SUELLY CECILIA OLIVAN LIMONGI
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina - Docente
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina
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- Caracterização eletrofisiológica da audição em indivíduos com Síndrome de Down(2016) KAZAN, Hellen Medeiros; SAMELLI, Alessandra Giannella; NEVES-LOBO, Ivone Ferreira; MAGLIARO, Fernanda Cristina Leite; LIMONGI, Suelly Cecília Olivan; MATAS, Carla GentileABSTRACT Introduction Few studies have performed Brainstem (BAEP) and P300 Auditory Evoked Potentials simultaneously to assess central auditory pathways in normal hearing individuals with Down syndrome (DS), mainly because of the difficulty in applying these procedures to this population. Previous studies have suggested that individuals with DS might present different patterns of response compared with those of individuals with typical development; nevertheless, the identification of these potentials would be crucial for the establishment of an accurate audiological diagnosis. Purpose To characterize BAEP and P300 in normal-hearing individuals with DS. Methods BAEP and P300 were analyzed in 17 individuals with DS and in 21 individuals with typical development aged 7 to 15 years. The results were quantitatively and qualitatively analyzed using descriptive measures and hypothesis tests. Results In the quantitative analysis, latency values were lower in the BAEP for the DS group, with statistically significant difference for wave V and interpeaks III-V and I-V; there were no significant differences in the P300 latency values. In the qualitative analysis, there were a larger number of individuals with early values for BAEP latencies and late latencies for P300 in the DS group; both comparisons showed statistically significant differences. Conclusion Children and adolescents with DS can present early responses to the components of BAEP, suggesting that their auditory pathway requires less time for the neural transmission of acoustic stimuli to the brainstem. Concerning P300, individuals with DS may present increased latencies, suggesting impairment in the central auditory pathway for the cortical processing of auditory information.
- Comparison between clinical and videofluoroscopic evaluation of swallowing in children with suspected dysphagia(2015) SILVA-MUNHOZ, Lenice de Fatima da; BüHLER, Karina Elena Bernardis; LIMONGI, Suelly Cecilia OlivanPurpose: To verify the accuracy of clinical evaluation compared with videofluoroscopic swallowing studies in the detection of isolated laryngeal penetration and laryngeal aspiration in children with suspected dysphagia; to identify clinical signs and symptoms associated with isolated laryngeal penetration and laryngeal aspiration; and to determine the sensitivity and specificity of the clinical signs and symptoms identified. Methods: Retrospective analysis of data from clinical and videofluoroscopic evaluations carried out in 55 children from 1 month to 7 years and 11 months old. For clinical assessment, the Protocol for Clinical Assessment of Pediatric Dysphagia was used. The sensitivity, specificity, and positive and negative predictive values of clinical evaluation were analyzed. For statistical analysis, the Fisher's exact and χ2 tests were used. Results: Clinical evaluation showed, in general, a sensitivity of 86% and a specificity of 32%. For isolated laryngeal penetration, clinical evaluation showed a sensitivity of 88%. For laryngeal aspiration, clinical evaluation showed a sensitivity of 86%. However, the specificity values were low for both alterations. There was no association between clinical evaluation and videofluoroscopic findings. Choking was the only clinical sign associated with isolated laryngeal penetration thin fluid and showed a sensitivity of 53% and a specificity of 77%. Conclusions: Clinical evaluation was sensible to detect isolated laryngeal penetration and laryngeal aspiration in children with suspected dysphagia. However, it showed a low specificity. Choking was the only clinical sign associated with isolated laryngeal penetration of thin fluid. More prospective studies are needed to confirm these findings in this population.
- Mean length utterance in Brazilian children: a comparative study between Down syndrome, specific language impairment, and typical language development(2014) CARVALHO, Angela Maria de Amorim; BEFI-LOPES, Debora Maria; LIMONGI, Suelly Cecília OlivanPURPOSE: To describe the linguistic performance of Brazilian Portuguese-speaking children with Down syndrome by analyzing their Mean Length Utterance; to compare their performance to that of children with Specific Language Impairment and Typical Development; and to verify whether children with Down syndrome present developmental language delay or disorder. METHOD: Participants were 25 children with Down syndrome (Research Group), matched by mental age to a Control Group of typically developing children, and to a Control Group of children with Specific Language Impairment. Participants were divided into subgroups, according to age range (three, four and five years). Speech samples were collected for the Research Group, and the Mean Length Utterance was analyzed for morphemes and words. RESULTS: Differences were observed between the performance of the Research Group and both Control Groups, and the former presented inferior Mean Length Utterance values for all age ranges, characterizing a delay in grammar and general language development. CONCLUSION: The description of the linguistic abilities of Brazilian Portuguese-speaking children with Down syndrome indicated important grammatical deficits, especially regarding the use of functional words.
- Laryngeal cleft type I in neonate: case report(2014) ROSSI, Mirella Spinoso; BUHLER, Karina Elena Bernardis; VENTURA, Gabriel Alberto Brasil; OTOCH, José Pinhata; LIMONGI, Suelly Cecilia OlivanLaryngeal cleft (LC) is a congenital malformation that leads to the unusual communication between the esophagus and the laryngotracheal complex. It is a rare disease, mostly prevalent among male individuals. The goal of this study was to describe the evaluation and intervention by the speech language pathologist of a female newborn diagnosed with LC type I, admitted on the University Hospital of Universidade de São Paulo, in her second hospitalization due to small weight gain and pneumonia. She was submitted to a bedside clinical evaluation of the swallowing and the most important occurrence was frequent gagging. The videofluoroscopy swallowing study showed laryngotracheal aspiration level 8 for thin liquid and level 1 for thickened liquid, according to the Penetration-Aspiration Scale. The newborn was submitted to a microlaryngoscopy, in which the presence of LC type I was found. After the diagnosis, the speech language pathologist offered thickened liquid at 6% and, in 8 days, the newborn was discharged with exclusive oral diet without gagging. Eight outpatient consultations were carried out for 11 months, with emphasis on reintroduction of thin liquids. The treatment was discontinued and the patient was put on general diet for the age without modifications. Throughout follow-up, the patient remained asymptomatic and showed no respiratory complications.
- Utilização de substantivos e verbos por crianças com síndrome de Down em duas situações diferentes(2013) LIMONGI, Suelly Cecilia Olivan; OLIVEIRA, Emilia de Faria; IENNE, Livia Maria; ANDRADE, Rosangela Viana; CARVALHO, Angela Maria de AmorimPURPOSE: To verify the use of nouns and verbs by children with Down syndrome and to compare this use between conditions of interaction with the mother and the Speech-language pathologist (SLP). METHODS: Participants were 21 children aged between 5 and 11 years, divided into three groups, according to chronological and mental age as established by the results of the Primary Tests of Nonverbal Intelligence. The speech sample was obtained through free interaction situations that were videotaped during session of 30 minutes and transcribed in specific protocols. The first 100 utterances from the first five minutes were used. The interval between each situation ranged from 7 to 15 days. T-test and analysis of variance were used for statistical analysis and the significance level adopted was of 5%. RESULTS: More verbs than nouns were used in both conditions; however, a higher number of nouns were observed during the interaction with the SLP. The between-group comparison in the interaction with the SLP shows significant differences for verbs and nouns, but during the interaction with the mother, there was tendency for difference only for the verbs. CONCLUSION: The data indicate the growing development on using of nouns and verbs according to the increase of age. There was a higher use of verbs when compared with nouns mainly in the condition of interaction with the SLP.