CoDAS最新文献

{"title":"Voice disorder is recognized as an occupational disease.","authors":"Maria Lúcia Vaz Masson, Léslie Piccolotto Ferreira, Claúdia Giglio de Oliveira Gonçalves","doi":"10.1590/2317-1782/e20250357pt","DOIUrl":"10.1590/2317-1782/e20250357pt","url":null,"abstract":"","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 4","pages":"e20250357"},"PeriodicalIF":0.9,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309797","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 transcutaneous electrical nerve stimulation and manual laryngeal therapy on muscle tension dysphonia: randomized clinical trial.","authors":"Isadora de Oliveira Lemos, Kelly Cristina Alves Silvério, Mauriceia Cassol","doi":"10.1590/2317-1782/e20250264pt","DOIUrl":"10.1590/2317-1782/e20250264pt","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the immediate effects of Transcutaneous Electrical Nerve Stimulation (TENS), Laryngeal Manual Therapy (LMT), and the combined application of both in women with Muscle Tension Dysphonia (MTD), considering vocal symptoms, voice quality, aerodynamic measures, and levels of perceived muscle tension on palpation.</p><p><strong>Methods: </strong>This was a randomized clinical trial including women with a speech-language diagnosis of MTD, allocated into three intervention groups: TENS, LMT, and TENS+LMT. Participants were assessed for vocal symptoms, musculoskeletal pain intensity, perceptual-auditory evaluation of voice quality using the GRBAS scale, maximum phonation times (MPT), S/Z ratio, and levels of perceived muscle tension on palpation using the Laryngeal Palpatory Scale (LPS).</p><p><strong>Results: </strong>Significant reductions in vocal symptoms, including vocal fatigue, and musculoskeletal pain were observed after the interventions, along with increased MPT in all groups. In the TENS group, breathiness decreased; in the LMT group, there was a significant reduction in overall voice alteration; and in the TENS+LMT group, reductions were observed in overall voice alteration and vocal tension. The LPS also showed a significant decrease in perceived muscle tension during phonation in the TENS+LMT group.</p><p><strong>Conclusion: </strong>All interventions showed positive effects, with significant reductions in vocal symptoms and musculoskeletal pain, as well as increases in MPT. The combined techniques were able to provide better vocal adjustments and reduce perceived muscle tension on palpation, demonstrating that both approaches were effective in promoting vocal and musculoskeletal benefits.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 4","pages":"e20250264"},"PeriodicalIF":0.9,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309804","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":"Validation and standardization of the Scale of Self-Perception of Central Auditory Processing Skills (EAPAC) - expanded.","authors":"Luciana Cássia de Jesus, Luciana Mendonça Alves, Luciana Macedo de Resende","doi":"10.1590/2317-1782/e20250215pt","DOIUrl":"10.1590/2317-1782/e20250215pt","url":null,"abstract":"<p><strong>Purpose: </strong>To validate and standardize the online application of the Scale of Self-Perception of Central Auditory Processing Skills (EAPAC) - expanded for Brazilian adults.</p><p><strong>Methods: </strong>The EAPAC was expanded and answered by 1,274 Brazilian individuals aged 18 to 59 years. Of these, 116 subjects underwent neuropsychological and auditory evaluation, and 63 were selected to answer the scale at a second time point. Those with any type and degree of hearing loss, history of speech-language-hearing therapy for central auditory processing disorder, and psychiatric and/or neurological alteration were excluded. Descriptive analysis of the variables, exploratory factor analysis, and ROC curve were performed for validation and standardization. The Wilcoxon test was used to compare the responses of the subjects who answered the scale at two time points.</p><p><strong>Results: </strong>After exploratory factor analysis, five questions were excluded, as they did not correlate with the scale domains. The ROC curves, constructed considering the presence of auditory processing disorder and the result by auditory processes, did not indicate significant values. Thus, the scale presented fragile sensitivity and specificity values. There was no significant difference in the subjects' responses to the scale between the two time points.</p><p><strong>Conclusion: </strong>The expanded scale did not present adequate psychometric standards for identifying the risk for central auditory processing disorder, but it proved useful for investigating auditory complaints in everyday tasks, thus helping to select strategies to minimize the negative impact of the difficulties mentioned.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 4","pages":"e20250215"},"PeriodicalIF":0.9,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309771","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":"Habitual lip and tongue posture in infants with Trisomy 21: characterization and associated factors.","authors":"Letícia Pereira Quintaes Godinho, Larissa Melgaço Campos, Andréa Rodrigues Motta, Renata Maria Moreira Moraes Furlan","doi":"10.1590/2317-1782/e20250157pt","DOIUrl":"10.1590/2317-1782/e20250157pt","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize the habitual lip and tongue posture in infants with trisomy 21 and to verify its association with age, sex, and clinical characteristics.</p><p><strong>Methods: </strong>This is an observational, cross-sectional, analytical study with a sample of 61 infants with trisomy 21, with a mean age of 7.4 ± 6.2 months. The habitual lip and tongue posture was obtained through the analysis of videos of the infants' faces. Data regarding age, sex, and clinical conditions were collected from the participants' medical records. The study response variables were the habitual tongue and lip postures predominantly adopted by the infants. Explanatory variables included age, sex, prematurity, birth weight, heart disease, hypothyroidism, lung disease, breastfeeding, and use of bottles and pacifiers. Data were analyzed using descriptive statistics and Pearson's chi-square test for association between variables, with a 5% significance level. The study used 20% of the videos to verify the kappa coefficient and obtain intrarater and interrater agreement, classified as excellent and substantial, respectively.</p><p><strong>Results: </strong>The longest postures were parted lips (48.2%) and tongue inside the oral cavity (32.4%). Lip posture was associated with age at the time of assessment and birth weight, and tongue posture was associated with breastfeeding.</p><p><strong>Conclusion: </strong>Younger chronological age at the time of assessment and higher birth weight were associated with better lip posture, while breastfeeding was associated with better tongue posture.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 4","pages":"e20250157"},"PeriodicalIF":0.9,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309825","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":"Cochlear implant as an option for unilateral deafness rehabilitation.","authors":"Tatiana Rocha Silva, Thiago Motta Oliveira, Camila Maria Bernardes da Silva, Cíntia Santos Silva Machado, Fernanda Abalen Martins Dias","doi":"10.1590/2317-1782/e20250415pt","DOIUrl":"10.1590/2317-1782/e20250415pt","url":null,"abstract":"","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 4","pages":"e20250415"},"PeriodicalIF":0.9,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266602","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":"Tinnitus disorder and musical auditory training: a double-blind randomized controlled clinical trial.","authors":"Christine Grellmann Schumacher, Katya Guglielmi Marcondes Freire, Denis Altieri de Oliveira Moraes, Michele Vargas Garcia, Dayane Domeneghini Didoné","doi":"10.1590/2317-1782/e20250150pt","DOIUrl":"10.1590/2317-1782/e20250150pt","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of Musical Auditory Training (MAT) on auditory system neuroplasticity and on tinnitus perception in adults.</p><p><strong>Methods: </strong>A randomized double-blind clinical trial, approved by the Research Ethics Committee. Twenty adults with tinnitus complaints for at least six months, intensity greater than four points on the Visual Analog Scale (VAS), normal bilateral hearing thresholds, and preserved neural synchrony at the brainstem level were included. Participants were randomly assigned to two groups: Control Group (CG, n=10), submitted to passive stimulation with audiovisual material without tasks, and Study Group (SG, n=10), submitted to MAT. Both groups underwent eight sessions, twice a week, over a four-week period. Assessments included verbal Long-Latency Auditory Evoked Potentials (LLAEP), to investigate neuroplasticity, as well as the VAS (volume and discomfort) and the Tinnitus Handicap Inventory (THI), to measure symptom perception.</p><p><strong>Results: </strong>Both groups showed improvement in tinnitus perception after the intervention. However, a differentiated analysis revealed that the CG presented restricted changes, with improvement only in the duration of the P3 component of the LLAEP. In contrast, the SG showed broader changes, including significant alterations in both amplitude and duration of P3, suggesting greater neural recruitment associated with auditory processing. In addition, only the SG demonstrated consistent reductions in tinnitus volume and discomfort, as well as in the impact on quality of life, as reflected in THI scores.</p><p><strong>Conclusion: </strong>After four weeks, MAT proved to be superior to passive stimulation, promoting positive changes in auditory neuroplasticity, a greater reduction in tinnitus intensity and annoyance, and a significant improvement in participants' quality of life.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 4","pages":"e20250150"},"PeriodicalIF":0.9,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266530","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":"Spectral, cepstral, and short-term acoustic measures in women with and without laryngeal and vocal alterations.","authors":"Amanda Mariane Paulino Gualberto, Fabiana Andrade Penido, Ana Cristina Côrtes Gama","doi":"10.1590/2317-1782/e20250344pt","DOIUrl":"10.1590/2317-1782/e20250344pt","url":null,"abstract":"<p><strong>Purpose: </strong>To compare acoustic voice measures of women with and without laryngeal and vocal alterations.</p><p><strong>Methods: </strong>Cross-sectional, analytical, observational study with 69 female teachers, divided into four groups: 21 with laryngeal alterations (LAG), 48 without alterations (NAG), 45 with vocal deviations (VDG), and 24 without deviations (NDG). The groups were defined by otolaryngological evaluation (videolaryngoscopy or videolaryngostroboscopy) and by auditory-perceptual evaluation of the grade of hoarseness. Participants who smoked, were pregnant, menstruating, or had allergies or the flu were excluded. Voice and speech samples (3 central seconds of the vowel [a] and counting from 1 to 11) were recorded and edited using Praat. The acoustic measures jitter, shimmer, harmonic-to-noise ratio (HNR), glottal-to-noise excitation (GNE), smoothed cepstral peak prominence (CPPS), spectral tilt, high-frequency noise (HF noise), and the difference between the first and second harmonics (H1-H2) were extracted from the VOXplot. Statistical analysis was performed using the t-test, Mann-Whitney test, and Hedges' g test.</p><p><strong>Results: </strong>Women with laryngeal and vocal alterations had lower GNE, HNR, CPPS, H1-H2, and HF noise values and higher jitter, shimmer, and spectral tilt values. CPPS, spectral tilt (vowel), and H1-H2 (vowel and speech) were not different between the groups with and without laryngeal alterations. CPPS (vowel) and spectral tilt (vowel and speech) were likewise not different between the groups with and without vocal deviation.</p><p><strong>Conclusion: </strong>The acoustic measures responded similarly to the presence of laryngeal and vocal alterations, reinforcing the combined influence of structural and functional factors on the quality of the vocal signal.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 4","pages":"e20250344"},"PeriodicalIF":0.9,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266535","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":"Sleep quality and risk of oropharyngeal dysphagia in older people in intensive care units.","authors":"Isabela Cristina Monteiro de Lira, Natália de Castro E Silva Martins, Luciano Pedrosa de Oliveira Filho, Bianca Emmanuely Clemente da Silva, Luciana Moraes Studart-Pereira","doi":"10.1590/2317-1782/e20250183en","DOIUrl":"10.1590/2317-1782/e20250183en","url":null,"abstract":"<p><strong>Purpose: </strong>To associate the risk of oropharyngeal dysphagia with poor sleep quality in older adults in intensive care units.</p><p><strong>Methods: </strong>Analytical, observational, cross-sectional study carried out in intensive care units with purposive sampling. A screening form was completed daily for patients admitted during the research period, totaling 221 participants. The inclusion criteria were older individuals (> 60 years old) with preserved cognitive status, communication skills, and physical and emotional stability; based on these criteria, the sample comprised 66 participants. The study used the Richards-Campbell Sleep Questionnaire to assess sleep quality, item 4 of the Sleep in ICU Questionnaire to assess daytime sleepiness, and the Oropharyngeal Dysphagia Screening in Hospitalized Older Adults to assess the risk of dysphagia.</p><p><strong>Results: </strong>There was a predominance of females (65.2%) and of the age group of 60-70 years (66.7%). Of these, 30.3% were hospitalized due to respiratory problems. Most of the sample (62.1%) reported good sleep quality, while 37.9% had poor sleep. Sleep depth and time to sleep lowest scores, reflecting increased sleep latency and reduced sleep depth. Also, 16.7% scored at risk for oropharyngeal dysphagia during hospitalization, with choking (24.2%) and respiratory incoordination (22.7%) being the most prevalent risk signs in the study population. The risk of oropharyngeal dysphagia was not significantly associated with poor sleep quality (p > 0.05).</p><p><strong>Conclusion: </strong>Sleep quality was not associated with the risk of dysphagia in older adults admitted to intensive care units.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 4","pages":"e20250183"},"PeriodicalIF":0.9,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266579","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":"Hearing aid fitting: analysis of the impact on the auditory system during the first year of use in moderate and severe hearing loss.","authors":"Victor Goiris Calderaro, Maria Stella Arantes do Amaral, Eduardo Tanaka Massuda, Ana Cláudia Mirândola Barbosa Reis","doi":"10.1590/2317-1782/e20250077pt","DOIUrl":"10.1590/2317-1782/e20250077pt","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the behavior of the auditory system in people's first year of hearing aid use.</p><p><strong>Methods: </strong>The study included 24 individuals of both sexes with moderate and severe sensorineural hearing loss. The first data collection stage occurred before fitting the hearing aids, through the P300 electrophysiological examination and the Portuguese Sentence List test. The second and third stages occurred 6 and 12 months after starting rehabilitation, applying these two tests and the Hearing Handicap Inventory for Adults or Hearing Handicap Inventory for the Elderly.</p><p><strong>Results: </strong>The P300 latency and amplitude did not differ between the stages with either tone-burst or speech stimulus. The post-fitting hearing thresholds allowed accessibility to speech sounds, therefore differing between stage 1 and stages 2 and 3, with no difference between the last two. There was evidence of improved speech perception throughout the three phases, particularly in individuals with moderate hearing loss. The self-assessment questionnaire showed that the use of hearing aids reduced perceived participation restrictions in emotional and social contexts.</p><p><strong>Conclusion: </strong>Despite the lack of changes in electrophysiological measurements during the first year of use, speech perception (recognition) improved. Users also reported an improvement in quality of life, highlighting the benefits of using hearing aids.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 4","pages":"e20250077"},"PeriodicalIF":0.9,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266556","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":"Effectiveness of a therapeutic program with chin tuck against resistance exercises compared to the chin-down maneuver in Parkinson's disease: a randomized controlled pilot trial.","authors":"Ramon Cipriano Pacheco de Araújo, Karinna Veríssimo Meira Taveira, Juliana Fernandes Godoy, Hipólito Magalhães","doi":"10.1590/2317-1782/e20250191en","DOIUrl":"10.1590/2317-1782/e20250191en","url":null,"abstract":"<p><strong>Purpose: </strong>Investigate the effectiveness of a therapeutic program with chin tuck against resistance (CTAR) exercises, compared to the chin-down (CD) maneuver, on signs suggestive of dysphagia, maximum isometric tongue pressure, and therapeutic efficacy in individuals with Parkinson's disease (PD).</p><p><strong>Methods: </strong>26 individuals with primary PD were randomly assigned to two intervention groups for four weeks (one session per week). Group A performed the CTAR exercises (n = 13), and Group B performed the CD postural maneuver with swallowing training with different food consistencies (n = 13). The outcomes assessed were signs suggestive of dysphagia using the Northwestern Dysphagia Patient Check Sheet (NDPCS), maximum isometric tongue pressure (MIP), the Eating Assessment Tool (EAT-10) to monitor therapeutic efficacy, and peak cough flow, before and after the intervention period.</p><p><strong>Results: </strong>The CTAR group showed a significant improvement in items related to the NDPCS, MIP, and EAT-10 compared to the CD group (p < 0.05). There was no significant difference in peak cough flow in either group.</p><p><strong>Conclusion: </strong>PD patients who underwent an intervention program with CTAR exercises showed an improvement in signs suggestive of dysphagia and an increase in maximum isometric tongue pressure, compared to those who underwent the therapeutic program with the CD postural maneuver.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 4","pages":"e20250191"},"PeriodicalIF":0.9,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266592","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}