Publicação
Effect of the use of respiratory incentives in maximum phonatory times in children with cleft lip and palate: randomized clinical trial
| Resumo: | Objective: To compare the effects of respiratory muscle training with the use of respiratory incentives on the maximum phonatory times (MPT) of children with cleft lip and palate (CLP). Methodology: Study characterized as a controlled and randomized clinical trial. All participants were submitted to: questionnaire with identification data, Analog Manovacuometer; maximal inspiratory and expiratory pressure with Peakflow® Digital Microlife®; and postural assessment. Inclusion criteria were: subjects aged between three and 12 years with CLP who had already undergone corrective surgeries, excluding those with other malformations or intellectual disabilities. There was random allocation into two groups: 'water seal' and 'incentive spirometer' (Respiron Kids®), both groups underwent weekly intervention with a six-week follow-up. Participants in the ‘water seal’ group performed three sets of ten repetitions of maximum expiration in a straw positioned at 10cmH2O inside a 500ml bottle. The 'incentive spirometer' group performed three sets of ten repetitions of maximum expiration in the mouthpiece of the equipment with equipment at level I of resistance and positioned in an inverted way with movement of the three spheres of the equipment. Results: In the total sample, there was a predominance of unilateral incisor transforamen CLP, with a high prevalence of fistula and clinical features of mouth breathing. Five subjects were allocated to each group, with improvement of MPTs in both, descriptively, as well as s/z ratio below 1, characterizing glottic hypercontraction during phonation. Conclusion: Both modalities showed an increase in MPTs of subjects with CLP, but without normalization of glottic hypercontraction in these subjects. |
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| Autores principais: | Schilling, Gabriela Ribeiro |
| Outros Autores: | Kniphoff, Gustavo Jungblut; Cardoso, Maria Cristina de Almeida Freitas |
| Assunto: | Presiones Respiratorias Máximas Voz Labio hendido Paladar hendido Fisioterapia Terapia del lenguaje. Maximal Respiratory Pressures Cleft lip Cleft palate Voice Speech therapy. Pressões respiratórias máximas Fissura palatina Fenda Labial Voz Fisioterapia Fonoterapia. |
| Ano: | 2022 |
| País: | Brasil |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | IBICT |
| Idioma: | português |
| Origem: | Oasisbr |
| Resumo: | Objective: To compare the effects of respiratory muscle training with the use of respiratory incentives on the maximum phonatory times (MPT) of children with cleft lip and palate (CLP). Methodology: Study characterized as a controlled and randomized clinical trial. All participants were submitted to: questionnaire with identification data, Analog Manovacuometer; maximal inspiratory and expiratory pressure with Peakflow® Digital Microlife®; and postural assessment. Inclusion criteria were: subjects aged between three and 12 years with CLP who had already undergone corrective surgeries, excluding those with other malformations or intellectual disabilities. There was random allocation into two groups: 'water seal' and 'incentive spirometer' (Respiron Kids®), both groups underwent weekly intervention with a six-week follow-up. Participants in the ‘water seal’ group performed three sets of ten repetitions of maximum expiration in a straw positioned at 10cmH2O inside a 500ml bottle. The 'incentive spirometer' group performed three sets of ten repetitions of maximum expiration in the mouthpiece of the equipment with equipment at level I of resistance and positioned in an inverted way with movement of the three spheres of the equipment. Results: In the total sample, there was a predominance of unilateral incisor transforamen CLP, with a high prevalence of fistula and clinical features of mouth breathing. Five subjects were allocated to each group, with improvement of MPTs in both, descriptively, as well as s/z ratio below 1, characterizing glottic hypercontraction during phonation. Conclusion: Both modalities showed an increase in MPTs of subjects with CLP, but without normalization of glottic hypercontraction in these subjects. |
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