-
VANESSA VIEIRA FARIAS
-
EVALUATION OF VESTIBULAR CHANGES IN CHILDREN AND ADOLESCENTS
-
Fecha: 29-sep-2023
-
Hora: 09:30
-
Mostrar Resumen
-
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
-
Fecha: 28-sep-2023
-
Hora: 16:00
-
Mostrar Resumen
-
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.
-
Fecha: 28-sep-2023
-
Hora: 14:00
-
Mostrar Resumen
-
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
-
Fecha: 28-sep-2023
-
Hora: 09:00
-
Mostrar Resumen
-
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
-
Fecha: 28-sep-2023
-
Hora: 09:00
-
Mostrar Resumen
-
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 GOES
-
EFFECTS OF PHOTOBIOMODULATION ASSOCIATED WITH VESTIBULAR REHABILITATION IN THE TREATMENT OF PATIENTS WITH VESTIBULAR SYMPTOMS AND Tinnitus: a triple-blind randomized clinical trial.
-
Fecha: 28-sep-2023
-
Hora: 09:00
-
Mostrar Resumen
-
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.
-
Fecha: 26-sep-2023
-
Hora: 14:00
-
Mostrar Resumen
-
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)
-
Fecha: 25-sep-2023
-
Hora: 14:00
-
Mostrar Resumen
-
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
-
Fecha: 22-sep-2023
-
Hora: 09:00
-
Mostrar Resumen
-
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
-
Fecha: 20-sep-2023
-
Hora: 14:00
-
Mostrar Resumen
-
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.
-
Fecha: 19-sep-2023
-
Hora: 14:30
-
Mostrar Resumen
-
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
-
Fecha: 18-sep-2023
-
Hora: 09:30
-
Mostrar Resumen
-
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
-
Fecha: 07-jul-2023
-
Hora: 10:00
-
Mostrar Resumen
-
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
-
Fecha: 07-jul-2023
-
Hora: 09:30
-
Mostrar Resumen
-
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
-
Fecha: 29-mar-2023
-
Hora: 14:00
-
Mostrar Resumen
-
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
-
Asesor : MARIA FABIANA BONFIM DE LIMA SILVA
-
Fecha: 27-mar-2023
-
Hora: 15:30
-
Mostrar Resumen
-
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)
-
Fecha: 27-feb-2023
-
Hora: 14:00
-
Mostrar Resumen
-
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
-
Fecha: 23-feb-2023
-
Hora: 14:00
-
Mostrar Resumen
-
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
-
Fecha: 23-feb-2023
-
Hora: 14:00
-
Mostrar Resumen
-
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
-
Fecha: 16-feb-2023
-
Hora: 14:00
-
Mostrar Resumen
-
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.
|
