A relação entre pais e profissionais de saúde e de educação é fundamental para o desenvolvimento da criança. Esta se torna ainda mais essencial em crianças que apresentam risco de desenvolvimento. Essa mesma relação é valorizada numa abordagem centrada na família tendo implicações significativas nas práticas nos diferentes contextos e na sua aplicabilidade, exigindo que os profissionais assumam novos papéis e que aprendam novas competências no trabalho com as famílias. Estas competências concretizam-se nos primeiros contactos com a família desde o momento da avaliação até à efetiva prestação de serviços. A realização deste estudo surgiu da necessidade constatada de envolver os pais desde o primeiro momento do processo em intervenção precoce através de um instrumento formal e de simples aplicação. O ASQ-2 é constituído por 19 questionários divididos por diferentes idades entre os quatro e os 60 meses. Cada questionário é composto por 30 itens divididos pelas áreas de desenvolvimento comunicação, motricidade global, motricidade fina, resolução de problemas e pessoal-social. Este trabalho constitui a análise dos questionários dos 30 aos 60 meses para observar as qualidades psicométricas do ASQ, tendo sido aplicados a uma amostra de conveniência de 127 famílias do distrito de Braga. Foi possível verificar que o ASQ-2 traduzido apresenta resultados atraentes o que significa que poderá vir a ser utilizado pela população portuguesa de pais e profissionais (de saúde e de educação) que pretendam concretizar as suas dúvidas através de um instrumento formal de rastreio e de monitorização do desenvolvimento da criança.

The temporomandibular disorders (TMD) is a set of events associated with impairments in joint tissues and/or muscle, involving anatomical structures associated with it. The mechanism between phonation and articulation depends on a complex interdependence of activity between the breathing and all the stomatognathic system's muscles coordinated by cervical posture, and the action of the speech's structures. In this study will be developed the muscular temporomandibular disorders that generates changes in the mechanism between cranium, cervical and jaw, changing the speech and influencing voice quality. Changes in the mandibular amplitude and joint decrease the harmony of the structures responsible for speech leading to the development of dysphonia. This is a survey of literature with the goal of demonstrating the influence of muscular temporomandibular dysfunction in the voice quality disorders. After the study could be concluded that the muscular temporomandibular disorders have direct interference in the activity of the jaw and neck posture, which disrupts the positioning of other functions, such as speech, because the suprahyoid muscles will be changed and changes also laryngeal activity and speech structures.ResumoA disfunção temporomandibular (DTM) é um conjunto de manifestações associadas a comprometimentos nos tecidos articulares e/ou musculares, envolvendo estruturas anatómicas a ela associadas. O mecanismo de acção entre a fonação e a articulação depende de uma complexa interdependência da actividade entre a respiração e todos os músculos do sistema estomatognático coordenados pela postura cervical, além da acção dos órgãos fonoarticulatórios, caracterizando a fonoarticulação. Nesse estudo, aborda-se a disfunção temporomandibular muscular que gera alterações no mecanismo craniocervicomandibular, alterando a fonoarticulação e influenciando a qualidade vocal. As alterações na amplitude mandibular e articulatória diminuem a harmonia das estruturas responsáveis pela fonoarticulação levando ao desenvolvimento de disfonia. Trata-se de uma pesquisa de revisão bibliográfica com o objectivo geral de demonstrar a influência da disfunção temporomandibular muscular nas alterações da qualidade vocal. Após a realização do estudo pôde concluir-se que a disfunção temporomandibular muscular tem interferência directa na actividade da mandíbula e postura cervical, o que desorganiza o posicionamento de outras funções, como a fonação, porque os músculos supra-hióides serão alterados e modifica, ainda, a actividade laríngea e articulação dos órgãos fonoarticulatórios

Background: The consolidation of specialized fields in health care requires not only scientific evidence and clinical refinement, but also clearly defined scope, competencies, and language, since terminological ambiguity increases overlap and hinders communication, comparability, education, and the organization of care. In this context, Orofacial Motricity was first recognized in Brazil as a field of practice, supported by institutional milestones that have defined its scope, standardized its terminology, and updated professional competencies. Furthermore, it has been consistently adopted in Latin American and European countries (e.g., Peru, Chile, and Portugal). In English-speaking countries, professionals working with Orofacial Myofunctional Disorders (OMDs) and Orofacial Myofunctional Therapy (OMT) are often organized under the designation Orofacial Myology, within diverse institutional and educational frameworks. Methods: This manuscript was developed as a non-institutional position paper based on structured reports from international collaborators, a documentary review of institutional and regulatory sources, and an exploratory terminological survey of databases. Results: Heterogeneity was observed in the use and conceptual level of these designations across countries and institutions, with more frequent convergence at the level of clinical condition and intervention (OMDs/OMT) than at the level of field or area. Conclusion: Clarifying the distinction among field/area, clinical condition, and therapeutic intervention may reduce ambiguities and foster scientific and educational comparability in the international context.

Currently studying the speech voice therapy effectiveness in cases of oropharyngeal dysphagia has been deepened and included the variables that prevent the patient develops treatment.To study the possible risk factors for progression of food intake by mouth during the speech accompanying dysphagia in patients hospitalized with degenerative neurological diseases.Retrospective study conducted at the Department of Speech Therapy in a General Hospital from January 2007 to May 2008. Were collected 117 records of patients with oropharyngeal dysphagia, and only 15 (12.8%) were diagnosed with degenerative neurological disease, evolved with complaints of dysphagia and underwent speech therapy. We used myofunctional orofacial and vocal exercises for rehabilitation. We applied Fisher's exact test and nonparametric test Mann-statistical analysis of possible relationship with risk factors, namely clinical events during therapy and respiratory conditions of patients.Study participants were 11 (73.3%) female patients and four (26.7%) males. Ten (66.7%) patients who progressed on the ability of oral intake and had less time in therapy, 11 (73.4%) did not present any problem, two (13.3%) had worsening of symptoms and two (13.3%) had a lowered level of consciousness during the therapeutic process. Ten of 15 patients (66.7%) showed progression in the ability of oral intake according to clinical assessment (range FOIS®), five (33.3%) remained the same conditions prior to therapy and no patient had worsening oral intake.The level of consciousness and respiratory complications in this study were associated with poor prognosis for the progression of oral in speech therapy.