DEPFONO - Departamento de Fonoaudiologia
URI Permanente desta comunidadehttps://repositorio.ufrn.br/handle/123456789/26049
Navegar
Navegando DEPFONO - Departamento de Fonoaudiologia por Assunto "aging"
Agora exibindo 1 - 3 de 3
- Resultados por página
- Opções de Ordenação
Artigo Effectiveness of vocal therapy for the elderly when applying conventional and intensive approaches: a randomized clinical trial(Elsevier, 2021) Godoy, Juliana Fernandes; Silverio, Kelly Cristina Alves; Brasolotto, Alcione; https://orcid.org/0000-0002-2116-1378Objectives: The aim of this study was to verify the effects of the method Vocal Therapy for the Elderly and the differences in treatment efficacy when it was administered intensively or in the conventional way. Methods> Twenty-seven elderly individuals were randomized into two groups and referred for 16 sessions of vocal therapy. The Intensive Group (IG) had therapy four times a week, whereas the Conventional Group had it twice a week. The effects of the therapy were assessed by auditory-perceptual analysis, the Voice-Related Quality of Life protocol, and visual-perceptive analysis of laryngoscopy examinations. The first stage consisted of evaluating the vocal quality and self-assessment of 15 subjects before and after a time period equal to that which they would undergo in vocal therapy. The second stage consisted of comparing the assessments of all participants in the week preceding the beginning of treatment, in the week following the end of treatment, and 1 month after that. Results: There was no difference between perceptual voice parameters and self-assessment when the subjects were not undergoing therapy. When comparing the periods immediately before and after therapy, there was improvement in vocal quality and Voice-Related Quality of Life. One month later, the benefits that had been revealed through the self-assessment protocol, and some of the improvements in vocal parameters were maintained. There was no difference between the IG and Conventional Group with the exception of vocal fold bowing, which decreased in the IG group. Conclusions: The Vocal Therapy for the Elderly program is effective for treating voice presbyphonia. An intensive approach may be superior with regard to vocal fold bowing.Artigo Swallowing disorders and associated factors in older adults living in nursing homes(Springer, 2022) Magalhães Junior, Hipólito Virgilio; Xavier, Jessica Soares; Gois, Amanda Cibelly Brito; Lima, Kenio Costa; Lima Filho, Luiz Medeiros Araújo; Godoi, Juliana Fernandes; Pernambuco, Leandro; https://orcid.org/0000-0002-8469-9570Purpose: The aim of this study was to identify the frequency of swallowing disorders and the associated factors in older adults living in nursing homes. Methods: This is a cross-sectional study with a sample of 73 older adults (≥ 60 years; mean age = 80 ± 7.49 years; female = 82.2%) living in five non-profit Brazilian nursing homes. Demographic and clinical data were collected. The frequency of swallowing disorders was determined by the Volume-Viscosity Swallow Test (VVS-T). Covariables with a p-value less than 0.20 according to Pearson's chi-square test or Fisher's exact test were included in the multiple logistic regression analysis model. The level of significance was 5%. Results: The frequency of swallowing disorders was 63%. The multiple logistic regression model revealed that the chance of an older adult living in a nursing home presenting with swallowing disorders increased by 8% with each 1-year increase in age. Decreases in oral intake level improved the chance of a negative result in the VVS-T by approximately four times, and an individual with a FOIS level below seven was almost 11 times more likely to have a swallowing disorder. Conclusion: The frequency of swallowing disorders in older adults living in nursing homes is high and is associated with age and oral intake. The management care team should be aware of the early detection of these conditions to prevent complications of oropharyngeal dysphagia.Artigo Validity evidence of an epidemiological oropharyngeal dysphagia screening questionnaire for older adults(Clinics, 2020) Magalhães Junior, Hipólito Virgilio; Pernambuco, Leandro de Araujo; Cavalcanti, Renata Veiga Andersen; Lima, Kenio Costa; Ferreira, Maria Angela Fernandes; https://orcid.org/0000-0002-8469-9570OBJECTIVE: This research aimed to identify evidence of validity of a self-reported Oropharyngeal Dysphagia screening questionnaire for older adults based on test content, response processes, internal structure, relations to other variables, and reliability. METHOD:This is a nonrandomized, cross-sectional study employing the concepts and principles of the Standards for Educational and Psychological Testing. Data were collected from 644 community-dwelling older adults (both genders, age: ≥60 years) who agreed to participate in some steps of the validation process. Statistical methods obtained the content representation of the construct, internal structure validation, discriminant and convergent evidence, and reliability, using a 5% significance level. RESULTS: The screening tool was re-specified in nine questions that provided the best fit and robust reliability, with proper discriminant and convergent evidence. CONCLUSIONS: The screening questionnaire presented valid and reliable results to identify oropharyngeal dysphagia symptoms in older adults, highlighting the importance of the validation process based on the standards to construct an epidemiological instrument.