Correlação entre a lesão encefálica e a disfagia em pacientes adultos com acidente vascular encefálico

Nunes, Maria Cristina de Alencar

doi:10.1590/s1516-80342012000100022

Cited by 2 publications

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“…This high percentage is explained by the prevalence of risk factors that can lead to blood vessel obstruction, causing this kind of stroke (21) . One study reported that, from the 30 individuals evaluated, 18 presented ischemic stroke, 2 presented hemorrhagic stroke, and 10 had transitory stroke (22) . Previous studies do not show a relationship between ischemic stroke and dysphagia, describing only suggestive findings of OD after neurological impairment (16,18) .…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies do not show a relationship between ischemic stroke and dysphagia, describing only suggestive findings of OD after neurological impairment (16,18) . However, several studies have indicated that this type of stroke is the most prevalent in the affected population (19,(22)(23)(24) . Similarly, this was also observed in our study with varying degrees of swallowing impairment.…”

Section: Discussionmentioning

confidence: 99%

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Association between neurological injury and the severity of oropharyngeal dysphagia after stroke

Otto

Ribeiro

Barea

et al. 2016

CoDAS

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Purpose: To associate the degree of biomechanical impairment in the swallowing process with the severity (National Institute of Health Stroke Scale -NIHSS) and type of neurological injury in patients post stroke. Methods: A cross-sectional, descriptive study conducted with 42 patients (22 females), aged 65.7 years on average diagnosed with stroke. All patients underwent clinical neurological evaluation and application of the NIHSS in the first 48 hours after stroke. The swallowing function was evaluated using the Functional Oral Intake Scale (FOIS) and the Protocol for the Investigation of Oropharyngeal Dysphagia in Adults. The Fisher's Exact Probability Test was used to assess the correlation between the degree of swallowing impairment and the severity (NIHSS score) and type of stroke. The study results were statistically analyzed at 5% significance level (p≤0.05). Results: 92.9% of the patients presented ischemic stroke; 59.5% presented impairment of the anterior cerebral circulation. Statistically significant correlation was found between the neurological scale (NIHSS) scores and the swallowing impairment scale (p=0.016). Conclusion: An association between stroke severity and oropharyngeal dysphagia severity was observed. A high proportion of patients with ischemic stroke with circulation affected in the anterior cerebral region presented severe oropharyngeal dysphagia. No statistically significant correlation was observed between the FOIS scale and stroke severity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association between neurological injury and the severity of oropharyngeal dysphagia after stroke

Otto

Ribeiro

Barea

et al. 2016

CoDAS

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“…Estudo recente avaliou a voz, por meio da avaliação perceptivo-auditiva, de 10 idosos acometidos por AVC, e verificou a presença predominante das características vocais de rugosidade, soprosidade, instabilidade e pastosidade, além de alteração no controle motor laríngeo, constatado pela velocidade reduzida de fala [16]. Tais características assemelham-se às encontradas no caso presente, também tendo apresentado melhora após o processo terapêutico.…”

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Intervenção fonoaudiológica e fisioterapêutica em uma mulher após acidente vascular cerebral isquêmico

Rosa

Hoffmann

Bastilha

et al. 2015

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. RESUMOObjetivos: Relatar um caso em que houve intervenção conjunta entre fonoaudiólogo e fisioterapeuta na reabilitação de uma paciente com acidente vascular cerebral isquêmico. Descrição do caso: Paciente de 48 anos de idade, sexo feminino, acometida por acidente vascular cerebral do tipo isquêmico, há sete meses. Apresentou-se com disartrofonia e alterações do sistema estomatognático e sua funcionalidade, comprometimento sensorial, parestesia da mão direita, diminuição da coordenação motora grossa e fina em ambos os membros superiores, dificuldade na preensão palmar e fraqueza da musculatura intrínseca da mão direita, diminuição da consciência corporal e da propriocepção. Foi submetida a 12 sessões com a periodicidade de uma vez por semana de tratamento fonoterápico e fisioterapêutico. Após as intervenções a paciente apresentou aumento dos tempos máximos de fonação; melhora da coordenação pneumofonoarticulatória, da qualidade vocal e do foco de ressonância vertical; adequação e modulação da loudness; modulação do pitch; melhora da coordenação motora grossa e fina, da sensibilidade tátil e dolorosa, da oposição dos dedos, da preensão palmar, da consciência corporal, da propriocepção e da postura corporal global; e aumento da força muscular dos membros superiores. Conclusões: A intervenção interdisciplinar da fonoaudiologia e fisioterapia proporcionou benefícios à paciente acometida por acidente vascular cerebral isquêmico, sendo que a mesma voltou a exercer sua atividade profissional e suas atividades de vida diária com efetividade e melhorou a comunicação com seus familiares.DESCRITORES: voz; fonoaudiologia; fisioterapia; reabilitação; acidente vascular cerebral. ABSTRACT Aims:To report a case of joint intervention between speech therapist and physiotherapist in the rehabilitation of a patient with ischemic stroke. Case report: A 48-year-old female was affected by stroke of ischemic type seven months ago. The patient presented with dysarthrophonia and alterations of the stomatognathic system and its functionality, sensory impairment, right hand numbness, decreased gross and fine motor coordination of both upper limbs, difficulty in grip and weakness of the intrinsic muscles of the right hand, decreased proprioception and body awareness. She underwent 12 sessions of speech therapy and physical therapy with once a week frequency. After the sessions the patient showed increase of the maximum phonation time, improved pneumophonoarticulatory coordination, as well as improving in vocal quality and focus of vertical resonance; adequacy and modulation of loudness; pitch modulation; improved gross and fine motor coordination, tactile and pain sensitivity, opposition of the fingers, hand grip, body awareness, proprioception and overall body posture; and increased muscle strength of the upper l...

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Correlação entre a lesão encefálica e a disfagia em pacientes adultos com acidente vascular encefálico

Cited by 2 publications

References 0 publications

Association between neurological injury and the severity of oropharyngeal dysphagia after stroke

Association between neurological injury and the severity of oropharyngeal dysphagia after stroke

Intervenção fonoaudiológica e fisioterapêutica em uma mulher após acidente vascular cerebral isquêmico

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