{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T05:44:57Z","timestamp":1780983897531,"version":"3.54.1"},"reference-count":23,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CoDAS"],"published-print":{"date-parts":[[2017,12,4]]},"abstract":"<jats:p>RESUMO  Objetivo Verificar se a modifica\u00e7\u00e3o da voz ap\u00f3s a degluti\u00e7\u00e3o relaciona-se com os dados do exame de videofluoroscopia.  M\u00e9todo 27 indiv\u00edduos com disfagia orofar\u00edngea realizaram a grava\u00e7\u00e3o da vogal sustentada \/a\/ antes e ap\u00f3s a degluti\u00e7\u00e3o durante exame de videofluoroscopia. Utilizou-se a escala GRBAS e acrescentou-se o aspecto voz molhada para avalia\u00e7\u00e3o dos dados. Em rela\u00e7\u00e3o ao exame, verificou-se estase de alimento em val\u00e9culas e recessos piriformes, penetra\u00e7\u00e3o lar\u00edngea, aspira\u00e7\u00e3o traqueal e grau de disfagia.  Resultados Houve diminui\u00e7\u00e3o do grau de altera\u00e7\u00e3o e astenia e aumento da tens\u00e3o fonat\u00f3ria ap\u00f3s a degluti\u00e7\u00e3o, sem diferen\u00e7a para o par\u00e2metro voz molhada. Obteve-se sensibilidade e especificidade de \u00b150% para estase em recessos piriformes e val\u00e9culas; por\u00e9m, sensibilidade de 80% para detec\u00e7\u00e3o de penetra\u00e7\u00e3o e de 66-75% para aspira\u00e7\u00e3o e modifica\u00e7\u00e3o da tens\u00e3o fonat\u00f3ria, com 77-91% de valores preditivos negativos para os tr\u00eas par\u00e2metros de avalia\u00e7\u00e3o, sem correla\u00e7\u00e3o com o grau de disfagia.  Conclus\u00e3o A modifica\u00e7\u00e3o dos par\u00e2metros da escala GRBAS ap\u00f3s a degluti\u00e7\u00e3o apresentou boa compatibilidade com achados da videofluoroscopia.<\/jats:p>","DOI":"10.1590\/2317-1782\/20172017004","type":"journal-article","created":{"date-parts":[[2017,12,2]],"date-time":"2017-12-02T22:31:13Z","timestamp":1512253873000},"source":"Crossref","is-referenced-by-count":7,"title":["Modifica\u00e7\u00e3o da voz ap\u00f3s degluti\u00e7\u00e3o: compatibilidade com achados da videofluoroscopia"],"prefix":"10.1590","volume":"29","author":[{"given":"Karoline Weber dos","family":"Santos","sequence":"first","affiliation":[{"name":"Grupo Hospitalar Concei\u00e7\u00e3o,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betina","family":"Scheeren","sequence":"additional","affiliation":[{"name":"Irmandade Santa Casa de Miseric\u00f3rdia de Porto Alegre,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ant\u00f4nio Carlos","family":"Maciel","sequence":"additional","affiliation":[{"name":"Irmandade Santa Casa de Miseric\u00f3rdia de Porto Alegre,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauriceia","family":"Cassol","sequence":"additional","affiliation":[{"name":"Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"1","key":"ref1","first-page":"18","article-title":"The influence of oral and pharyngeal phases on the swallowing dynamic","volume":"41","author":"Yamada EK","year":"2004","journal-title":"Arq Gastroenterol"},{"issue":"11","key":"ref2","first-page":"2049","article-title":"Effects of bolus volume on oropharyngeal swallowing: an electrophysiologic study in man","volume":"92","author":"Ertekin C","year":"1997","journal-title":"Am J Gastroenterol"},{"issue":"6","key":"ref3","first-page":"776","article-title":"Interdisciplinary evaluation of dysphagia: clinical swallowing evaluation and videoendoscopy of swallowing","volume":"75","author":"Sordi M","year":"2009","journal-title":"Rev Bras Otorrinolaringol (Engl Ed)"},{"key":"ref4","series-title":"ASHA practice policy: clinical indicators for instrumental assessment of dysphagia","year":"2000"},{"issue":"3","key":"ref5","first-page":"199","article-title":"Speech therapy protocol for assessing the risk for dysphagia (PARD)","volume":"12","author":"Padovani AR","year":"2007","journal-title":"Rev Soc Bras Fonoaudiol"},{"key":"ref6","series-title":"Evaluation and treatment of swallowing disorders","author":"Longeman JA","year":"1998"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1007\/BF00417898","article-title":"The significance of accumulated oropharyngeal secretions and swallowing frequency in predicting aspiration","volume":"11","author":"Murray J","year":"1996","journal-title":"Dysphagia"},{"issue":"3","key":"ref8","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1007\/s004550010018","article-title":"Deep laryngeal penetration as a predictor of aspiration","volume":"15","author":"Friedman B","year":"2000","journal-title":"Dysphagia"},{"issue":"9","key":"ref9","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1056\/NEJM200103013440908","article-title":"Aspiration pneumonitis and aspiration pneumonia","volume":"344","author":"Marik PE","year":"2001","journal-title":"N Engl J Med"},{"issue":"4","key":"ref10","doi-asserted-by":"crossref","first-page":"2578","DOI":"10.1121\/1.3308478","article-title":"Acoustic characteristics of phonation in \u201cwet voice\u201d conditions","volume":"127","author":"Murugappan S","year":"2010","journal-title":"J Acoust Soc Am"},{"issue":"3","key":"ref11","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/PL00009595","article-title":"The dysphagia outcome and severity scale","volume":"14","author":"O\u2019Neil KH","year":"1999","journal-title":"Dysphagia"},{"key":"ref12","series-title":"Clinical examination of voice","author":"Hirano M.","year":"1981"},{"issue":"3","key":"ref13","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1044\/1092-4388(2009\/08-0246)","article-title":"Perception of wet vocal quality in Identifying penetration \/ aspiration During swallowing","volume":"53","author":"Groves-Wright KJ","year":"2010","journal-title":"J Speech Lang Hear Res"},{"issue":"2","key":"ref14","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1007\/s004550010005","article-title":"\u201cWet Voice\u201d as a predictor of penetration and aspiration in oropharyngeal dysphagia","volume":"15","author":"Warms T","year":"2000","journal-title":"Dysphagia"},{"issue":"2","key":"ref15","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s00455-010-9282-4","article-title":"Voice-quality Abnormalities as a Sign of Dysphagia: Validation against Acoustic and Videofluoroscopic date","volume":"26","author":"Waito A","year":"2011","journal-title":"Dysphagia"},{"key":"ref16","series-title":"Evidence-based physical diagnosis","author":"McGee SR","year":"2012","edition":"3rd"},{"key":"ref17","series-title":"Acoustics & psychoacoustics","author":"Horward MD","year":"1995"},{"issue":"11","key":"ref18","doi-asserted-by":"crossref","first-page":"1991","DOI":"10.1016\/j.apmr.2012.05.028","article-title":"Acoustic voice analysis does not identify presence of penetration \/ aspiration confirmed by the videofluoroscopic swallowing study","volume":"93","author":"Chang HY","year":"2012","journal-title":"Arch Phys Med Rehabil"},{"issue":"1-2","key":"ref19","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/S0021-9924(00)00041-1","article-title":"Sensitivity and specificity of clinical \/ bedside examination signs for detecting aspiration in adults subsequent to stroke","volume":"34","author":"McCullough GH","year":"2001","journal-title":"J Commun Disord"},{"issue":"3","key":"ref20","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1183\/09031936.00090308","article-title":"Clinical signs and symptoms of oropharyngeal aspiration and dysphagia in children","volume":"33","author":"Weir K","year":"2009","journal-title":"Eur Respir J"},{"issue":"6947","key":"ref21","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1136\/bmj.309.6947.102","article-title":"Diagnostic tests 2: Predictive values","volume":"309","author":"Altman DG","year":"1994","journal-title":"BMJ"},{"issue":"6","key":"ref22","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1016\/j.ijnurstu.2013.10.016","article-title":"Subjective dysphagia in older care home residents: A cross-sectional, multi-centre point prevalence measurement","volume":"51","author":"van der Maarel-Wierink CD","year":"2014","journal-title":"Int J Nurs Stud"},{"issue":"2","key":"ref23","first-page":"172","article-title":"Oropharyngeal dysphagia incidence in patients with cerebral palsy spastic type tetraparetic institutionalized","volume":"14","author":"Lucchi C","year":"2009","journal-title":"Rev Soc Bras Fonoaudiol"}],"container-title":["CoDAS"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/codas\/v29n6\/2317-1782-codas-29-6-e20170004.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,12,30]],"date-time":"2017-12-30T22:02:25Z","timestamp":1514671345000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S2317-17822017000600304&lng=pt&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,4]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12,4]]}},"alternative-id":["S2317-17822017000600304"],"URL":"https:\/\/doi.org\/10.1590\/2317-1782\/20172017004","relation":{},"ISSN":["2317-1782"],"issn-type":[{"value":"2317-1782","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,4]]}}}