objectives: (1) to show the profile of Brazilian speech therapists and their knowledge and interests about photobiomodulation in the area of voice. (2) to develop a consensus with speech therapist experts about the criteria for recommending and using FBM in the context of vocal habilitation and rehabilitation using the delphi method. Methodology: Dissertation structured in two articles (1) observational, transversal and quantitative study, carried out through a websurvey hosted on the digital platform Google Forms, comprising questions related to training, professional performance and knowledge about photobiomodulation in the area of voice. 29 speech therapists participated, of both genders. Data were analyzed using descriptive statistics. (2) The Delphi technique was used because it is a systematic way to obtain consensus on a given topic from a panel of independent experts, employed to investigate issues with minimal empirical data. A total of 07 experts participated in the Delphi rounds, in which all were speech therapists who were specialists in voice and participated in two Delphi rounds. Experts were recruited to cover a variety of knowledge in various types of voice, structural, behavioral and neurological disorders. Results: (1) Speech-Language Pathologists predominantly had a specialization in Speech-Language Pathology, most of them do not teach at undergraduate or graduate level. All research participants know the precepts of Photobiomodulation; among them, 28 (96.6%) know its use specifically in the area of voice; 25 (86.2%) have a private device and all of them usually use it in their clinical voice practice. As for the use of FBM by speech therapists, most use FBM in cases of improvement/conditioning of singing voice. (2) in the first round it was possible to observe agreements in some items, the experts stated that FBM is a therapeutic strategy that can be associated with speech therapy, a facilitator for voice therapy, effecting vocal habilitation and rehabilitation effects, in the second round 10 statements reached 100% agreement related to the indication of FBM for use in the voice area, the application of FBM at the beginning of the vocal rehabilitation process, the use of FBM in voice professionals without dysphonia, and use this resource to reduce the symptoms of vocal fatigue. Conclusion: (1) the speech therapists participating in the study denoted to present information about photobiomodulation and its applicability to the area of voice and listed that the speech therapist specialist in voice can use photobiomodulation. (2) this study was the first to investigate the opinion of speech therapists specialized in the field of voice regarding the use of FBM in clinical vocal practice. Delphi. In this context, the results found in this research provide a scientific evidence base to support this procedure in voice therapy, specifically, regarding the approach to vocal improvement/conditioning.
HÉRYKA MARIA OLIVEIRA LIMA BRAZILIAN VOICE BANK IN EMOTION VARIATIONS (EMVOX-BR): STRUCTURING AND VALIDATION Date: Dec 13, 2021 Time: 14:00 Show Summary This dissertation investigated the relationship between voice and emotions, through theoretical and empirical perspectives, as well as the creation and validation of a voice bank with emotional variations in preference to the Brazilian population. This dissertation is divided into two articles: 1) The theoretical study is an observational and cross-sectional study that aimed to validate the data from the voice bank and list the findings of the judges' evaluation and 2) The empirical study that intends to analyze acoustic parameters of a Voice Bank (EMVOX-BR). The first study included 26 Brazilian actors and 10 speech therapist judges of both sexes, from 9 states in Brazil, collected 546 vocal signals, these were analyzed and selected 182 audios that obtained the best SNR values (signal-noise ratio), passed for auditory perceptual assessment by speech therapist judges with expertise in voice, it is concluded that speech therapists were able to perceive the prosodic changes of the voice in the various emotions because they present marked characteristics according to speech therapist judges. In the second study, 39 audio signals were used, which obtained the best results from the KAPPA reliability assessment, these were extracted as smoothed cesptral peak prominence measures (CPPS); Fundamental frequency (F0) mean, deviation, minimum and maximum; jitter; shine; harmonic-to-noise ratio (PHR); intensity; mean and maximum glottal noise extraction (GNE), the results choose to discriminate characteristics of important variations in the acoustic parameters in the expression of emotions through the voice.
HÉRYKA MARIA OLIVEIRA LIMA BRAZILIAN VOICE BANK IN EMOTION VARIATIONS (EMVOX-BR): STRUCTURING AND VALIDATION Date: Dec 13, 2021 Time: 14:00 Show Summary This dissertation investigated the relationship between voice and emotions, through theoretical and empirical perspectives, as well as the creation and validation of a voice bank with emotional variations in preference to the Brazilian population. This dissertation is divided into two articles: 1) The theoretical study is an observational and cross-sectional study that aimed to validate the data from the voice bank and list the findings of the judges' evaluation and 2) The empirical study that intends to analyze acoustic parameters of a Voice Bank (EMVOX-BR). The first study included 26 Brazilian actors and 10 speech therapist judges of both sexes, from 9 states in Brazil, collected 546 vocal signals, these were analyzed and selected 182 audios that obtained the best SNR values (signal-noise ratio), passed for auditory perceptual assessment by speech therapist judges with expertise in voice, it is concluded that speech therapists were able to perceive the prosodic changes of the voice in the various emotions because they present marked characteristics according to speech therapist judges. In the second study, 39 audio signals were used, which obtained the best results from the KAPPA reliability assessment, these were extracted as smoothed cesptral peak prominence measures (CPPS); Fundamental frequency (F0) mean, deviation, minimum and maximum; jitter; shine; harmonic-to-noise ratio (PHR); intensity; mean and maximum glottal noise extraction (GNE), the results choose to discriminate characteristics of important variations in the acoustic parameters in the expression of emotions through the voice.
EMMYLY DA CUNHA MENESES SPECIALIZED CARE NETWORK FOR PATIENTS WITH Tinnitus IN BRAZIL: professional profile, methods and techniques for assessment and intervention Date: Nov 16, 2021 Time: 14:00 Show Summary Introduction: tinnitus is an auditory perception without an external sound source. Tinnitus management requires a multidisciplinary approach, due to its etiological diversity. However, multidisciplinary intervention remains a poorly researched field. Objective: to investigate the specialized care network for patients with tinnitus in Brazil, as well as what the literature presents about the multidisciplinarity in relation to tinnitus. Method: a dissertation structured in two articles, the first being a quantitative, field and cross-sectional research that aimed to interpret the current scenario of professionals specialized in caring for patients with tinnitus in Brazil and the second an integrative literature review that sought to identify what the scientific publications bring about the multidisciplinarity in relation to tinnitus. Results: there is a high prevalence of professionals in the Southeast region. The North region is the least assisted. São Paulo was the state with the largest number of professionals. The profession that stands out the most in the area is speech therapy. Most professionals are part of a multidisciplinary team. Furthermore, 13 studies dealing with multidisciplinarity in relation to tinnitus were selected. Conclusion: it was possible to verify that, although the number of professionals is still far from ideal, in addition to not being well distributed geographically, there has been a great advance in recent decades regarding tinnitus intervention methods, and the multidisciplinary reality has grown considerably, which renews the affected public's perspectives for the near future.
EMMYLY DA CUNHA MENESES SPECIALIZED CARE NETWORK FOR PATIENTS WITH Tinnitus IN BRAZIL: professional profile, methods and techniques for assessment and intervention Date: Nov 16, 2021 Time: 14:00 Show Summary tinnitus is an auditory perception without an external sound source. Tinnitus management requires a multidisciplinary approach, due to its etiological diversity. However, multidisciplinary intervention remains a poorly researched field. Objective: to investigate the specialized care network for patients with tinnitus in Brazil, as well as what the literature presents about the multidisciplinarity in relation to tinnitus. Method: a dissertation structured in two articles, the first being a quantitative, field and cross-sectional research that aimed to interpret the current scenario of professionals specialized in caring for patients with tinnitus in Brazil and the second an integrative literature review that sought to identify what the scientific publications bring about the multidisciplinarity in relation to tinnitus. Results: there is a high prevalence of professionals in the Southeast region. The North region is the least assisted. São Paulo was the state with the largest number of professionals. The profession that stands out the most in the area is speech therapy. Most professionals are part of a multidisciplinary team. Furthermore, 13 studies dealing with multidisciplinarity in relation to tinnitus were selected. Conclusion: it was possible to verify that, although the number of professionals is still far from ideal, in addition to not being well distributed geographically, there has been a great advance in recent decades regarding tinnitus intervention methods, and the multidisciplinary reality has grown considerably, which renews the affected public's perspectives for the near future. Audiology; Buzz; Evaluation; Multidisciplinarity; Interdisciplinarity
DHÉBORA HELOISA NASCIMENTO DOS SANTOS TRANSCULTURAL TRANSLATION AND ADAPTATION OF APRAXIA OF SPEECHA RATING SACALE 3.5 Date: Nov 16, 2021 Time: 08:00 Show Summary Introduction: There is no reliable assessment instrument in Brazil for the diagnosis of speech apraxia. The Apraxia of Speech Rating Scale (ASRS) is a scale that proposes a differential diagnosis between speech apraxia, dysarthria and aphasia. This scale has excellent reliability among judges, in its total score. Thus, it is necessary to start the validation process of this scale for Brazil. Objective: To translate and cross-culturally adapt the Apraxia of Speech Rating Scale version 3.5 into Brazilian Portuguese. Method: The validation study restricted to translation and cross-cultural adaptation. The following steps were performed: translation and synthesis of translations, verification of the applicability of the synthesis of the scale and judges who were recruited for this, analysis of relevance and feasibility, which were calculated by the individual and total Validity Index. Finally, the synthesis was equated in terms of semantic, idiomatic, experiential, conceptual, syntactic, grammatical and operational equivalences. Results: The sample used for the analysis of agreement and the calculation of the Content Validity Index consisted of 18 speech therapy professionals. Regarding the academic level, graduation in speech therapy was mentioned 14 (77.8%) times; the clinical practice of at least five years in the area of neurological speech disorders was mentioned 10 (55.6%) times; and 2 (11.1%) of the respondents are researchers, professors and have scientific articles in the area. Conclusion: The Brazilian version of the Apraxia of Speech Rating Scale 3.5 presents semantic, idiomatic, experiential, conceptual and syntactic/grammatical equivalence in relation to the original, thus, suitable for the next steps of validation.
DHÉBORA HELOISA NASCIMENTO DOS SANTOS TRANSCULTURAL TRANSLATION AND ADAPTATION OF APRAXIA OF SPEECHA RATING SACALE 3.5 Date: Nov 16, 2021 Time: 08:00 Show Summary Introduction: There is no reliable assessment instrument in Brazil for the diagnosis of speech apraxia. The Apraxia of Speech Rating Scale (ASRS) is a scale that proposes a differential diagnosis between speech apraxia, dysarthria and aphasia. This scale has excellent reliability among judges, in its total score. Thus, it is necessary to start the validation process of this scale for Brazil. Objective: To translate and cross-culturally adapt the Apraxia of Speech Rating Scale version 3.5 into Brazilian Portuguese. Method: The validation study restricted to translation and cross-cultural adaptation. The following steps were performed: translation and synthesis of translations, verification of the applicability of the synthesis of the scale and judges who were recruited for this, analysis of relevance and feasibility, which were calculated by the individual and total Validity Index. Finally, the synthesis was equated in terms of semantic, idiomatic, experiential, conceptual, syntactic, grammatical and operational equivalences. Results: The sample used for the analysis of agreement and the calculation of the Content Validity Index consisted of 18 speech therapy professionals. Regarding the academic level, graduation in speech therapy was mentioned 14 (77.8%) times; the clinical practice of at least five years in the area of neurological speech disorders was mentioned 10 (55.6%) times; and 2 (11.1%) of the respondents are researchers, professors and have scientific articles in the area. Conclusion: The Brazilian version of the Apraxia of Speech Rating Scale 3.5 presents semantic, idiomatic, experiential, conceptual and syntactic/grammatical equivalence in relation to the original, thus, suitable for the next steps of validation.
ANNA CAROLINA D UCARMO BEZERRA RELATIONSHIP BETWEEN MICROCEPHALY AND INDICATORS OF SOCIAL INEQUALITY IN THE STATE OF PARAÍBA Advisor : LEANDRO DE ARAUJO PERNAMBUCO Date: Aug 31, 2021 Time: 14:00 Show Summary Introduction: Microcephaly is a congenital malformation, characterised by decreased head size associated with insufficient brain growth. In Brazil, it is known that the increase in microcephaly cases in 2015 was associated with the Zika virus epidemic. Despite this, the relationship between indicators of social inequality and microcephaly in this period is still little known in the state of Paraíba. Objective: To analyze the relationship between microcephaly and social inequality indicators in Paraíba state in 2015-2016. Method: Ecological study that used data from notifications of new cases of microcephaly and municipal sociodemographic indicators obtained from DATASUS and IBGE: number of cases of Zika virus, number of habitants, trash collection, fresh water supply, sanitation facilities, illiteracy rate, average household income and Gini index. Poisson Regression model was used and the analyses were performed in R software. The significance level was 5%. Results: Of the 223 municipalities in the state of Paraíba, 73 (32.73%) registered new cases of microcephaly between the years 2015 and 2016. The finding model revealed that the number of Zika virus cases, number of habitants, number of households without adequate water supply and household income are predictors of the number of microcephaly cases in the state of Paraíba. Conclusion: In the state of Paraíba, municipalities with more cases of Zika virus, larger number of habitants, more households without adequate water supply and higher average income have more cases of microcephaly.
LILIAN MARIA BESSA DE ALBUQUERQUE TITARA Translation of the Pediatric visually induced dizziness questionnaire into Brazilian Portuguese Date: Aug 31, 2021 Time: 10:00 Show Summary Dizziness is the sensation of disturbed or impaired spatial orientation, with no illusion of bodily movement. The term visually induced dizziness refers to dizziness or instability triggered by a complex, distorted and broad visual stimulus, including the relative movement of the visual environment associated with body movement. In this sense, this project proposes to carry out the cross-cultural translation and adaptation of the questionnaire Pediatric Visually Induced Dizziness Questionnaire-(PVID) applied to children aged 6 to 17 years, which quantifies the presence and severity of visually induced dizziness (VID). In this process, the methodology consisted of the following steps, based on Beaton et. al (2007): initially, we searched the literature for validated questionnaires aimed at investigating visually induced dizziness in children in use in Brazil and it was found that there were none; then, two qualified translators, native to the target language and fluent in the source language and culture, translated the test independently, considering conceptual equivalence and avoiding literal translation. Next, a synthesis of the translations was performed. This was done by consensus, by the same committee selected inthe procedure mentioned above. This committee built a single version from the comparison of translations and the assessment of semantic, idiomatic, conceptual, linguistic and contextual discrepancies. The next step was the backtranslation performed by three collaborators born in the language of the original instrument's language. From the three translations performed, the back-translations were sy0nthesized and the pre-final version of the instrument was built for the original language version performed bythree back-translators fluent in Brazilian Portuguese. From there, the final synthesis of the back-translations was carried out and the final version of the translation was prepared, which was submitted for evaluation by a committee of expert judges. Finally, the instrument was applied to 30 children from different social strata and an analysis of the responses was carried out. The committee of judges was composed of fifteen collaborators, most of them specialists in the health area, including otolaryngologists, an otolaryngologist, a speech therapist with expertise in the area of audiologywith expertise in the area of dizziness and two pedagogues who opined on semantic adjustments for better understanding of the questions and answers. Thus, we obtained the questionnaire translated and adapted to Brazilian Portuguese
PAULO NAATI LOPES SOBRINHO SPEECH THERAPISTS PERCEPTION ABOUT THE OROMIOFUNCTIONAL ASPECTS OF CHILDREN WITH CONGENITAL SYNDROME BY ZIKA VIRUS. Date: Aug 30, 2021 Time: 14:00 Show Summary Introduction: in the second half of 2015, an increase in the number of children born with microcephaly was observed in Brazil, more specifically in the northeast. From this moment on health professionals, including the speech therapist, needed to provide assistance to children with this new condition. Objective: To investigate the perception and sociodemographic profile of speech therapists from Northeastern Brazil who work with children with Zika Virus Congenital Syndrome, regarding the oromyofunctional aspects and speech therapy intervention procedures. Method: this is a cross-sectional and observational study, with quantitative and qualitative analysis. The data collection instrument was an online questionnaire available on the Google forms platform, with 34 questions covering both sociodemographic data and the perception of speech therapists regarding the subject studied. The sample consisted of 23 speech therapists from the nine northeastern states. Results: in the characterization of the stomatoglossognathic system, the greatest degree of alteration was observed in posture and mobility of the orofacial muscles. In relation to the most impaired functions, the significance for speech and swallowing was observed, predominantly of liquid and solid. In the rehabilitation process, 87% of speech therapists reported using elastic bandage as one of the therapeutic resources, which is the most significant. Conclusion: in the perception of speech therapists who work with individuals with Syndrome due to Congenital Zika virus, the posture and mobility of the orofacial muscles are the most altered aspects, as well as the speech and swallowing functions of solid and liquid.
DAVIANY OLIVEIRA LIMA FUNCTIONALITY AND TINNITUS PREDICTIVE FACTORS Date: Aug 26, 2021 Time: 14:00 Show Summary INTRODUCTION: Tinnitus is a symptom commonly conceptualized as an endogenous sound perception that can manifest itself in the ears or head without an external source generating sound. It affects about 15% of the world population, with a higher prevalence in the elderly and has a multicausal etiology. Given the difficulty in establishing its casuistry and the subjectivity of the symptom, treatment nowadays is a challenge. In this sense, knowledge of associated factors and comorbidities of tinnitus is important to provide adequate management in these individuals. OBJECTIVE: to investigate and the main predictive factors associated with tinnitus symptoms. METHODS: Observational, analytical, cross-sectional, retrospective study ,data collection was carried out by analyzing the medical records of 315 patients treated at a tinnitus service. Information was collected regarding the descriptive analysis of the patients' profile and the results of the THI.RESULTS: Among the factors related to tinnitus, noise 48.6% present it as the predominant worsening factor. Hypersensitivity to sounds 61%(n=192), ear fullness 59%(n=186) and hearing loss 54.3%(171) are the factors most associated with tinnitus. 5%) followed by concentration (42.2%) and emotional aspects (36.8%). Among comorbidities, TMD predominated. 0.016), dizziness (p=0.002) and auditory hypersensitivity (p=0.013). As well as an association between the sensation of ear fullness and hypersensitivity (p=0.001). in sleep (p=0.012), emotional (p=0.013), concentration (p=0.002) and neck pain (p=0.033).Conclusion Understanding the main associated factors is important to better understand the impact of tinnitus on the subject's life .
DARLYANE DE SOUZA BARROS RODRIGUES DEVICES FOR RESPIRATORY EXERCISE IN THE MANAGEMENT OF OROPHARYNGEAL DYSPHAGIA: ANALYSIS OF THE EXPERIENCE OF BRAZILIAN SPEECH THERAPISTS Advisor : LEANDRO DE ARAUJO PERNAMBUCO Date: Aug 25, 2021 Time: 09:00 Show Summary Introduction: The use of devices for breathing exercises has evidence of positive effects on parameters associated with the biomechanics of swallowing, but the efficacy of these resources in the rehabilitation of dysphagic patients is unknown. Despite this scenario, there is notorious dissemination of breathing exercise devices among Brazilian speech pathologists who work with oropharyngeal dysphagia. Objective: To analyze the experience of Brazilian speech pathologists in the use of breathing exercise devices in the management of oropharyngeal dysphagia. Method: This is an observational, descriptive, and cross-sectional study, based on the survey method. An instrument was created with 30 questions about the professional profile, knowledge about devices for breathing exercises, and practice patterns of speech therapists in the use of these devices in oropharyngeal dysphagia. The questionnaire was answered through the Google Forms virtual platform and data analysis was descriptive. Results: The sample was composed of 161 speech therapists representing all regions of the Brazilian Federal Council of Speech Therapy, with an average age of 36.99 (±9.01) years, equally distributed as to the time of graduation. There was a predominance of lato sensu specialization as maximum graduate degree (62.11%) and professional performance in-home care (76.4%), outpatient (60.87%), and hospital care (49.69%). Most of the speech therapists reported using both training, expiratory and inspiratory (73.9%), having as main objectives the increase of the subglottic pressure (82.6%), the improvement of the cough capacity (79.5%), and the activation of the suprahyoid musculature (79.5%). The most used devices for breathing exercises were Respiron® (85.7%), Shaker® (80.1%), and resonance tubes (71.4%). Patients with neurological disease (85.1%) and elderly people (86.3%) were mentioned by the speech therapists like the ones who most receive an indication to use the devices. There were reports of both resistance exercises (51.6%) and pressure load (46.6%), but with divergences between the type of exercise and the type of device indicated. There was a reference to the use of devices for breathing exercises almost always in association with other therapeutic modalities (98.1%), however, without standardized frequency and number of repetitions (62.7%). Most respondents contraindicated the use of devices for breathing exercises in patients with heart disease (72.7%) and reported not using them in tracheostomized patients (57.1%). The use of nasal clips was not mentioned by the majority of professionals (60.9%) and the most preferred form of cleaning of the devices was the use of water and soap (71.4%). Conclusion: Brazilian speech therapists use devices for breathing exercises in the management of oropharyngeal dysphagia, but with limited knowledge and without consolidated clinical practice patterns.
MARIA HELENA MEDEIROS DE SA LIMA LUCENA Maternal and infant predictors associated with loss of follow-up in the newborn hearing screening program: a cohort study in maternity hospitals in northeastern Brazil Date: Aug 20, 2021 Time: 09:00 Show Summary Introduction: It is estimated that the prevalence of congenital hearing loss is 1.7- 11/1000 live births, this occurrence can increase up to 10 times when we consider risk indicators for hearing loss. The early identification of hearing loss enables immediate and assertive intervention, offering conditions for the development of speech, language, social, psychological, and educational of these individuals, allowing a more favorable prognosis. The guidelines of newborn hearing screening programs in Brazil recommend diagnosis up to 6 months of age. Analyzing factors on the loss of follow-up for diagnosis or monitoring in these programs contributes information that can help in the effectiveness of family participation and in stronger collaboration between screening units and other health professionals who are in contact with the family, promoting thus, early diagnosis, the main objective of hearing screening. Objective: (1) To analyze maternal and child predictors associated with loss to follow-up in the newborn hearing screening program in maternity hospitals in northeastern Brazil. (2) Conduct a survival analysis on loss to follow-up in newborn hearing screening programs. Methodology: Dissertation structured in two articles (1) Retrospective cohort study, including secondary data from infants (n=604) who were referred for monitoring and/or diagnosis of the hearing screening program. Predictors evaluated included socioeconomic factors and maternal and child health factors. Statistical analysis was performed based on binary logistic regression models; method stepwise. (2) This is a secondary survival analysis study on the loss to follow-up of infants (n=604) referred for monitoring and/or diagnosis in neonatal hearing screening programs. The dependent variable was the time until the outcome occurred (loss to follow-up). Independent variables included socioeconomic factors and maternal and child health factors. For data analysis, the Kaplan-Meier method was used. Results: (1) The logistic regression model containing the number of prenatal care and the history of hearing loss in the family was significant [χ2(2) =34.271; p<0.001]. The significant predictors were the number of prenatal care (OR = 2.343; 95% CI = 1.626 - 3.376) and the history of hearing loss in the family (OR = 2.167; 95% CI = 1.507 - 3.115), the other predictors, not were significant in this study. (2) Survival analysis by the Kaplan-Meier method shows the loss to follow-up in the foreseen two years of monitoring which was 49% in the first 3 months, 28% in 12 months, 15% in 24 months and 9% up to 36 months. One child received a hearing aid due to profound bilateral hearing loss. Another child was diagnosed with mild hearing loss and was discharged. Conclusion: (1) The results demonstrate that the chances of losing the program follow-up are associated with and increase, infants whose mothers had ≤ 5 prenatal cares with 2.3 times more chances when compared to mothers who had > 5 prenatal cares and family history of hearing loss increases risks by 2.1 times compared to those who have no family history of hearing loss. It is important to provide subsidies for the implementation of improvements in public health that aim to advise, guide, and educate mothers, especially during prenatal care. (2) The prevalence of hearing loss is impacted by the rate of loss to follow-up within neonatal hearing screening programs. In this context, we believe that support and adaptation strategies of the programs can improve access and reduce the loss of follow-up in this process, as well as the importance of these services to reinforce the monitoring of those in an unfavorable social situation, with an organization centered on the family.
CAMILA FONSÊCA GUEDES PEREIRA MÁXIMO Effects of laser therapy on masticatory and mandibular functions in adult individuals with Temporomandibular Dysfunction: A Systematic Revide and Metanalysis Date: Apr 19, 2021 Time: 14:00 Show Summary Introduction: Temporomandibular dysfunction (TMD) is a complex disorder that involves a set of disorders that affect the muscles of mastication, such as temporomandibular joints and associated structures, which can cause damage to masticatory function and jaw movements. The main signs and symptoms of TMD are the limitation of mandibular movements, tenderness in the masticatory muscles, joint noises, orofacial pain and headache. Among the various treatments that can be used in the intervention of pathology, one of the most used non-invasive therapies is the Low Power Laser (LBP), which has been bringing satisfactory results due to the benefits provided to patients through their analgesic, anti-inflammatory and regenerative actions Objective: perform a systematic review of the effects of laser therapy on masticatory function and jaw movements in adults with TMD. Methods: This is a systematic review under registration number CRD42020187091. A search was made in the electronic databases PubMed, Web of Science, Scopus, Embase, Cochrane, Lilacs, Science Direct and Google Scholar. A search strategy was used, according to the Mesh Terms of PubMed and Decs of the VHL, with the descriptors: temporomandibular joint disorders AND low level light therapy OR low level laser therapy AND mastication OR mandible . Randomized clinical trials were included in adults diagnosed with TMD, whose therapeutic approach adopted was the Low Power Laser (LBP) and evaluation of masticatory and / or mandibular function, as analyzed outcomes. Results: 914 articles were identified in the databases and after removing the duplicates, 63 remained for later reading of the title and abstract, and then the full text. 52 studies were removed, leaving 10 articles for extraction and qua analysis of the data. After analyzing the included studies, it was found that the research had very different results, especially with regard to the oral amplitude variable. And in assessing the risk of bias, 6 studies were at high risk, 2 at uncertain risk and 2 at low risk of bias, demonstrating a low methodological quality of the articles. Conclusion: Considering that only one study addresses the masticatory function, it is shown that there is a shortage in the literature regarding the analysis of this variable and with regard to the maximum oral amplitude, the researches are very variable as to the methodological parameters used and intended outcomes. Therefore, it is concluded that LBP has no effect on the masticatory function of individuals with TMD. As for mandibular function, it was noted that in the intervention groups, photobiomodulation with LBP showed significant results.
ENRISÂNGELA LOPES DUTRA DE ANDRADE NEWBORN HEARING SCREENING: CHARACTERIZATION OF A NEWBORN HEARING SCREENING PROGRAM AND RISK FACTORS TO ALTERATION RESULTS IN TIMPANOMETRY AND OTOACOUSTIC EMISSIONS IN THE FIRST YEAR OF LIFE Date: Feb 25, 2021 Time: 08:00 Show Summary Abstract: The identification of hearing loss in children is a topic widely discussed in the literature. The diagnostic until the age of three months and the therapeutic intervention started until the age of six months promotes the development of understanding and expression of language. Babies at higher risk for hearing loss are those with factors present at birth or acquired during the first years of life and already established in the literature. Objective: To characterize the Neonatal Hearing Screening Program of a reference health institute and to evaluate risk factors during the first year of life that may be associated with alterations in tympanometry or otoacoustic emissions. Methodology: The study is descriptive, observational, with data collected from hearing screening at a reference maternity hospital, between 4 months (from October 2018 to January 2019). The data were for all babies who were submitted to the program in this period, totaling a sample of 652 medical records. 143 children returned for a second assessment with tympanometry and otoacoustics emissions at 12 months, after active search and regardless of whether they passed or failed the NHS. An adapted questionnaire (PEPPER - Persistent Ear Problems Providing for Referral) was applied to survey risk factors for changes in the functioning of the middle ear. The results were presented descriptively in tables and with association using x2. Results: Of 652 babies screened, 619 passed the initial screening and 33 failed. 30 babies returned to the retest, which was previously scheduled for 30 days after the test was performed and 3 of them did not attend the retest. Of the 30 retests, 26 passed and 4 of them failed requiring referral for audiological diagnostic. There was no association between the risk factors and the NHS result. The most common risk factors were: family history of hearing loss, stay in the ICU and use of ototoxic drugs for more than 5 days and phototherapy. Of these, only 143 attended the second assessment at 12 months. The variable that was most associated with attendance was age over 25, income above the minimum wage and level of education from high school. Children who failed tympanometry also failed Otoacoustics emissions. But of 99 children who passed the TOAE, 13 failed in tympanometry as well. The variable sleeping position and ear infection reported by the mother were the variables that were most associated with alterations in the tests. Of 94 children who passed the NHS, 31 failed the reevaluation. Conclusion: Most babies passed the NHS. The risk factor was not associated with the result of failure. It is of utmost importance to monitor these babies in a pediatric outpatient clinic, as many developed hearing disorders in the first year of life.
KEILA MARUZE DE FRANÇA ALBUQUERQUE Outcomes of intervencion strategies in voice, speech and swallowing parameters in patients with ALS: Systematic Review Date: Feb 23, 2021 Time: 13:00 Show Summary Introduction: Amyotrophic Lateral Sclerosis (ALS) is a degenerative disease, the alterations of which can cause dysarthrophonia and dysphagia. The existing treatment for this public is symptomatic, with the purpose of increasing survival, maintaining active functions for as long as possible and improving quality of life. General objective: To analyze the results of treatment strategies focusing on functional aspects of voice, speech and swallowing in adults with sporadic ALS in relation to the placebo group. Method: This is a systematic review of the literature. Prisma guided the writing of this review, registered with Prospero (ID - CRD42020146571). Two independent researchers searched ASHA, Cochrane, Lilacs, Pubmed, Scopus and Web of Science, in English, Spanish and Portuguese. Randomized clinical trials, carried out on adults, were included, and articles whose outcome were related to self-assessment and quality of life, theses, dissertations, only available abstracts, case studies, experimental studies, book chapters, encyclopedia and brief communication were excluded. The studies were evaluated using the Rob II and Grade tool. Results: Of the 9824 articles found, 5 were selected for analysis. All of these articles performed the drug intervention. It is noticed the absence of studies aimed at the rehabilitation of bulb functions. Pharmacological treatment delays functional worsening, but without a statistically significant difference in relation to the placebo group. The quality of evidence generated varied from high to low risk and the level of evidence low and very low. Conclusion: There was no statistically significant result after pharmacological intervention in the functions studied in relation to the placebo group.

2020
Description
IANDRA KALINE LIMA BARBOSA DA SILVA BRAZILIAN VALIDATION OF THE VOCAL CONTROL SCALE PERCEIVED IN THE PRESENT ABOUT VOICE BASED ON THEORY OF RESPONSE TO ITEM Date: Nov 30, 2020 Time: 14:00 Show Summary This dissertation investigated through theoretical and empirical perspectives the relationship between voice and self-regulation, as well as the validation of an instrument aimed at the self-assessment of vocal control perceived in the present on the voice. This dissertation is divided into two articles: an integrative review that aimed to verify the relationship between self-regulation and vocal behavior pointed out in the literature and an empirical study that aims to develop the stages of evidence of validity of the selfassessed instrument of perceived vocal control. at present on the voice, the CPP-V scale, with the purpose of estimating the psychometric properties of its items based on the Item Response Theory (IRT). The review article collected data from national and international literature in the PubMed, LILACS and SciELO databases, in which 10,176 articles were identified, of which 10 were selected after applying the eligibility criteria. The articles found highlighted self-regulation as an important factor in vocal behavior, studies were mostly published in North American magazines with a high impact factor, pointed out the relevance of developing self-control strategies to assist in aspects of vocal rehabilitation and stressed the need to build new, more effective instruments for future studies on the subject. The empirical study used data from 168 individuals, where 127 had vocal changes and 41 were vocal healthy. For the steps of evidence of validity, the following analyzes were performed: Cronbach's Alpha, Exploratory Factor Analysis (AFE), Confirmatory Factor Analysis (AFC), TRI and ROC Curve. The instrument found good internal consistency, with a two-factor structure from the AFE, in addition to showing satisfactory values in the model's adjustment indices, thus confirming the structure from the AFC. IRT was applied from Samejima's 2PL model to assess the discrimination (a) and difficulty (b) parameters of the instrument items, item 5 I can control my daily reactions related to my voice problem was presented as most discriminative item and item 8 I do not control my reaction to my voice problem as the most difficult item. The ROC curve showed a cut-off point of -1.007, sensitivity of 91.34% and specificity of 48.78%. These results show self-regulation as an important factor in vocal behavior and suggest a validated Brazilian Portuguese version of CPP-V from the IRT, which involves a structure with 8 items and 2 factors, with calculation performed using the latent trait. of individuals.
WELLYDA CINTHYA FELIX GOMES DA SILVA PHOTOBIOMODULATION ASSOCIATED WITH OROFACIAL MYOFUNCTIONAL THERAPY IN THE QUALITY OF LIFE OF INDIVIDUALS WITH TEMPOROMANDIBULAR DISORDER Date: Nov 27, 2020 Time: 14:00 Show Summary To analyze the impact of quality of life related to oral health of individuals with temporomandibular disorders, before and after photobiomodulation treatment associated with orofacial myofunctional therapy, as well as to verify possible correlation between the degree of orofacial pain and the self-perception of this impact. Method: A randomized, controlled, blinded clinical trial with 34 volunteers randomly divided into two groups: G1, who received Orofacial Myofunctional Therapy (BMT) associated with photobiomodulation and G2, treated by BMT associated with inactive laser. First, there was the speech-language assessment, the degree of orofacial pain by the Visual Analogue Scale (VAS) and the impact of quality of life related to oral health (QVRSO) by the questionnaire Oral Health Impact Profle - Short form (OHIP-14). The data obtained were analyzed statistically. The significance level of 0.05 (95%) was adopted. Results: "Physical pain", "psychological discomfort", "physical limitation" and "psychological limitation" were the most impacting aspects in the HRQoL. G1 showed positive responses for the respective treatment, as did G2. There was a positive and strong correlation for VAS and total OHIP-14 score between groups after treatment. Conclusion: People who received photobiomodulation associated with BMT, noticed an improvement in HRQoL, as well as those treated with the placebo laser. However, the individuals in the control group showed that functional recovery was the aspect that most noticed a positive change in HRQoL compared to the experimental group. There was a positive and strong correlation between the improvement in the degree of pain and self-perception of HRQoL.
SORAYA BALBINO DUTRA AUDIOLOGICAL DIAGNOSIS AND ITS EFFECTIVENESS IN JOÃO PESSOA Date: Nov 27, 2020 Time: 10:00 Show Summary The Joint Commitee of infant hearing (JCIH) has established principles that provide the pillars for early hearing loss detection programs to be effective. These are, the NHS before hospital discharge, referrals for diagnosis and auditory monitoring and access to hearing devices. One of the major barriers for auditory diagnosis to be performed as early as possible is the parents' lack of understanding of the importance of NHS and subsequent necessary procedures (Kolethekkata et al; 2020). The evaluation of health services and programs are part of routines that allow a more adequate identification of disabilities, allowing opportunities for improvements in the hearing of assisted individuals. (Rechia et al; 2016). Among the recommended measures, the assessment of parental satisfaction with the services that perform NHS is essential to verify the performance and quality of services (JCIH, 2000) and has been a widely accepted instrument for this analysis (LAM et al. , 2018). Objective: (1) To assess parents' satisfaction and perception regarding neonatal hearing screening and their interest in returning with the baby for hearing monitoring, if necessary. (2) Describe the population of children treated at two reference centers for audiological diagnosis. Results: (1) The parents interviewed in the maternity hospitals are satisfied with the neonatal hearing screening, however the need for better communication about the results and the evaluation process, half of the parents would not take their child for hearing monitoring, if necessary . There are differences in responses between maternity hospitals, which shows that protocols and communication differ between institutions. (2) In reference centers, the average age of diagnosis is between 06 and 13 years old, children who live in the capital had a shorter waiting time for receiving hearing aids, and the prevalence of hearing loss is severe to profound neurosensory. In the medical records verified, there was a lack of important information for the evaluation of the program, as well as difficulties in accessing and organizing them. Conclusion: The program as a whole does not achieve the objectives proposed by the JCIH, which is early intervention. It is suggested that measures be taken in view of the work of professionals and the government involved in neonatal hearing health programs, since it is essential that parents support and participate during not only the initial screening, but in all phases of the program.
MILLENA IRLEY BATISTA DA SILVA WORKING AND VOICE CONDITIONS OF EMERGENCY TELEMARKETERS IN THE PERIOD OF SOCIAL DISTANCING DUE TO COVID19. Advisor : MARIA FABIANA BONFIM DE LIMA SILVA Date: Nov 27, 2020 Time: 09:00 Show Summary emergency call attendant has the duty to determine the important information of the requester, provide part of the location, as well as the nature of the emergency and pass this information on to the responsible sectors (firefighters, military or civil police or even the medical team ), who will go to the incident site to keep track of the situation and resolve it. Studies have found that emergency call operators are constantly exposed to risky conditions, including working conditions, which involve environmental, organizational and vocal conditions. Objective: to verify the selfperceived aspects of telemarketers emergencies from working conditions and voice, in this period of social distance due to COVID-19. Method: Descriptive, transversal, quantitative research. Fifty emergency telemarketers participated, following inclusion and exclusion criteria. The collection instrument used was an online questionnaire (Google Forms), which covered questions related to sociodemographic characteristics, telemarketer activity, working conditions and vocals. The data were submitted to statistical analysis. Results: 62.2% of telemarketers act in an active and receptive manner; 76.3% in the morning shift; 86.8% said that their environment changed in the pandemic. Comparing the moments before and during the pandemic, regarding working conditions, we found that the reference to the presence of noise at work showed a difference in both moments, before 58% of the telemarketers reported the presence of noise and during only 34%. Participants also reported that this noise was strong, before the pandemic (45%) and during (32%); the lighting was adequate, before (63%) and during (92%). Regarding vocal conditions, before the pandemic, 60.5% participated in vocal training and, during the pandemic, no telemarketer reported this fact. The perception of voice failure increased from 23.7% (before the pandemic) to 34.2% (during the pandemic), as the loss of voice was also increased from 15.8% to 18.4% in these two moments. As for vocal warm-up and cool-down, there was a difference between the moments, in which the number of telemarketers who did not perform such exercises increased. Conclusion: With the COVID 19 pandemic, emergency telemarketers continued to attend the call center, but there was a change in location and infrastructure. The company, guided by guidance from health professionals, transferred the telemarketers to a location with better facilities in terms of working conditions plus an investment in preventive and biosafety measures for COVID 19. Such factors had a positive impact on the self-reported working conditions by the telemarketers, however, due to social distance there was a decrease in voice care and thus increasing the self-reference of vocal symptoms.
JESSICA SOARES XAVIER Frequency of Clinical Changes in Deglutition and Factors Associated with Institutionalized Elderly Date: Jul 17, 2020 Time: 08:30 Show Summary Older adults are more susceptible to swallowing disorders and associated complications, becoming even more vulnerable when living in nursing homes (ILPI). Purpose: To verify the frequency of clinical swallowing disorders and the associated factors in older adults living in nursing homes. Method: This is an observational, transversal, descriptive and quantitative study. The sample was composed by 73 older adults, mean age of 80 (SD±7.49) years, being 60 (82.2%) women, residents in five nonprofit ILPI of the city of Natal/RN. Sociodemographic, economic, and general health data were collected and the following instruments were applied: Rastreio de Disfagia em Idosos (RaDI), Volume-Viscosity Swallow Test (VVS-T) e Functional Oral Intake Scale (FOIS). The frequency of clinical swallowing disorders was determined by the result of MECV-V. To verify the factors associated with the outcome, Pearson's chi-square or Fisher's exact tests were initially applied. Variables with a p-value less than 0.20 were included in the multiple logistic regression analysis model. The significance level was 5%. Results: Among the 73 older adults assessed, 46 (63%) presented clinical swallowing disorders. The multiple logistic regression model revealed that the chance of the institutionalized older adult to present clinical swallowing disorders increases 8% with each 1 year increase in age; the decrease in food intake increases approximately 4 times the chance of a negative result in MECV-V; institutionalized older adults with a level below 7 in the FOIS scale present almost 11 times more chances of having clinical swallowing disorders according to MECV-V. Conclusion: The frequency of clinical swallowing disorders in older adults is high and is associated with age, decreased food intake, and functionality of oral intake.
THALITA DA SILVA OLIVEIRA Newborn hearing screening: analysis of coverage, number of professionals, equipment availability and quality of the newborn hearing screening program Date: Jun 26, 2020 Time: 09:00 Show Summary Introduction: the detection and early intervention of hearing disorders is still the best way to improve the prognosis of children who have some type of hearing impairment during childhood, for this, the presence of the professional responsible for neonatal hearing screening and proper functioning is necessary of the neonatal hearing screening program. Objective: (1) To verify the coverage of neonatal hearing screening and its association with the number of Speech Therapists in SUS and of equipment available in the Brazilian units in Brazil in the years 2012 and 2018 (2) to analyze the results of neonatal hearing screening and the rates of quality proposed by the Joint Committee of Infant Hearing (JCIH) and Guidelines for Neonatal Hearing Screening of the Ministry of Health of Brazil in a Neonatal Hearing Screening Program. Methodology: (1) The study is a descriptive ecological type of time series with the unit of analysis being the Federation Units of Brazil and the live births. (2) The study is of the secondary, transversal and descriptive type. A survey of the database of newborns who underwent neonatal hearing screening, including testing and / or retesting, was carried out in the period from 2016 to 2018. Conclusion: (1) The coverage of the screening showed an increase in Brazil, but still below the recommended and is related to the increase in the inclusion of speech therapists in SUS. The spatial distribution is heterogeneous throughout its territory. (2) The Neonatal Hearing Screening Program in João Pessoa is not in accordance with some quality criteria proposed by the JCIH and the Brazilian Ministry of Health, in addition, the lack of a unified computerized database makes it difficult to access the record of the results of the audiological procedures, as well as monitoring children screened and sent to other institutions in order to carry out the diagnosis and / or auditory monitoring.
LARISSA MENDONÇA DOS ANJOS Tongue Isometric Pressure and Endurance after Total Laryngectomy Advisor : LEANDRO DE ARAUJO PERNAMBUCO Date: Jun 3, 2020 Time: 09:00 Show Summary Total laryngectomy can result in alterations in the preparatory and oral phase of swallowing and deficiencies in the measures of strength and resistance of the tongue may be related. However, the available literature is scarce regarding this hypothesis. The aim of this study was to compare the maximum isometric pressure and isometric resistance during tongue pressure between total laryngectomized and non-laryngectomized patients, as well as to relate these measures with the clinical evaluation and self-assessment of swallowing in total laryngectomized patients. The sample was divided into an experimental group (EG) undergoing total laryngectomy (mean age = 65.85 years ± 9.842) and a control group (CG). Both groups underwent clinical evaluation and measurement of maximum isometric pressure and isometric resistance during tongue pressure on the anterior and dorsal regions of the tongue. EG patients answered the translated and adapted version for Brazilian Portuguese of the SwallowOutcomesAfterLaryngectomyQuestionnaire (SOAL). Isometric resistance during anterior and dorsal tongue pressure was significantly lower in the EG (p=>0.001; p=0.002) respectively. There were no differences in maximum isometric tongue pressure between groups or between clinical and self-assessment categories. However, among total laryngectomized patients, isometric resistances during anterior and dorsal tongue pressure were significantly higher in the presence of changes in liquid swallowing (p=0.017; p=0.012), respectively. The dorsal isometric tongue resistance was lower among those who reported a decrease in the amount of meal. Individuals undergoing total laryngectomy have lower isometric resistance during tongue pressure, and isometric resistance during tongue pressure is related to changes in liquid swallowing and complaints of decreased meal quantity.
THAIS MENDONÇA MAIA WANDERLEY CRUZ DE FREITAS RESULTADOS PRELIMINARES DE UM PROGRAMA DE TERAPIA SONORA PARA ZUMBIDO Date: Mar 10, 2020 Time: 14:00 Show Summary INTRODUÇÃO: O zumbido, som percebido na ausência de fonte sonora externa, é um sintoma que tem se tornado comum na população mundial. Sua causa múltipla, avaliações subjetiva e consequentemente variadas possibilidades terapêuticas têm dificultado êxito em seu tratamento. Pesquisas têm apontado eficácia para a terapia sonora acompanhada de aconselhamento. OBJETIVO: Diante desta problemática, a presente pesquisa objetivou avaliar o perfil das produções cientificas em Aparelho Auditivo de Amplificação Sonora com Gerador de Som e aconselhamento. Como também, verificar os resultados preliminares da aplicabilidade de um protocolo de terapia sonora para zumbido e perda auditiva. METODOLOGIA: Para tanto, foram desenvolvidos dois artigos. O primeiro consta de uma análise bibliométrica da literatura, que buscou estudos publicados sem restrição de ano e foi realizada nas bases de dados Pubmed/Medline, Lilacs, Web of science e Cochrane, utilizando como estratégia de busca os descritores (counseling) AND (tinnitus) AND (hearing aids). O outro artigo direcionou-se a um ensaio clínico não randomizado (quase experimental), analítico (causa e efeito), considerado um estudo caso controle e longitudinal que verificou a aplicabilidade de um protocolo de terapia sonora para zumbido e perda auditiva. RESULTADOS: Na revisão, foram identificados 169 artigos e, destes, 37 cumpriram os critérios de elegibilidade e 17 estudos foram selecionados para realização da análise bibliométrica. No ensaio clinico, o questionário de handicap do zumbido (escore Total), diminuiu ao longo da avaliação até a quarta reavaliação, e ainda nas escalas emocional e catastrófica. Houve aumento de uso do aparelho da primeira reavaliação até a quarta. E o escore total do questionário do zumbido foi significante na comparação entre os grupos na quarta reavaliação. CONCLUSÃO: A revisão atual sobre a temática demonstrou que os estudos estão se tornando cada vez mais frequentes, envolvendo pesquisadores de vários países, mas ainda existem lacunas. E os resultados da terapia sonora mostram que o protocolo sugerido é promissor. Sugere-se a aplicabilidade em um grupo maior.
THAIS MENDONÇA MAIA WANDERLEY CRUZ DE FREITAS RESULTADOS PRELIMINARES DE UM PROGRAMA DE TERAPIA SONORA PARA ZUMBIDO Date: Mar 10, 2020 Time: 14:00 Show Summary INTRODUÇÃO: O zumbido, som percebido na ausência de fonte sonora externa, é um sintoma que tem se tornado comum na população mundial. Sua causa múltipla, avaliações subjetiva e consequentemente variadas possibilidades terapêuticas têm dificultado êxito em seu tratamento. Pesquisas têm apontado eficácia para a terapia sonora acompanhada de aconselhamento. OBJETIVO: Diante desta problemática, a presente pesquisa objetivou avaliar o perfil das produções cientificas em Aparelho Auditivo de Amplificação Sonora com Gerador de Som e aconselhamento. Como também, verificar os resultados preliminares da aplicabilidade de um protocolo de terapia sonora para zumbido e perda auditiva. METODOLOGIA: Para tanto, foram desenvolvidos dois artigos. O primeiro consta de uma análise bibliométrica da literatura, que buscou estudos publicados sem restrição de ano e foi realizada nas bases de dados Pubmed/Medline, Lilacs, Web of science e Cochrane, utilizando como estratégia de busca os descritores (counseling) AND (tinnitus) AND (hearing aids). O outro artigo direcionou-se a um ensaio clínico não randomizado (quase experimental), analítico (causa e efeito), considerado um estudo caso controle e longitudinal que verificou a aplicabilidade de um protocolo de terapia sonora para zumbido e perda auditiva. RESULTADOS: Na revisão, foram identificados 169 artigos e, destes, 37 cumpriram os critérios de elegibilidade e 17 estudos foram selecionados para realização da análise bibliométrica. No ensaio clinico, o questionário de handicap do zumbido (escore Total), diminuiu ao longo da avaliação até a quarta reavaliação, e ainda nas escalas emocional e catastrófica. Houve aumento de uso do aparelho da primeira reavaliação até a quarta. E o escore total do questionário do zumbido foi significante na comparação entre os grupos na quarta reavaliação. CONCLUSÃO: A revisão atual sobre a temática demonstrou que os estudos estão se tornando cada vez mais frequentes, envolvendo pesquisadores de vários países, mas ainda existem lacunas. E os resultados da terapia sonora mostram que o protocolo sugerido é promissor. Sugere-se a aplicabilidade em um grupo maior.
ALEXANDRA CHRISTINE DE AGUIAR SILVA Estágio de prontidão em pacientes com disfonia: nova perspectiva com base na teoria de resposta ao item na escala URICA-V Date: Mar 3, 2020 Time: 14:00 Show Summary O estágio de prontidão em relação ao tratamento implica na melhor condição para adesão a uma proposta terapêutica. O questionário URICA-V é utilizado na autoavaliação dos estágios de prontidão em pacientes com disfonia e utiliza a Teoria Clássica do Teste (TCT) como modelagem para seu cálculo, que padece de algumas limitações. A Teoria de Resposta ao Item (TRI) pode ser utilizada na validação da escala URICA-V de forma satisfatória, pois considera cada item individualmente, sem priorizar os escores totais para caracterizar o atributo estudado. O presente estudo tem objetivo de propor uma nova metodologia de cálculo dos escores da escala URICA-V a partir da Teoria de Resposta ao Item (TRI), de modo a avaliar o estágio de prontidão de pacientes com disfonia de forma diferenciada. Foram avaliados 658 sujeitos, sendo 497 com disfonia e 161 sem disfonia, de ambos os sexos e acima de 18 anos. Foi utilizado a escala URICA-V que avalia o estágio de prontidão em que o paciente se encontra para a reabilitação vocal. Para construir um banco de dados digital, foram digitadas as respostas dos pacientes ao protocolo URICA-V. Foi realizada uma análise estatística descritiva e inferencial por meio da analise fatorial exploratória, a fim de se verificar a correlação entre os itens do questionário e os estágios de prontidão e domínios da URICA-V e confirmatória para confirmar ou rejeitar a teoria pré-estabelecida, posteriormente foi realizada a análise da confiabilidade do instrumento por meio do coeficiente Alfa de Cronbach e em seguida a aplicação da Teoria de Resposta ao Item (TRI) de natureza acumulativa para respostas politômicas, para estimação dos parâmetros dos itens e dos níveis de traço latente dos sujeitos, a partir da nova proposta de cálculo.
KAROLINE EVANGELISTA DA SILVA PAZ HEARING PERCEPTION OF ROUGHNESS AND BLOWING BY DYSPHONIC WOMEN: IMPLICATIONS ON AUDITORY-MOTOR VOICE CONTROL Date: Mar 2, 2020 Time: 09:30 Show Summary Objective: To investigate whether there is a relationship between the presence of breathiness and roughness in the voice quality of dysphonic women and their auditory perception of these parameters. Methods: 22 dysphonic women attended at the Integrated Laboratory of Voice Studies (LIEV) of the Speech Therapy Department of the Federal University of Paraíba - UFPB participated in this research. The volunteers filled out the vocal screening form, the ESV vocal self-assessment protocol (vocal symptom scale), recorded the voice during the emission of the vowel / e /, whose degree of deviation was examined through the auditory-perceptual and acoustic evaluation; all participants performed audiometry. For the perception tests, three tasks were performed. The first experiment consisted of presenting 32 stimuli in isolation, at random, with different degrees of deviation, so that each participant could classify it as normal or altered. In the second experiment, the participants heard only breathy voices and healthy voices, and must discriminate the presence or absence of breathiness. The third experiment was similar to the second, but with rough voices. Results: There was a difference between the number of correct answers and the number of errors of dysphonic women in relation to the presence judgment (42.80%), absence (57.38%) of vocal deviation, presence of mild degree of roughness (31, 81%), moderate (65.90%), intense (73.86%) and presence of mild breathiness (46.59%), moderate (55.68%), intense (93.18%). Women with more deviated voices had fewer correct answers regarding the perception of deviation in breathy and rough voices. There was a difference between the number of correct answers and the number of errors of dysphonic women in relation to the judgment of the presence of normality (57.38%) and breathiness (63.13%). There was a difference between the number of correct answers by the participants regarding the degree of light breathiness (55.05%), moderate (49.49%) and intense (84.84%). There was a difference between the number of correct answers and the number of errors of dysphonic women in relation to the judgment of the presence of normality (87.08%) and roughness (65.31%). There was a difference between the number of correct answers by the participants regarding the degree of light roughness (27.07%), moderate (68.06%) and intense (99.04%). Conclusions: Through this study, it was possible to verify that there are differences regarding the auditory perception of dysphonic women in the identification of healthy and deviated voices. Most deviated voices were identified as normal. The correlation between the degree of vocal deviation of women and the perception of vocal deviation was demonstrated. Women with a higher degree of vocal deviation had fewer correct answers regarding the perception of deviation in breathy and rough voices. It was confirmed that there are differences regarding the auditory perception of dysphonic women in the identification of healthy and breathy voices and between the different degrees of breathiness. Dysphonic women demonstrate less ability to perceive breathiness in mild and moderate degrees. There are differences regarding the auditory perception of dysphonic women in the identification of healthy and rough voices and between the different degrees of roughness. Dysphonic women have less ability to perceive roughness in mild degree.

2019
Description
MILENA MAGALHÃES AUGUSTO Relação entre medidas quantitativas de língua e resíduos faríngeos na Doença do Neurônio Motor. Date: Sep 26, 2019 Time: 14:00 Show Summary O prejuizo motor progressivo causado pela Doenca do Neuronio Motor (DNM) compromete estruturas envolvidas na degluticao, incluindo a lingua. Os transtornos na lingua podem contribuir para a presenca de residuos faringeos nestes pacientes. Objetivo: Relacionar espessura, pressao e resistencia da lingua com residuos faringeos no individuo com DNM. Metodos: Esta dissertacao e constituida por dois artigos. O primeiro e uma revisao integrativa da literatura que buscou comparar os parametros de observacao e os procedimentos de execucao e analise dos protocolos de Videoendoscopia de Degluticao (VED) para individuos com DNM. O segundo artigo e um estudo transversal com amostra composta por 21 pacientes com DNM, media de 60,29 (±13,21) anos de idade, sendo 13 (61,9%) homens, todos submetidos a: 1) anamnese e avaliacao clinica da degluticao; 2) mensuracao da pressao e resistencia da lingua por meio do Iowa Oral Performance Instrument (IOPI); 3) videoendoscopia da degluticao para verificar a presenca de residuo em valeculas, seguindo a classificacao da escala Yale Pharyngeal Residue Rating Scale Scoring System; 4) ultrassonografia da lingua para medir a espessura da lingua. Para verificar a diferenca de medias das medidas quantitativas de lingua entre os grupos com e sem residuo em valeculas foi aplicado o teste nao parametrico de Mann-Whitney, com nivel de significancia de 5%. Resultados: No artigo um, apos analise dos sete artigos selecionados, verificou-se que nos protocolos de VED para pacientes com DNM existe heterogeneidade nos procedimentos de execucao e analise, mas ha consenso quanto a observacao de residuos faringeos, penetracao laringea e aspiracao laringotraqueal. No artigo dois, as medidas quantitativas de lingua estiveram abaixo dos valores esperados para individuos normais. Pressao (p=0.51), resistencia (p=0.48) e espessura (p=0.94) de lingua nao se relacionaram com a presenca de residuos em valeculas, embora todas as medias tenham sido menores no grupo com residuos. Conclusao: O artigo um concluiu que nos protocolos de VED para pacientes com DNM existe consenso apenas em relacao a observacao de residuos faringeos, penetracao laringea e aspiracao laringotraqueal. No artigo dois, nao foi encontrada relacao significativa entre medidas quantitativas de lingua e residuos em valeculas em pacientes com DNM.
VANESSA DE OLIVEIRA FLORENCIO INFLUENCE OF VOCAL INTENSITY ON LINEAR AND NONLINEAR ACOUSTIC MEASURES IN PATIENTS WITH AND WITHOUT LANGUAGE DISORDER Date: Sep 25, 2019 Time: 13:30 Show Summary Objective: To verify if there is an association between the intensity of the emission and the acoustic measurements based on linear and nonlinear models in patients with and without laryngeal disorder, as well as to investigate the reliability of these measurements as a function of the intensity in the different groups. Methodology: 347 adult subjects with vocal complaint participated in this study, 59 without laryngeal disorder and 288 with laryngeal disorder. All participants recorded the vowel / ɛ / sustained in weak, comfortable and strong phonation. Acoustic measurements of the fundamental frequency (f0), sound pressure level (SPL), measurements based on linear and nonlinear models were extracted. Measurement comparison tests were performed and the intraclass reliability coefficient (ICC) was obtained as a function of intensity. Methodology: 347 adult subjects with vocal complaint participated in this study, 59 without laryngeal disorder and 288 with laryngeal disorder. All participants recorded the vowel / ɛ / sustained in weak, comfortable and strong phonation. Acoustic measurements of the fundamental frequency (f0), sound pressure level (SPL), measurements based on linear and nonlinear models were extracted. Measurement comparison tests were performed and the intraclass reliability coefficient (ICC) was obtained as a function of intensity. Results: Regarding the values related to SPL, the groups differ only in the strong phonation and the total variability of the intensity. There were differences in acoustic measurements based on linear and nonlinear models between groups at each intensity investigated. All acoustic measurements (linear and nonlinear) differed between intensities in both groups. Only the HNR and PM measurements presented acceptable ICC (> 0.40) in both groups. Lyap, DET, ENTR-S, Lmed, RPDE and TT demonstrated acceptable ICC in the disordered group, while D2 was acceptable in the no disorder group. Conclusion: There is an association between vocal emission intensity and acoustic measurements based on linear and nonlinear models in patients with and without laryngeal disorder. In general, linear measurements show an improvement in signal regularity/periodicity with increasing intensity. In turn, the variation in measurement values based on nonlinear models as a function of intensity is less consistent to indicate vocal signal improvement/worsening. Emission intensity influences the reliability of measurements differently between the groups studied.
BIANCA OLIVEIRA ISMAEL DA COSTA ULTRASONOGRAPHIC EVALUATION OF TEMPORAL MEASURES OF DISPLACEMENT OF THE HIOIDE BONE DURING SWALLOWING AFTER THYROIDECTOMY. Date: Aug 15, 2019 Time: 14:00 Show Summary Thyroidectomy may affect the displacement time of the hyoid bone (HB) during swallowing, which can be investigated by quantitative ultrasonographic evaluation. Objective: 1) To verify the applicability of Transcutaneous Laryngeal Ultrasonography (TLUSG) in laryngeal evaluation after thyroidectomy; 2) To compare the sonographic measurements of HB displacement time during swallowing between subjects submitted to and not submitted to thyroidectomy, as well as to relate these measurements with age, clinical characteristics and swallowing complaint and voice. Method: The first article is an integrative review of the literature that followed the methodological procedures pertinent to this type of study. The second article is cross-sectional with comparative group, with 20 women submitted to thyroidectomy (EG) and 20 volunteers without thyroid disease (CG). All performed USGLT during the swallowing of 10 milliliters of liquid and pasty consistency. The exams were recorded in video (30 frames/second) and six temporal measures were extracted and analyzed according to standardized protocol. The non-parametric Mann-Whitney test and the Spearman correlation test, both with a 95% confidence interval, were used. Results: Article 1) USGLT is applied in the screening of vocal fold mobility after thyroidectomy and is still little used in studies on swallowing; Article 2), the elevation and maximum displacement times of the OH were significantly lower in the EG compared to the CG in the swallowing of the pasty consistency. No other variables were related to or correlated with ultrasound measurements. Conclusion: 1) USGLT helps to investigate changes in vocal fold mobility after thyroidectomy, but is still little used in studies on swallowing; 2) women undergoing thyroidectomy have a shorter time of elevation and maximum displacement of HB during swallowing compared to those who did not undergo surgery.
PATRICIA BRIANNE DA COSTA PENHA Effectiveness of speech and language therapy actions in group aimed at teacher vocal health: an integrative review Date: Apr 15, 2019 Time: 14:00 Show Summary The objective of this study was to carry out an integrative review of the last 10 years on the effectiveness of speech - language pathology actions in a group focused on teacher's vocal health. The research was carried out from the association of the descriptors "voice", "teachers", "group therapy" and "voice training" and their correspondents in the English language. The databases used were: Latin American and Caribbean Literature in Health Sciences (LILACS), Scientific Electronic Library Online (SciELO) and Public Medicine Library (PubMed). Initial Search resulted in 1,944 articles. Nineteen studies were included obeying the inclusion and exclusion criteria. The speech-language group actions for teacher vocal health are effective for quality of life, reducing the vocal and emotional symptoms caused by the multifactorial present in the work context of this professional.
MARA MARIA GOMES BARROS DE ANDRADE O uso de aplicativos para smartphones na triagem e identificação de alterações auditivas Advisor : HANNALICE GOTTSCHALCK CAVALCANTI Date: Apr 4, 2019 Time: 13:00 Show Summary RESUMO Objetivo: adaptacao e avaliacao de um aplicativo coragem na Africa do Sul denominado teste de digitos via telefone para o portugues brasileiro. Metodos: O primeiro artigo consta de uma revisao bibliometrica e uma pesquisa bibliografica, do tipo descritiva e com analise bibliometrica. A busca foi realizada nas bases de dados PubMed, Scopus, Science Direct e Lilacs, no periodo de 1 a 8 de outubro de 2018, a partir da estrategia do cruzamento dos descritores, cadastrados no DeCS. A adaptacao do aplicativo foi um estudo transversal de carater descritivo. Participaram 89 sujeitos (63 mulheres e 26 homens) entre 12 e 64 anos (media=25,93) que se submeteram a anamnese audiologica, inspecao do meato acustico externo, audiometria tonal e triagem auditiva atraves de Teste de Digitos no Ruido em smartphones em que se utilizou dois tipos de fones: Sennheiser HD201 (supra-aural) e S4 mini (intra-aural). Resultados: Foram encontrados 768 artigos nas bases de dados selecionadas, apos a aplicacao dos criterios de inclusao e exclusao apenas 62 foram utilizados para analise bibliometrica. No artigo de adaptacao do teste de digitos no ruido encontramos a media da relacao sinal/ruido para o teste realizado com fone supra-aural de -9,32 dB (DP ±3,15dB) e para o fone intra-aural foi -9,29 dB (DP ±3,44dB). Conclusao: Pudemos identificar um crescimento de producoes na area da teleaudiologia, nos ultimos 5 anos, periodos de 2013 a 2018, em comparacao aos 10 anos anteriores, de 2003 a 2013. Apesar do crescimento positivo, ha ainda temas a serem explorados dentro deste campo de estudo, como a reabilitacao. Alem disso, mesmo com o numero similar de publicacoes entre os continentes, a area precisa ser expandida para outros paises, pois as publicacoes muitas vezes se concentram em um determinado pais ou regiao. A adaptacao transcultural foi realizada para o portugues brasileiro e o teste de digito no ruido desenvolvido para smartphones pode ser realizado com fones supra-aural ou intra-aural, sem prejuizo na resposta.
WEGINA JORDÂNA NASCIMENTO DA SILVA MARCADORES VOCAIS QUE DISCRIMINAM PACIENTES COM E SEM DEPRESSÃO. Date: Mar 19, 2019 Time: 13:00 Show Summary Esse trabalho de dissertacao apresenta-se com a finalidade de investigar atraves de abordagens teorica e empirica marcadores vocais que podem discriminar pacientes com e sem a depressao. Este manuscrito e dividido em dois artigos: uma revisao integrativa e um estudo de campo com desenho observacional do tipo caso-controle. A revisao teve por objetivo verficar a utilizacao de medidas vocais na deteccao da depressao e discorrer sobre as evidencias metodologicas dos estudos publicados. Concluiu-se que medidas vocais, principalmente extraidas pela analise acustica, sao ferramentas uteis para o diagnostico da depressao, pois sao precisas para detectar, discriminar, preve e monitorar esse transtorno mental. O estudo caso- controle teve por objetivo analisar parametros acusticos da voz como preditores e discriminantes vocais de individuos com e sem diagnostico de depressao. Concluiu-se que parametros de Jitter, shimmer, CPPS e declinio espectral foram capazes de diferenciar individuos com e sem depressao, assim como estiveram associados ao estado clinico desse transtorno atraves do BDI-II. O modelo de regressao linear multipla confirmou que jitter e CPPS sao preditores clinicos da depressao, bem como a ESV podem predizer a gravidade da depressao avaliada pelo BDI-II.