Análisis de los patrones acústicos e intervención logopédica mediante la técnica Lax Vox en la distrofia muscular oculofaríngeadescripción de un caso

  1. Tatiana Romero Arias 1
  2. Cristina Hernández Kauffman 2
  3. Moisés Betancort Montesinos 1
  4. María Teresa Torres Larrosa 2
  1. 1 Universidad de La Laguna

    Universidad de La Laguna

    San Cristobal de La Laguna, España

    GRID grid.10041.34

  2. 2 Hospital Universitario Nuestra Señora de Candelaria

    Hospital Universitario Nuestra Señora de Candelaria

    Santa Cruz de Tenerife, España

    GRID grid.411331.5

Revista ORL

ISSN: 2444-7986

Year of publication: 2020

Volume: 11

Volume: 2

Pages: 231-235

Type: Article

Export: RIS
DOI: 10.14201/orl.19301 GOOGLE SCHOLAR lock_openOpen access editor


Introduction and objective: Oculopharyngeal muscular dystrophy is a genetic disease that affects the proximal muscles of the extremities, ptosis of the eyelids and oropharyngeal dysphagia. Consequently, the clinical profile of these patients could be accompanied by dysphonia, dysarthria and weight loss. The alterations of the voice, the articulation and the swallowing characterize the profile of the disartrofonía. We present a clinical case of a patient with oculopharyngeal muscular dystrophy who has been referred to the sevice of speech therapy with the aim of rehabilitating her voice. Description: The novelty that this case presents in the speech therapy intervention is that it has been rehabilitated using semiocluid vocal tract techniques. Results: The results obtained show the effectiveness of Lax vox in the rehabilitation of the patient. Discussion: In the literature search we have found scientific evidence of the effectiveness of Lax Vox in patients with dysphonia, nodules, polyps, edema; but we have not found evidence of the effectiveness of Lax Vox in patients with oculopharyngeal muscular dystrophy. Conclusions: With these results, we can conclude that the use of the Lax vox technique for the rehabilitation of patients with oculopharyngeal muscular dystrophy is beneficial.

Bibliographic References

  • Barata FL, Miguel LS, Silva SAC, Carrara-de Angelis E. Caracterização da fonoarticulação e sua relação com a disfagia em pacientes com disartrofonia em um hospital oncológico. Distúrb Comum. 2009;21(1):79-91.
  • Cecconello L. Ejercicios de tracto vocal semiocluido, XII Jornadas Foniátricas, Universidad Nacional de San Luis, Facultad de Ciencias Humanas, San Luis, Argentina, 2009, CD ROM, ISBN 978-987-1595-02-0.
  • Guzmán M, Higueras D, Fincheira C, Muñoz D, Guajardo C. Immediate effects of a vocal exercise sequence with resonance tubes. CEFAC. 2012;14(3):471-80.
  • Hernández E, Mesa M, de Frías B, Rivas P. Oculopharyngeal Muscular Dystrophy: A case report and review of the literatura. Acta Otorrinolaringol Esp.2012;63(6):482-4.
  • Liaño AD, Fernandez R, Yárnoz C, Artieda C, González G, Artajona A et al. Distro a muscular oculofaríngea. Tratamiento quirúrgico. Rev. Chilena de Cirugía. 2009;61(4):360-5.
  • Maeda M, Hashimoto T, Oliveira I, Rodrigues L. Oculopharyngeal muscular dystrophy or oculopharyngeal distal myopathy: case report. Braz J Otorhinolaryngol. 2017;83(2):235-8.
  • Medici M, Pizzarossa C, Skuk D, Yorio D, Emmanuelli G, Mesa R. Oculopharyngeal muscular dystrophy in Uruguay. Neuromuscular Disorders. 1997;7(Suppl.1):50-2.
  • Morales SG, Méndez LA, Rivero AR, Sánchez VML. Distrofia muscular progresiva. Rev Hosp Jua Mex 2002;69(1): 30-7.
  • Nix J, Simpson C. Semi-occluded vocal tract postures and their applications in the singing voice studio. J Singing. 2008;64(3):339-42.
  • Sampaio M, Oliveira G, Behlau M. Investigação de efeitos imediatos de dois exercícios de tracto vocal semi-ocluído.Pro-Fono Revista de Atualização Científica.2008;20(4):261-6.
  • Simberg S. Prevalence of vocal symptoms and voice disorders among teacher students and teachers and a model of early interevention. Finland:University of Helsinki, Departament of Speech Sciences;2004.
  • Simberg S. The resonante tuve-a versatile device in voice therapy. Kjaer BE(ed):Nine paper on Logopedics and Phoniatrics fron 5th Nordic Congress of Logopedics anda Phoniatrics, Helsinki. 2000;81-5.
  • Story B, Laukkanen A, Titze I. Acoustic Impedance of an Artificially Lengthened and Constricted Vocal Tract. J.Voice. 2000;14(4):455-69
  • Tremolizzo L, Galbussera A, Tagliabue E, Fermi S, Bruttini M, Lamperti C, et al. An apparently sporadic case of oculopha- ryngeal muscular dystrophy: the first Italian report. Neurol Sci. 2007;28:339-41.