Evaluation of oral-motor movements and speech in patients with tetanus of a public service in Brazil


Autoria(s): MANGILLI, L. D.; SASSI, F. C.; JACOMO, A.; ANDRADE, C. R. F. de
Contribuinte(s)

UNIVERSIDADE DE SÃO PAULO

Data(s)

19/10/2012

19/10/2012

2011

Resumo

The characterisation of oral-motor movements and speech of patients with tetanus were investigated to determine the existence of possible signs that are characteristic of this pathology. Thirteen patients clinically diagnosed with tetanus (10 with severe tetanus and three with very severe tetanus) and admitted to an intensive care unit underwent clinical evaluation of oral-motor movements and speech. Statistical analysis indicated significant between-group differences for speech motor functions, suggesting that individuals with very severe tetanus present rigidity as a characteristic interfering in articulatory precision (P = 0 035) and movement rate (P = 0 038). For lip closure, tongue movement, palatal elevation, gag reflex and voice quality, no between-group differences were identified for the specific abnormal characteristics. The observed abnormal results indicate that muscle strength and functional status of the oral-motor system presented by most of the participants of the study did not ensure the necessary integrity for satisfactory performance. The characterisation of the oral myofunctional aspects of patients with tetanus provides medical teams, patients and families with a wider and better description of the clinical situation, giving support to the diagnosis, prognostics and treatment.

CAPES/DS

Identificador

JOURNAL OF ORAL REHABILITATION, v.38, n.8, p.564-570, 2011

0305-182X

http://producao.usp.br/handle/BDPI/22044

10.1111/j.1365-2842.2010.02185.x

http://dx.doi.org/10.1111/j.1365-2842.2010.02185.x

Idioma(s)

eng

Publicador

WILEY-BLACKWELL

Relação

Journal of Oral Rehabilitation

Direitos

restrictedAccess

Copyright WILEY-BLACKWELL

Palavras-Chave #deglutition disorders #evaluation #health evaluation #speech therapy #Clostridium tetani #ACUTE STROKE #GAG REFLEX #DYSPHAGIA #ASPIRATION #PNEUMONIA #Dentistry, Oral Surgery & Medicine
Tipo

article

original article

publishedVersion