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Publication
Prevalência de disfagia orofaríngea após Acidente Vascular Cerebral (AVC) de acordo com o hemisfério lesado
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Abstract(s)
O Acidente Vascular Cerebral (AVC) constitui um grande impacto para a saúde pública em todo o mundo e é uma das principais causas de lesões em adultos, podendo ocorrer a disfagia.
Esta é um processo complexo que afecta o sistema funcional da deglutição, resultando em alterações essenciais à necessidade nutricional, podendo alterar o processo de deglutição em qualquer fase.
Ao longo da literatura constatou-se que ainda não existe uma relação precisa entre a localização da lesão e a ocorrência de disfagia em pacientes após AVC.
Foram incluídos neste estudo 29 terapeutas da fala, que na sua prática clínica, desde a ocorrência do AVC até 6 meses, com lesão no hemisfério esquerdo, a resposta com maior prevalência foi de 1 a 5 casos, em que 48% dos inquiridos referiram que entre 1 a 5 casos apresentavam uma disfagia leve. Para a opção com alterações predominantemente na fase oral, 36% dos inquiridos referiram não ter casos com tal associação, e com alterações predominantemente na fase faríngea, 40% dos inquiridos referiram que obtiveram entre 1 a 5 casos. Quanto à lesão no hemisfério direito, não se encontra nenhuma associação difusa na maioria dos casos.
Para além disto, após 6 meses dos pacientes terem sofrido o AVC, não se verificou para o hemisfério esquerdo, dados com grande relevância, uma vez que acima de 40% dos inquiridos referiram 0 casos para todos os tipos de disfagia, bem como para as fases da deglutição alteradas. Quanto ao hemisfério direito, o mesmo acontece não havendo dados de forma maioritária e relevante.
The stroke is a major public health impact worldwide and is a major cause of injuries in adults, dysphagia may occur. This is a complex process that affects the functional system of swallowing, resulting in changes to the essential nutritional needs and may change the swallowing process at any stage. Throughout the literature it was found that there is still no precise relationship between the location of the lesion and the occurrence of dysphagia in patients after stroke. The study included 29 speech therapists, who in his clinical practice, since the occurrence of stroke up to 6 months with a lesion in the left hemisphere, the most prevalent response was 1 to 5 cases in which 48% of respondents said they between 1 and 5 cases showed a mild dysphagia. For the option with changes predominantly in the oral, 36% of respondents reported not having cases with this association, and with changes predominantly in the pharyngeal phase, 40% of respondents said they had between 1 and 5 cases. As the lesion in the right hemisphere, there is no association diffuse in most cases. In addition, after 6 months of the patients had suffered a stroke, there was to the left hemisphere, with very important data, since 40% of respondents reported 0 cases for all types of dysphagia, as well as for altered phases of swallowing. As for the right hemisphere, the same happens there is no data in a majority and relevant.
The stroke is a major public health impact worldwide and is a major cause of injuries in adults, dysphagia may occur. This is a complex process that affects the functional system of swallowing, resulting in changes to the essential nutritional needs and may change the swallowing process at any stage. Throughout the literature it was found that there is still no precise relationship between the location of the lesion and the occurrence of dysphagia in patients after stroke. The study included 29 speech therapists, who in his clinical practice, since the occurrence of stroke up to 6 months with a lesion in the left hemisphere, the most prevalent response was 1 to 5 cases in which 48% of respondents said they between 1 and 5 cases showed a mild dysphagia. For the option with changes predominantly in the oral, 36% of respondents reported not having cases with this association, and with changes predominantly in the pharyngeal phase, 40% of respondents said they had between 1 and 5 cases. As the lesion in the right hemisphere, there is no association diffuse in most cases. In addition, after 6 months of the patients had suffered a stroke, there was to the left hemisphere, with very important data, since 40% of respondents reported 0 cases for all types of dysphagia, as well as for altered phases of swallowing. As for the right hemisphere, the same happens there is no data in a majority and relevant.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Terapêutica da Fala