Medeiros Andréa Monteiro Correia, Assis Herick Santos, Alves Maria Vanessa Martins, Silva Santana Yasmin Fernandes, Silva-Filho William José E, Barreto Íkaro Daniel de Carvalho, Berretin-Felix Giédre
Departamento de Fonoaudiologia, Universidade Federal de Sergipe, São Cristóvão, SE, Brasil.
Departamento de Odontologia, Universidade Federal de Sergipe, São Cristóvão, SE, Brasil.
Int Arch Otorhinolaryngol. 2023 Oct 23;27(4):e680-e686. doi: 10.1055/s-0042-1759576. eCollection 2023 Oct.
Clinical assessment in orofacial motricity is required for the speech therapist to diagnose and treat disorders involving the stomatognathic system. Validated tools can help establish a prognosis and outline intervention methods connected to human development. The goal of the present study was to examine the domains of the oromyofunctional assessment of nursing infants and preschoolers according to sex and age group, as well as the application of the MMBGR Protocol - Nursing Infants and Preschool Children. A quantitative technique was used to conduct an analytical and cross-sectional investigation. The present study included a total of 214 healthy breastfeeding infants and preschoolers of both sexes. The Mann-Whitney test was used to compare the medians. The Spearman correlation of each test domain was determined. R Core Team 2021 (R Foundation, Vienna, Austria) was used, and the significance threshold was set at 5%. In intraoral and extraoral examinations, there was a difference between sexes for tongue scores in nursing infants (d = - 0.428; = 0.045), worse in males. When the orofacial functions were considered in nursing infants, there were differences between the sexes for the liquid/solid/semisolid deglutition scores (d = 0.479; = 0.031), with females performing worse. There were sex differences in solid/semisolid deglutition (d = - 0.335; = 0.043), and speech in preschoolers (d = - 0.478; = 0.034), including the production of phones/phonemes (d = - 0.599; = 0.007), which were always worse in males. The research revealed sex disparities and related the domains of oromyofunctional assessment, according to scores, of the domains of myofunctional assessment, as recorded in a standardized oromyofunctional assessment protocol by age group.
言语治疗师对口颌面部运动功能进行临床评估，以诊断和治疗涉及口颌系统的疾病。经过验证的工具有助于建立预后，并概述与人类发育相关的干预方法。 本研究的目的是根据性别和年龄组，研究护理婴儿和学龄前儿童口肌功能评估的领域，以及MMBGR协议（护理婴儿和学龄前儿童）的应用。 采用定量技术进行分析性横断面调查。本研究共纳入214名健康的母乳喂养的男女婴儿和学龄前儿童。使用曼-惠特尼检验比较中位数。确定每个测试领域的斯皮尔曼相关性。使用R Core Team 2021（R基金会，奥地利维也纳），显著性阈值设定为5%。 在口内和口外检查中，护理婴儿的舌部评分存在性别差异（d=-0.428；P=0.045），男性较差。在考虑护理婴儿的口面部功能时，液体/固体/半固体吞咽评分存在性别差异（d=0.479；P=0.031），女性表现较差。固体/半固体吞咽（d=-0.335；P=0.043）和学龄前儿童的言语（d=-0.478；P=0.034）存在性别差异，包括音素/音位的产生（d=-0.599；P=0.007），男性总是表现较差。 研究揭示了性别差异，并根据年龄组在标准化口肌功能评估协议中记录的口肌功能评估领域的分数，将其与口肌功能评估领域相关联。
