Resumo

REAL GONZALEZ, Yanely; PAVON FUENTES, Nancy  e  ARREDONDO KASSAB, María Mercedes. Speech therapy program to improve of the speech and swallowing. Varona [online]. 2023, n.78  Epub 23-Dez-2023. ISSN 1992-8238.

People with cervical spinal cord trauma (CRT) present speech and swallowing difficulties due to decreased speed and vocal projection, emission of words, phonatory duration, hypophonia, dysphonia and dysphagia; For this reason, it is intended to evaluate the effectiveness of a comprehensive speech therapy care program. Two comparative experimental studies were carried out, with a sample of 108 people; in the individual and group modality with traditional speech therapy procedures, electrotherapy in rectus abdominis muscles and choral singing within speech therapy rehabilitation. The variables measured were: vital capacity and forced expiratory flow, maximum phonation time, reading two-syllabic words, intensity and index of vocal disability, level of preparation of families and interdisciplinary team. The results in both modalities showed improvements in the variables (p≤0.05), however, with the use of electrostimulation the recovery of vocal intensity (p= 0.0485) and forced expiratory flow (p=0.0000) increased significantly with a positive correlation [F (1, 28)=7.5478; p<0.01]. Choral singing was able to induce changes in forced expiratory flow and maximum phonation times with /a/. The applicability of the program achieved in these people their social insertion and improvement in speaking and swallowing.

Palavras-chave : difficulties; speech; swallowing; rehabilitation; speech therapy.

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