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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book Disfagia: prática baseada em evidências(2012) ANDRADE, Claudia Regina Furquim de; LIMONGI, Suelly Cecilia Olivan- Wideband reflectance in Down syndrome(2016) SOARES, Jordana Costa; UROSAS, Juliana Granja; CALARGA, Karenina Santos; PICHELLI, Tathiany Silva; LIMONGI, Suelly Cecilia Olivan; SHAHNAZ, Navid; CARVALLO, Renata Mota MamedeObjective: Children with Down syndrome (DS) have a high incidence of middle ear disorders and congenital abnormalities of the external, middle and inner ear. Energy reflectance (ER), a wideband acoustic immittance (WAI) measurement parameter, can measure the sound energy reflected or absorbed in the ear canal over a wider range of frequencies more efficiently and faster than conventional single-tone 226 Hz tympanometry. The aim of the present study was to compare the WAI measurements of children with DS with those of typically developing, normal-hearing children according to their tympanometric findings. Methods: Four groups of children with Down syndrome (age range: 2 years and 4 months to 16 years and 3 months; mean age: 8.5 yr) with normal tympanograms (19 ears), flat tympanograms (13 ears), mild negative pressure tympanograms (6 ears between -100 and -199 daPa at the admittance peak) and severe negative pressure tympanograms (4 ears at -200 daPa or lower at the admittance peak) were assessed. All findings were compared with data obtained from 21 ears of a healthy control group (age range: 3 years and 1 month to 13 years and 11 months; mean age: 7.9 yr). The subjects underwent tympanometry with a 226-Hz probe tone frequency and ER measurements along the 200-6,000 Hz range with a chirp stimulus using the Middle-Ear Power Analyzer (MEPA3 - HearID) by Mimosa Acoustics (Champaign, IL), software, version 3.3 [38]. Results: Statistically significant differences were observed in the ER curves for some comparisons between the studied groups. There was also a negative correlation between the static acoustic admittance at the tympanic membrane level and ER measured with a chirp stimulus at 500 and 1,000 Hz. The discriminant analysis technique, which used a chirp stimulus at 1,000 and 1,600 Hz to classify the participants' data based on ER values, achieved a correct classification rate of 59.52% for participants with DS. Conclusion: While groups with abnormal middle ear status, as indicated by tympanometry, showed higher ER values compared to the DS tymp A group and the control group, similar reflectance curves were observed between control group and the DS tymp A group. WAI shows promise as a clinical diagnostic tool in investigating the impact of middle ear disorders in DS group. However, further research is required to investigate this issue in narrower age range group and a larger sample size.
bookPart Higiene Oral como Fator de Risco para Pneumonia Aspirativa(2012) BUENO, Adriana Costa; ANDRADE, Claudia Regina Furquim de; LIMONGI, Suelly Cecilia OlivanbookPart Teste do Corante Azul na Avaliação Fonoaudiológica de Indivíduos Traqueostomizados(2012) PADOVANI, Aline Rodrigues; ANDRADE, Claudia Regina Furquim de; LIMONGI, Suelly Cecilia OlivanbookPart Disfagia na Doença de Chagas(2012) MORONE, Wanessa; ANDRADE, Claudia Regina Furquim de; LIMONGI, Suelly Cecilia OlivanbookPart Apresentação(2012) ANDRADE, Claudia Regina Furquim de; LIMONGI, Suelly Cecilia Olivan- Syntactic comprehension and working memory in children with specific language impairment, autism or Down syndrome(2015) FORTUNATO-TAVARES, Talita; ANDRADE, Claudia R. F.; BEFI-LOPES, Debora; LIMONGI, Suelly O.; FERNANDES, Fernanda D. M.; SCHWARTZ, Richard G.This study examined syntactic assignment for predicates and reflexives as well as working memory effects in the sentence comprehension of children with Specific Language Impairment (SLI), Down syndrome (DS), high functioning Autism (HFA) and Typical Language Development (TLD). Fifty-seven children (35 boys and 22 girls) performed a computerised picture-selection sentence comprehension task. Predicate attachment and reflexive antecedent assignment (with working memory manipulations) were investigated. The results showed that SLI, HFA and DS children exhibited poorer overall performance than TLD children. Children with SLI exhibited similar performance to the DS and HFA children only when working memory demands were higher. We conclude that children with SLI, HFA and DS differ from children with TLD in their comprehension of predicate and reflexive structures where the knowledge of syntactic assignment is required. Working memory manipulation had different effects on syntactic comprehension depending on language disorder. Intelligence was not an explanatory factor for the differences observed in performance.
bookPart Válvula de Fala em Pacientes Traqueostomizados: Benefícios para a Comunicação e Deglutição(2012) MANGILLI, Laura Davison; ANDRADE, Claudia Regina Furquim de; LIMONGI, Suelly Cecilia OlivanbookPart Uso de Manobras na Reabilitação Fonoaudiológica de Individuos Disfágicos(2012) ALVES, Irina Claudia Fernandes; ANDRADE, Claudia Regina Furquim de; LIMONGI, Suelly Cecilia Olivan- Oral Motor Movements and Swallowing in Patients with Myotonic Dystrophy Type 1(2013) ERCOLIN, Beatriz; SASSI, Fernanda Chiarion; MANGILLI, Laura Davison; MENDONCA, Lucia Iracema Zanotto; LIMONGI, Suelly Cecilia Olivan; ANDRADE, Claudia Regina Furquim deOropharyngeal dysphagia and esophageal motility disorders were found to be the most important causes of aspiration pneumonia in patients with myotonic dystrophy. The purpose of this report was to evaluate clinical characteristics of the oral motor movements and swallowing of individuals with myotonic dystrophy type 1 (DM1) using a standardized clinical protocol and surface electromyography (sEMG). Participants were 40 individuals divided in two groups: G1 composed of 20 adults with DM1 and G2 composed of 20 healthy volunteers paired by age and gender to the individuals in G1. Statistical analysis included one-way ANOVA with two factors for within- and between-group comparisons and Bonferroni correction for multiple comparisons. Patients with DM1 presented deficits in posture, position, and mobility of the oral motor structures, as well as compromised mastication and deglutition. The sEMG data indicated that these patients had longer muscle activations during swallowing events. The longer duration of sEMG in the group of patients with DM1 is possibly related to myotonia and/or incoordination of the muscles involved in the swallowing process or could reflect a physiological adaptation for safe swallowing.