Introdução: A síndrome de Down (SD), trissomia do cromossomo 21, é uma condição genética que se caracteriza por um déficit cognitivo e atraso global do desenvolvimento. Dentre as habilidades que podem apresentar fragilidades, merecem destaque as alterações envolvendo a linguagem expressiva, com comprometimentos na fala. Essas alterações podem interferir no planejamento e na programação motora, caracterizando a ocorrência da apraxia de fala na infância, um distúrbio de origem neurológica, no qual a precisão e a consistência dos movimentos subjacentes à fala são prejudicadas na ausência de déficits neuromusculares. Objetivo: Apresentar a intervenção fonoaudiológica voltada à apraxia de fala em uma criança com SD. Método: O participante foi um menino com 07 anos de idade, diagnosticado com apraxia de fala associada à SD. A intervenção foi individualizada, baseada nos princípios do aprendizado motor e realizada durante 10 sessões, de 30 minutos cada. Na apresentação do caso, são abordados os dados da avaliação fonoaudiológica, os objetivos e procedimentos utilizados no planejamento terapêutico proposto. Resultados: Os dados coletados durante as sessões foram descritos e os efeitos da fonoterapia foram analisados. Os dados da reavaliação apontaram que os movimentos de praxias não verbais apresentaram melhores escores após a intervenção, sendo os resultados mais expressivos. Além disso, os resultados foram positivos quanto à estimulação para o desenvolvimento da fala, com os melhores resultados obtidos nos fonemas bilabiais /p, b e m/ e no fonema glotal /h/. Conclusão: A intervenção apresentou resultados satisfatórios, disponibilizando informações relevantes para uma melhor prática clínica na área.

Purpose: to investigate the profile of speech-language-hearing therapists from Northeastern Brazil assisting children presented with congenital Zika syndrome and their perception of these children’s orofacial myofunctional aspects and speech-language-hearing intervention procedures. Methods: a cross-sectional observational study with quantitative/qualitative analysis. The data collection instrument was an online questionnaire with 34 items on the speech-language-hearing therapists’ sociodemographic information and perception of the study topic. The sample comprised 23 speech-language-hearing therapists from the nine Northeastern states. Results: altogether, 96% of the sample were females. Most professionals had more than 3 years of experience with congenital Zika syndrome. Concerning stomatognathic system characterization, the professionals described a greater degree of change in aspects of orofacial muscle posture and mobility. Regarding oral functions, they perceived greater changes in speech and swallowing liquids and solid foods. There was a greater degree of change in masticating solids than in swallowing liquids. Conclusion: most speech-language-hearing therapists in the research had a specialization degree, especially in dysphagia and oral-motor control. Most of them had more than 3 years of experience following up with children with congenital Zika syndrome, which indicates a satisfactory time working with this population to help identify orofacial myofunctional changes in them. The professionals stated that orofacial muscle posture and mobility, speech, and swallowing liquids and solid foods were the most changed aspects.

Purpose: to describe feeding characteristics of children with microcephaly, encompassing the feeding route, food consistencies, and utensils used to feed them. Methods: a descriptive study approved by the Research Ethics Committee, including 34 caregivers of children diagnosed with microcephaly. They answered a structured interview on the children’s feeding route, breastfeeding, utensils used to feed them, and the food consistencies, besides sociodemographic and overall development data. Descriptive statistical analyses were performed, presenting absolute and percentage frequencies and measures of central tendency and dispersion. Results: the 34 caregivers in the sample were responsible for 34 children born between 2015 and 2018, diagnosed with microcephaly, due to various causes. Of these, 33 (97.02%) were on oral feeding in their first year of life - 26 (76.44%) on breastfeeding, nine of which (26.46%) exclusively so until 6 months old. The children were served food in baby bottles, cups, spoons, and syringes. Pureed food was the consistency most accepted by the children. Conclusions: there was a low prevalence of exclusive breastfeeding until they were 6 months old, delayed progress of consistencies, use of utensils inadequate to their age, and necessary adaptations to feed children, orally.

Bezerra et al. analyzed the relationship between microcephaly and social inequality indicators in the state of Paraíba between January 2015 and December 2016. New cases of microcephaly were reported in 74 municipalities. Zika Virus, water supply, and family income were associated variables and must be monitored by health professionals and authorities.

RESUMO:Realizar uma revisão integrativa acerca da apraxia da fala presente no processo de envelhecimento por meio de um resgate histórico relatado na literatura nos últimos 10 anos, por se tratar de uma temática de extrema relevância para o universo acadêmico. Para a elaboração da revisão contemplou-seas seguintes etapas: seleção do tema e dos descritores; definição das bases de dados; estabelecimento dos critérios para seleção da amostra; identificação do panorama geral do resultado da busca; análise e interpretação dos resultados. Foram pesquisadas as bases de dados da Biblioteca Virtual da Saúde/BVS incluindo a Medical LiteratureAnalysisandRetrieval System Online -MEDLINE, no mês de Março de 2017. Os textos analisados compreenderam aqueles publicados entre os anos de 2007 a 2017 (nos últimos dez anos). Após a leitura, quatro artigos atenderam oscritérios de inclusão, onde emergiram duas categorias empíricas: 1. Conceito e considerações acercada apraxia da fala;2. Apraxia da Fala resultante das patologias da Senescência: Aspectos Linguísticos. Os artigos analisados mostraram que a apraxia da fala possui características únicas que a diferenciam de qualquer outro distúrbio de comunicação, sendo necessário uma avaliação detalhada e intervenção adequada para um melhor prognóstico.Os artigosdemonstraram a relação da Apraxia da fala no idoso como sintomae seu impacto no diagnóstico e na localização da lesão cerebral, e especificaram ainda mudanças nos aspectos linguísticos dos idosos. PALAVRAS-CHAVE:Apraxias. Fala.Idoso. ABSTRACT:To perform an integrative review about the apraxia of speech present in the aging process by a historical retrieval reported in the literature in the last 10 years, because it is a topic of extreme relevance for the academic universe. For the preparation of the review the following steps were considered: selection of theme and descriptors; databases definition; criteria establishment for sample selection; overview identification of the search result; analysis and results interpretation. The databases of the Health Virtual Library, including Medical Literature Analysis and Retrieval System Online -MEDLINE were searched. It was conducted in March 2017. The texts published between the years 2007 to 2017 (last ten years) were analyzed. After reading, five articles attended the inclusion criteria. Two empirical categories emerged: 1. Concept and considerations about speech apraxia; 2. Speech apraxia in Senescence pathologies: Linguistic Aspects. The articles were analyzed and showed that apraxia of speech has characteristics that differentiate it from any othercommunication disorder. It needs a detailed evaluation for an adequate intervention for and better prognosis The articles demonstrated the relationship between speech apraxia in the elderly as a symptom and its impact on the diagnosis and location of the brain lesion, and also demonstrated changes in the linguistic aspects of the elderly.