Produção Nacional
Revisado por pares
Evaluation of oral-motor movements and speech in patients with tetanus of a public service in Brazil
2010; Wiley; Volume: 38; Issue: 8 Linguagem: Inglês
10.1111/j.1365-2842.2010.02185.x
ISSN1365-2842
AutoresLaura Davison Mangilli, Fernanda Chiarion Sassi, Alfredo Luiz Jácomo, Cláudia Regina Furquim de Andrade,
Tópico(s)Diphtheria, Corynebacterium, and Tetanus
ResumoJournal of Oral RehabilitationVolume 38, Issue 8 p. 564-570 Evaluation of oral-motor movements and speech in patients with tetanus of a public service in Brazil L. D. MANGILLI, L. D. MANGILLI Departments of Physiotherapy, Speech Language and Hearing Sciences, and Occupational TherapySearch for more papers by this authorF. C. SASSI, F. C. SASSI Departments of Physiotherapy, Speech Language and Hearing Sciences, and Occupational TherapySearch for more papers by this authorA. JACOMO, A. JACOMO Surgery, School of Medicine, University of São Paulo, São Paulo, BrazilSearch for more papers by this authorC. R. F. De ANDRADE, C. R. F. De ANDRADE Departments of Physiotherapy, Speech Language and Hearing Sciences, and Occupational TherapySearch for more papers by this author L. D. MANGILLI, L. D. MANGILLI Departments of Physiotherapy, Speech Language and Hearing Sciences, and Occupational TherapySearch for more papers by this authorF. C. SASSI, F. C. SASSI Departments of Physiotherapy, Speech Language and Hearing Sciences, and Occupational TherapySearch for more papers by this authorA. JACOMO, A. JACOMO Surgery, School of Medicine, University of São Paulo, São Paulo, BrazilSearch for more papers by this authorC. R. F. De ANDRADE, C. R. F. De ANDRADE Departments of Physiotherapy, Speech Language and Hearing Sciences, and Occupational TherapySearch for more papers by this author First published: 13 December 2010 https://doi.org/10.1111/j.1365-2842.2010.02185.xCitations: 3 Claudia Regina Furquim de Andrade, Rua Cipotania, 51, Campus Cidade Universitária, CEP 05360-160, São Paulo, SP, Brazil. E-mail: [email protected] Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Summary The characterisation of oral-motor movements and speech of patients with tetanus were investigated to determine the existence of possible signs that are characteristic of this pathology. Thirteen patients clinically diagnosed with tetanus (10 with severe tetanus and three with very severe tetanus) and admitted to an intensive care unit underwent clinical evaluation of oral-motor movements and speech. Statistical analysis indicated significant between-group differences for speech motor functions, suggesting that individuals with very severe tetanus present rigidity as a characteristic interfering in articulatory precision (P = 0·035) and movement rate (P = 0·038). For lip closure, tongue movement, palatal elevation, gag reflex and voice quality, no between-group differences were identified for the specific abnormal characteristics. The observed abnormal results indicate that muscle strength and functional status of the oral-motor system presented by most of the participants of the study did not ensure the necessary integrity for satisfactory performance. The characterisation of the oral myofunctional aspects of patients with tetanus provides medical teams, patients and families with a wider and better description of the clinical situation, giving support to the diagnosis, prognostics and treatment. References 1 Bleck TP. Tetanus. In: M Scheldw, RJ Whitky, DT Durack, editors. Infections of the central nervous system. New York: Raven Pres Ltd, 1991: 603–624. 2 Bleck T. Clostridium tetani. In: GL Mandell, RG Douglas, JE Bennett, editors. Principles and Practise of Infectious Disease, 4th edn. Edinburgh: Churchill Livingstone, 1995: 2173–2178. 3 Stubbel M, Mortelmans LJM, Desruelles D, Swinnen R, Vranckx M, Brasseur E et al. Improving tetanus prophylaxis in the emergency department: a prospective, Double-blind cost-effectiveness study. Emerg Med J. 2007; 24: 648–653. 4 Idema CD, Harris BN, Ogunbanjo GA, Dürrheim DN. Neonatal tetanus elimination in Mpumalanga Province, South Africa. Trop Med Int Health. 2002; 7: 622–624. 5 Shin DH, Park JH, Jung PJ, Lee SR, Shin JH, Kim SJ. A case of maternal tetanus in Korea. J Korean Med Sci. 2002; 17: 260–262. 6 Dundar V, Yumuk Z, Ozturk-Dundar D, Erdogan S, Gacar G. Prevalence of tetanus Immunity in the Kocaeli Region, Turkey. Jpn J Infect Dis. 2005; 58: 279–282. 7 Veronese R, Focaccia R, Tavares W, Mazza CC. Tétano. In: R Veronesi, ed. Doenças Infecciosas e parasitárias, 8th edn. São Paulo: Guanabara Koogan, 1991: 447–466. 8 Tapajós R. Tétano. In: A Neto-Reá, AL Tesser, EX Silva-Sobrinho, eds. Medicina de Emergência e Medicina Intensiva. São Paulo: Know Med; 1996. 9 Solsona M, Miró G, Yébenes JC, Balanzó X, Almirall J, Mauri YM. Tétanos tratado con perfusion continua de baclofeno intratecal. Med Intensiva. 2007; 31: 204–206. 10 Hammond CAS, Goldstein LB. Cough and aspiration of food and liquids due to oral-pharyngeal dysphagia – ACCP Evidence-Based Clinical Practice Guidelines. Chest. 2006; 129: 154–168. 11 de Felício CM, Ferreira CLP. Protocol of orofacial myofunctional evaluation with scores. Int J Pediatr Otorhinolaryngol. 2008; 72: 367–375. 12 Perry L, Love CP. Screening for dysphagia and aspiration in Acute Stroke: a systematic review. Dysphagia. 2001; 16: 7–18. 13 Finestone HM, Greene-Finestone LS. Rehabilitation medicine: 2. Diagnosis of dysphagia and its nutritional management for stroke patients. CMAJ. 2003; 169: 1041–1044. 14 Logemann JA, Veis S, Colangelo L. A screening procedure for oropharyngeal dysphagia. Dysphagia. 1999; 14: 44–51. 15 Marik PE, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest. 2003; 124: 328–336. 16 Hinds NP, Wiles CM. Assessment of swallowing and referral to speech and language therapists in acute stroke. Q J Med. 1998; 91: 829–835. 17 American Speech-Language-Hearing Association. Model Medical Review Guidelines for Dysphagia Services 2004. ASHA, 2004. Available from: http://www.asha.org/uploadedFiles/practice/reimbursement/medicare/DynCorpDysphHCE.pdf. 18 Ott DJ. Observer variation in evaluation of videofluoroscopic swallowing studies: a continuing problem. Dysphagia. 1998; 13: 148–150. 19 Hinchey JA, Shepard T, Furie K, Smith D, Wang D, Tonn S. Formal Dysphagia Screening Protocols Prevent Pneumonia. Stroke. 2005; 36: 1972–1976. 20 Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12: 189–198. 21 Nishiwaki K, Tsuji T, Liu M, Hase K, Tanaka N, Fujiwara T. Identification of a simple screening tool for dysphagia in patients with stroke using factor analysis of multiple dysphagia variables. J Rehabil Med. 2005; 37: 247–251. 22 Logemann JA. Evaluation and treatment of swallowing disorders. Austin – Texas: Proed, 1983. 23 Davies AE, Kidd D, Stone SP, MacMahon J. Pharyngeal sensation and gag reflex in healthy subjects. Lancet. 1995; 345: 487–488. 24 Selley WG, Hon FDS. A Comment on "Videofluoroscopic Evaluation of Aspiration with Visual Examination of the Gag Reflex and Velar Movement". Dysphagia. 1998; 13: 228–229. 25 Mangilli LD, Sassi FC, Santos SS, Andrade CRF de. Oral sensorimotor function for feeding in patients with tetanus. Acta Trop. 2009, doi: 10.1016/j.actatropica.2009.05.015 Citing Literature Volume38, Issue8August 2011Pages 564-570 ReferencesRelatedInformation
Referência(s)