Fisiologia do exercício fonoaudiológico: uma revisão crítica da literatura

Ferreira, Tainá Soares; Mangilli, Laura Davison; Sassi, Fernanda Chiarion; Fortunato-Tavares, Talita; Limongi, Suelly Cecília Olivan; Andrade, Cláudia Regina Furquim de

doi:10.1590/s2179-64912011000300017

Cited by 11 publications

(12 citation statements)

References 42 publications

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“…In a critical review of the literature, there was a shortage of in-depth studies on the effects of orofacial myofunctional exercises on the muscles on an individual basis, without scientific evidence to support the frequency and amount for the implementation of these (10) . Improved mobility and tone of the orofacial and pharyngeal muscles after orofacial myofunctional therapy, in this case, is in accordance with the results obtained in patients with OSAS (4) .…”

Section: Discussionmentioning

confidence: 99%

Terapia miofuncional orofacial aplicada à Síndrome do aumento da resistência das vias aéreas superiores: caso clínico

Corrêa

Berretin-Felix

2015

CoDAS

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RESUMO A literatura contempla publicações sobre o tratamento de pacientes com Síndrome da Apneia Obstrutiva do Sono (SAOS) por meio da terapia miofuncional orofacial, porém não há relatos dessa abordagem para pacientes com Síndrome do Aumento da Resistência das Vias Aéreas Superiores (SARVAS). O objetivo deste trabalho foi verificar o efeito da terapia miofuncional orofacial em um caso de SARVAS em relação aos aspectos morfofuncionais do sistema estomatognático, dados antropométricos e qualidade do sono. O paciente, 61 anos, com o diagnóstico de SARVAS, foi submetido durante três meses a 12 sessões semanais de terapia miofuncional orofacial, com exercícios voltados aos músculos supra-hióideos, da língua e do palato mole. Realizaram-se avaliações antes do início do processo terapêutico e logo após o término, bem como em um, dois, quatro e dez meses após o tratamento, considerando: tonicidade e mobilidade da musculatura supra-hióidea, da língua e do palato mole; grau de Mallampati Modificado; circunferência cervical; Índice de Massa Corpórea e parâmetros de qualidade do sono. Após o processo terapêutico, observou-se diminuição dos escores relacionados à tonicidade do assoalho da boca, mobilidade e tonicidade da língua e do palato mole. O grau de Mallampati foi IV na avaliação inicial e III nas avaliações posteriores. Houve a redução de 2 cm na circunferência cervical e o IMC manteve-se semelhante nos diferentes momentos avaliados. Na análise dos três parâmetros de qualidade do sono, foi obtida melhora em todas as avaliações subsequentes à alta. Portanto, o efeito da terapia miofuncional orofacial em um caso de SARVAS foi positivo para todos os parâmetros avaliados.

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Section: Discussionmentioning

confidence: 99%

Terapia miofuncional orofacial aplicada à Síndrome do aumento da resistência das vias aéreas superiores: caso clínico

Corrêa

Berretin-Felix

2015

CoDAS

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“…Peripheral orofacial sensory inputs can alter the excitability of the inferior facial motor neurons and can contribute to movement control. When applying training exercises/muscle maneuvers, it is important to know that modifications in strength are generally the result of modifications in how the nervous system activates the muscle rather than structural alterations in the muscle itself (24,25). The current evidence suggests that the neuromotor system can suffer modifications due to experiences and that restructuring can either occur at the central or peripheral level (24).…”

Section: Discussionmentioning

confidence: 99%

Adolescents with HIV and facial lipoatrophy: response to facial stimulation

Gabana-Silveira¹,

Mangilli²,

Sassi³

et al. 2014

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OBJECTIVES:This study evaluated the effects of facial stimulation over the superficial muscles of the face in individuals with facial lipoatrophy associated with human immunodeficiency virus (HIV) and with no indication for treatment with polymethyl methacrylate.METHOD:The study sample comprised four adolescents of both genders ranging from 13 to 17 years in age. To participate in the study, the participants had to score six or less points on the Facial Lipoatrophy Index. The facial stimulation program used in our study consisted of 12 weekly 30-minute sessions during which individuals received therapy. The therapy consisted of intra- and extra-oral muscle contraction and stretching maneuvers of the zygomaticus major and minor and the masseter muscles. Pre- and post-treatment results were obtained using anthropometric static measurements of the face and the Facial Lipoatrophy Index.RESULTS:The results suggest that the therapeutic program effectively improved the volume of the buccinators. No significant differences were observed for the measurements of the medial portion of the face, the lateral portion of the face, the volume of the masseter muscle, or Facial Lipoatrophy Index scores.CONCLUSION:The results of our study suggest that facial maneuvers applied to the superficial muscles of the face of adolescents with facial lipoatrophy associated with HIV improved the facial area volume related to the buccinators muscles. We believe that our results will encourage future research with HIV patients, especially for patients who do not have the possibility of receiving an alternative aesthetic treatment.

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“…This intervention covers from the aspect of patient awareness to the rehabilitation of the changed aspects in structural and functional terms. Therefore, among the methods used are isometric and isotonic speech exercises (1) , and defining the appropriate means of performing these exercises is key to achieving the treatment's goal (2) . When it comes to rehabilitation in mouth-breathing and the various changes due to this pathology, the choice of appropriate exercise becomes even more important (3,4) .…”

Section: Introductionmentioning

confidence: 99%

“…Thus, it is fundamental to understand how the mouth-breathing individual responds to exercises. In this context, there are not only individual strategies, as some authors recommend (2) , but also standardized strategies through instruments that can be bought, such the lip dumbbells and the exerciser. These devices act on the orbicularis oris muscles of the mouth, aiming at its toning and strengthening (7) .…”

Section: Introductionmentioning

confidence: 99%

“…These devices act on the orbicularis oris muscles of the mouth, aiming at its toning and strengthening (7) . However, in literature, little information is available on the prescription of muscle exercises (1) or on the response shown by patients to therapeutic approaches, especially with regard to muscle condition (2,8) . One good example can be found in the recommended time for each exercise, which ranges between 10 seconds (1) , 15-20 seconds (9) , or even 30 seconds of static muscle contractions (7) .…”

Section: Introductionmentioning

confidence: 99%

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Electromyographic fatigue of orbicular oris muscles during exercises in mouth and nasal breathing children

Busanello-Stella

Blanco-Dutra

Corrêa

et al. 2015

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DescritoresElectromyographic fatigue of orbicular oris muscles during exercises in mouth and nasal breathing children Fadiga eletromiográfica dos músculos orbiculares da boca durante exercícios em crianças respiradoras orais e nasais ABSTRACT Purpose: To investigate the process of fatigue in orbicularis oris muscles by analyzing the median frequency of electromyographic signal and the referred fatigue time, according to the breathing mode and the facial pattern. Methods: The participants were 70 children, aged 6 to 12 years, who matched the established criteria.To be classified as 36 nasal-breathing and 34 mouth-breathing children, they underwent speech-language, otorhinolaryngologic, and cephalometric evaluation. For the electromyographic assessment, the children had to sustain lip dumbbells weighing 40, 60, and 100 g and a lip exerciser, until the feeling of fatigue. Houve decréscimo significativo da frequência mediana a partir dos cinco segundos de atividade, independentemente da comparação entre os grupos. Quando realizada essa comparação, os músculos não demonstraram decréscimo significativo; o tempo relatado para a sensação de fadiga foi menor nos respiradores orais. Essa sensação ocorreu após a significância do decréscimo da frequência mediana. Conclusão: Houve sinais indicativos de fadiga mioelétrica para os músculos orbiculares da boca, nos grupos analisados, já a partir dos cinco segundos de atividade. A fadiga mioelétrica nos músculos orbiculares da boca precedeu a sensação de fadiga relatada em todos os grupos. O relato do tempo de fadiga sofreu influência apenas do modo respiratório, ocorrendo mais precocemente nas crianças respiradoras orais.

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Fisiologia do exercício fonoaudiológico: uma revisão crítica da literatura

Cited by 11 publications

References 42 publications

Terapia miofuncional orofacial aplicada à Síndrome do aumento da resistência das vias aéreas superiores: caso clínico

Terapia miofuncional orofacial aplicada à Síndrome do aumento da resistência das vias aéreas superiores: caso clínico

Adolescents with HIV and facial lipoatrophy: response to facial stimulation

Electromyographic fatigue of orbicular oris muscles during exercises in mouth and nasal breathing children

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