Journal articles: 'Orofacial apraxia'

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Cera, Maysa Luchesi, Karin Zazo Ortiz, Paulo Henrique Ferreira Bertolucci, and Thaís Soares Cianciarullo Minett. "Speech and orofacial apraxias in Alzheimer's disease." International Psychogeriatrics 25, no. 10 (June 7, 2013): 1679–85. http://dx.doi.org/10.1017/s1041610213000781.

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ABSTRACTBackground:Alzheimer's disease (AD) affects not only memory but also other cognitive functions, such as orientation, language, praxis, attention, visual perception, or executive function. Most studies on oral communication in AD focus on aphasia; however, speech and orofacial apraxias are also present in these patients. The aim of this study was to investigate the presence of speech and orofacial apraxias in patients with AD with the hypothesis that apraxia severity is strongly correlated with disease severity.Methods:Ninety participants in different stages of AD (mild, moderate, and severe) underwent the following assessments: Clinical Dementia Rating, Mini-Mental State Examination, Lawton Instrumental Activities of Daily Living, a specific speech and orofacial praxis assessment, and the oral agility subtest of the Boston diagnostic aphasia examination.Results:The mean age was 80.2±7.2 years and 73% were women. Patients with AD had significantly lower scores than normal controls for speech praxis (mean difference=−2.9, 95% confidence interval (CI)=−3.3 to −2.4) and orofacial praxis (mean difference=−4.9, 95% CI=−5.4 to −4.3). Dementia severity was significantly associated with orofacial apraxia severity (moderate AD: β=−19.63, p=0.011; and severe AD: β=−51.68, p < 0.001) and speech apraxia severity (moderate AD: β=7.07, p = 0.001; and severe AD: β= 8.16, p < 0.001).Conclusion:Speech and orofacial apraxias were evident in patients with AD and became more pronounced with disease progression.

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Roth, Heidi L., Thomas A. Eskin, Diane L. Kendall, and Kenneth M. Heilman. "Progressive Oculo-Orofacial-Speech Apraxia (POOSA)." Neurocase 12, no. 4 (August 2006): 221–27. http://dx.doi.org/10.1080/13554790600837347.

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Pita Lobo, Patrícia, Susana Pinto, Luz Rocha, Sofia Reimão, and Mamede de Carvalho. "Orofacial Apraxia in Motor Neuron Disease." Case Reports in Neurology 5, no. 1 (2013): 47–51. http://dx.doi.org/10.1159/000349895.

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Cera, Maysa, Karin Ortiz, Paulo Bertolucci, and Thais Minett. "P1-399: Apraxia of speech and orofacial apraxia in Alzheimer's disease." Alzheimer's & Dementia 7 (July 2011): S240. http://dx.doi.org/10.1016/j.jalz.2011.05.680.

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Gubiani, Marileda Barichello, Karina Carlesso Pagliarin, and Marcia Keske-Soares. "Instrumentos para avaliação de apraxia de fala infantil." CoDAS 27, no. 6 (December 2015): 610–15. http://dx.doi.org/10.1590/2317-1782/20152014152.

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RESUMO Objetivo: Revisar sistematicamente na literatura os principais instrumentos utilizados para avaliação da apraxia de fala infantil. Estratégia de pesquisa: Realizou-se busca nas bases Scopus, PubMed e Embase Critérios de seleção: Foram selecionados estudos empíricos que utilizaram instrumentos de avaliação da apraxia de fala infantil. Análise dos dados: A seleção dos artigos foi realizada por dois pesquisadores independentes. Resultados: Foram encontrados 695 resumos. Após a leitura dos resumos, foram selecionados 12 artigos completos. Foi possível identificar cinco instrumentos: Verbal Motor Production Assessment for Children, Dynamic Evaluation of Motor Speech Skill , The Orofacial Praxis Test , Kaufman Speech Praxis Test for children e o Madison Speech Assessment Protocol . São poucos os instrumentos utilizados para identificação da apraxia de fala infantil e a maioria destina-se à avaliação da realização de praxias e/ou movimentos orofaciais, sequências de movimentos orofaciais, articulação de fonemas simples, fonemas complexos e sílabas, fala espontânea, além da adequação da prosódia. Conclusões: Percebe-se que existem instrumentos que se propõem a avaliar e diagnosticar a apraxia de fala infantil. No entanto, ainda são escassos os estudos sobre esse tema em nível nacional, bem como protocolos padronizados e validados para a população brasileira que avaliem e ajudem em um diagnóstico preciso.

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�zsancak, Canan, Pascal Auzou, and Didier Hannequin. "Dysarthria and orofacial apraxia in corticobasal degeneration." Movement Disorders 15, no. 5 (September 2000): 905–10. http://dx.doi.org/10.1002/1531-8257(200009)15:5<905::aid-mds1022>3.0.co;2-d.

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McNeil, Malcolm R., Gary Weismer, Scott Adams, and Moira Mulligan. "Oral Structure Nonspeech Motor Control in Normal, Dysarthric, Aphasic and Apraxic Speakers." Journal of Speech, Language, and Hearing Research 33, no. 2 (June 1990): 255–68. http://dx.doi.org/10.1044/jshr.3302.255.

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This study investigated the isometric force and static position control of the upper lip, lower lip, tongue, jaw, and finger in four subject groups (normal control, apraxia of speech, conduction aphasia, and ataxic dysarthria) at two force and displacement levels. Results from both the force and position tasks suggested that the apraxic and dysarthric groups tended to produce significantly greater instability than the normal group, although the pattern of instability across articulators was not systematic within or across the force and position experiments for subjects within or between groups. The conduction aphasic group produced force and position stability that typically was not significantly different from any of the remaining three groups, suggesting that their force and position stability as indexed in the present study fell somewhere between that of the normal group and the apraxic and dysarthric groups. It is suggested that other analyses of force and position control, such as descriptive accounts of the trial-by-trial time histories, might shed additional light on the speech and orofacial sensorimotor control deficits in persons with apraxia, dysarthria, and conduction aphasia.

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Bhardwaj, Parveen, Minoo Sharma, and Karan Ahluwalia. "Joubert Syndrome with Orofacial Digital Features." Journal of Neurosciences in Rural Practice 09, no. 01 (January 2018): 152–54. http://dx.doi.org/10.4103/jnrp.jnrp_338_17.

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ABSTRACTJoubert syndrome (JS) is an autosomal recessive inherited disorder characterized by hypotonia, cerebellar vermis hypoplasia, ocular abnormalities (e.g., pigmentary retinopathy, oculomotor apraxia, and nystagmus), renal cysts, and hepatic fibrosis. Respiratory abnormalities, as apnea and hyperpnea, may be present, as well as mental retardation. Since the clinical findings of JS are quite heterogeneous, determination of radiological findings is essential.

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Tomaiuolo, Francesco, Serena Campana, Loredana Voci, Stefano Lasaponara, Fabrizio Doricchi, and Michael Petrides. "The Precentral Insular Cortical Network for Speech Articulation." Cerebral Cortex 31, no. 8 (April 7, 2021): 3723–31. http://dx.doi.org/10.1093/cercor/bhab043.

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Abstract Apraxia of speech is a motor disorder characterized by the impaired ability to coordinate the sequential articulatory movements necessary to produce speech. The critical cortical area(s) involved in speech apraxia remain controversial because many of the previously reported cases had additional aphasic impairments, preventing localization of the specific cortical circuit necessary for the somatomotor execution of speech. Four patients with “pure speech apraxia” (i.e., who had no aphasic and orofacial motor impairments) are reported here. The critical lesion in all four patients involved, in the left hemisphere, the precentral gyrus of the insula (gyrus brevis III) and, to a lesser extent, the nearby areas with which it is strongly connected: the adjacent subcentral opercular cortex (part of secondary somatosensory cortex) and the most inferior part of the central sulcus where the orofacial musculature is represented. There was no damage to rostrally adjacent Broca’s area in the inferior frontal gyrus. The present study demonstrates the critical circuit for the coordination of complex articulatory movements prior to and during the execution of the motor speech plans. Importantly, this specific cortical circuit is different from those that relate to the cognitive aspects of language production (e.g., Broca’s area on the inferior frontal gyrus).

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Ray, Jayanti. "Effects of orofacial myofunctional therapy on speech intelligibility in individuals with persistent articulatory impairments." International Journal of Orofacial Myology 29, no. 1 (November 1, 2003): 5–14. http://dx.doi.org/10.52010/ijom.2003.29.1.1.

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This study examined the effects of orofacial myofunctional therapy (OMT) on speech intelligibility in adults with persistent articulation impairments. Six adults in the age range of 18-23 years were selected to receive orofacial myofunctional therapy for a period of six weeks. The results showed that five out of six clients made significant progress in oral postures and speech sound production across all three speech production tasks: single words, sentences, and spontaneous speech. Speech intelligibility increased significantly in all clients except the one diagnosed with developmental apraxia of speech. Orofacial myofunctional therapists, speech-language pathologists, and other professionals need to rule out underlying orofacial myofunctional variables when targeting speech sounds for intervention. Speech production tasks may be considered as important measures to understand the efficacy of OMT in clinical settings.

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Chang, Edward F., Garret Kurteff, John P. Andrews, Robert G. Briggs, Andrew K. Conner, James D. Battiste, and Michael E. Sughrue. "Pure Apraxia of Speech After Resection Based in the Posterior Middle Frontal Gyrus." Neurosurgery 87, no. 3 (February 25, 2020): E383—E389. http://dx.doi.org/10.1093/neuros/nyaa002.

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Abstract BACKGROUND AND IMPORTANCE Apraxia of speech is a disorder of articulatory coordination and planning in speech sound production. Its diagnosis is based on deficits in articulation, prosody, and fluency. It is often described concurrent with aphasia or dysarthria, while pure apraxia of speech is a rare entity. CLINICAL PRESENTATION A right-handed man underwent focal surgical resection of a recurrent grade III astrocytoma in the left hemisphere dorsal premotor cortex located in the posterior middle frontal gyrus. After the procedure, he experienced significant long-term speech production difficulties. A battery of standard and custom language and articulatory assessments were administered, revealing intact comprehension and naming abilities, and preserved strength in orofacial articulators, but considerable deficits in articulatory coordination, fluency, and prosody—consistent with diagnosis of pure apraxia of speech. Tractography and resection volumes compared with publicly available imaging data from the Human Connectome Project suggest possible overlap with area 55b, an under-recognized language area in the dorsal premotor cortex and has white matter connectivity with the superior longitudinal fasciculus. CONCLUSION The case reported here details a rare clinical entity, pure apraxia of speech resulting from resection of posterior middle frontal gyrus. While not a classical language area, emerging literature supports the role of this area in the production of fluent speech, and has implications for surgical planning and the general neurobiology of language.

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Trebbastoni, Alessandro, Fabrizia D’Antonio, Carlo de Lena, Emanuela Onesti, Bev John, and Maurizio Inghilleri. "Primary Progressive Orofacial Apraxia: A Ten-Year Long Follow-Up Case Report." Journal of Alzheimer's Disease 54, no. 3 (October 4, 2016): 1039–45. http://dx.doi.org/10.3233/jad-160525.

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Ozsancak, Canan, Pascal Auzou, Kathy Dujardin, Niall Quinn, and Alain Dest�e. "Orofacial apraxia in corticobasal degeneration, progressive supranuclear palsy, multiple system atrophy and Parkinson?s disease." Journal of Neurology 251, no. 11 (November 2004): 1317–23. http://dx.doi.org/10.1007/s00415-004-0530-0.

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Nan, Haitian, Ryusuke Takaki, Yuta Ichinose, Mai Tsuchiya, Kishin Koh, Shuji Hanyu, Kazumasa Shindo, and Yoshihisa Takiyama. "Novel SLC20A2 mutation in primary familial brain calcification with disturbance of sustained phonation and orofacial apraxia." Journal of the Neurological Sciences 390 (July 2018): 1–3. http://dx.doi.org/10.1016/j.jns.2018.03.031.

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Carrigg, Bronwyn, Louise Parry, Elise Baker, Lawrence D. Shriberg, and Kirrie J. Ballard. "Cognitive, Linguistic, and Motor Abilities in a Multigenerational Family with Childhood Apraxia of Speech." Archives of Clinical Neuropsychology 31, no. 8 (November 24, 2016): 1006–25. http://dx.doi.org/10.1093/arclin/acw077.

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Abstract Objective This study describes the phenotype in a large family with a strong, multigenerational history of severe speech sound disorder (SSD) persisting into adolescence and adulthood in approximately half the cases. Aims were to determine whether a core phenotype, broader than speech, separated persistent from resolved SSD cases; and to ascertain the uniqueness of the phenotype relative to published cases. Method Eleven members of the PM family (9–55 years) were assessed across cognitive, language, literacy, speech, phonological processing, numeracy, and motor domains. Between group comparisons were made using the Mann–WhitneyU-test (p < 0.01). Participant performances were compared to normative data using standardized tests and to the limited published data on persistent SSD phenotypes. Results Significant group differences were evident on multiple speech, language, literacy, phonological processing, and verbal intellect measures without any overlapping scores. Persistent cases performed within the impaired range on multiple measures. Phonological memory impairment and subtle literacy weakness were present in resolved SSD cases. Conclusion A core phenotype distinguished persistent from resolved SSD cases that was characterized by a multiple verbal trait disorder, including Childhood Apraxia of Speech. Several phenotypic differences differentiated the persistent SSD phenotype in the PM family from the few previously reported studies of large families with SSD, including the absence of comorbid dysarthria and marked orofacial apraxia. This study highlights how comprehensive phenotyping can advance the behavioral study of disorders, in addition to forming a solid basis for future genetic and neural studies.

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Oliveira, Ecila Paula dos Mesquita de, Marina Liberalesso Neri, Lívia Lucena de Medeiros, Catarina Abraão Guimarães, and Marilisa Mantovani Guerreiro. "Avaliação do desempenho escolar e praxias em crianças com Epilepsia Rolândica." Pró-Fono Revista de Atualização Científica 22, no. 3 (September 2010): 209–14. http://dx.doi.org/10.1590/s0104-56872010000300009.

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TEMA: Epilepsia Rolândica é a forma mais freqüente de epilepsia da infância. Ela é classificada como idiopática, idade-dependente e de evolução benigna. A ausência de comprometimento neuropsicológico faz parte dos critérios de benignidade desta síndrome epiléptica.Entretanto, recentemente têm sido sugeridos vários déficits relacionados à atenção e linguagem. OBJETIVO: o objetivo desse trabalho foi avaliar o desempenho escolar e investigar dificuldades práxicas em pacientes com epilepsia rolândica e comparar a um grupo controle composto por crianças normais com idade, gênero e nível escolar equivalentes. MÉTODO: dezenove pacientes com idade entre 7 e 12 anos foram submetidos a avaliação neurológica clínica, avaliação psicológica, através das Escalas Weschsler de Inteligência e avaliação fonoaudiológica, onde foram avaliados o desempenho escolar e a investigação da presença ou não de dificuldades práxicas. RESULTADOS: os dados mostraram que apesar da eficiência intelectual (medida pelo Quociente Inteligência - QI) estar dentro da média, crianças com epilepsia rolândica mostraram um desempenho significativamente mais pobre do que o grupo controle em provas de escrita, aritmética e leitura. Outro aspecto importante evidenciado foi a ausência de apraxia orofacial nas crianças do grupo afetado. CONCLUSÃO: deve ser ressaltado que a avaliação de crianças com epilepsia é necessária porque isso pode revelar distúrbios específicos que exigem ajuda profissional apropriada. Analisando a ocorrência de distúrbios de linguagem oral e/ou escrita nessas crianças, pode-se evitar um maior prejuízo acadêmico, social e emocional, afinal o prognóstico de uma síndrome epiléptica não depende exclusivamente do controle de crises, pois problemas sociais ou culturais podem interferir tanto quanto as crises na qualidade de vida dos pacientes.

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Cera, Maysa Luchesi, Karin Zazo Ortiz, Paulo Henrique Ferreira Bertolucci, and Thaís Soares Cianciarullo Minett. "Speech and orofacial apraxias in Alzheimer's disease – CORRIGENDUM." International Psychogeriatrics 25, no. 10 (July 8, 2013): 1686. http://dx.doi.org/10.1017/s1041610213001208.

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Machado, Yasmin Valente, Jadenn Rubia Lima Costa, Julianna Lacerda Facundo, and Myllena Gomes Silva. "ALTERAÇÕES DE LINGUAGEM ORAL NA APRAXIA DE FALA IDIOPÁTICA INFANTO-JUVENIL: UMA REVISÃO INTEGRATIVA." Centro de Pesquisas Avançadas em Qualidade de Vida, v12n3 (2020): 1–8. http://dx.doi.org/10.36692/v12n3-22r.

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A apraxia de fala é uma desorganização motora, prejudicando a programação e execução dos movimentos orofaciais fundamentais para a realização dos fonemas, e quando atinge as crianças, elas sentem mais dificuldades se comparadas a crianças que possuam distúrbios de fala e linguagem de outros gêneros. O objetivo do estudo foi verificar o cenário nacional e internacional através de publicações atuais sobre as principais alterações identificadas na linguagem oral de pacientes infantis e jovens apráxicos idiopáticos. Trata-se de uma revisão integrativa de literatura, por meio de buscas nas bases de dados Scielo, Lilacs, Pubmed, PMC (Pubmed Central), BVS (Biblioteca Virtual em Saúde) e Periódicos Capes, contemplando o período entre 2009 a 2019, na qual foram utilizados os descritores “Apraxias”,“Fala”,“Fonoaudiologia”, além do termo “Infância”, em português e inglês. Foram encontrados através dos descritores utilizados o total de 326 artigos, porém após filtrá-los inicialmente com o descarte pelo título e resumo, e logo após com os critérios de inclusão e exclusão, restaram apenas 34, porém como havia repetição de artigos, foram selecionados 16, excluindo-se dezoito artigos. A pesquisa revelou poucos estudos, o que revela a necessidade de mais pesquisas não-generalistas, ou seja, que busquem mais dados científicos voltados para as diferentes origens do distúrbio e públicos também diversos.

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Félix, Paloma Ludimila Cunha, Ivonaldo Leidson Barbosa Lima, Giorvan Ânderson dos Santos Alves, and Rafael Nóbrega Bandeira. "Achados fonoaudiológicos em caso de síndrome de Sjögren após acidentes vasculares cerebrais múltiplos." Distúrbios da Comunicação 32, no. 3 (September 3, 2020): 510–16. http://dx.doi.org/10.23925/2176-2724.2020v32i3p510-516.

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Este trabalho objetivou descrever os achados fonoaudiológicos de uma paciente com Síndrome de Sjögren, vítima de múltiplos Acidentes Vasculares Cerebrais. Para isso, foi realizado um relato de um caso diagnosticado com Síndrome de Sjögren e AVC Múltiplos. A avaliação fonoaudiológica foi realizada por meio da anamnese neurológica, aplicação do Protocolo de MBGR, o Protocolo para Avaliação da Apraxia da Fala, Protocolo de Avaliação da Disartria, Bateria de Rastreio Cognitivo e o Protocolo de Atividades de Vida Diária. Observou-se, na avaliação das estruturas orofaciais, uma língua com altura e largura aumentada, ressecamento da mucosa dos lábios, bochecha e palato, prótese dentária mal adaptada, palato duro profundo, não sendo possível visualizar a parede posterior da faringe e o palato mole. Durante a deglutição constataram-se presença de escape oral anterior, diminuição na anteriorização e na elevação laríngea, presença de ruído durante a deglutição, bem como tosse, pigarro, voz molhada e estase alimentar intra-oral após a deglutição. Na avaliação da apraxia da fala e disartrofonia, foi possível observar distorções e substituição de fonemas, assim como alteração na fonação, articulação e ressonância. Alteração na fluência verbal e no reconhecimento, referentes ao teste de memória. Conclui-se que, por meio da avaliação clínica, foi possível constatar alteração das estruturas orofaciais, disfagia orofaríngea neurogênica, alterações na voz e fala.

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Martins, Fernanda Cristina Reis Merli, Fernanda Prada Machado, Caroline Santos Rodrigues da Silva, and Ruth Ramalho Ruivo Palladino. "Avaliação da apraxia de fala na infância no transtorno do espectro autista: relato de três casos clínicos." ABCS Health Sciences 46 (March 8, 2021): e021401. http://dx.doi.org/10.7322/abcshs.2019165.1434.

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Introdução: Dentre as dificuldades de comunicação encontradas em casos de Transtornos do Espectro do Autismo (TEA), recentemente a literatura tem apontado uma relação de comorbidade com a apraxia de fala na infância (AFI). O objetivo do presente estudo foi relatar a avaliação de AFI em 3 crianças com diagnóstico de TEA. Relato: Os sujeitos foram três crianças com idades entre 4 e 6 anos, com diagnóstico médico de TEA. Os sujeitos foram submetidos à avaliação de linguagem, utilizando o teste avaliação de desenvolvimento da linguagem (ADL) e a prova de vocabulário do teste ABFW, avaliação das praxias orais (sonorizadas, orofaciais, sequência de movimentos e movimentos paralelos) e avaliação de características vocais, prosódicas e de fala. Verificou-se que todos os sujeitos apresentaram atraso moderado de linguagem com melhor desempenho em área receptiva. A dificuldade nas tarefas práxicas orais foram mais evidentes em um dos casos estudados. Já as alterações vocais, prosódicas e de fala compatíveis com AFI apareceram em todos os casos relatados. Conclusão: Nos três casos relatados, foi possível observar sinais de AFI, com prejuízos em habilidades motoras orais, prosódia e praxias orais, assim como inconsistência na produção dos sons da fala.

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Guilleminault, Christian, Yu-Shu Huang, and Stacey Quo. "Apraxia in children and adults with obstructive sleep apnea syndrome." Sleep 42, no. 12 (October 4, 2019). http://dx.doi.org/10.1093/sleep/zsz168.

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Abstract Study Objectives Early in life impairment of orofacial growth leads to sleep-disordered breathing (SDB). Normal lingual gnosis and praxis are part of this early development related to the normal sensorimotor development of the tongue and surrounding oral musculature. The aim of this retrospective study was to explore if lingual praxia is impaired in both SDB children and adults and if there is an association to craniofacial morphology. Methods The ability to perform simple tongue maneuvers was investigated in 100 prepubertal SDB children and 150 SDB adults (shown with polysomnography). All individuals had a clinical investigation by specialists to assess any orofacial growth impairment and the elements potentially behind this impairment. In a subgroup of individuals both able and unable to perform the maneuvers, we also performed a blind recognition of forms placed in the mouth. Results A subgroup of pediatric and adult SDB patients presented evidence not only of orofacial growth impairment, but also apraxia independent of age and severity of OSA. Conclusions By 3 years of age, children should be able to perform requested tongue maneuvers and have oral form recognition. Abnormal gnosis–praxis was noted, independent of age in SDB children and adults, demonstrating that an abnormal functioning of the tongue in the oral cavity during early development can be detected. Both children and adults with SDB may present similar absences of normal oral development very early in life and a similar presentation of apraxia, suggesting that the distinction of SDB in children versus adults may not be relevant.

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Torres, Geciane Xavier, Emerson de Santana Santos, Carla Patrícia Hernandez Alves Ribeiro César, Roxane de Alencar Irineu, Isabel Ribeiro Rocha Dias, and Alice Fontes Ramos. "Clinical orofacial and myofunctional manifestations in an adolescent with Noonan Syndrome: a case report." Revista CEFAC 22, no. 4 (2020). http://dx.doi.org/10.1590/1982-0216/202022416519.

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ABSTRACT Noonan syndrome is an autosomal dominant genetic disease with different manifestations, including Speech, Language and Hearing Sciences ones. The authors describe the orofacial and myofunctional manifestations of an adolescent diagnosed with Noonan syndrome, by consulting the Speech, Language and Hearing Sciences record of a 17-year-old male patient, who underwent screening and speech therapy evaluation with a confirmed genetic diagnosis of Noonan syndrome. The results were qualitatively analyzed. The patient had a long facial type, with a disproportion between the lower and middle thirds of the face, ogival palate, and Mallampati class IV. A deficit in mobility and sensitivity of phonoarticulatory organs was also identified, absence of pathological oral and gag reflexes, decreased lip tone and tongue tension, increased speed chewing and inefficient grinding, functional swallowing for assessed consistencies, mild verbal and nonverbal apraxia, and moderate dysarthria. The results confirmed the presence of alterations in the speech-language organs, proving the relevance of the Speech, Language and Hearing Sciences evaluation in Noonan Syndrome, to allow adequate follow-up and treatment.

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Journal articles on the topic 'Orofacial apraxia'

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