Orofacial myofunctional evaluation in cleft lip and palate: an integrative literature review
Avaliação miofuncional orofacial na fissura labiopalatina: revisão integrativa da literatura
Andréia Fernandes Graziani; Giédre Berretin-Felix; Katia Flores Genaro
Abstract
Purpose: to identify the focus of scientific publications in the field of orofacial motricity in individuals with cleft lip and palate, as well as validated protocols used in speech and language evaluation.
Methods: a study conducted using the following databases: Medline, SciELO, Lilacs and Google Scholar, through keywords including: cleft palate + cleft lip + evaluation + speech therapy + stomatognathic system + speech + phonation + chewing + swallowing + breathing + validation studies, in Portuguese and English.
Results: a total of 572 articles that addressed the evaluation of the stomatognathic system was selected. The articles were published between 2012 and 2017, and examined for year of publication, subject area, focus, instrument used for evaluation, and type of study. Of these, 90 articles met the inclusion criteria, but only 5 used validated protocols. The greatest number of articles was published in 2014. The studies covered broad age groups, using subjective and objective methods, and instruments were often non-standardized.
Conclusion: speech was the prevalent theme, while other orofacial functions were poorly investigated, demonstrating that studies with other approaches were lacking.
Keywords
Resumo
Objetivo: identificar o enfoque das publicações científicas na área de motricidade orofacial em indivíduos com fissura labiopalatina, bem como os protocolos validados utilizados na avaliação fonoaudiológica.
Métodos: estudo realizado a partir das bases de dados: Medline, Scielo, Lilacs e ferramenta Google Acadêmico, por meio dos descritores: fissura palatina + fenda labial + avaliação + fonoaudiologia + sistema estomatognático + fala + mastigação + respiração + estudos de validação, em português e inglês.
Resultados: foram selecionados 572 artigos, no período de 2012 e 2017, que abordassem a avaliação dos aspectos do sistema estomatognático, segundo as categorias: ano de publicação, área temática, casuística, instrumento utilizado para avaliação e tipo de estudo. Dentre esses, 90 artigos atenderam aos critérios de inclusão, mas somente cinco deles utilizaram protocolos validados. Verificou-se que 2014 foi o ano com maiores publicações. Os estudos contemplaram ampla faixa etária, utilizando métodos subjetivos e objetivos, e instrumentos muitas vezes não padronizados.
Conclusão: a fala foi tema prevalente e as outras funções orofaciais pouco investigadas, demonstrando que são escassos estudos com outros enfoques.
Palavras-chave
References
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Submitted date:
05/14/2018
Accepted date:
09/28/2018
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