RESUMO
UNLABELLED: The protocol of orofacial myofunctional evaluation with scores (OMES-protocol or AMIOFE in Portuguese language) is a validated instrument for the diagnosis of orofacial myofunctional disorders that can be used in clinical practice for speech-language pathologists. Because in the Italian language there is no validated tool for such purpose, this study was developed. PURPOSES: To translate and culturally adapt the OMES-protocol for Italian language and determine the normal score value in a group of young Italian adults. METHODS: The OMES-protocol was translated from English to Italian by three bilingual individuals. From these translations, a consensus version was prepared by a research committee (three speech therapists and one physician and submitted to a committee of judges composed by eight speech therapists experienced in the area. The authors of the original version verified and approved the Italian version of the protocol. The instrument was tested via evaluations of 40 young and grown-up Italians (age range: 18-56 years) performed by two speech therapists. A cutoff score, previously described, was used to determine the mean and standard deviation. RESULTS: The translation stage and the final Italian version of the OMES-protocol are shown. The mean of scores for individuals with and without orofacial myofunctional disorders were presented. CONCLUSION: The Italian version of the OMES-protocol was developed, translated, and cross-culturally adapted. Normal values for young and adult Italian subjects are presented.
Assuntos
Idioma , Doenças Estomatognáticas/diagnóstico , Doenças Estomatognáticas/fisiopatologia , Sistema Estomatognático/fisiopatologia , Traduções , Adolescente , Adulto , Comparação Transcultural , Feminino , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Valores de Referência , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Adulto JovemRESUMO
RESUMO O protocolo de avaliação miofuncional orofacial com escores (protocolo AMIOFE) é um instrumento validado para o diagnóstico de distúrbios miofuncionais orofaciais que pode ser utilizado por fonoaudiólogos em sua prática clínica. O presente estudo foi desenvolvido porque não há um instrumento validado para esta finalidade em língua Italiana. Objetivos: traduzir e realizar a adaptação transcultural do protocolo AMIOFE para a língua italiana e determinar os valores dos escores de normalidade em um grupo de jovens e adultos italianos. Métodos: o protocolo AMIOFE foi traduzido da língua inglesa para a italiana por três indivíduos bilíngues. A partir dessas traduções, uma versão de consenso foi preparada por um comitê de pesquisa (três fonoaudiólogos e um médico) e submetida a um comitê de juízes, composto por oito fonoaudiólogos italianos experientes na área. Os autores da versão original verificaram e aprovaram a versão italiana do protocolo. O instrumento foi testado por meio de avaliações de 40 sujeitos italianos jovens e adultos (faixa etária entre 18 e 56 anos de idade), realizadas por dois fonoaudiólogos. O ponto de corte, previamente descrito, foi usado para determinar as médias e desvios-padrão. Resultados: a etapa de tradução e a versão final da versão italiana do protocolo AMIOFE foram apresentadas, bem como as médias dos escores para os sujeitos com e sem distúrbio miofuncional orofacial. Conclusão: a versão italiana do protocolo AMIOFE foi desenvolvida, traduzida e adaptada transculturalmente. Valores de normalidade para sujeitos italianos jovens e adultos foram apresentados.
ABSTRACT The protocol of orofacial myofunctional evaluation with scores (OMES-protocol or AMIOFE in Portuguese language) is a validated instrument for the diagnosis of orofacial myofunctional disorders that can be used in clinical practice for speech-language pathologists. Because in the Italian language there is no validated tool for such purpose, this study was developed. Purposes: To translate and culturally adapt the OMES-protocol for Italian language and determine the normal score value in a group of young Italian adults. Methods: The OMES-protocol was translated from English to Italian by three bilingual individuals. From these translations, a consensus version was prepared by a research committee (three speech therapists and one physician and submitted to a committee of judges composed by eight speech therapists experienced in the area. The authors of the original version verified and approved the Italian version of the protocol. The instrument was tested via evaluations of 40 young and grown-up Italians (age range: 18-56 years) performed by two speech therapists. A cutoff score, previously described, was used to determine the mean and standard deviation. Results: The translation stage and the final Italian version of the OMES-protocol are shown. The mean of scores for individuals with and without orofacial myofunctional disorders were presented. Conclusion: The Italian version of the OMES-protocol was developed, translated, and cross-culturally adapted. Normal values for young and adult Italian subjects are presented.
Assuntos
Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Idioma , Doenças Estomatognáticas/diagnóstico , Doenças Estomatognáticas/fisiopatologia , Sistema Estomatognático/fisiopatologia , Traduções , Comparação Transcultural , Itália , Valores de Referência , Reprodutibilidade dos Testes , Estatísticas não ParamétricasRESUMO
There is no standardized protocol for the clinical evaluation of orofacial components and functions in patients with obstructive sleep apnea. The aim of this study was to examine the validity, reliability, and psychometric properties of the Expanded Protocol of Orofacial Myofunctional Evaluation with Scores (OMES-expanded) in subjects with obstructive sleep apnea. Patients with obstructive sleep apnea and control subjects were evaluated, and the validity of OMES-expanded was tested by construct validity (i.e. the ability to discriminate orofacial status between apneic and control subjects) and criterion validity (i.e. correlation between OMES-expanded and a reference instrument). Construct validity was adequate; the apneic group showed significantly worse orofacial status than did control subjects. Criterion validity of OMES-expanded was good, as was its reliability. The OMES-expanded is valid and reliable for evaluating orofacial myofunctional disorders of patients with obstructive sleep apnea, with adequate psychometric properties. It may be useful to plan a therapeutic strategy and to determine whether the effects of therapy are related to improved muscle and orofacial functions.
Assuntos
Terapia Miofuncional/estatística & dados numéricos , Apneia Obstrutiva do Sono/terapia , Adulto , Bochecha/fisiopatologia , Protocolos Clínicos , Deglutição/fisiologia , Face/anatomia & histologia , Músculos Faciais/fisiopatologia , Feminino , Humanos , Lábio/fisiopatologia , Masculino , Mandíbula/fisiopatologia , Mastigação/fisiologia , Pessoa de Meia-Idade , Terapia Miofuncional/métodos , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Respiração , Sensibilidade e Especificidade , Apneia Obstrutiva do Sono/fisiopatologia , Língua/fisiopatologia , Gravação em Vídeo , Adulto JovemRESUMO
BACKGROUND: It is recognized that adenotonsillar hypertrophy leads to muscular and functional changes in face, and that adenotonsillectomy is associated to improvement in this condition. However, the ideal interval one should wait until this spontaneous recovery is not well defined, neither if this recovery is expected to be complete or partial. OBJECTIVE: To compare the muscular and functional changes in face of children prior and after adenotonsillectomy in a monthly evaluation. METHODS: 8 children aged from 4 to 6 years were prospectively studied. All patients underwent adenotonsillectomy, and were assessed before and monthly-after surgery up to 6 months, through the Protocol of Orofacial Myofunctional Evaluation with Scores (OMES). RESULTS: There was a progressive improvement in OMES score in all measured parameters, including the "mobility" and "posture" sub-tests; this improvement was significant at the first month after surgery. The sub-test "function" was not affected by surgery. Improvement continued from the first to the sixth month after surgery, although it was not significant between these two periods. Additionally, all parameters remained altered after the final evaluation at six months. There was a significant correlation between the improvement in "mobility" sub-test and in total score of OMES. CONCLUSION: We observed a partial recovery in facial muscular and functional changes following adenotonsillectomy, particularly during the first month after surgery. This improvement was especially observed in the "mobility" and "posture" sub-tests. We conclude that waiting for a spontaneous muscular and functional facial recovery during the first month post-operatively seems reasonable. Nevertheless, after this period, if the patient fails to achieve recovery, it may be advised that this child should undergo myofunctional therapy.
Assuntos
Adenoidectomia , Tonsila Faríngea/patologia , Músculos Faciais/fisiopatologia , Respiração Bucal/cirurgia , Tonsila Palatina/patologia , Tonsilectomia , Criança , Pré-Escolar , Feminino , Seguimentos , Humanos , Hipertrofia/complicações , Hipertrofia/fisiopatologia , Hipertrofia/cirurgia , Masculino , Respiração Bucal/etiologia , Respiração Bucal/fisiopatologia , Estudos Prospectivos , Recuperação de Função Fisiológica , Fatores de Tempo , Resultado do TratamentoRESUMO
OBJECTIVE: Uvulopalatopharyngoplasty (UPPP) has been described as an option for treating obstructive sleep apnea syndrome (OSAS), with variable success rates. The main purpose of our study was to correlate UPPP success to craniofacial bony structure and orofacial muscles function. METHODS: Clinical variables, including body mass index (BMI), age, and preoperative apnea-hypopnea index (AHI); cephalometric measurements of the craniofacial region and hyoid bone position; and muscle function variables including clinical protocol and tongue strength measures were evaluated in 54 patients who underwent UPPP in the last 7years. The measurements were related to the success or failure of UPPP based on the results of preoperative and postoperative polysomnography (PSG). RESULTS: The variables BMI, preoperative AHI, and cephalometric measurements showed no influence on surgical success. The clinical muscle protocol also was similar between groups. However, the muscle strength of the anterior portion of the tongue was significantly greater in the group that showed surgical success compared to those with surgical failure. CONCLUSION: OSAS is a multifactorial disease and diagnostic symptom assessments should be individualized. In addition, special attention should be given to functional muscle alterations of the airways, as they might influence the evolution of the disease.
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Cefalometria , Palato/cirurgia , Faringe/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Apneia Obstrutiva do Sono/cirurgia , Úvula/cirurgia , Adulto , Ossos Faciais/fisiologia , Músculos Faciais/fisiologia , Humanos , Osso Hioide/fisiologia , Pessoa de Meia-Idade , Dinamômetro de Força Muscular , Palato/fisiopatologia , Faringe/fisiopatologia , Polissonografia , Período Pós-Operatório , Valor Preditivo dos Testes , Apneia Obstrutiva do Sono/fisiopatologia , Língua/fisiopatologia , Resultado do TratamentoRESUMO
INTRODUCTION: Bruxism is characterized by repeated tooth grinding or clenching. The condition can occur in all age ranges and in both genders, being related or not to other oral habits. OBJECTIVE: The objective of the present study was to investigate the occurrence of bruxism in children with nasal obstruction and to determine its association with other factors. METHODS: Sixty children with nasal obstruction seen at the Otorhinolaryngology Outpatient Clinic of the University Hospital of Ribeirão Preto participated in the study. The data were obtained using a pre-established questionnaire applied to the person responsible and by orofacial evaluation of the patient. The participants were divided into two groups: group with bruxism (GB) as reported by the relatives and with the presence of tooth wear detected by clinical evaluation, and group without bruxism (GWB), consisting of children with none of the two symptoms of bruxism mentioned above. RESULTS: The presence of bruxism exceeded its absence in the sample studied (65.22%). There was no significant difference (P<0.05) between groups regarding gender, phase of dentition, presence of hearing diseases, degree of malocclusion, or child behavior. CONCLUSION: Bruxism and deleterious oral habits such as biting behavior (objects, lips and nails) were significantly present, together with the absence of suction habits, in the children with nasal obstruction.
Assuntos
Bruxismo/epidemiologia , Obstrução Nasal/epidemiologia , Bruxismo/diagnóstico , Bruxismo/etiologia , Criança , Feminino , Humanos , Masculino , Obstrução Nasal/complicações , Obstrução Nasal/diagnóstico , Índice de Gravidade de DoençaRESUMO
O objetivo da pesquisa foi comparar as características do zumbido apresentado por pacientes de desordens temporomandibulares (grupo DTM) e pacientes com afecçöes otoneurologicas (grupo HC). Pacientes em número de 60, sendo 30 de cada grupo, foram submetidos à anamnese, avaliaçäo clínica otorrinolaringológica e audiológica. Houve diferenças entre os grupos quanto à intensidade do zumbido e a queixa principal e os resultados audiológicos. No grupo HC, o zumbido era intenso, muito intenso e contínuo, as principais queixas eram as de diminuiçäo da audiçäo e dificuldade em compreender palavras, e os testes audiológicos estavam alterados. No grupo DTM, o zumbido era moderado e esporádico, as queixas principais eram otalgia e plenitude auricular, sem alteraçäes nos testes audiológicos. Estas diferenças entre os grupos nos fornecem índices para caracterizar cada grupo, auxiliando no diagnóstico diferencial