CoDASPub Date : 2025-03-24eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240026pt
Ândrea de Melo Boaz, Rudimar Dos Santos Riesgo, Pricila Sleifer
{"title":"Body balance on Horus® computerized posturography and body measurements in healthy children.","authors":"Ândrea de Melo Boaz, Rudimar Dos Santos Riesgo, Pricila Sleifer","doi":"10.1590/2317-1782/e20240026pt","DOIUrl":"10.1590/2317-1782/e20240026pt","url":null,"abstract":"<p><strong>Purpose: </strong>To verify possible associations between body balance and growth curves, weight, height and body mass index in healthy children.</p><p><strong>Methods: </strong>Quantitative cross-sectional study. Two hundred and sixteen children aged between 4 and 6 years and 11 months participated. An interview was carried out with the parents/guardians and the children underwent visual screening, auditory assessment (pure tone audiometry screening method, otoacoustic emissions and immittance testing), verification of weight and height measurements and Horus® computerized posturography. Anthro and AnthroPlus software were used to classify the growth curves by age, sex, height, weight and body mass index. Responses were analyzed using the non-parametric Kruskal-Walli and post hoc Dunn-Bonferroni statistical tests for pairwise comparisons between ages, with p<0.05.</p><p><strong>Results: </strong>The measurement of weight by length showed a correlation with different examination conditions at 4 years-old, mainly for the average speed data. The same data, under different examination conditions, showed a correlation with the body mass index at 4 and 5 years of age, between children classified with weight outside the expected standard and those underweight. Children considered underweight had greater instability in body balance. Height and weight showed correlation for different examination conditions in the three age groups.</p><p><strong>Conclusion: </strong>There was an association between responses in posturography and individual body measurements (weight, height and body mass index. Therefore, it is suggested that these measurements be analyzed and considered in the evaluation with computerized posturography in children aged 4 to 6 years.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240026"},"PeriodicalIF":0.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-03-24eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240198pt
Vanessa Luisa Destro Fidêncio, Camila Rodrigues Cavalcante Arruda, Tatiane Franciele de Almeida, Anacleia Melo da Silva Hilgenberg
{"title":"Deafness and Additional Disabilities Questionnaire: translation and cultural adaptation into Brazilian Portuguese.","authors":"Vanessa Luisa Destro Fidêncio, Camila Rodrigues Cavalcante Arruda, Tatiane Franciele de Almeida, Anacleia Melo da Silva Hilgenberg","doi":"10.1590/2317-1782/e20240198pt","DOIUrl":"https://doi.org/10.1590/2317-1782/e20240198pt","url":null,"abstract":"<p><strong>Purpose: </strong>Translate and culturally adapt the Deafness and Additional Disabilities Questionnaire (DAD-Q) into Brazilian Portuguese.</p><p><strong>Methods: </strong>Translation, back-translation, review by an expert committee, and cultural adaptation were conducted. For the cultural adaptation, 11 mothers of deaf children with additional disabilities, who use cochlear implants, participated. The reliability of the translated instrument was estimated using internal consistency analysis (Cronbach's Alpha). Equivalence was defined as the absence of difficulty in understanding the questions by at least 80% of the participants. The participants also rated the difficulty in responding to the Brazilian Portuguese version of the instrument and the time required for its application.</p><p><strong>Results: </strong>The discrepancies in the translation were resolved by the expert committee, and 100% of the participants reported understanding all the questions in the instrument without difficulty. The Cronbach's alpha coefficient demonstrated nearly perfect internal consistency for the instrument and substantial consistency in the other domains. Most participants rated the instrument as \"very easy\" and \"quick\" to respond to.</p><p><strong>Conclusion: </strong>The DAD-Q instrument was translated and adapted into Brazilian Portuguese, resulting in the Questionário de Surdez e Deficiências Adicionais (DADQ-PT).</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240198"},"PeriodicalIF":0.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Identification of obstruent contrasts by children with and without phonological disorders.","authors":"Mayara Ferreira de Assis, Elissa Barbi Mouro Pagliari Cremasco, Isabella Rodrigues Domingues, Larissa Cristina Berti","doi":"10.1590/2317-1782/e20240086pt","DOIUrl":"10.1590/2317-1782/e20240086pt","url":null,"abstract":"<p><strong>Purpose: </strong>(1) To compare auditory-perceptual accuracy and reaction time in children with and without phonological disorders for identifying the contrast of obstruents, and (2) to verify whether there is an effect of the phonetic class (stops vs. fricatives) on the accuracy, reaction time and error pattern.</p><p><strong>Methods: </strong>Sixty-two children (41 diagnosed with phonological disorders and 21 with typical phonological development), aged between 4 and 9 years, participated in the study. An identification task was performed in the obstruent class using the speech perception assessment instrument (PERCEFAL). Reaction time, percentage of correct and incorrect answers, and the error pattern were considered in the analysis. Results: Regarding auditory-perceptual accuracy, children with phonological disorders had a significantly lower average of correct answers than children with typical phonological development for both obstruent classes. Regarding reaction time, children with phonological disorders showed longer reaction times for the stop class (p≤0.05). In the error pattern analysis, errors involving the articulatory point were the most frequent for both classes and both groups of children.</p><p><strong>Conclusion: </strong>The presence of phonological disorders implies attenuated perceptual accuracy. The longer reaction time of children with phonological disorders depends on the phonic class.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240086"},"PeriodicalIF":0.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of hearing training on hearing and speech skills in children with speech sound disorders.","authors":"Cristiane Dellinghausen Valim, Márcia Keske-Soares, Eliara Pinto Vieira Biaggio","doi":"10.1590/2317-1782/e20240008pt","DOIUrl":"10.1590/2317-1782/e20240008pt","url":null,"abstract":"<p><strong>Purpose: </strong>to measure the effect of Brief Computerized Auditory Training (Brief-CAT) on behavioral auditory and speech skills in children with Speech Sound Disorder (SSD).</p><p><strong>Methods: </strong>14 children, aged 6 and 9, diagnosed with SSD participated. All children presented one or more altered auditory skills in the behavioral assessment of Central Auditory Processing (CAP). They underwent six sessions of Brief-CAT. CAP's behavioral auditory skills and speech were assessed and a questionnaire was administered pre and post Brief-CAT. Inferential analysis was carried out.</p><p><strong>Results: </strong>Brief-CAT had an effect on the background figure ability for verbal sounds. The CAP tests individually showed an evolution in the number of subjects who changed their profile from \"altered\" to \"normal\", even if not all of them had normalized the assessment. Prior speech therapy and the type of SSD had no impact on CAP results after Brief CAT. The questionnaire sustained the same results after intervention. Combining speech therapy with Brief-CAT offered greater potential for improving the phonological system (reducing absent sounds, increasing acquired sounds, and lowering SSD severity). Children with phonological disorders exhibited enhanced speech outcomes with combined Brief-CAT compared to those with motor speech disorders.</p><p><strong>Conclusion: </strong>Brief-CAT proved effective in enhancing figure-background auditory abilities in children with SSD. Associating speech therapy with Brief-CAT should be the preferred therapeutic approach as it provides greater progress. The type of SSD influenced the speech performance of children undergoing Brief-CAT.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240008"},"PeriodicalIF":0.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-02-28eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240224en
Nidhi Lalu Jacob, Aysha Rooha, Anjaly S Nair, Gagan Bajaj, Vinitha Mary George, Jayashree S Bhat
{"title":"A preliminary psychometric evaluation of the activity ordering task with a metacognitive facet (AOT-M).","authors":"Nidhi Lalu Jacob, Aysha Rooha, Anjaly S Nair, Gagan Bajaj, Vinitha Mary George, Jayashree S Bhat","doi":"10.1590/2317-1782/e20240224en","DOIUrl":"10.1590/2317-1782/e20240224en","url":null,"abstract":"<p><strong>Purpose: </strong>The Activity Ordering Task with a metacognitive facet (AOT-M) was developed, in our previous work, to address the disconnect between traditional working memory (WM) tasks and everyday WM demands, the lack of culturally sensitive, context-based WM tasks in India and enhance participant engagement. The present study aims to provide preliminary evidence of the AOT-M's psychometric properties among a non-clinical adult population, evaluate its sensitivity to cognitive and metacognitive changes with aging, establish construct validity, ecological validity, concurrent validity and test-retest reliability.</p><p><strong>Methods: </strong>Ninety neurotypical adults, evenly distributed across three age groups, participated in the study. Descriptive statistics examined the distribution of performance spans and estimation discrepancies across age groups and the age-related statistical differences were evaluated using the Kruskal-Wallis Test. Construct validity was assessed using Rasch analysis, while ecological validity was evaluated with the Multidimensional Assessment of Research in Context (MARC) tool. Concurrent validity with sentence ordering and digit letter ordering tasks, was determined through Pearson's correlation coefficient and test-retest reliability was assessed using the Intraclass Correlation Coefficient and Bland-Altman plots.</p><p><strong>Results: </strong>The patterns observed in WM performance spans and estimation discrepancies highlighted the task's sensitivity to aging related cognitive and metacognitive changes. Evidence from the MARC tool substantiated ecological validity, and concurrent validity was demonstrated through significant correlations with established WM tasks. While Rasch analysis supported construct validity, moderate person reliability indicated some limitations in task sensitivity. The AOT-M demonstrated good test-retest reliability.</p><p><strong>Conclusion: </strong>Overall, the study provides preliminary evidence of the AOT-M's good psychometric properties within a neurotypical adult sample, suggesting it to be a promising addition to the cognitive communicative toolbox for Speech Language Pathologists.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240224"},"PeriodicalIF":0.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-02-24eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20230310pt
Bianca Stephany Barbosa Vital, Karen Melissa Gonzaga Dos Santos, Aryelly Dayane da Silva Nunes Araújo, Joseli Soares Brazorotto, Regina Tangerino de Souza Jacob, Karinna Veríssimo Meira Taveira, Sheila Andreoli Balen
{"title":"Remote microphone systems in children and adolescents with autism spectrum disorders: a scoping review.","authors":"Bianca Stephany Barbosa Vital, Karen Melissa Gonzaga Dos Santos, Aryelly Dayane da Silva Nunes Araújo, Joseli Soares Brazorotto, Regina Tangerino de Souza Jacob, Karinna Veríssimo Meira Taveira, Sheila Andreoli Balen","doi":"10.1590/2317-1782/e20230310pt","DOIUrl":"10.1590/2317-1782/e20230310pt","url":null,"abstract":"<p><strong>Purpose: </strong>To map the literature on the use of the Remote Microphone System (RMS) in children and adolescents with Autism Spectrum Disorder (ASD).</p><p><strong>Methods: </strong>Scoping Review following the Joanna Briggs Institute recommendations and PRISMA-ScR checklist. Search was carried out in the databases: PubMed, Embase, Scopus, Web of Science, Lilacs, and gray literature, including Google Scholar and ProQuest, as well as reference lists of included studies and expert consultations. Intervention studies with children and adolescents with ASD using RMS were included, without gender, language, age, publication time, ethnicity, or geographical location restrictions.</p><p><strong>Results: </strong>709 studies were identified in phase 1. After reviewing 14 full texts with eligibility, eight studies were eligible. Studies were heterogeneous in the RMS model (personal or free field), applied tests, intervention period, and location. Improvement in speech perception, social interaction, behavior, attention, auditory memory, noise tolerance, stress reduction, and modification in neural activity through electrophysiological evaluation were observed.</p><p><strong>Conclusion: </strong>Using RMS demonstrated benefits in speech perception, social interaction, and behavior in adolescents and children with ASD. Further studies are needed to define protocols and indication parameters in this population.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20230310"},"PeriodicalIF":0.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-02-24eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20230326pt
Khalil Fouad Hanna, Aline Tocchini Pascoinelli Cremonesi, Maria Regina Torloni, Giovanna Dalo Ferreira
{"title":"Knowledge, perception, and satisfaction of postpartum women about newborn hearing screening in two private Brazilian maternity hospitals.","authors":"Khalil Fouad Hanna, Aline Tocchini Pascoinelli Cremonesi, Maria Regina Torloni, Giovanna Dalo Ferreira","doi":"10.1590/2317-1782/e20230326pt","DOIUrl":"10.1590/2317-1782/e20230326pt","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the knowledge, perception, and satisfaction of postpartum women about newborn hearing screening and investigate factors associated with lack of knowledge about the test.</p><p><strong>Methods: </strong>Cross-sectional analytical study conducted in two private Brazilian maternity hospitals. Participants were postpartum women with newborn infants eligible for hearing screening. After the hearing test, they answered an anonymous written questionnaire to assess their knowledge about, perception of, and satisfaction with the test. The characteristics of participants with and without knowledge about the test were compared using the Chi-square test. Variables with P <0.20 were included in the logistic regression.</p><p><strong>Results: </strong>The study included 470 postpartum women (74.1% had a university degree). Nearly 42% (n=195) had no prior knowledge about the test. Among those with prior knowledge, the main sources of information were having a previous child who had undergone the test (50.5%), and family/friends (26.2%). Primiparity (aOR 5.01, 95% CI 3.27-7.69), lack of information about the test during antenatal care (aOR 3.67, 95% CI 2.01-6.70), and no family member with hearing loss (aOR 2.00, 95% CI 1.16-3.47) were variables associated with the lack of knowledge about the test. Almost all participants (98.7%) perceived the test as very important, and 94.3% were totally satisfied with it.</p><p><strong>Conclusion: </strong>Even though newborn hearing screening became mandatory in Brazil over a decade ago, a large proportion of postpartum women in two private hospitals had no prior knowledge about the test. However, the vast majority perceive the test as very important and are highly satisfied with it.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20230326"},"PeriodicalIF":0.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-02-24eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240138en
Matheus Francoy Alpes, Julia Cipolato, Ana Rita Valente, Jacqueline Aquino do Nascimento, Patrícia Pupin Mandrá, Marisa Lousada
{"title":"Intelligibility in Context Scale: validity of the Brazilian-Portuguese version.","authors":"Matheus Francoy Alpes, Julia Cipolato, Ana Rita Valente, Jacqueline Aquino do Nascimento, Patrícia Pupin Mandrá, Marisa Lousada","doi":"10.1590/2317-1782/e20240138en","DOIUrl":"10.1590/2317-1782/e20240138en","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study was to validate the Brazilian-Portuguese version of the Intelligibility in Context Scale (ICS-BP).</p><p><strong>Methods: </strong>Sixty children (mean age in months = 55.05, SD = 4.2), 15 with parental or teacher concerns regarding their speech and 45 without concerns, underwent assessment using the phonology subtest of ABFW - Child Language Test. The percentage of consonants correct (PCC) was calculated and parents completed the ICS to evaluate their children's intelligibility with various communication partners. Descriptive statistics were obtained. Kruskal-Wallis and Spearman' tests were used for independent group comparisons and correlation calculations, respectively. Linear regression models were established to predict PCC. Internal consistency was calculated using Cronbach's alpha. A Receiver Operating Characteristic (ROC) was used to analyse sensitivity and specificity. Significance was considered for p-values under 0.05.</p><p><strong>Results: </strong>The majority of parents reported a mean score of 4.6 in a total of 5 (SD .10) at the ICS responses with different listeners, with better performance with other acquaintances and members of the family. The ICS demonstrated excellent internal consistency (α = 0.95). Positive correlations were found between ICS scores and PCC (r = .790) and a simple linear model was established between the ICS mean score and PCC. Sensitivity (0.98) and specificity (0.87) were considered high.</p><p><strong>Conclusion: </strong>The ICS-BP indicated high psychometric values, suggesting that this instrument can be used to measure the intelligibility of Brazilian children.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240138"},"PeriodicalIF":0.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-02-24eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240134en
Esther Constantino, Isabela Ciola de Castro, Vânia Lúcia Carvalho de Lima, Clara Brandão de Avila
{"title":"Efficacy of Transcranial Direct Current Stimulation in Developmental Dyslexia: a scoping review.","authors":"Esther Constantino, Isabela Ciola de Castro, Vânia Lúcia Carvalho de Lima, Clara Brandão de Avila","doi":"10.1590/2317-1782/e20240134en","DOIUrl":"10.1590/2317-1782/e20240134en","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to improve the existing knowledge about the application of Transcranial Direct Current Stimulation in rehabilitating Developmental Dyslexia, both alone and in conjunction with other therapeutic approaches.</p><p><strong>Research strategies: </strong>The research was carried on the PubMed, Elsevier, LILACS and ERIC - Institute of Education Science.</p><p><strong>Selection criteria: </strong>Peer-reviewed journal articles were included if published in English, Portuguese, and Spanish and be broken down from the research question devised by the PICO acronym.</p><p><strong>Data analysis: </strong>Specific data collected according to delineation, summarized by descriptive analysis.</p><p><strong>Results: </strong>Eleven articles were analyzed. Five of them associated tDCS with cognitive-linguistic or reading stimulation therapy. Assembly and application frequency parameters varied. The results indicated a positive effect on reading skills after the intervention in all of them.</p><p><strong>Conclusion: </strong>The selected studies showed an improvement in reading speed and accuracy after active transcranial direct current stimulation, whether or not it combined with other cognitive-linguistic and reading stimulation. In some cases, the positive effects persisted up to six months after the intervention, making this a tool that can be used in the treatment of individuals with dyslexia.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240134"},"PeriodicalIF":0.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-02-24eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240049en
Ana Maria Hernandez, Maria Isabel Berto, Esther Mandelbaum Gonçalves Bianchini
{"title":"Viscosity study of maternal and formula milks according to the assessment proposed by the International Dysphagia Diet Standardisation Initiative Model: a comparison with Rheological Assessment.","authors":"Ana Maria Hernandez, Maria Isabel Berto, Esther Mandelbaum Gonçalves Bianchini","doi":"10.1590/2317-1782/e20240049en","DOIUrl":"10.1590/2317-1782/e20240049en","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to investigate the behavior and the viscosity classification of liquids recommended for infants, up to six months, in Brazil, and their formulations used in Videofluoroscopy Swallowing Studies.</p><p><strong>Methods: </strong>Breast milk from different gestational and breastfeeding time, two regular infant formulas, and one anti-reflux formula were evaluated in five different formulations: pure, mixed with liquid barium sulfate, in two proportions (20 and 33%), thickened with a specific thickener for neonates and thickened and mixed with 20% liquid barium sulfate, using the International Dysphagia Diet Standardisation Initiative model. The results were compared with data obtained from a previous rheological study.</p><p><strong>Results: </strong>The breast milk samples and the infant formulas, in pure presentation, exhibited similar behavior except for the anti-reflux formula. The thickened samples with the addition of barium and the pure liquid barium sulfate exhibited the highest viscosity among the formulations. The increase in viscosity with the addition of barium occurred for all samples and for the thickened formulations, but not in linear behavior. The results showed minor differences of IDDSI classification compared to the findings obtained in the rheological study.</p><p><strong>Conclusion: </strong>The present study revealed the variability of liquid viscosity across different formulations, supporting the idea of the importance of this knowledge in videofluoroscopic assessment. It has also highlighted the risk associated with using a subjective method in preparing the stimuli offered, allowing for greater reliability in diagnosing swallowing dynamics in neonates and infants. This approach may help prevent inaccurate diagnoses and harmful interventions.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240049"},"PeriodicalIF":0.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}