Publicación Oficial de la Sociedad Ecuatoriana de Neurología, de la Liga Ecuatoriana Contra la Epilepsia y de la Sociedad Iberoamericana de Enfermedad Cerebrovascular

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Impacto de los trastornos motores del habla y deglución sobre la calidad de vida de personas con enfermedad de Parkinson: una revisión sistemática de la literatura. Impact of motor speech and swallowing disorders in quality of life of people with Parkinson’s disease: a systematic review of the literature

Parkinson’s disease (PD) is the second most common neurodegenerative disorder after Alzheimer’s-type dementia. It is known that these types of diseases cause a significant decline in the quality of life of the people who suffer from them and in their next of kin. Understanding the physical and psychosocial effects of neurodegenerative diseases contributes to clinical decisionmaking. It is for the above mentioned that the present study aims to examine the current evidence regarding the direct impact that phonoaaudiological disorders of motor origin generate on the quality of life in people with PD. A systematic review of the literature was carried out. The articles were searched in the following databases: PUBMED, SCIELO and WOS, during the months of June and July of the year 2020, constituting a sample of 12 works, with a maximum age of 10 years. The analysed publications mainly describe the aspects of quality of life that are affected in people with PD, who suffer dysphagia or dysarthria, all this through the application of different questionnaires which evaluate different aspects of this concept. The results of the review show the importance of considering within the intervention process the component of quality of life in people with E.P, since the scores obtained according to the instruments applied indicate a decrease of this component and even more with the progress of the disease, which translates into worse quality of life related to food and speech.

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Intervención Neurolingüística en la Respiración y la Voz en Pacientes con Lesiones Estáticas Encefálicas Portadores de Trastornos Disártricos.

Objective: To prove the effectiveness of the neurolinguistic rehabilitation program for dysarthric patients, applied at the Encephalic Static Lesions Adults Clinic, International Center of Neurologic Restoration, in voice and breathing areas. It is a single sample pre-experiment obtained from logopedic records, contrasting them with the results of the external diagnosis, application of therapy and final evaluation.

Results: Males were prevalent and encephalic trauma as clinical diagnosis, there was great dispersion in age and time of evolution. Of the 54 patients, 40 increased their spirometric index: 22 the inspiration puff; 39 phono-respiratory coordination: 36 modified intensity; 11 tone; 18 modified their stamp vowel. The results evidence efficient functional recovery after the program was applied.

Conclusions: It was confirmed that there is not such established recovery pattern: none of the different variables influences significantly, the dispersion of the results is overwhelming and it is only possible to talk about tendencies. The program is effective but it cannot be affirmed that this variant is the correct one: more emphasis should be given to vocal indicators, other respiratory dimensions that are used should be measured as they have functional connotation.

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