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口腔呼吸儿童的感觉处理与口颌系统的关系。

Relation of sensory processing and stomatognical system of oral respiratory children.

机构信息

Departamento de Terapia Ocupacional, Universidade Federal da Paraíba - UFPB - João Pessoa (PB), Brasil.

Departamento de Terapia Ocupacional, Universidade Federal de Pernambuco - UFPE - Recife (PE), Brasil.

出版信息

Codas. 2021 Oct 25;34(2):e20200251. doi: 10.1590/2317-1782/20212020251. eCollection 2021.

Abstract

PURPOSE

To verify the relationship between sensory processing and changes in the functions of the stomatognathic system in mouth breathing children, characterizing their sensory processing and comparing it with that of nasal breathing children.

METHODS

50 children (5 to 12 years) who were diagnosed with mouth breathing and 50 without signs and symptoms of mouth breathing or allergic rhinitis were selected to be part of the control group, matched for age and sex. Oral and nasal breathing children underwent sensory processing evaluation, through the Sensory Processing Measure - home form, and mouth breathers, through the evaluation of orofacial motricity through the Orofacial Myofunctional Evaluation with score. The results were presented in table form and with their respective absolute and relative frequencies.

RESULTS

Most of the children evaluated were male, with an average age of eight years. Most mouth breathers presented alteration in the processing of all senses, with a statistically significant relationship when compared to nasal breathers. There was a relationship, in mouth breathers, between proprioceptive sensory processing and the movement of the cheeks, visual sensory processing and head movement during swallowing, and between the type of chewing and tactile sensory processing.

CONCLUSION

After analyzing the data, it was possible to see that the sensory processing of all systems presents with changes in mouth breathers and that this poor processing is related to orofacial mobility, as well as functions of the stomatognathic system, in addition to the type of chewing of this population.

摘要

目的

验证口呼吸儿童的感觉处理与口颌系统功能变化之间的关系,对其感觉处理进行特征描述,并与鼻呼吸儿童进行比较。

方法

选择 50 名(5 至 12 岁)被诊断为口呼吸的儿童和 50 名无口呼吸或变应性鼻炎症状和体征的儿童作为对照组,按年龄和性别匹配。口腔和鼻腔呼吸儿童均接受感觉处理评估,通过《感觉处理量表-家庭版》进行评估,口呼吸儿童通过《口面肌肉功能评估》中的口腔运动评估进行评估,以分数表示。结果以表格形式呈现,并给出各自的绝对频率和相对频率。

结果

评估的大多数儿童为男性,平均年龄为 8 岁。大多数口呼吸者的所有感觉处理都发生了改变,与鼻呼吸者相比具有统计学意义。口呼吸者的本体感觉处理与脸颊运动、视觉感觉处理与吞咽时头部运动、咀嚼类型与触觉感觉处理之间存在关系。

结论

通过对数据进行分析,可以看出所有系统的感觉处理在口呼吸者中都发生了变化,这种处理不良与口面运动以及口颌系统的功能有关,此外还与该人群的咀嚼类型有关。

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本文引用的文献

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Occupational Therapy Practice Framework: Domain and Process-Fourth Edition.《作业治疗实践框架:领域与过程》第四版。
Am J Occup Ther. 2020 Aug 1;74(Supplement_2):7412410010p1-7412410010p87. doi: 10.5014/ajot.2020.74S2001.
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SENSORY CHANGES IN MOUTH BREATHERS: SYSTEMATIC REVIEW BASED ON THE PRISMA METHOD.口呼吸者的感觉变化:基于PRISMA方法的系统评价
Rev Paul Pediatr. 2019 Jan-Mar;37(1):97-103. doi: 10.1590/1984-0462/;2019;37;1;00012. Epub 2018 Aug 9.
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Breathing mode influence on craniofacial development and head posture.呼吸模式对颅面发育和头部姿势的影响。
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Influence of the breathing pattern on the learning process: a systematic review of literature.呼吸模式对学习过程的影响:文献系统综述
Braz J Otorhinolaryngol. 2016 Jul-Aug;82(4):466-78. doi: 10.1016/j.bjorl.2015.08.026. Epub 2016 Jan 7.
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Oral breathing and speech disorders in children.儿童口腔呼吸和言语障碍。
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