Browsing by Author "Santos, Rosane Sampaio"
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- Accuracy of acoustic evaluation of swallowing as a diagnostic method of dysphagia in individuals affected by stroke: preliminary analysisPublication . Enz, Vivian; Vaz, Amanda; Nunes, Maria Cristina; Rosa, Marcelo; Nunes, Janaína; Marques, Jair; Santos, Rosane SampaioAfter a stroke, more than half of the patients have some kind of disability, and dysphagia is frequently found. Cervical auscultation by Doppler sonar is an innovative technique with gain of credibility in the clinical evaluation of swallowing. To verify the diagnostic accuracy of Doppler sonar along with the DeglutiSom® software as an auxiliary method in the evaluation of oropharyngeal dysphagia in patients after stroke. The research is a cross-sectional, uncontrolled, blind, quantitative study with systematic random sampling. Patients from inpatient and outpatient units of a reference hospital with a stroke care unit were concomitantly submitted to both Doppler sonar and Fiberoptic Endoscopic Evaluation of Swallowing (FEES®). Seventy-three audio files collected from 26 patients through Doppler sonar were analyzed using DeglutiSom® software and confronted with the FEES® report, regarding three food consistencies offered to them during the exam. The study showed that the Doppler sonar correctly identified, among all the analyzed files, those that actually presented tracheal aspiration as well as it effectively identified patients who did not aspirate. The Youden index of 0.91 corroborates this information, showing a promising accuracy in detecting tracheal aspiration in the studied sample. The study evaluates the diagnostic accuracy of Doppler sonar, showing that it can be used as a valuable tool in the diagnosis of tracheal aspiration in patients after stroke. It is important to emphasize that the identification of residue by this method requires further studies. Also, larger sample size and more than one blind evaluator should be considered in future researches to increase the reliability of the proposed method.
- Acoustic analysis of swallowing as an auxiliary method for assessing dysphagia in Parkinson's diseasePublication . Silva, Glauce; Figueiredo, Ana Clara; Zeigelboim, Bianca; Araújo, Cristiano; Neto, José; Santos, Rosane SampaioObjective: To measure the accuracy of DeglutiSom as an auxiliary method to assess swallowing in patients with Parkinson's disease (PD). Methodology: Accuracy study. Among 248 individuals, 91 participants met the inclusion criteria, with a mean age of 64.9 years (SD 7.7), 53.8% male and 46.2% female, with a mean disease duration of 12.6 years (SD 3.8 years). Two instrumental studies were performed: An acoustic analysis with Sonar Doppler via the DeglutiSom Software, and a videofluoroscopic swallow study. Three judges analyzed the swallowing sounds in the DeglutiSom software and the instrumental examination findings. Results: The inter-rater reliability was 90.1%, with 4.4% degree of partial agreement and 5.5% disagreement. Sensitivity resulted in 90.0% and specificity in 90.0%. A sensitivity of 97.0% and specificity of 91.0% are indicators of a high validity for the dysphagia screening method, with predictive value (+) of 97.0% and predictive value (-) of 91.0%, with an accuracy method of 96.0%. The validity indicator values for screening aspiration were also high, with a sensitivity of 90.0%, specificity of 90.0%, predictive value (+) of 82.0%, predictive value (-) of 95% , 0% and 90.0% accuracy. Conclusion: The method proposed is considered appropriate for oropharyngeal dysphagia and tracheal aspiration screening in patients with Parkinson's Disease.
- Balance rehabilitation with a virtual reality protocol for patients with hereditary spastic paraplegia: protocol for a clinical trialPublication . Zeigelboim, Bianca; José, Maria Renata; Santos, Geslaine; Severiano, Maria Izabel; Teive, Hélio; Neto, José; Santos, Rosane Sampaio; Araujo, Cristiano; Cavalcante-Leão, Bianca
- Effect and longevity of botulinum toxin in the treatment of gummy smile: a meta-analysis and meta-regressionPublication . Zengiski, Aline; Basso, Isabela; Cavalcante-Leão, Bianca; Neto, José; Santos, Rosane Sampaio; Guariza‑Filho, Odilon; Zeigelboim, Bianca; Taveira, Karinna; Araujo, CristianoObjective: The aim of this systematic review is to synthesize the evidence on the effectiveness and longevity of the botulinum toxin in the treatment of individuals with excessive gingival exposure. Methods: The search was adapted to six electronic databases and gray literature. The risk of bias was assessed using the Cochrane Risk of Bias Assessment Tool for Non-Randomized and Randomized Studies of Interventions. Meta-analyses and meta-regression were performed using random effects models. Results: A total of 5247 articles were collected during the final search in the database, resulting in 17 articles included. There was a mean decrease of 3.42 mm [95% CI = −4.50 to −2.34; I2 = 97%] in the level of gingival exposure 2 weeks after the application of botulinum toxin. The application time explained 29.58% of the observed variance (p < 0.001), with a tendency for the effect size to decrease from the second week of application onwards, with values returning close to baseline levels in 24 weeks. Conclusion: Botulinum toxin is an alternative technique considered effective for reducing gummy smile, especially for gummy smiles up to 4 mm, with a longevity of at least 12 weeks, returning close to initial values within 24 weeks after application. Clinical relevance: The knowledge about the longevity and effectiveness of botulinum toxin in the treatment of gummy smile allows for a more adequate clinical planning for these cases, as well as for clinical decisions, as for prognostic factors.
- Effect of respiratory therapy on patients with sleep bruxism and associated respiratory events: study protocol for a randomized controlled clinical trial.Publication . Cavalcante-Leão, Bianca; Neto, José; Ravazzi, Glória; Fischer, Anne; Abdula, Yasmin; Cruz, Miguel; Santos, Rosane Sampaio; Zeigelboim, BiancaAim: The aim of this study will be to perform respiratory physiotherapy on patients with sleep bruxism and associated respiratory events (apnea and hypopnea). Methodology: The study will be a randomized, controlled, doubleblind, clinical trial with a sample of individuals with sleep bruxism and associated respiratory events. Respiratory (inspiratory and/or expiratory) physiotherapy will be performed using the THRESHOLD IMT and PEP and the results will be compared to a placebo group. Discussion: Regarding respiratory events, there is a broad variety of possible treatments for sleep apnea depending on the physiopathology, severity and patient preference, with CPAP considered the gold standard. However, data on CPAP are inconsistent, with adherence to therapy reported to be between 45 and 89%. Thus, other forms of treatment are proposed, including respiratory training. Understanding obstructive sleep apnea syndrome as the loss of the dilation strength of the pharynx and the inability to maintain the path open for air, respiratory muscle training could assist in increasing dilation strength, enabling the passage of air during sleep. Taking into consideration that sleep bruxism may be associated with events of apnea and hypopnea, the intervention to treat obstructive respiratory events related to sleep may have a positive impact on events related to sleep bruxism (rhythmic activity of the masticatory muscles). To determine this, we will measure the apnea/hypopnea index (AHI) and number of contractions of the masseter muscle (characteristic of the activity of bruxism) before and after the intervention using polysomnography.
- Effects of respiratory training on obstructive sleep apnea: systematic review and meta-analysisPublication . Cavalcante-Leão, Bianca; Araujo, Cristiano; Ravazzi, Glória; Basso, Isabela; Guariza‑Filho, Odilon; Taveira, Karinna; Santos, Rosane Sampaio; Neto, José; Zeigelboim, BiancaPurpose: This systematic review sought to answer the following focused question: “What are the effects of respiratory training devices on obstructive sleep apnea (OSA) outcomes in adults?” Methods: The acronym “PICOS” was used to determine eligibility criteria, which consists of (P population) = adults with mild to moderate OSA, (I intervention) = spirometry devices or breathing exercises, (C comparison) = compared to no breathing exercises in adults (> 18 years) with mild to moderate OSA, (O outcomes) = improved sleep quality (sleep quality indexes) and improved apnea-hypopnea indexes (AHI), (S study types) = randomized, pseudo-randomized, and nonrandomized clinical trials. The search was performed in the following databases: PubMed/Medline, LILACS, Scopus, Web of Science, Scopus, and Cochrane Library, in addition to gray literature through Google Scholar, Proquest, and Open Grey. The risk of bias was assessed using the Cochrane Collaboration tool. The certainty of the evidence was assessed using the GRADE tool. Meta-analyses of random effects were performed for the outcomes of interest. Results: A total of 1171 references were found. Applying the eligibility criteria, six studies were included in qualitative synthesis. Expiratory exercises showed a decrease in the apnea–hypopnea index (AHI) when compared to baseline (MD = − 8.4; 95% CI = − 12.4 to − 4.4; I2 = 19%). There was a decrease in values compared to baseline (MD = − 4.4; 95% CI = − 8.2 to − 0.6; I2 = 0%) for the Epworth Sleepiness Scale (ESS), when considering the inspiratory exercises. Both groups of breathing exercises showed a significant decrease in the mean index assessed by the Pittsburgh Sleep Quality Index (PSQI). Conclusion: Results of this meta-analysis suggests that breathing exercises lead to a measurable improvement in AHI for patients with mild to moderate OSA, as well as an improvement in sleep quality and daytime sleepiness.
- Evaluation of swallowing pattern sound in patients with temporomandibular disorderPublication . Castilho, Katiane; Cavalcante-Leão, Bianca; Figueiredo, Ana Clara; Ravazzi, Gloria; Zeigelboim, Bianca; Hummig, Wagner; Santos, Rosane Sampaio; Neto, JoséObjectives: The impairment of the temporomandibular joint and masticatory muscles has a negative impact on functions of the stomatognathic system, such as swallowing. Thus, an atypical swallowing pattern may contribute to the development of temporomandibular disorder (TMD). The aim of the present study was to evaluate acoustic aspects of swallowing and determine the occurrence of atypical swallowing dynamics. Methods: Sixty-two individuals [16 males (25.8%) and 46 females (74.2%); mean age 39.84 (± 9.40); 47 with TMD and 15 without TMD] were evaluated using an ultrasound detector during the swallowing of three consistencies: liquid, pasty and solid. The acoustic signals were recorded and subsequently analyzed using the DeglutiSom® software. Results: The majority of the sample (81%) with TMD presented atypical swallowing biodynamics, with a significantly greater frequency of food residuals for the three consistencies. The signal suggestive of aspiration was more frequent with the liquid consistency (37% of the group). Conclusion: There is a relation between TMD and an atypical swallowing pattern, which underscores the need for the multidisciplinary evaluation of individuals with this disorder.
- O impacto intrafamiliar do diagnóstico da síndrome de Down: uma revisão integrativaPublication . Lima Filho, João; Guarinello, Ana Cristina; Ribas, Tânia; Paisca, Adriele Barbosa; Gonçalves, Flávio; Santos, Rosane SampaioO objetivo deste estudo é analisar, por meio de uma revisão de literatura, o que tem sido abordado acerca do impacto do diagnóstico de SD em famílias, por pesquisadores da área da saúde. Trata-se de um estudo de revisão integrativa de artigos publicados em periódicos, que apresentaram como conteúdo principal o impacto do diagnóstico de Síndrome de Down em famílias. Foram incluídos artigos publicados entre janeiro de 2000 e novembro de 2020, em inglês, português e espanhol nos bancos de dados eletrônicos pesquisados: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), PubMed, Psycoinfo. Além dessas três bases de dados, também foi realizada busca de artigos na área cinzenta, por meio do Google Scholar. Foram incluídos oito estudos para análise, os quais relatavam sobre os impactos do diagnóstico da SD na família ou em integrantes desta família, sobretudo, pais e mães. Pôde-se constatar que, pesquisas que discorrem sobre o impacto da Síndrome de Down em famílias, de acordo com bases eletrônicas consultadas ainda são poucos, tendo como abordagem em sua maioria, os aspectos orgânicos resultantes da síndrome, distanciando-se das questões singulares de cada um que possui SD. Nota-se, além disso, um restrito número de trabalhos vinculados à uma perspectiva sócio-histórica, que considera a dialogia como fundamental para o processo de apropriação da linguagem de cada sujeito. Este trabalho de revisão de literatura, também, aponta que grande parte dos participantes dos estudos, ou seja, familiares de crianças com SD, sofrem impactos intrafamiliares intensos a partir do diagnóstico, derivados de um forte estigma social repleto de discursos enraizados sobre a SD, que interferem negativamente na relação que estabelecem com suas crianças.
- Prevalence of orofacial pain in adults with cleft lip/palatePublication . Ravazzi, Gloria; Santos, Rosane Sampaio; Cavalcante-Leão, Bianca; Tonocchi, Rita de Cassia; Guariza-Filho, Odilon; Neto, JoséObjective: Functional disorders in individuals with cleft lip and palate (CL/P) can compromise structures of the stomatognathic system, which is one of the causes of orofacial pain in this group of patients. Numerous mechanisms of orofacial pain, particularly painful temporomandibular disorders (TMD-P), may be related to these conditions and have the potential to be the cause of diffuse. So, the objective of research wasdetermine the prevalence of orofacial pain using validated instruments on individuals with CL/P. Materials and Methods: a observational study was conducted with an intentional random sample of patients with CL/P (n = 80). Two questionnaires were administered: a screening scale for painful TMD (AAOP) and the Graded Chronic Pain Scale (GCPS). Results: In the AAOP screening questionnaire, 75% of individuals with CL / P answered affirmatively to at least one question. The most significant questions were those related to noise (p = 0.007), mandibular movement (p = 0.032) and orofacial pain region (p = 0.044) demonstrated the importance of investigating TMD-P. Regarding the impact of chronic pain in relation to activities of daily living (GCPS), although no significant, it showed that for most individuals with CL / P, it has a low disability, regardless of its intensity (low / high), being more prevalent in older individuals (p = 0.013). Conclusions: the investigation of orofacial pain should be part of the routine at services that work with CL/P patients and should be counseled to seek help for such pain, which can affect their daily living.
- Psychosocial changes in patients submitted to orthodontic surgery treatment: a systematic review and meta‑analysisPublication . Basso, Isabela; Gonçalves, Flavio; Martins, Agnes; Schroder, Angela; Taveira, Karinna; Neto, José; Santos, Rosane Sampaio; Guariza‑Filho, Odilon; Araujo, CristianoObjective: This systematic review aims to answer the following question: What is the psychological impact of orthognathic surgery on patients with dentofacial deformities undergoing orthodontic-surgical treatment? Material and methods: The search was adapted for each of the following databases: American and Caribbean Center on Health Sciences (LILACS), Cochrane Library, Embase, Psychinfo, PubMed/Medline, Scopus and Web of Science, and gray literature using Google Scholar, OpenGrey, and ProQuest. The risk of bias was assessed using the Joanna Briggs Institute Critical Assessment Checklist. This study performed estimates of interest, random-effects meta-analyses, and calculated heterogeneity using Higgins inconsistency index (I2). Results: A total of 6751 references were found in all searches. After applying the eligibility criteria after full-text reading, 37 studies comprised the final qualitative synthesis. Thirteen studies were included in quantitative synthesis, and it was possible to meta-analyze data from the following questionnaires: GHQ-28, MMPI, RSES, and SCL-90-R. There was an improvement in psychological aspects related to depression, hysteria, self-esteem, anxiety, obsessive-compulsiveness, interpersonal sensitivity, paranoid ideas, and psychoticism (p < 0.05). Conclusions: Correction of dentofacial deformity through orthodontic-surgical treatment is associated with improvements observed in several psychological domains, especially in relation to depressive states. Clinical relevance: This result highlights the importance of surgeons and orthodontists in promoting adequate control of patients’ expectations and treatment goals taking into account the individual's psychological aspects.