CoDAS最新文献

{"title":"Validation of the Leicester Cough Questionnaire in Brazilian Portuguese.","authors":"Rodrigo Dornelas, Vanessa Veis Ribeiro, Alice Lopes, Thassiany Carpanez, Surinder Birring, Mara Behlau","doi":"10.1590/2317-1782/e20240391en","DOIUrl":"10.1590/2317-1782/e20240391en","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to validate the Leicester Cough Questionnaire (LCQ) for Brazilian Portuguese.</p><p><strong>Methods: </strong>Validation followed the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN). Data collection included a sociodemographic questionnaire, the translated version of LCQ-Brazil (LCQ-Br), self-perception of laryngeal sensitivity, cough frequency and intensity, the Cough Severity Index (CSI-Br), and the Newcastle Laryngeal Hypersensitivity Questionnaire (LHQ-Br). The LCQ-Br retained its original structure with 19 items across physical, psychological, and social domains. Participants completed the LCQ-Br on three occasions to assess validity, reliability, and responsiveness.</p><p><strong>Results: </strong>Ninety-eight patients with chronic cough (79% women; mean age of 49) participated. Construct validation confirmed the LCQ-Br's factorial structure. For concurrent validity, negative correlations were observed between LCQ-Br domains and self-perceived laryngeal sensitivity, cough frequency and intensity, and CSI-Br factors (physical, social, psychological, and total scores). A positive correlation was found between the LCQ-Br total and LHQ-Br scores. Internal consistency was high (Cronbach's alpha = 0.952), and test-retest reliability yielded a coefficient of 0.455. The responsiveness analysis demonstrated significant reductions in LCQ-Br scores post-intervention for physical, psychological, and total domains.</p><p><strong>Conclusion: </strong>The LCQ-Br is a valid, reliable, and responsive tool for assessing health status in chronic cough patients, making it suitable for clinical practice and research applications.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 5","pages":"e20240391"},"PeriodicalIF":0.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207985","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":"Language attitudes of Generation Z in responding to teacher questions in learning interactions.","authors":"Imam Suyitno, Ary Fawzi, Heni Dwi Arista","doi":"10.1590/2317-1782/e20250098en","DOIUrl":"10.1590/2317-1782/e20250098en","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the language attitudes of Generation Z in responding to teacher questions in the classroom interaction. The focus of the study was the problems of the diversity of language forms and strategies, the influencing factors, and their implications for learning dynamics.</p><p><strong>Methods: </strong>This study used a qualitative approach, and the data collection was conducted through observation and semi-structured interviews. Researchers observe and record students' speech and its contexts related to their responses to teacher questions during Indonesian language, arts and culture, and mathematics lessons. After class activities, the researcher conducted semi-structured interviews with students to explore causal factors related to language habits and the use of digital social media. The researchers also interviewed teachers to explore the impact of these speeches use in learning interaction.</p><p><strong>Results: </strong>The study reveals that Generation Z students respond to teachers' questions frequently using informal Indonesian, slang, regional languages, and mixed language styles, reflecting their preference for familiarity and self-expression over strict formality in classroom interactions. Students employ diverse language strategies to respond to teachers' questions, such as short answers, humor, metaphoric appeals, and challenges. The study found that Generation Z's speech in responding to teacher questions is influenced by social media exposure, informal teacher-student relationships, and socio-cultural backgrounds, leading to a preference for informal and digital-influenced language in the classroom and social interactions.</p><p><strong>Conclusion: </strong>This study concludes that Generation Z's language attitudes in the classroom are different from previous generations in responding to teacher questions. Generation Z's language attitudes are influenced by language in digital social media and local culture, fostering egalitarian interactions while posing challenges in maintaining academic formality.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 5","pages":"e20250098"},"PeriodicalIF":0.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207976","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":"Empathy and Person-Centered Care from the perspective of undergraduate Speech-Language Pathology students.","authors":"Giovana Fochezato Veloso, Tatiane Franciele de Almeida, Vanessa Luisa Destro Fidêncio","doi":"10.1590/2317-1782/e20240380pt","DOIUrl":"10.1590/2317-1782/e20240380pt","url":null,"abstract":"<p><strong>Purpose: </strong>To correlate the empathy of undergraduate Speech-Language Pathology students with their preference for the person-centered care (PCC) model.</p><p><strong>Methods: </strong>This is a cross-sectional quantitative study using a questionnaire. Undergraduate Speech Language Pathology students from any academic year, enrolled in any Higher Education Institution (HEI), aged 18 years or older, participated in the study. Participants completed the Brazilian Portuguese version of the Patient-Practitioner Orientation Scale (PPOS) and the Empathy Inventory via an online form. A simple descriptive statistical analysis and data analysis based on total scores and dimensions of the applied instruments were performed. A significance level of p < 0.05 was adopted.</p><p><strong>Results: </strong>Forty undergraduate Speech-Language Pathology students participated, with an average age of 26.25 years. Of these, 82.5% were students from private HEIs, and 67.5% were from the southern region of the country. Regarding the PPOS scale, participants scored higher in the \"caring\" dimension. For the Empathy Inventory, higher scores were observed in the \"affective sensitivity\" factor and lower scores in the \"interpersonal flexibility\" factor. A significant positive correlation was found between the total scores of the questionnaires, between the \"interpersonal flexibility\" factor and the \"caring\" dimension, and between the \"altruism\" factor and the \"caring\" dimension.</p><p><strong>Conclusion: </strong>In the evaluated sample, undergraduate Speech-Language Pathology students with higher levels of empathy, particularly altruism and interpersonal flexibility, demonstrated a tendency to prefer the PCC model. Thus, investing in strategies to enhance empathy in undergraduate students may encourage the adoption of the PCC model, contributing to improved patient care quality in Speech-Language Pathology.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 5","pages":"e20240380"},"PeriodicalIF":0.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207983","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":"Effects of myotherapy combined with photobiomodulation on the lips: a randomized clinical trial.","authors":"Mariana Rodrigues Batista, Andréa Rodrigues Motta, Renata Maria Moreira Moraes Furlan","doi":"10.1590/2317-1782/e20240144pt","DOIUrl":"10.1590/2317-1782/e20240144pt","url":null,"abstract":"<p><strong>Purpose: </strong>to compare the maximum pressure, average pressure, and labial resistance of healthy adults undergoing myotherapy combined with photobiomodulation at different doses.</p><p><strong>Methods: </strong>a randomized, double-blind clinical trial was conducted. The non-probabilistic sample consisted of 12 individuals with a mean age of 21.8 years, randomly assigned to three distinct groups for intervention with photobiomodulation. The exercises were the same for all participants. In group 1 (G1), participants received photobiomodulation at a dose of 7 J per point; in group 2 (G2), participants received 9 J per point; and in the placebo group (PG), participants underwent the same procedures as in the other groups, but the device was turned on without being activated (placebo). The wavelength used was infrared. Participants received photobiomodulation three times a week, with a 48-hour interval, for eight weeks. Myotherapy was performed at home by participants three times a day, five times a week, for eight weeks. Clinical assessment of the lips, maximum pressure, average pressure, and labial resistance were conducted using the Iowa Oral Performance Instrument (IOPI) before and after intervention.</p><p><strong>Results: </strong>There were no results indicating an increase in maximum or average lip pressure; however, there was an increase in labial resistance in G1.</p><p><strong>Conclusion: </strong>Photobiomodulation associated with myotherapy, with the parameters and methodology used in this study, did not result in an increase in lip pressure but promoted an increase in resistance in the group exposed to 7 J per point.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 4","pages":"e20240144"},"PeriodicalIF":0.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973611","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":"Swallowing ability, nutritional status, and functioning in adults with advanced cancer excluding head, neck, and upper gastrointestinal tract: a cross-sectional study in an outpatient palliative care setting.","authors":"Danielle Nunes Moura Silva, Yohane Cristina Guimarães Jardim, Laélia Cristina Caseiro Vicente, Amélia Augusta de Lima Friche","doi":"10.1590/2317-1782/e20240210pt","DOIUrl":"10.1590/2317-1782/e20240210pt","url":null,"abstract":"<p><strong>Purpose: </strong>This study sought to analyze the swallowing function of cancer patients undergoing palliative care according to the degree of functionality and nutritional status.</p><p><strong>Methods: </strong>observational, cross-sectional study, conducted with advanced cancer patients outside the head and neck and upper gastrointestinal tract, in an outpatient palliative care setting at a Brazilian oncology center, conducted between March 2022 and August 2023. In the first stage, sociodemographic, clinical, functional, and nutritional data were collected. Subsequently, a speech therapy assessment was performed to classify swallowing disorders and feeding route associated with swallowing ability. Descriptive, univariate, and multivariate analyses were conducted using logistic regression.</p><p><strong>Results: </strong>39 individuals participated in the study, the majority were female, with functional performance between fair and good, moderately undernourished. Regarding the assessment of swallowing abilities, the sample mostly exhibited fully functional swallowing, followed by functional swallowing with occasional minimal cues, additional time, or avoidance of specific foods. As for the classification of swallowing, most participants had either normal swallowing or functional swallowing, with only one patient presenting mild oropharyngeal dysphagia. Multivariate analysis revealed a significant association between a decline in swallowing ability and poorer functional performance and nutritional status.</p><p><strong>Conclusion: </strong>Poorer swallowing ability in patients with advanced cancer, excluding those with head, neck, and upper gastrointestinal tract cancers, was associated with lower global functionality and nutritional status.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 4","pages":"e20240210"},"PeriodicalIF":0.8,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973638","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":"Efficacy of the Adapted Cycles Intervention Program (PROCICLOS-A) and the influence of severity on the performance of children with Speech Sound Disorders.","authors":"Mayra Alexandra Misugi, Daniel Gomes Dos Santos, Carolina Kuntz Ayub, Haydée Fiszbein Wertzner","doi":"10.1590/2317-1782/e20240215pt","DOIUrl":"10.1590/2317-1782/e20240215pt","url":null,"abstract":"<p><strong>Purpose: </strong>To verify the efficacy of PROCICLOS-A in children with SSD, according to the weekly frequency of sessions, and the severity's influence on the sessions' performance.</p><p><strong>Methods: </strong>Eight children with SSD participated, both sexes, ages between 5:03 and 7:07 years, divided into two groups: C1, once a week; C2, twice a week. The efficacy of PROCICLOS-A was verified in C1 and C2 by analyzing variables from the phonology tests of the ABFW assessment across three evaluation moments. The performance in the sessions was obtained through scoring the activities.</p><p><strong>Results: </strong>All measures significantly differed, indicating improved performance in the evaluations after the intervention. Regarding the influence of the frequency of the sessions, there was no significant difference between C1 and C2 in the three evaluation moments. Blocks of sessions analyzed the performance in the sessions: A (sessions 1, 4, 7, 10), B (sessions 2, 5, 8, 11), C (sessions 3, 6, 9, 12). The analysis revealed lower performance during the sessions of Block A, while Blocks B and C demonstrated better performance.</p><p><strong>Conclusion: </strong>The study provided evidence for the efficacy of PROCICLOS-A, regardless of the dosage and frequency of sessions. It suggests that maintaining the cumulative intensity of the intervention is vital, indicating that the total number of intervention hours may have a greater impact than the number of sessions held per week. There was an improvement in each child's performance throughout the program, regardless of the target sound and severity at the beginning of the intervention.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 4","pages":"e20240215"},"PeriodicalIF":0.8,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973578","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":"Speech profile in patients with Huntington's Disease: cognitive, clinical, and sociodemographic correlations.","authors":"Nathália Vescia Bauer, Maria Eduarda Soares Machado, Maiara Laís Mallmann Kieling Peres, Raphael Machado de Castilhos, Maira Rozenfeld Olchik","doi":"10.1590/2317-1782/e20240013pt","DOIUrl":"10.1590/2317-1782/e20240013pt","url":null,"abstract":"<p><strong>Purpose: </strong>To describe speech profiles in individuals with Huntington's Disease (HD), correlate them with cognitive and clinical aspects, and compare them with healthy controls.</p><p><strong>Methods: </strong>Symptomatic individuals with a clinical and molecular diagnosis of HD were included. Seven healthy controls, matched by age and sex, were also included. Clinical and sociodemographic data were obtained from medical records. The Unified Huntington's Disease Rating Scale was used to measure severity. Cognitive data were collected using verbal fluency, symbol digit modalities, and Stroop tests. Auditory perceptual assessments were used to evaluate speech, and acoustic analysis extracted information about the following tasks: sustained vowel /a/, utterances with different intonations, oral diadochokinesis, spontaneous speech, and the repeated diphthong /ju:/.</p><p><strong>Results: </strong>Of the seven individuals with HD, four women with a mean age of 48.86 (±16.03), presented severe (57.15%), moderate (28.57%), and mild (14.28%) dysarthria. Speech impairment in HD case subjects was related to overall motor decline; the worse the motor symptoms, the worse the speech impairment. There was no correlation with the other clinical data or cognition. The case subjects were significantly worse than the control group, specifically regarding the subsystems of phonation (fundamental frequency, phonation time, local jitter, local shimmer), respiration (maximum phonation time) and articulation (speech rate, phonation time in spontaneous speech, number of syllables in spontaneous speech, average duration of syllables and duration of spontaneous speech).</p><p><strong>Conclusion: </strong>In HD subjects, the most affected speech subsystems were articulation, phonation, and respiration. Poor motor speech patterns were associated with overall motor decline. Speech assessments may provide biomarkers that predict HD progression.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 4","pages":"e20240013"},"PeriodicalIF":0.8,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973575","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":"Efficacy of the adapted Cycles approach in telepractice speech-language pathology with a parental focus for children with speech sound disorders.","authors":"Daniela Aparecida Barbosa, Haydée Fiszbein Wertzner","doi":"10.1590/2317-1782/e20240216pt","DOIUrl":"10.1590/2317-1782/e20240216pt","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of the adapted Cycles approach to telepractice and family engagement in the treatment of children with speech sound disorder (SSD).</p><p><strong>Methods: </strong>Ten children aged 5:0 to 7:8 years with a diagnosis of SSD participated. Two multiple baseline assessments and two post-treatment assessments were conducted. Effectiveness was measured by comparing pre- and post-intervention percentage of consonants correct (PCC), percentage of consonants correct revised (PCC-R), Process Density Index (PDI), and the number of phonological processes with occurrence >25% and the intervention effect size (ES). Family perceptions of daily training were obtained via digital interview and Likert scale. Subjects were randomly distributed to G1: two weekly online sessions with the speech therapist, and G2: half the sessions conducted by the caregiver trained by the speech therapist. Both groups received 12 sessions and performed daily speech training.</p><p><strong>Results: </strong>All participants showed increased PCC, PCC-R, and decreased PDI and number of phonological processes with occurrence >25%, with ES ranging from small to large. There was a trend towards statistical significance (ES G2 > G1). All caregivers reported high child interest in activities and ease of execution, with a positive family experience (Likert=4) training the child's speech using digital resources.</p><p><strong>Conclusion: </strong>The effectiveness of the proposed approach ranged from medium to high. The performance of the groups was similar, with a trend towards greater effectiveness for G2, which focused on family involvement. Parental training resulted in good engagement in sessions and daily training.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 4","pages":"e20240216"},"PeriodicalIF":0.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838163","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":"Speech and language therapy assessment based on applied behavior analysis: a scoping review.","authors":"Débora Pontes Cavalcante Almeida, Cíntia Alves Salgado Azoni, Larissa Nadjara Alves Almeida, Ivonaldo Leidson Barbosa Lima, Isabelle Cahino Delgado","doi":"10.1590/2317-1782/e20240155pt","DOIUrl":"10.1590/2317-1782/e20240155pt","url":null,"abstract":"<p><strong>Purpose: </strong>To identify and describe language assessment protocols from the perspective of ABA used in speech-language therapy.</p><p><strong>Research strategies: </strong>The question that guided the study was: What are the ABA-based language assessment protocols currently used in speech therapy? For the electronic search of articles, the databases used were Medline/PubMed, Lilacs, Web of Science and Scopus. The search strategy used indexed and free uniterms related to PCC.</p><p><strong>Selection criteria: </strong>Studies with a cross-sectional design were included, considering individuals undergoing language assessment as the population; ABA-based assessment protocols in speech-language therapy were included. Studies that did not focus on language assessment and with a literature review design, letters to the editor, books, abstracts from proceedings, opinion articles and technical articles were excluded.</p><p><strong>Data analysis: </strong>The data were analyzed descriptively, analyzing the studies' levels of evidence.</p><p><strong>Results: </strong>A total of 6,859 articles were identified in all the databases. Of these, 17 articles were selected by title, after reading the abstract. 12 were excluded because they did not meet the inclusion criteria: 4 were review articles, 6 did not fit the objective of this research and 2 were repeated between the databases. Five were then selected for full text reading and subsequent data analysis.</p><p><strong>Conclusion: </strong>Only two language assessment protocols from the perspective of ABA used in speech therapy were found in this review: VB-MAPP and ABLLS-R. Both do not have validation studies for Brazilian Portuguese.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 4","pages":"e20240155"},"PeriodicalIF":0.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838165","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":"Clinical and instrumental evaluation of non-nutritive sucking in newborns before and after frenotomy: a case report.","authors":"Danielle Cristine Marques, Renata Maria Moreira Moraes Furlan, Narciso Sena Fracaroli, Andréa Rodrigues Motta, Estevam Barbosa de Las Casas, Sandra Raquel de Melo Gomes","doi":"10.1590/2317-1782/e20240297pt","DOIUrl":"10.1590/2317-1782/e20240297pt","url":null,"abstract":"<p><p>Changes in the lingual frenulum can impair breastfeeding, leading to poor weight gain and/or early weaning. This study aimed to investigate the influence of frenotomy on the clinical and instrumental parameters of non-nutritive sucking in newborns. It is a case series study with six full-term newborns, three males and three females, diagnosed with ankyloglossia through the Lingual Frenulum Evaluation Protocol for Infants and the Bristol Tongue Assessment Tool. Clinical assessment of non-nutritive sucking was conducted using the Non-Nutritive Sucking Assessment Protocol, and instrumental assessment was performed using an instrument that records sucking pressure. Both assessments were conducted before frenotomy and up to 48 hours after the procedure, respectively, comparing the parameters between these moments. The number of suctions, suction groups, and the mean pressure increased significantly. The evaluation scores also changed significantly after surgery, with a decrease in the lingual frenulum assessment protocol score and an increase in the Bristol Tool score. Instrumental parameters (number of suction groups, total suctions, and mean pressure) and clinical parameters (lip sealing, tongue cupping, tongue dorsum elevation and lowering, mandible elevation and lowering, sucking strength, sucking rhythm, bites, exaggerated mandible excursions, and signs of stress) improved after frenotomy.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 4","pages":"e20240297"},"PeriodicalIF":0.8,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838162","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}