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Orofacial myofunctional changes and risk of dysphagia in older adults in the frailty process: a methodological study
Thaline Moura de Oliveira1, Stela Maris Aguiar Lemos2, Aline Mansueto Mourão2
1Mestrado Acadêmico em Ciências Fonoaudiológicas, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
Purpose:
to verify the agreement between the evaluation of orofacial myofunctional aspects and the risk of dysphagia in older people in the frailty process.
Methods:
methodological study with 100 individuals from a referral center for older people, assessed using the Orofacial Myofunctional Evaluation Protocol with Scores for Older People (OMES-O) and the Oropharyngeal Dysphagia Screening in Older Adults (RaDI). Information regarding participants' chewing disorders, age, and years of education was also collected. ROC curve analysis was performed, and sensitivity, specificity, positive and negative predictive values were generated from this analysis.
Results:
the OMES-O presented a median of 236.5 points. Most participants were not at risk of dysphagia. The comparison between OMES-O and RaDI indicated no difference in the score of orofacial myofunctional aspects between individuals at risk and not at risk of dysphagia. Moreover, OMES-O was not associated with chewing alterations, age, or years of education.
Conclusion:
The evaluation of orofacial myofunctional aspects could not indicate the risk of oropharyngeal dysphagia in older adults in the frailty process.
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