Navegando por Palavras-chave "videofluoroscopy"

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    Avaliação clínica e videofluoroscópica da deglutição em crianças com paralisia cerebral tetraparética espástica
    (Academia Brasileira de Neurologia - ABNEURO, 2003-09-01) Furkim, Ana Maria [UNIFESP]; Behlau, Mara [UNIFESP]; Weckx, Luc Louis Maurice [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); CEFAC; HCOR
    Cerebral palsy is a condition that may be associated with swallowing disorders, that is, oropharingeal dysphagia. The aim of this study was to characterize and compare the swallowing processes of 32 children with this condition, by clinical and videofluoroscopic evaluation, with special focus on tracheal aspiration detectability. Results show an important compromise of oral phase. The most important findings during the pharyngeal phase were velopharingeal incompetence and residuals on the pharyngeal recesses. Aspiration was more common with liquids, before and after deglutition. On clinical and videofluoroscopic evaluation, cervical hyperextension was the commonest postural abnormality. Videofluoroscopy confirmed the occurrence of aspiration on most of the cases that presented suggestive signs of aspiration during clinical evaluation. We conclude that clinical and videofluoroscopic evaluations are complementary on deglutition evaluation and together may point to the most specific rehabilitation procedure.
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    Maintenance of logopedic orientation in a patient with oropharyngeal dysphagia of neurogenic origin
    (Revista De Neurologia, 2001-05-16) Zambrana-Toledo, Nidia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction. Speech therapy treatment on patients who have a neurogenically induced dysphagia begins at hospital, in the intensive rehabilitation units. This study shows some of the difficulties found dealing with and orienting the family and the patient from a therapy point of view, mainly during his return to home surroundings. Development. To better understand the dysphagic situation, normal swallowing steps (oral pharyngeal and esophageal) steps have been described These were then related to the dysphagic problems, with their evaluation, classification and characteristics. Under dysphagia rehabilitation the therapeutic guidance should be lead by the appropriate nutritional demands and prevent aspirations. Some of the therapeutic procedures for treating and controlling neurogenic dysphagia have been described (head posture control tactile and thermal stimuli, etc.). The author questions the difficulties found controlling orientation and maintaining conduct outside the hospital environment, principally with patients at risk from aspirations.