Proposal for a Voice and Swallowing Rehabilitation Program for Adults (VSRP)

Authors

DOI:

https://doi.org/10.23925/2176-2724.2024v36i3e67537

Keywords:

Speech Therapy, Speech, Voice, Swallowing, Health of the Elderly

Abstract

Most of the patients admitted to the CER II Derdic/PUC-SP Orofacial Motricity and Voice Service for speech therapy assessment and intervention have some hearing and communication difficulties. Given the characteristics of the service offered by the SUS, namely the high demand for patients, the few places on offer, the limited space and the short time available for intervention, group rehabilitation proposals with structured exercise programs have proved to be very useful, with satisfactory results both in terms of welcoming a greater number of people and in terms of the effectiveness of the treatment offered. The aim of this Communication is to present an Adult Voice and Swallowing Rehabilitation Program for patients with phonation and swallowing difficulties due to presbyphonia, presbyphagia, dementia, dysarthria, dyspraxia, dysphonia and dysphagia to improve their quality of life. The program was developed based on the experience of professionals at CER II Derdic/PUC-SP and consultation of specialized literature on the subject. The proposal is that it be applied in groups of eight to ten participants and led by a speech therapist with expertise in the areas of Orofacial motricity and voice, in the format of twelve meetings that bring together strategies for mobilizing structures, progressive muscle training to rescue, improve and provide stability of oral functions, and application of new adjustments acquired in the use of voice and swallowing. The program will then be put into practice to analyze its effects.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Patricia Piccin Bertelli Zuleta, Pontifical Catholic University of São Paulo

Graduated in Speech-Language Pathology and Audiology from the Pontifical Catholic University of Campinas (1988). Improvement and Monitoring in Rehabilitation of Craniofacial Deformities and Dysfunctions at the Hospital for Facial Defects (1990 to 1992). Master's degree in Communication Disorders from the Pontifical Catholic University of São Paulo (1998). Professor of the Undergraduate Program in Speech-Language Pathology and Audiology at Fundação Lusíada UNILUS (1999 to 2009). Specialization in Dysphagia in Neonatology, Pediatrics and Adult by the University Center of the ABC School of Medicine (2006). Specialist in Orofacial Motricity by the Federal Council of Speech-Language Pathology and Audiology (2007). Speech-Language Pathologist at the Division of Education and Rehabilitation of Communication Disorders DERDIC-PUCSP since 2012. Internship preceptor and professor of Improvement in Orofacial Motricity and Voice at DERDIC-PUCSP since 2013 (to date). Acting in private practice and at the Dr. Mauro Spinelli clinic - DERDIC/PUCSP. Expertise in the rehabilitation of patients with orofacial motor dysfunctions, dysphagia, head and neck cancer, advice for breastfeeding and feeding difficulties in childhood.

Maria Cristina de Menezes Borrego, Pontifícia Universidade Católica de São Paulo

Graduated in Speech-Language Pathology and Audiology from the Federal University of São Paulo - UNIFESP/EPM (1991-1994), Specialist in Voice from the Federal Council of Speech-Language Pathology and Audiology. MSc and PhD in Sciences from the Graduate Program of the Department of Speech-Language Pathology and Audiology of UNIFESP/EPM - Discipline of Human Communication Disorders: Speech-Language Pathology Field, area of concentration: Voice. She is the Coordinator of the Professional Voice Committee of the Voice Department of the Brazilian Society of Speech-Language Pathology and Audiology Management 2023-2024. She is responsible for the Orofacial Motricity and Voice Service at Derdic/PUC-SP, clinical supervisor of the curricular internship of the Speech-Language Pathology and Audiology Course at PUC-SP and coordinator of the Project Integrative and Complementary Practices in the Care of Elderly People with Communication Difficulties.

Leslie Piccolotto Ferreira, Pontifícia Universidade Católica de São Paulo

She holds a degree in Speech-Language Pathology and Audiology from the Pontifical Catholic University of São Paulo (1971), a master's degree in Linguistics Applied to Language Teaching from the Pontifical Catholic University of São Paulo (1981) and a PhD in Human Communication Disorders (Speech-Language Pathology and Audiology) from the Federal University of São Paulo/Paulista School of Medicine (1990). She is currently a full professor at the Department of Theories and Methods of Speech-Language Pathology and Audiology and Physical Therapy at the Pontifical Catholic University of São Paulo. In the Voice, Communication, Health and Art Research Line, she teaches classes and supervises research on professional voice, especially those related to the teacher's voice. This production assisted in the discussions for the recognition of Work-Related Voice Disorder (WRVD) and consequent publication of the DVRT Protocol by the Ministry of Health. He was president of the Regional Council of Speech-Language Pathology and Audiology (1989-92), and of the Brazilian Society of Speech-Language Pathology and Audiology (2002-3). He was Vice-President of the Brazilian Society of Speech-Language Pathology and Audiology - 2017-2019. She is currently executive editor of the Journal of Communication Disorders and Coordinator of the Voice Laboratory (LaborVox) at the Pontifical Catholic University of São Paulo. He serves as a reviewer or member of the Editorial Board of the journals CEFAC, CoDAS, Audiology Communication Research, and Saúde em Revista.

References

Lima RMF, Amaral AKFJ, Aroucha EBL, Vasconcelos TMJV, Silva HJ, Cunha DA. Adaptações na mastigação, deglutição e fonoarticulação em idosos de instituição de longa permanência. Rev CEFAC. 2009; 11(3): 405-22. doi: 10.1590/S1516-18462009000700017.

Soares LT, Venites JP, Suzuki H. Presbifagia, Disfagia no Idoso e Disfagia Sarcopênica. In: Venites J, Soares L, Bilton T, organizadores. Disfagia no Idoso – Guia Prático. Ribeirão Preto: BookToy; 2018. p. 81-7.

Godoy JF, Silvério KCA, Andrade EC, Brasolotto AG. Método intensivo de terapia vocal para idosos. Audiol., Commun. Res. 2020; 25: e2098. doi: 10.1590/2317-6431-2018-2098.

Acosta BN, Cardoso MCAF. Presbifagia: estado da arte da deglutição do idoso. RBCEH. 2012; 9(1): 143-54. doi: 10.5335/rbceh.2012.1504.

Alves ICF, Andrade CRF. Mudança funcional no padrão de deglutição. CoDAS. 2017; 29(3): e20160088. doi: 10.1590/2317-1782/20172016088.

Cielo CA, Christmann MK, Roman-Niehues G. Evidência científica da Técnica de Som Hiperagudo. In: Terapia fonoaudiológica baseada em evidências. Barueri: Pró-Fono; 2013. p. 323-40.

Cielo CA, Schwarz K, Zimmer V, Ribeiro VV. Evidência científica da Técnica de Vibração Sonorizada de Língua. In: Terapia fonoaudiológica baseada em evidências. Barueri: Pró-Fono; 2013. p. 341-56.

Cielo CA, Lima JPM, Christmann MK. Evidência científica da Técnica Sobre exercícios de Trato Vocal Semiocluído – Revisão de Literatura. In: Terapia fonoaudiológica baseada em evidências. Barueri: Pró-Fono; 2013. p. 403-20.

Behlau M, Almeida AA, Amorim G, Balata P, Basto S, Cassol M et al. Reduzindo o GAP entre a ciência e a clínica: lições da academia e da prática profissional – parte A: julgamento perceptivo-auditivo da qualidade vocal, análise acústica do sinal vocal e autoavaliação em voz. CoDAS. 2022; 34(5): e20210240. doi: 10.1590/2317-1782/20212021240pt.

Vaiano T, Badaró F. Fisiologia do exercício na clínica vocal. In: Lopes L, Moreti F, Ribeiro LL, Pereira EC, organizadores. Fundamentos e Atualidades em Voz Clínica. Rio de Janeiro: Thieme Revinter; 2019. p. 273-281

Ferreira LP, Borrego MCM, Silva AA, Santos TP, Silva MZ, Zuleta PPB et al. Programa Condicionamento Vocal e Respiratório (CVR): proposta de intervenção para profissionais da voz. Distúrb Comum. 2021; 33(2): 357-364. doi: 10.23925/2176-2724.2021v33i2p357-364.

Ferreira LP, Borrego MCM, Silva AA, Silva MZ, Zuleta PPB Escorcio R. Programa Condicionamento Vocal e Respiratório (CVR II): nova proposta para profissionais da voz. Distúrb Comum. 2023;35(1):e59350. doi: https://doi.org/10.23925/2176-2724.2023v35i1e59350.

Marchesan I, Martinelli RLC. O que aprendemos ao tratar os transtornos da fala. In: Motta AR, Furlan RMMM, Tessitore A, Cunha DA, Berretin-Félix G, Silva HJ, Marchesan IQ, organizadores. Motricidade Orofacial – Atuação nos diferentes níveis de atenção à saúde. São José dos Campos: Pulso Editorial; 2017. p.113-23

Catoni DM. Intervenção miofuncional aplicada às funções orofaciais. In: Motta AR, Furlan RMMM, Tessitore A, Cunha DA, Berretin-Félix G, Silva HJ, Marchesan IQ, organizadores. Motricidade Orofacial – Atuação nos diferentes níveis de atenção à saúde. São José dos Campos: Pulso Editorial; 2017. p.83-92.

Zanato L, Marques M. Condutas no manejo da disfagia no idoso. In: Venites J, Soares L, Bilton T, organizadores. Disfagia no Idoso – Guia Prático. Ribeirão Preto: BookToy; 2018. p.119-29.

Stemple JC, Lee L, D’Amico B, Pickup B. Efficacy of Vocal Function Exercises as a Method of Improving Voice Production. J Voice. 1994; 8(3): 271-8.

Steenhagena CHVA, Motta LB. Deglutição e envelhecimento: enfoque nas manobras facilitadoras e posturais utilizadas na reabilitação do paciente disfágico. Rev. Bras. Geriatr. Gerontol. 2006; 9(3):89-100. doi: 10.1590/1809-9823.2006.09037

Nemr K, Souza GVS, Marcia Simões-Zenari M, Tsuji DH, Hachiya A, Cordeiro GF et al. Programa Vocal Cognitivo aplicado a indivíduos com sinais de presbilaringe: resultados preliminares. CoDAS. 2014; 26(6): 503-8. doi: 10.1590/2317-1782/20142014108.

Sarpi TMFC, Fieri M, Chamouton CS, Constantini AC. Efeitos na voz e deglutição após treino de força muscular expiratória na Doença de Parkinson. Distúrb Comum. 2017; 29(2): 274-283. doi: 10.23925/2176-2724.2017v29i2p274-283.

Fabron EMG, Silvério KCA, Berretin-Felix G, Andrade EC, Salles PF, Moreira PAM et al. Terapia vocal para idosos com progressão de intensidade, frequência e duração do tempo de fonação: estudo de casos. CoDAS. 2018; 30(6): e20170224. doi: 10.1590/2317-1782/20182017224.

Bento FAM, Diaféria GLA, Fonoff ET, Padovani MMP, Behlau M Efeito da técnica de sobrearticulação na voz e na fala em indivíduos com doença de Parkinson após cirurgia de estimulação cerebral profunda. Audiol Commun Res. 2019; :e2008. doi: 10.1590/2317-6431-2018-2008.

Gama ACC, Alves CFT, Cerceau JSB, Teixeira LC. Correlação entre dados perceptivo-auditivos e qualidade de vida em voz de idosas. Pró-Fono Revista de Atualização Científica. 2009 abr-jun; 21(2): 125-30. doi: https://doi.org/10.1590/S0104-56872009000200007

Ferreira TN, Mangilli LD, Sassi FC, Fortunato-Tavares T, Limongi LCO, Andrade CRF. Fisiologia do exercício fonoaudiológico: uma revisão crítica da literatura - Fonoaudiologia Baseada em Evidências. J Soc Bras Fonoaudiol. 2011; 23(3): 288-96. doi: 10.1590/S2179-64912011000300017.

Torres GMX, César CPHAR. Fisiologia do exercício na motricidade orofacial: conhecimento sobre o assunto. Rev. CEFAC. 2019; 21(1): e14318. doi: https://doi.org/10.1590/1982-0216/201921114318

Hirano M. Clinical examination of voice. New York: Springer Verlag; 1981. p. 81-4.

Silva JS, Cunha DA. A utilização de exercícios na terapia miofuncional orofacial. In: AR, Furlan RMMM, Tessitore A, Cunha DA, Berretin-Félix G, Silva HJ, Marchesan IQ, organizadores. Motricidade Orofacial – Atuação nos diferentes níveis de atenção à saúde. São José dos Campos: Pulso Editorial; 2017. p.77-82.

Behlau M, Pontes P, Vieira VP, Yamasaki R, Madazio G. Apresentação do Programa Integral de Reabilitação Vocal para o tratamento das disfonias comportamentais. CoDAS. 2013; 25(5): 492-6. doi:

Portalete CR, Urrutia GAU, Pagliarin KC, Keske-Soares M. Tratamento motor da fala na disartria flácida: um estudo de caso. Audiol Commun Res. 2019; 24: e211. doi: https://doi.org/10.1590/2317-6431-2018-2118

Queiroz ATL, Barreto FG, Santos TL, Ximenes CR, Gomes Efeitos dos exercícios vocais no tratamento da disfagia: revisão integrativa AOC.. Audiol Commun Res. 2022; 27: e2551. doi: https://doi.org/10.1590/2317-6431-2021-2551

Saconato M. Estudos e manobras nas disfagias orofaríngeas [dissertação]. São Paulo (SP): Universidade Federal de São Paulo; 2011.

Downloads

Published

2024-11-05

How to Cite

Zuleta, P. P. B., Borrego, M. C. de M., & Ferreira, L. P. (2024). Proposal for a Voice and Swallowing Rehabilitation Program for Adults (VSRP). Distúrbios Da Comunicação, 36(3), e67537. https://doi.org/10.23925/2176-2724.2024v36i3e67537

Issue

Vol. 36 No. 3 (2024)

Section

Communication

License

Copyright (c) 2024 Patricia Piccin Bertelli Zuleta, Maria Cristina Borrego, Leslie Piccolotto Ferreira

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.