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- Práticas de investigação do Terapeuta da Fala em Portugal: Necessidades, barreiras e facilitadoresPublication . Mendes, Ana P.; Moreira, Miriam; Guerreiro, David; Nascimento, D.; Rodrigues, Inês Tello; de Aguiar, VâniaIntrodução: A necessidade e o interesse na investigação pelos Terapeutas da Fala (TFs) tem sido crescente. Objetivos: (i) caracterizar o nível de autonomia atual dos TFs em Portugal em investigação científica; (ii) caracterizar o nível de autonomia desejado dos TFs em Portugal em investigação científica; (iii) caracterizar as necessidades de formação assim como identificar as barreiras e facilitadores de práticas de investigação dos TFs em Portugal. Métodos: 86 TFs preencheram um questionário validado por um painel de peritos. A recolha de dados incidiu sobre: (i) nível de autonomia atual e desejado para a prática de investigação; (ii) barreiras e facilitadores inerentes à prática da investigação. Resultados: Os níveis de autonomia foram significativamente inferiores aos níveis desejados (p<0,001). A autonomia atual para a tarefa de criação de uma ideia de investigação foi significativamente inferior quando comparada com as tarefas de definição de metodologia (p<0,05), análise de dados (p<0,001), processamento de dados (p<0,001) e síntese de resultados (p<0,001). Não houve diferenças de autonomia entre a tarefa de comunicação em conferências e a tarefa de criação de uma ideia de investigação (p<0,05). A maioria reportou a necessidade de formação adicional para conseguir integrar a investigação na sua prática clínica. A principal barreira para a realização de investigação foi a ausência de tempo (64,5%). O principal facilitador foi o tempo disponível (27,7%). Conclusão: Os TFs possuem o desejo de maior autonomia no processo de investigação. A identificação de barreiras e facilitadores encontrados poderão permitir uma resposta mais adequada às capacidades e necessidades dos TFs.
- The effect of the Speech and Language therapy in adults with Temporomandibular disorder: A systematic reviewPublication . Rodrigues, Sara Martins; Vieira, Helena Isabel Moreira Casanova; Rodrigues, Inês Tello Rato MilheirasTemporomandibular disorder (TMD) is considered the second most common musculoskeletal pathology. The purpose of this review is to systematically assess the role of speech and language therapy (SLT) in adults with TMD. A search was conducted in the PubMed-Central, ScienceDirect, Scielo, and Academic Search Complete (via EBSCOHost) databases. The research was independently carried out by two researchers, considering primary studies without any time limit. The articles were assessed independently for screening, selection, and duplication of results. Evidence analysis was performed using the “Quality Assessment Tool for Quantitative Studies” scale. A total of 99 articles were extracted for full reading, but only 10 were integrated into the final sample. Most of the included articles (n=8) were classified with a “weak” level of evidence. Agreement between observers on which studies to include was very high. The results of the studies associate the primary intervention of SLT with myofunctional therapy. The most widely described intervention strategies are thermotherapy, relaxation, massage therapy, myotherapy, and functional training of oral functions, although their methodology and application details are not fully specified in the literature. The use of laser and electrostimulation in SLT is starting to be explored as a prior approach to intervention, but its effectiveness is not yet firmly established. The team intervention is described as fundamental for a successful TMD intervention. The role of SLT in TMD is beginning to be described and valued, however, the criteria for choosing best practices and their effects are not yet fully described and verified in the literature.
- Dysphagia in Alzheimer’s disease: a systematic reviewPublication . Mira, Ana; Gonçalves, Rita; Tello Rodrigues, InêsAbstract. Dysphagia is described as a highly relevant comorbidity of Alzheimer’s disease (AD). However, there is a scarcity of studies aiming at the characteristics and progression of dysphagia. Objective: The objective of this study was to identify the specific characteristics, progression, and prevalence of dysphagia in AD. Methods: Publications were searched in the PubMed (MEDLINE), EBSCO, ScienceDirect, and BASE databases. Critical appraisal and evidence-level analysis were conducted using the Joanna Briggs Institute and Effective Public Health Practice Project’s (EPHPP) tools. Results: A total of 26 studies were reviewed. Symptoms begin in the early stage of AD, as oral phase impairments, and progress to pharyngeal symptoms and swallowing apraxia in the later stages of AD. Dysphagia progresses, as AD, along a continuum, with severity depending on individual variability. There were no studies found on prevalence. Conclusions: Dysphagia is a complex and important comorbidity in AD that impacts the quality of life. No recent publications on prevalence may imply that is not being coded as a potential cause for pneumonia deaths in AD.
- Communication strategies for adults in palliative care: the speech-language therapists’ perspectivePublication . Dias, Cátia; Rodrigues, Inês Tello; Gonçalves, Hernâni; Duarte, IvoneBackground: Communication disorders are a challenge that many patients in palliative care (PC) may encounter. This intervention area is emerging for the speech-language therapist (SLT), the professional who works in preventing, assessing, diagnosing, and treating human communication disorders. This study aims to identify and classify the communication strategies considered most important by SLTs for use in PC and evaluate whether there are any differences in perception regarding the importance of strategies between SLTs with and without PC experience. Methods: This cross-sectional quantitative study was conducted using a survey, which employed a well-structured, self-completion questionnaire previously validated by a panel of experts with over six years of PC experience. Results: The strategies rated as most important within each group were the following: (i) adjust the patient's position and minimise environmental noise; (ii) establish eye contact and adjust the pace of speech; (iii) adjust the language level and raise one topic at a time; (iv) use images of the patient's interests and their personal objects; (v) use orality and multimodal form; (vi) use simplified language and structured pauses; and (vii) use tables with images and books with pictures. Conclusions: Verbal and non-verbal strategies were rated as highly important. There was no evidence of differences in perception in terms of importance between the SLTs with or without experience in PC, but more studies are needed to support this aspect. The patient's communication ability is one of the cornerstones of PC quality. Through their actions, speech-language professionals could empower the patient with strategies so that they can autonomously and self-determinedly express their experiences and most significant needs.
- Feeding problems in children with autism spectrum disorders: a systematic reviewPublication . Pinto-Silva, Rita; Nunes Costa, Ana Margarida; Tello Rodrigues, InêsFeeding problems are often associated with Autism Spectrum Disorders. However, many terms are used to describe these problems with a lack of consensus between authors. This systematic review critically examines the available scientific literature on the most commonly described characteristics of feeding disorders among children with Autism Spectrum Disorders. The literature was evaluated according to PRISMA standards by searching electronic databases(e.g., MEDLINE, EBSCO) with reference lists from January 2009 to January 2019. English language studies were included. Abstract and full-text article reviews were conducted by two independent authors with sequential data extraction. The systematic search and the subsequent analysis of the results revealed 45 articles eligible for full review. Detailed information regarding the methods and results was extracted from the original articles, and the quality of the included studies was appraised. The most commonly described feeding problem was food selectivity followed by mealtime behaviour problems. We also found some frequently associated issues like sensory sensitivity as well as anthropometric deviations and nutritional deficits that can negatively impact health. Oral motor impairment was a less commonly studied phenomenon. Most of the reviewed studies were considered to have a‘moderate’level of evidence. Although current evidence suggests that feeding problems are often associated with autism, more research is needed to understand the reliability and validity between and within existing feeding definitions and measures, as well as into the prevalence of oral sensory-motor related deficits
- Práticas e competências de investigação do terapeuta da fala em PortugalPublication . Mendes, Ana P.; Moreira, Miriam; Guerreiro, David; Nascimento, David; Rodrigues, Inês Tello; Aguiar, VâniaCaracterizar as competências de investigação dos Terapeutas da Fala (TFs) em Portugal; e (ii) caracterizar as práticas de investigação desenvolvidas pelos TFs em Portugal