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Functional change in the pattern of swallowing through the performance of orofacial exercises.

Abstract The objective was to determine if there was functional improvement of swallowing pattern in subjects identified with risk of oropharyngeal dysphagia after four weeks of specific oropharyngeal exercises. These exercises have pre-determined intensity and duration.
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PMID- 28538826
OWN - NLM
STAT- MEDLINE
DA  - 20170524
DCOM- 20170630
LR  - 20170630
IS  - 2317-1782 (Electronic)
IS  - 2317-1782 (Linking)
VI  - 29
IP  - 3
DP  - 2017 May 22
TI  - Functional change in the pattern of swallowing through the performance of
      orofacial exercises.
PG  - e20160088
LID - S2317-17822017000300308 [pii]
LID - 10.1590/2317-1782/20172016088 [doi]
AB  - Purpose: The objective was to determine if there was functional improvement of
      swallowing pattern in subjects identified with risk of oropharyngeal dysphagia
      after four weeks of specific oropharyngeal exercises. These exercises have
      pre-determined intensity and duration. Methods: It is a longitudinal study of
      functional effect, determined by initial and final comparative measures.
      Participants were adults and elderly, selected in a period of 24 months. A total 
      of 68 participants were included. All subjects had a clinical evaluation of
      swallowing, and an initial measure in a functional scale. The individuals were
      split into two groups, according to the initial levelling of ASHA NOMS scale. In 
      Group 1 (G1) - ASHA NOMS, initial of levels 1 and 2; Group 2 (G2) - ASHA NOMS,
      initial of levels 3, 4 and 5. All subjects executed an exercise protocol
      performed for four weeks. The protocol includes sessions with a speech therapist,
      and continuity of activities in home environment. Finally, new measurement of
      swallowing performance was held. Results: For G2 group there was statistically
      significant improvement. For G1, the relation was insignificant, despite the
      intense change in ASHA NOMS scale, however, in this group there was a reduced
      number of individuals due to the profile severity. Conclusion: The program was
      effective because after four exercise sessions, there was significant improvement
      in swallowing pattern, demonstrated by functional scale.
FAU - Alves, Irina Claudia Fernandes
AU  - Alves ICF
AD  - Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de 
      Medicina, Universidade de Sao Paulo - USP - Sao Paulo (SP), Brasil.
FAU - Andrade, Claudia Regina Furquim de
AU  - Andrade CRF
AD  - Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de 
      Medicina, Universidade de Sao Paulo - USP - Sao Paulo (SP), Brasil.
LA  - por
LA  - eng
PT  - Journal Article
TT  - Mudanca funcional no padrao de degluticao por meio da realizacao de exercicios
      orofaciais.
DEP - 20170522
PL  - Brazil
TA  - Codas
JT  - CoDAS
JID - 101623246
SB  - IM
MH  - Adult
MH  - Brazil
MH  - *Deglutition
MH  - Deglutition Disorders/diagnosis/*rehabilitation
MH  - Exercise Therapy/*methods
MH  - Humans
MH  - Longitudinal Studies
MH  - Middle Aged
MH  - Risk Factors
MH  - Severity of Illness Index
EDAT- 2017/05/26 06:00
MHDA- 2017/07/01 06:00
CRDT- 2017/05/25 06:00
PHST- 2016/04/28 [received]
PHST- 2016/09/04 [accepted]
AID - S2317-17822017000300308 [pii]
AID - 10.1590/2317-1782/20172016088 [doi]
PST - epublish
SO  - Codas. 2017 May 22;29(3):e20160088. doi: 10.1590/2317-1782/20172016088.