Photobiomodulation in speech-language-hearing therapy: a profile of professional practice and the level of information of Brazilian speech-language-hearing therapists
Fotobiomodulação em fonoaudiologia: o perfil da prática profissional e o nível de informação dos fonoaudiólogos brasileiros
Paula Rayana Batista Correia; Julyane Feitoza Coêlho; Maria Louize Justino Freire; Larissa Nadjara Alves Almeida; Leandro de Araújo Pernambuco; Giorvan Anderson dos Santos Alves
Abstract
Purpose: to know the profile of Brazilian speech-language-hearing (SLH) therapists and their level of information on the use of low-level laser photobiomodulation.
Methods: an observational, cross-sectional, quantitative study conducted with a self-administered online questionnaire related to the professional education, work, and knowledge of SLH therapists on low-level laser photobiomodulation. Two hundred sixty-one speech-language-hearing therapists of both sexes participated in the research. The data were analyzed with descriptive and inferential statistics.
Results: the speech-language-hearing therapists had graduated predominantly 10 to 20 years before, their highest degree was mainly specialization, and most of them worked in the fields of oral-motor functions, dysphagia, voice, language, and audiology. Most of them knew photobiomodulation and its use in SLH therapists; also, they agreed on using a low-level laser as a therapeutic resource. Even so, most did not use it in clinical practice, although those who did, reported greater patient adherence. Statistical significance was verified for the association between laser use and access to resolution number 541 of the Federal Speech-Language-Hearing Council, time in the profession, main specialization, and required qualification.
Conclusion: the participating speech-language-hearing therapists showed knowledge on low-level laser photobiomodulation and its applicability. However, most of these professionals did not use the resource yet.
Keywords
Resumo
Objetivo: conhecer o perfil dos fonoaudiólogos brasileiros e o seu nível de informação quanto ao uso da Fotobiomodulação com o Laser de Baixa Potência (LBP).
Métodos: estudo observacional, transversal e quantitativo, realizado por meio de um questionário virtual autoaplicado, composto por questões relacionadas à formação, atuação profissional e conhecimentos sobre fotobiomodulação com LBP. Participaram 261 fonoaudiólogos, de ambos os sexos. Os dados foram analisados utilizando estatística descritiva e inferencial.
Resultados: os fonoaudiólogos possuíam, predominantemente, 10 a 20 anos de formação, especialização concluída como maior titulação e atuavam principalmente nas áreas de Motricidade Orofacial, Disfagia, Voz, Linguagem e Audiologia. A ampla maioria conhece a fotobiomodulação e a sua aplicação na Fonoaudiologia, bem como concorda com a utilização do LBP como recurso terapêutico. Ainda assim, a maioria não utiliza o recurso na prática clínica, mas os que utilizam relatam melhor adesão do paciente. Verificou-se significância estatística para a associação do uso do laser ao acesso à resolução de nº 541 do Conselho Federal de Fonoaudiologia, ao tempo de profissão, à principal especialização e à capacitação exigida. Conclusão:os fonoaudiólogos participantes do estudo demonstraram apresentar informações sobre a fotobiomodulação com LBP e suas aplicabilidades, entretanto, o recurso ainda não é utilizado pela maioria dos profissionais.
Palavras-chave
Referências
1. Ordahan B, Karahan AY. Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial (Bell's) palsy. Lasers Med Sci. 2017;32(4):931-6.
2. De Freitas LF, Hamblin MR. Proposed mechanisms of photobiomodulation or Low-Level Light Therapy. IEEE J. Sel. Topo. Quantum Electron. 2016;22(3):7000417.
3. El Mobadder M, Farhat F, Nammour S. Photobiomodulation Therapy in the treatment of chronic dysphagia post hormonal therapy in a breast cancer patient. Dent J (Basel). 2019;7(2):53.
4. Machado BCZ, Mazzetto MO, Da Silva MAMR, De Felício CM. Effects of oral motor exercises and laser therapy on chronic temporomandibular disorders: a randomized study with follow-up. Lasers in medical Science. 2016;31(5):945-54.
5. Batista SL, Coêlho JF, Almeida LNA, Spinelli-Pessoa L, Vasconcelos ML, Alves GAS. Oral amplitude and orofacial pain in patients with temporomandibular dysfunction submitted to lasertherapia and a miofacional orofacial therapy. Rev. bras. ciênc. saúde. 2019;23(2):85-94.
6. Conselho Federal de Fonoaudiologia [Internet]. Resolução CFFa nº 541, de 15 de março de 2019 [citado em 2020 Sep 01]; Disponivel em: https://www.fonoaudiologia.org.br/resolucoes/.
7. Lizarelli RFZ. Protocolos clínicos odontológicos: uso do laser de baixa intensidade. 4 ed. São Paulo: MM Optics Ltda; 2010.
8. Anders JJ, Lanzafame RJ, Arany PR. Low-level Light/Laser therapy versus photobiomodulation therapy. Photomed Laser Surg. 2013;33(4):183-4.
9. Gomes CF, Schapochnik A. The therapeutic use of low intensity laser (LLLT) in some diseases and its relation to the performance in speech therapy. Distúrb. Comun. 2017;29(3):570-8.
10. Vanderlei T, Bandeira RN, Canuto, MSB, Alves GAS. Low level light therapy and peripheral facial paralysis: integrating literature review. Laser therapy and Bell palsy. Distúrb Comum. 2019;31(4):557-64.
11. Zecha JA, Raber-Durlacher JE, Nair RG, Epstein JB, Elad S, Hamblin MR et al. Low-level laser therapy/photobiomodulation in the management of side effects of chemoradiation therapy in head and neck cancer: part 2: proposed applications and treatment protocols. Support Care Cancer. 2016 24(6):2793-805.
12. Lee J, Sehwan K, Jung JA, Lee MY. Applications of photobiomodulation in hearing research: from bench to clinic. Biomed. Eng. Lett. 2019;9(3):351-8.
13. Choi JE, Lee MY, Chung PS, Jung JY. A preliminary study on the efficacy and safety of low level light therapy in the management of cochlear tinnitus: a single blind randomized clinical trial. Int Tinnitus J. 2019;23(1):52-7.
14. Matos AS, Berretin-Felix G, Bandeira RN, Lima JAS, Almeida LNA, Alves GAS. Laser therapy applied to orofacial motricity: perception of members of the Brazilian Orofacial Motricity Association - Abramo. Rev. CEFAC. 2018;20(1):61-8.
15. Kagan LS, Heaton JT. The effectiveness of Low-Level Light Therapy in attenuating vocal fatigue. J Voice. 2017;31(3):384.e15-384.e23.
16. Costa SAP, Florezi GP, Artes GE, Costa JR, Gallo RT, Freitas PM et al. The analgesic effect of photobiomodulation therapy (830 nm) on the masticatory muscles: a randomized, double-blind study. Braz. oral res. 2017;31:e107.
17. Poloni MM, Marques NP, Ribeiro Junior NV, Sperandio FF, Hanemann JAC, de Carli ML. Bell's palsy treated with photobiomodulation in an adolescent: rare case report and review of the published literature. Int J Paediatr Dent. 2018;28(6):658-62.
18. Ferrera MT, Hernández ZMS, Risset CL, Castro CV. Evaluación clínica y funcional de pacientes con parálisis de Bell tratados con láserClinical and functional evaluation of patients with Bell´s palsy treated with laser. MEDISAN [periodico na internet]. 2015 [citado em 2020 Sep 23];19(12):1459-65. Disponivel em: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192015001200004&lng=es.
19. Cunha LO, Silva DCC, Pedra EFP, Alves VMN, Vicente LCC. Efeitos da fotobiomodulação na produção de saliva e no disparo de deglutição: relato de caso. In: Anais do XXVII Congresso Brasileiro de Fonoaudiologia. 2019 Out; 09-12. Belo Horizonte.
20. Borges RMM, Cardoso DS, Flores BC, da Luz RD, Machado CR, Cerveira GP et al. Effects of different photobiomodulation dosimetries on temporomandibular dysfunction: a randomized, double-blind, placebo-controlled clinical trial. Lasers in Medical Science. 2018;33(9):1859-66.
21. Buchaim RL, Andreo JC, Barraviera B, Ferreira Junior RS, Buchaim DV, Rosa Junior GM et al. Effect of Low-Level Laser Therapy (LLLT) on peripheral nerve regeneration using fibrin glue derived from snake venom. Injury. 2015;46(4):655-60.
22. Susanibar F, Santos R, Marchesan I. International Orofacial Motricity Day “Tongue-tie, affected orofacial functions”. Rev. CEFAC. 2017;19(1):3-6.
23. Nampo FK, Cavalheri V, Soares FS, Ramos SP, Camargo EA. Low-level phototherapy to improve exercise capacity and muscle performance: a systematic review and meta-analysis. Lasers Med Sci. 2016;31(9):1957-70.
24. El Mobadder M, Farhat F, El Mobadder W, Nammour S. Photobiomodulation Therapy in the treatment of oral mucositis, dysphagia, oral dryness, taste alteration, and burning mouth sensation due to cancer therapy: a case series. Int J Environ Res Public Health. 2019;16(22):4505.
25. Reolon LZ, RIGO L, Conto F, Cé LC. Impacto da laserterapia na qualidade de vida de pacientes oncológicos portadores de mucosite oral. Rev. odontol. UNESP. 2017;46(1):19-27.
26. Neaser AM, Ho M, Martin P. Improved language after scalp application of Red/Near-Infrared Light Diodes: pilot study supporting a new, noninvasive treatment for chronic aphasia. Procedia Soc Behav Sci. 2012;61:138-9.
27. Alves VMN, Furlan RMMM, Motta AR. Immediate effects of photobiomodulation with low-level laser therapy on muscle performance: an integrative literature review. Rev. CEFAC. 2019;21(4):e12019.
Submetido em:
18/11/2020
Aceito em:
01/02/2021
Facebook
Twitter
LinkedIn
Mendeley
Email