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Scientific production of Brazilian speech language pathologists in sleep medicine

Camila de Castro Corrêa1; Fabiane Kayamori2; Silke Anna Theresa Weber1; Esther Mandelbaum Gonçalves Bianchini2

DOI: 10.5935/1984-0063.20180033

 

ABSTRACT:

INTRODUCTION: Previous diagnosis and intervention in patients with sleep-disordered breathing involves several health professionals. Speech-Language and Hearing Sciences (SLHS) performance has been solidified through scientific production.
OBJECTIVE: To describe the inclusion of Brazilian Speech-Language Pathologists (SLP) in the field of sleep disorders, through the description of studies, scientific publications and participation in scientific events.
DATA SYNTHESIS: A search and an analysis of the Brazilian SLP publications in the field of sleep disorders were carried out, including articles, monographs, dissertations, thesis and abstracts published in annals of events. The databases Lilacs, SciELO, Pubmed, Google Scholar tool and Lattes platform were accessed, with final search in January 2018. The analysis consisted of a description of the year of publication, type of publication, area of the SLHS, place of publication and/or event. 40 articles were found in national and international journals, from 1999 to 2017. In relation to publications in books, one book about the subject was published in 2009 and eight chapters of books were published. In the monograph format, 21 studies were carried out, there are 13 dissertations and eight thesis. A total of 151 abstracts were published in annals of scientific events, from 2001 to 2017 and 63 lectures were conducted by SLP.
CONCLUSION: The inclusion of Brazilian SLP in the area of sleep disorders has been supported by scientific publications in the format of articles in national and international journals, monographs, thesis, dissertations, books and publications in event annals.

Keywords:
Speech; Language; Hearing; Sleep Disorders, Intrinsic; Sleep Apnea, Obstructive.

FIGURES

Citation: Corrêa CC, Kayamori F, Weber SAT, Bianchini EMG. Scientific production of Brazilian speech language pathologists in sleep medicine. 11(3):183. doi:10.5935/1984-0063.20180033
Received: September 15 2017; Accepted: May 21 2018
 

INTRODUCTION

Sleep disorders are frequent problems and compromise the quality of life and general health of affected patients1-3. Because they are associated with different etiological factors and consequences, the diagnosis and treatment of sleep disorders require interdisciplinary teams4. The inclusion of the Speech-Language Pathologists’ (SLP) approach, specifically related to sleep-disordered breathing, has been recommended by several scientific articles, Brazilian SLPs being pioneers in this area.

In 2009, the first Brazilian study for which an SLP was part of the team and led a treatment, a randomized clinical trial, was published in an international scientific journal. The authors demonstrated the effectiveness of oropharyngeal exercises in patients with moderate obstructive sleep apnea (OSA)5. However, their research started earlier, the authors publishing a monograph in 1999 and an abstract in a national interdisciplinary event in 20016,7.

Since then, the Brazilian scientific pioneering in the field of sleep disorders has been solidified, with an increasing number of publications of articles, abstracts in annals of scientific events, and lectures given at national and international events8.

These publications are essential to disseminate the diagnosis and treatment modalities of SLPs and reinforce the interface with other professionals of the multi-professional team, such as physicians and dentists9. The professional activities of SLPs solidify their interactions as being more assertive in the area of diagnosis and treatment of sleep-disordered breathing9.

Thus, the objective of the present study was to describe the inclusion of Brazilian Speech-Language and Hearing Science (SLHS) in the field of sleep disorders, by the review of studies and scientific publications, as well as participation in scientific events.

 

REVIEW OF LITERATURE

The authors conducted a survey and analysis of the publications of Brazilian SLPs, without limits of time, in the field of sleep disorders, including articles, monographs, dissertations, thesis, abstracts published in the annals of events, and lectures.

As a search strategy of scientific articles, the authors assessed the interfaces of the Lilacs, SciELO (The Scientific Electronic Library Online), PubMed, and Google Scholar (referring to the first five pages containing 10 results each), using the following descriptors and free terms:

·1st search strategy : “speech pathology” AND “apnea”;

·2nd search strategy : “speech pathology” AND “sleep disorders”;

·3rd search strategy : “speech pathology” AND “snoring”;

·4th search strategy : “oropharyngeal exercises” AND “apnea”;

·5th search strategy : “oropharyngeal exercises” AND “sleep disorders”;

·6th search strategy : “oropharyngeal exercises” AND “snoring.”

·7th search strategy : “speech therapy” AND “apnea”;

·8th search strategy : “speech therapy” AND “sleep disorders”;

·9th search strategy : “speech therapy” AND “snoring.”

In addition, the authors reviewed the references of the articles to include articles that were missed using the search strategy.

For the inclusion of abstracts published in annals and presentations in events, the authors performed a manual search on the Lattes platform-CAPES of the authors’ names for the included articles. The coauthors were also considered, and their names were included in the search on the Lattes platform.

As inclusion criteria, the authors considered studies that included a Brazilian SLP in the publication team and that addressed all kinds of interactions of SLPs with patients with sleep disorders, from health promotion to assessment and treatment, with no language restriction. Articles not relevant to the proposed theme, as well as those for which all authors were from countries other than Brazil, were excluded.

The analysis consisted of the description of the year of publication, type of publication, area of SLHS, and locale of publication and/or event.

The last access was in January 2018.

 

RESULTS

Of the articles that were selected (Table 1 and Figure 1), 40 articles were published in national and international journals during the period of 1999 to 2017. Table 2 classifies this material by year of publication, title, and journal.

Table 1. Results of search strategies in Lilacs, SciELO, and PubMed.
  LILACS SCIELO PUBMED
1ST 8 3 73
2ND 4 4 116
3RD 7 3 26
4TH 1 1 17
5TH 0 1 10
6TH 1 1 10
7TH 16 9 235
8TH 12 4 349
9TH 11 8 94
Table 2. Scientific articles by Brazilian SLPs about sleep disorders, classified by year of publication, title, and journal.
Year Title Journal
2017 Effects of orofacial myofunctional therapy on the symptoms and physiological parameters of sleep breathing disorders in adults: a systematic review10 CEFAC Journal [Portuguese]
2017 Obstructive sleep apnea and oral language disorders11 Brazilian Journal of Otorhinolaryngology
2017 Sleep quality and communication aspects in children12 International Journal of Pediatric Otorhinolaryngology
2017 Sleep quality in children: questionnaires available in Brazil13 Sleep Science
2017 Sleep quality in medical students: a comparison across the various phases of the medical course14 Brazilian Journal of Pulmonology
2016 Different craniofacial characteristics predict upper airway collapsibility in japanese-brazilian and white men15 Chest (American College of Chest Physicians)
2016 Educational program applied to obstructive sleep apnea16 Journal of Communication Disorders, Deaf Studies & Hearing Aids
2016 Myofunctional therapy improves adherence to continuous positive airway pressure treatment17 Sleep & Breathing
2016 Orofacial motor functions in pediatric obstructive sleep apnea and implications for myofunctional therapy18 International Journal of Pediatric Otorhinolaryngology
2016 Profile of scientific production of obstructive sleep apnea in interface of speech and language pathology19 CEFAC Journal [Portuguese]
2016 Upper airway collapsibility assessed by negative expiratory pressure while awake is associated with upper airway anatomy20 Journal of Clinical Sleep Medicine
2015 Effects of oropharyngeal exercises on snoring21 Chest (American College of Chest Physicians)
2015 Health promotion in obstructive sleep apnea syndrome22 International Archives of Otorhinolaryngology
2015 Myofunctional therapy applied to upper airway resistance syndrome: a case report23 CoDAS
2015 The relation between the apnea and hypopnea on sleeping obstruction, oral breathing and obesity enphasing on speech and voice therapy: a bibliographic study24 Journal of Communication Disorders [Portuguese]
2015 Validity and reliability of a protocol of orofacial myofunctional evaluation for patients with obstructive sleep apnea25 European Journal of Oral Sciences
2014 Model of oronasal rehabilitation in children with obstructive sleep apnea syndrome undergoing rapid maxillary expansion: research review26 Sleep Science
2014 Obstructive sleep apnea and dysphagia: case report27 PET Informs (FOB / USP) [Portuguese]
2014 Perception of the bed partner and the individual suffering from snoring/osas before and after speech therapy28 CEFAC Journal [Portuguese]
2014 Upper airway collapsibility is associated with obesity and hyoid position29 Sleep
2013 Effect of speech therapy as adjunct treatment to continuous positive airway pressure on the quality of life of patients with obstructive sleep apnea30 Sleep Medicine
2013 Predictors of uvulopalatopharyngoplasty success in the treatment of obstructive sleep apnea syndrome31 Sleep Medicine
2013 Speech therapy proposals to the snoring patient32 Journal of Communication Disorders [Portuguese]
2012 Cephalometric analysis of modifications of the pharynx due to maxillo-mandibular advancement surgery in patients with obstructive sleep apnea33 International Journal of Oral and Maxillofacial Surgery
2011 Phonoaudiological assessment of patients with obstructive sleep apnea34 Sleep Science
2011 Swallowing dysfunction related to obstructive sleep apnea: a nasal fibroscopy pilot study35 Sleep & Breathing
2010 An interdisciplinary look at: obstructive sleep apnea36 PET Informs (FOB / USP) [Portuguese]
2010 Methods for increasing upper airway muscle tonus in treating obstructive sleep apnea: systematic review37 Sleep & Breathing
2010 Speech therapy and sleepy apnae: a review38 CEFAC Journal [Portuguese]
2010 Speech therapy and snore and sleep apnea39 CEFAC Journal [Portuguese]
2009 Effects of oropharyngeal exercises on patients with moderate obstructive sleep apnea syndrome5 American Journal of Respiratory and Critical Care Medicine
2009 Sleep obstructive apnea-hypoapnea syndrome and the phonoaudiological focus: literature review40 CEFAC Journal [Portuguese]
2008 Methods to increase muscle tonus of upper airway to treat snoring: systematic review41 Neuro-Psychiatry archives [Portuguese]
2007 Oral myofunctional therapy applied on two cases of severe obstructive sleep apnea syndrome42 International Archives of Otorhinolaryngology
2007 Speech therapy in the obstructive sleep apnea-hypopnea syndrome: case report43 CEFAC Journal [Portuguese]
2006 Auditory processing assessment in children with obstructive sleep apnea syndrome44 Brazilian Journal of Otorhinolaryngology
2004 Oral breathing and its relation to nocturnal snoring and obstructive sleep apnea syndrome45 CoDAS
2004 The relationship between sleep apnea, snoring and oral breathing46 CoDAS
2004 Treatment of obstructive sleep apnea syndrome (OSAS) through orthognatic surgery of mandibular advancement47 Brazilian Journal of Orthodontics & Facial Orthopedics [Portuguese]
1999 Alterations in soft tissue of oropharynx in obstructive sleep apnea patients48 CoDAS

Legend: FOB/USP: Faculdade de Odontologia de Bauru USP.

Table 3 classifies by year, type of publication, and title of the 21 monographs, 13 dissertations, 8 theses, 1 book, and 8 book chapters that were included.

Table 3. Books, book chapters, monographs, dissertations, and thesis in the field of sleep disorders published by Brazilian SLPs, detailed by year of conclusion, type of study, and title.
Year Type Title
IN PROGRESS Thesis Oral language in obstructive sleep apnea [Portuguese]49
IN PROGRESS Thesis Orofacial motor control in children with obstructive sleep apnea and primary snoring [Portuguese]50
IN PROGRESS Thesis Translation and cultural adaptation to Brazilian Portuguese of the quality of life questionnaire (SAQLI) to obstructive sleep apnea patients [Portuguese]51
2017 Dissertation Characteristics of swallowing in individuals with obstructive sleep apnea syndrome [Portuguese]52
2017 Dissertation Orofacial miofunctional study in children with obstructive sleep apnea [Portuguese]53
2017 Book Chapter Speech, language and hearing sciences in sleep [Portuguese]54
2016 Dissertation Effect of obstructive sleep apnea on adult hearing [Portuguese]55
2016 Dissertation Evaluation of nasal geometry in adults with obstructive sleep apnea [Portuguese]56
2016 Dissertation Functional characteristics of orofacial musculature in children with and without obstructive sleep apnea [Portuguese]57
2016 Dissertation Long-latency auditory evoked potentials in obstructive sleep apnea [Portuguese]58
2016 Monograph Contribution of phonoaudiology to the treatment of snoring in obstructive sleep apnea and hypopnea syndrome [Portuguese]59
2016 Monograph Pharyngeal geometry pre and post myofunctional orofacial theraph in Individuals with obstructive sleep apnea [Portuguese]60
2015 Thesis Effects of orofacial myofunctional therapy in patients with primary snoring and obstructive sleep apnea in the anatomy and function of the airway [Portuguese]61
2015 Thesis Myofunctional orofacial and electromyographic evaluation of patients with obstructive sleep apnea [Portuguese]62
2015 Dissertation Immediate effects of semi-fluid vocal tract exercises in patients with obstructive sleep apnea syndrome [Portuguese]63
2015 Dissertation Rhinoometric characteristics and myofunctional assessment in individuals with obstructive sleep apnea syndrome who use CPAP [Portuguese]64
2015 Monograph Elaboration of a phonoaudiological screening instrument for the treatment of snoring and OSAS [Portuguese]65
2015 Monograph Myofunctional orofacial therapy in quality of life of women with obstructive sleep apnea syndrome [Portuguese]66
2014 Thesis Effects of orofacial myofunctional therapy on snoring and sleep quality in patients with primary snoring and obstructive apnea in mild to moderate sleep [Portuguese]67
2014 Dissertation Comparative analysis of swallowing after surgical treatment of OSAS: uvulopalatopharyngoplasty versus expander pharyngoplasty [Portuguese]68
2014 Dissertation Evaluation of swallowing pattern in adult OSAS patients [Portuguese]69
2014 Dissertation Young Doctor Project: health education actions aimed at obstructive sleep apnea and hypopnea syndrome [Portuguese]70
2014 Monograph Systematic Review: the contribution of speech therapy in obstructive sleep apnea and hypopnea syndrome [Portuguese]71
2014 Book chapter Evaluation of orofacial motricity in patients with obstructive sleep apnea syndrome72
2014 Book chapter Noctural Breathing - from normality to alterations [Portuguese]73
2014 Book chapter Snoring and obstructive sleep apnea [Portuguese]74
2013 Monograph Effects of speech therapy on snoring [Portuguese]75
2013 Monograph Speech-language pathology intervention in obstructive sleep apnea syndrome: state-of-the-art [Portuguese]76
2012 Thesis Speech therapy as an adjunct to treatment with continuous positive airway pressure in patients with obstructive sleep apnea syndrome [Portuguese]77
2012 Dissertation Oral and snoring breathing in childhood and adolescence: orofacial structures and musculature [Portuguese]78
2012 Monograph Masticatory pattern of patients with obstructive sleep apnea [Portuguese]79
2012 Monograph Quality of life in individuals with obstructive sleep apnea and hypopnea syndrome and snoring before and after speech therapy [Portuguese]80
2011 Monograph Evaluation and comparison of language and pulsology in individuals with and without obstructive sleep apnea81
2011 Monograph Myofunctional orofacial efficacy in the treatment of severe obstructive sleep apnea syndrome [Portuguese]82
2011 Monograph Quality of life in adults with different degrees of obstructive sleep apnea [Portuguese]83
2011 Monograph Speech-language therapy to the patient with apnea: case report [Portuguese]84
2011 Monograph Tongue strength and swallowing pattern in adults with obstructive sleep apnea [Portuguese]85
2011 Book chapter Obstructive sleep apnea syndrome [Portuguese]86
2010 Monograph Investigation of speech-language pathology and audiology in obstructive sleep apnea syndrome in the city of Recife [Portuguese]87
2009 Monograph Myofunctional therapy in obstructive sleep apnea correlated with surface electromyography data [Portuguese]88
2009 Book Apnea and snoring: orofacial myofunctional treatment [Portuguese]89
2008 Thesis Effects of oropharyngeal exercises in patients with moderate obstructive sleep apnea [Portuguese]90
2008 Monograph Otorhinolaryngologists' knowledge about speech-language pathology in snoring [Portuguese]91
2008 Monograph Sleep bruxism in oronasal breathing children 8 to 11 years of age: an association study [Portuguese]92
2007 Book chapter Multifunction System (MFS) - advances in the treatment of OSAHS [Portuguese]93
2007 Book chapter Oral respiratory and obstructive sleep apnea-hypopnea syndrome: the role of prevention and early treatment [Portuguese]94
2007 Book chapter Roncopathy and OSAHS - phonoaudiological treatment rehabilitation of the pharyngeal dilator muscles [Portuguese]95
2006 Monograph Relationship between myofunctional orofacial disorders and snoring in overweight patients [Portuguese]96
2005 Dissertation Evaluation of the efficacy of speech-language intervention - myofunctional therapy - in snoring patients with and without obstructive sleep apnea syndrome [Portuguese]97
2003 Monograph Characterization of snoring in individuals with and without obstructive sleep apnea hypopnea syndrome [Portuguese]98
1999 Monograph Alterations in soft tissue of oropharynx in obstructive sleep apnea patients [Portuguese]6

This search strategy resulted in the location of 214 participations in events of Brazilian SLPs, 63 lectures, and 151 presentations of scientific abstracts during the period from 2001 to 2017. The presentations and lectures occurred, in addition to Brazil, in eight other countries: Canada, the USA, Portugal, Spain, Chile, Peru, Colombia, and Argentina. Table 4 shows the year of the event, name, place of event, organizing institution, and name of the presentation/lecture.

Table 4. Scientific presentations and lectures of Brazilian SLPs at events, according to the year, name, place of the event, organizing institution, and name of the study/lecture.
Year Event Local Organization Scientific presentations (poster or oral communication) Lectures
2017 17th Paulista Congress of Pulmonology and Tisiology São Paulo/SP- Brazil SPPT Nov 15-18 - · The multiple clinical faces of Sleep Apnea: Obstructive Sleep Apnea Phenotypes and Implications in treatment [Portuguese]99
2017 16th Brazilian Congress of the Brazilian Society of Neuropsychology São Paulo/SP- Brazil SBN Nov 17-18 - · Speech language and hearing sciences parameters and perspectives for the rehabilitation of sleep disorders100
2017 16th Brazilian Congress of Sleep Joinville/SP- Brazil ABS, ABMS e ABROS Nov 1-4 · Application of imaging exams to speech-language pathology of sleep [Portuguese]101 · Excessive daytime sleepiness, insomnia and the influence of technologies on adolescents sleep [Portuguese]102 · Health actions during sleep week 2017 in the state of Sao Paulo: screening for obstructive sleep apnea [Portuguese]103 · Speech therapy treatment in OSA with snoring in Angle Class III patient - clinical case presentation [Portuguese]104 · Speech therapy treatment in OSA with snoring in a patient submitted to orthognathic surgery - clinical case presentation [Portuguese]105 · The influence of the use of communication technologies on teenagers sleep [Portuguese]106 · Translation and cultural adaptation to Brazilian Portuguese of the quality of life questionnaire (SAQLI) [Portuguese]107 · Tympanometric findings prior to adenotonsillectomy [Portuguese]108 · Tongue frenulum and sleep complaints: case report [Portuguese]109 · In addition to CPAP: alternatives for the treatment of sleep apnea - Which is the ideal patient for myofunctional therapy [Portuguese]110 · Impact of myofunctional therapy on CPAP adherence [Portuguese]111 · My child snore: functional rehabilitation of nasal breathing [Portuguese]112 · Reviewing the indications of intra-oral apparatus: Myofunctional aspects in the AIO candidate [Portuguese]113 · Sleep Apnea Phenotypes: Clinical [Portuguese]114 · Speech language and hearing sciences procedure in CPAP adherence in the elderly: a case report [Portuguese]115 · Speech language and hearing sciences therapy in the different approaches to OSA treatment [Portuguese]116 · Update on the treatment of sleep apnea beyond CPAP: with Myofunctional Therapy  [Portuguese]117
2017 14th World Sleep Congress Prague, Czech Republic World Sleep Society Oct 7-11 · Effectiveness of orofacial myofunctional therapy in obstructive sleep apnea in adults: systematic review118 · Effects of physical activity on quality of life and sleep quality in CPAP users119 · Electromyography analyses during DISE: applicability in hypoglossal nerve stimulation120 · Syntax consciousness and obstructive sleep apnea121 · Sleep awareness week 2017: actions of health promotion in the interior of São Paulo state122 · Myofunctional therapy for adult snoring and OSA: Changes in tongue fat and airway in a RCT123 · Pathways to update standards of care: How myofunctional therapy works in OSA124
2017 25th Brazilian Congress of Speech language and hearing sciences Salvador/BA- Brazil SBFa Sep 12-15 · Comparative Study of the Conservative and Surgical Treatments of Obstructive Sleep Apnea [Portuguese]125 · Effectiveness of orofacial myofunctional exercises in the treatment of snoring and sleep apnea: a case study [Portuguese]126 · Effectiveness of orofacial miofunctional therapy in obstructive sleep apnea in adults: systematic review [Portuguese]127 · Findings of videoendoscopy of deglutition in obstructive sleep apnea syndrome: Case report [Portuguese]128 · Language and aspects of premature children’s sleep [Portuguese]129 · Obesity: risk factor for obstructive sleep apnea [Portuguese]130 · Obstructive Sleep Apnea Syndrome and swallowing: oral myofunctional, respiratory and neuromuscular coordination aspects [Portuguese]131 · Perception of the quality of life of patients with obstructive sleep apnea syndrome [Portuguese]132 · Sleep disorders: a proposal of health education for the elderly [Portuguese]133 · The sleep quality of the patient that snore [Portuguese]134 · Practices of orofacial motricity in respiratory sleep disorders [Portuguese]135
2017 15th Academic Seminary of the Speech language and hearing sciences Course São Paulo/SP- Brazil Sep 4-5 FCMSCSP   · Changes in sleep in orofacial motricity [Portuguese]136
2017 24th COFAB Bauru/SP- Brazil Department of Speech-language and hearing sciences - USP-FOB Aug 16-19 · Deleterious oral habits in children with respiratory complaints during sleep [Portuguese]137 · Obstructive sleep apnea and metasynthetic ability [Portuguese]139 · Obstructive sleep apnea in young adults with pharyngeal flap [Portuguese]138 · Participation of Brazilian Speech language and hearing sciences in Sleep Science [Portuguese]140 · Sleep Week 2017: health promotion in the interior of São Paulo [Portuguese]141 · Tongue function in patients with Obstructive Sleep Apnea Syndrome [Portuguese]142 -
2017 2nd Ibero-American Orofacial Motricity Symposium Madrid- Spain University Complutense of  Madrid and  Institute EPAP Jun 16-17 - · Stomatognathic alterations, OSAS and phonoaudiological intervention in interdisciplinary approach [Spanish]143
2017 10th Brazilian meeting of Orofacial Motricity Belo Horizonte- Brazil ABRAMO Jun 1-3 · Myofunctional orofacial aspects in patients with obstructive sleep apnea syndrome [Portuguese]144 · OSAS in childhood [Portuguese]145 · Speech language and hearing sciences in obstructive sleep apnea: literature review146 · Speech language and hearing sciences performance in obstructive sleep apnea and hypopnea syndrome: case report147 · Speech language and hearing sciences view: performance in snoring and sleep apnea148
2017 15th Speech language and hearing sciences week Campinas/SP-Brazil UNICAMP May 22-26 - · Speech language and hearing sciences in sleep: performance in snoring and sleep apnea149
2017 15th Academic Journal of Speech language and hearing sciences Belo Horizonte- Brazil PUC May 18-19 - · Interdisciplinary action and respiratory sleep disorders [Portuguese]150
2017 3rd International Congress of Speech-language and hearing sciences and Meeting of Latin American Integration Rosario- Argentina National University of Rosario May 10-13 - · Advances in Orofacial Motricity: “sleep disorders” [Spanish]151
2017 2nd AAMS Congress Chicago - USA AAMS March 1-5 - ·  Different approaches of Orofacial Myofunctional Therapy (OMT) in OSA patients: Isolated OMT or within interdisciplinary treatments (CPAP; Intraoral Appliances; Hypoglossal Nerve Stimulation)152
2016 15th Brazilian Congress of Sleep São Paulo/SP-Brazil ABS, ABMS and ABROS AMOS: orofacial myofunctional evaluation for obstructive sleep apnea [Portuguese]153 Case report: Speech language and hearing sciences intervention in oropharyngeal hypofunction: case report [Portuguese]154 Case report: Speech language and hearing sciences treatment of obstructive sleep apnea with snoring: a case report [Portuguese]155 Correlation enters the oropharyngeal cross-sectional area and the severity of obstructive sleep apnea [Portuguese]156 Importance of the anamnestic data of snoring complaint in children with adapted deglutition in the initial phase of mixed dentition [Portuguese]157 Unsupervised polysomnography in children [Portuguese]158 Obesity and Sleep Respiratory Disorders: quantitative analysis and associations [Portuguese]159 Obstructive sleep apnea in young adults with cleft lip and palate is related to maxillomandibular discrepancies? [Portuguese]160 REM-sleep apnea-hypopnea index predominance in subjects with cleft lip and palate and obstructive sleep apnea [Portuguese]161 Respiratory symptoms and nasalance of speech after resection of the pharyngeal flap [Portuguese]162 · How to select the patient: Speech-language pathology [Portuguese169 · Multidisciplinary Treatment of Obstructive Sleep Apnea (OSA) based on clinical cases [Portuguese170 · Orofacial myofunctional evaluation [Portuguese171 · Phenotype of the patient with OSA [Portuguese172 · Post-surgical speech language hearing sciences rehabilitation [Portuguese173
2016       Respiratory sleep disorders in young and middle-aged adults with cleft lip and palate assessed by validated questionnaires and nocturnal polysomnography: effect of age [Portuguese]163 Sleep quality questionnaires for the pediatric population used in Brazil [Portuguese]164 Speech and Hearing Intervention in Oropharyngeal Hypofunction: Case Report [Portuguese]165 Undervised polysomnography helps planning adenoamigdalectomy? [Portuguese]166 Week of sleep and speech language and hearing sciences: dissemination and awareness about sleep in Brazil [Portuguese]167 What are the role of questionnaires? Berlin and Epworth in the research of the association of chronic obstructive pulmonary disease and syndrome of obstructive sleep apnea [Portuguese]168  
2016 18th International Congress of Odontology of BAHIA/10th Speech language and hearing sciences Seminary Salvador/BA- Brazil ABO- BA Nov 2016 - · Speech language and hearing sciences  evaluation and treatment in Obstructive Sleep Apnea [Portuguese]174
2016 24th Brazilian Congress of Speech language and hearing sciences São Paulo/SP- Brazil SBFa Oct 2016 · Food intake of patients with obstructive sleep apnea: literature review175 · Orofacial miofunctional characteristics in patients with snoring and obstructive sleep apnea176 · Oromiofunctional therapy as adjuvant to the treatment of upper airway resistance syndrome: a case report177 · Protocol of evaluation for obstructive sleep apnea: systematic review178 · Relationship between obesity and sleep psychic aspects179 · Scientific production on snoring: analysis of Brazilian speech language hearing sciences180 Interdisciplinary symposium -diagnosis and treatment of sleep disorders: Speech language hearing sciences approach [Portuguese]184
        · Speech language and hearing sciences assistance in cases of apnea in the city of João Pessoa181 · Speech language hearing sciences therapy and therapeutic adherence in obstructive sleep apnea syndrome182 · Study of snoring in healthy elderly183  
2016 2nd Ibero-American Orofacial Motricity and3rd American Meeting Santa Marta- Colombia CMOL Sep 15-17 - Interdisciplinary treatment of obstructive sleep apnea syndrome [Spanish]185
2016 10th Congress of ALAT Santiago - Chile ALAT Jul 6-9 · Insertion and contribution of speech-language pathology in sleep disorders [Spanish]186 · Obstructive sleep apnea and oral language in children [Spanish] 187 · Sleep quality in children: differences in the questionnaires used in Brazil [Spanish]188 · Sleep quality in children: review of the questionnaires used in Brazil [Spanish]189 · Unassisted childhood polysomnography [Spanish]190 -
2016 Meeting of Orofacial Motricity Bauru/SP- Brazil ABRAMO Jun 3-4 · Comparative analysis of respiratory symptoms related to sleep in children with cleft lip and palate and pharyngeal flap [Portuguese]191 · Production of brazilian speech therapist in sleep disorders area [Portuguese]192 · Relationship between respiratory symptons and nasalance of talk in young adults with cleft lip palate fissure193 ·   Self-reported orofacial myofunctional aspects of freshmen undergraduate students in Speech Language Pathology and Audiology at UFSC [Portuguese] 194 Obstructive sleep apnea: interdisciplinary approach [Portuguese]195
2016 2th Congress of speech language and hearing sciences of the Faculty of Medicine of UFMG Belo Horizonte, Brazil UFMG May 19-21 - Speech language and hearing sciences treatment on respiratory sleep disorders [Portuguese]196
2016 9th Postgraduate meeting of UNESP Botucatu/SP- Brazil UNESP-FMB May 18-19 · Obstructive sleep apnea and oral language [Portuguese]197 -
2016 1st International Congress of Portuguese Society of Speech Therapy Santo Tirso- Portugal SPTF May 13-15 - · Interfaces of speech and hearing pathology in orofacial motor: new areas of intervention (OSA)198· Obstructive sleep apnea: evidence of orofacial myofunctional therapy [Portuguese]199
2016 7th International Symposium - Surgery Sleep and Breathing São Paulo/SP- Brazil ISSS and FORL Apr 15-16 · Obstructive Sleep Apnea and oral language: Sleep quality in children [Portuguese]200 Effects of oropharyngeal exercises on snoring and OSA [Portuguese]201
2016 4th Brazilian Congress of Electromyography and Kinesiology Ribeirão Preto/SP- Brazil University of São Paulo-Ribeirão Preto Apr 14-16 · Electromyographic activity of masseter and temporal muscles in patients with obstructive sleep apnea [Portuguese]202  
2015 Event in commemoration of the Speech-Language Pathologist's Day "Speech-language pathology - a promising area" Recife/PE-Brazil CRFa  4th region Dez 10 - Speech language hearing sciences in the treatment of Obstructive Sleep Apnea and Snoring [Portuguese]203
2015 14th International Symposium on Sleep and Breathing Porto de Galinhas/PE- Brazil ISSS and FORL Oct 15-28 - Effects of myofunctional therapy in patients with primary snoring and obstructive sleep apnea on upper airway anatomy by MRI [Portuguese]204
2015 15th Brazilian Congress of Sleep Porto de Galinhas/PE-Brazil ABS, ABMS and ABROS Oct 28-31 · A transdisciplinary approach to OSAHS in the speech language and hearing sciences clinic: a case study [Portuguese]205 · Children with language impairment: deleterious oral habits and sleep complaints [Portuguese]206 · Scientific publications on speech language and hearing sciences aimed at obstructive sleep apnea [Portuguese]207 ·   Speech language and hearing sciences therapy applied to four cases with obstructive sleep apnea syndrome [Portuguese]208 · Speech-language and hearing sciences therapy for the treatment of OSAHS [Portuguese]209 · “Update on Sleep-disordered breathing” with five subtopics, including “Speech language and hearing sciences and OSA - discussing the evidence in the evaluation and clinical practice” [Portuguese]210 · Interdisciplinary symposium: “Treatment of obstructive sleep apnea: beyond CPAP” with the lecture “Myofunctional exercises” [Portuguese]211
2015 23th Brazilian Congress of Speech language and hearing sciences and 9th International Congress of Speech and Hearing Therapy- Salvador/BA-Brazil SBFa Oct 14-16 · Correlation between degree of daytime sleepiness and nasal volume in OSA patients: a pilot study [Portuguese]212 · Interdepartmental symposium 1: the choice of exercises in orofacial myofunctional disorders: snoring, apnea and facial paralysis [Portuguese]216
        · Orofacial myofunctional therapy in the quality of life of women with obstructive sleep apnea syndrome [Portuguese]213 · Snoring and quality of life in young adults [Portuguese]214 · Speech-language pathology in snoring: a case report [Portuguese]215 · Interdepartmental symposium 2: obstructive sleep apnea, orofacial motricity and dysphagia: What is there in common? Orofacial motricity [Portuguese]217
2015 44th International Association of Orofacial Myology Congress Lake Buena Vista, USA IAOM · Breathing and Sleep Quality in Children218  
2015 AAMS 1st Congress Los Angeles -USA AAMS Sep 9-13 - · Challenges of interdisciplinarity in OSA, in TMD and in orthognathic surgery rehabilitation219 · Sleep-disordered breathing and myofunctional therapy: where do we go from here?220
2015 COFAB 22th Speech language annguage and hearing sciences Congress of Bauru Bauru/SP - Brazil Department of Speech-Language Pathology- FOB/USP Aug 26-29 · Cancer and Obstructive sleep apnea [Portuguese]221 · Deleterial and delayed habits and sickness related to sleep in children with language change222 · Level of evidence and area of speech therapy in scientific publications on obstructive sleep apnea [Portuguese]223 · The Speech Pathology Intervention in Obstructive Sleep Apnea [Portuguese]224
2015 1st American Encounter and 2nd Ibero-American Meeting of Orofacial Motricity Lima - Peru CMOL Jun 26-27 - · Sleep Disorders: myofunctional approach and orofacial structural relations [Spanish]225
2015 3rd Journey of Orthognathic Surgery and Orthodontics São Paulo/ SP- Brazil IEP/HSL May 23-24 - · Snoring and sleep apnea: a multiprofessional approach. Speech therapy in OSAS [Portuguese]226
2015 American Thoracic Society International Conference Denver-USA ATS May 15-20 · Effects of Oropharyngeal Exercises on Snoring: A Randomized Trial227 -
2015 8th Brazilian Meeting of Orofacial Motricity João Pessoa /PE- Brazil ABRAMO May 15-16 · Has cleft type an effect on pharyngeal flap outcomes?228 · Speech Therapy contributions in Obstructive Sleep Apnea Syndrome: An Integrative Review229 · The use of acoustic pharyngometry in the diagnosis of obstructive sleep apnea: a systematic review [Portuguese]230 · The use of acoustic rhinometry in the diagnosis of obstructive sleep apnea: a systematic review [Portuguese]231  
2015 1st Ibero-American Symposium on Orofacial Motricity Porto - Portugal AAMS, ABRAMO IAOM,  SPTF, SBFa, General Council of Speech-language Colleges Jan 30 fev 01 - Orofacial myofunctional intervention in OSA and snoring [Portuguese]232
2014 23th Brazilian Congress of Speech language and hearing sciences Joinville/SC - Brazil SBFa Oct 8-11 · Effect of Speech-Language therapy for patients with obstructive sleep apnea syndrome [Portuguese]233 · Influence of Speech language hearing sciences treatment on the quality of life of individuals with OSAS [Portuguese]234 · Rhinomanometric characteristics and nasal aeration in individuals with OSAHS treated with CPAP: an evaluation proposal [Portuguese]235 · Snoring and OSAS: how to treat? [Portuguese]236 · OSAS: speech language hearing and sciences procedure [Portuguese]237
2014 7th Brazilian Meeting of Orofacial Motricity São Paulo/SP - Brazil ABRAMO May 16-17 Nasopharyngeal dimensions in subjects with or without pharyngeal flap238 · Panel discussion on snoring and apnea [Portuguese]239
2014 21th Speech language and hearing sciences Journey of Bauru Bauru/SP - Brazil USP-FOB · Obstructive sleep apnea in legislation [Portuguese]240 · Sleep disturbances and behavioral profile in individuals with complaints of language disorders [Portuguese]241 · Workshop: Speech language and hearing sciences for Snoring and Apnea [Portuguese]242
2014 1st Speech language and hearing sciences symposium applied to Sleep São Paulo/SP - Brazil ABS - · Speech language and hearing sciences assessment in Obstructive Sleep Apnea [Portuguese]243· Speech language and hearing sciences treatment in snoring and obstructive sleep apnea [Portuguese]244
2014 22th Annual Meeting of the Spanish Sleep Society San Sebastian - Spain Spanish Sleep Society - ·   Orofacial miofunctional therapy for obstructive sleep apnea and snoring [Spanish]245
2013 11th Congress of Sao Paulo of Sleep Medicine São Paulo/SP -Brazil APM and AMB - · Evaluation and Speech Pathology approach in OSAS [Portuguese]246
2013 5th World Congress on Sleep Medicine Valencia-Spain WASM · Analysis of validity in adults of the expanded protocol of orofacial myofunctional evaluation with scores247 · Assessment of surface EMG supra-hyoid muscle activity in apneic patients compared to healthy subjects. A pilot study248 -
        · Electronic tutor about obstructive sleep apnea syndrome: development and evaluation of a health collaborative network249· Orofacial myofunctional evaluation with scores in subjects with obstructive sleep apnea250· Orofacial myology therapy: a case report of upper airway resistance syndrome.251· Predictors of uvulopalatopharyngoplasty success in the treatment of obstructive sleep apnea syndrome252  
2013 International Pediatric Sleep Association Congress Porto Alegre/RS - Brazil IPSA · Working memory, lexical access and sleep quality in children [Portuguese]253 · Young Doctor Project: health educational actions focused on obstructive sleep apnea [Portuguese]254 · A call for newborn frenum inspections in sleep disorder prevention255
2013 VI Brazilian Meeting of Orofacial Motricity Fortaleza/CE-  Brazil ABRAMO · Health promotion in obstructive sleep apnea syndrome: literature review [Portuguese]256 · The ability of OMES-E to discriminate the orofacial condition of healthy adults with Obstructive Sleep Apnea and association between variables [Portuguese]257 · Evaluation of Snoring and Obstructive Sleep Apnea [Portuguese]258
2013 28º International Meeting of audiology Salvador/BA-Brazil ABA · Auditory alterations and sleep disorders: literature review [Portuguese]259 -
2013 21º Brazilian Congresso of Speech-language pathology and 2nd Ibero-American of Speech-language Pathology Porto de Galinhas/PE- Brazil SBFa · Construction of a questionnaire estimating the level of knowledge about obstructive sleep apnea syndrome [Portuguese]260 · Obstructive sleep apnea syndrome and oropharyngeal dysphagia: clinical case [Portuguese]261 · Speech-language pathology intervention in obstructive sleep apnea syndrome: state-of-the-art [Portuguese]262 -
2013 13th International Symposium on Sleep and Breathing Montreal-Canada ISSS e FORL Foundation of Otolaryngologist · Tongue fatigability is associated to pharyngeal closing pressure263 -
2013 29th World Congress of the IALP Turin - Canada IALP · Effect of speech therapy as adjunct treatment to CPAP, on the quality of life of patients with obstructive sleep apnea264 · Oropharyngeal exercises improved adherence to continuous positive airway pressure treatment265  
2013 International Association of Orofacial Myology Orlando -USA   · Moment of therapeutical discharge of the patient with sleep disorder266 -
2013 43º Brazilian Congress of Otolaryngology and Cervical-Facial São Paulo/SP- Brazil ABORL-CCF - · What should be done when there is no surgery for snoring and apnea? Panel discussion: Who benefits from myofunctional therapy? [Portuguese]267
2012 XX Brazilian Congress of Speech language and hearing sciences Brasília/DF - Brazil SBFa · Analysis of the national production on Obstructive Sleep Apnea Syndrome in a speech pathology perspective [Portuguese]268 · Chewing pattern of patients with Obstructive Sleep Apnea Syndrome [Portuguese]269 · Myofunctional orofacial evaluation in subjects with obstructive sleep apnea [Portuguese]270 · Oral breathing is associated with obstructive sleep apnea severity [Portuguese], -
2012 Bauru Journey of Speech language and hearing sciences Bauru/SP - Brazil USP- FOB ·   The maximum isometric tongue strength and the classification of mallampati in individuals with obstructive sleep apnea syndrome [Portuguese]272 -
2012 V Brazilian Meeting of Orofacial Motricity Curitiba/PR- Brazil ABRAMO - · Snoring and apnea - How do I treat? [Portuguese]273
2011 4th International Congress of the Association of Sleep Medicine Quebec/Canada WASM · Oropharyngeal exercises as therapy of obstructive sleep apnea in a patient with chronic obstructive pulmonary disease274 -
2011 19° Brazilian Congress of Speech language and hearing sciences and 8º International congress of Speech language and hearing sciences São Paulo/SP- Brazil SBFa · Apnea and Speech-language pathology: Proposal for pharyngeal stimulation [Portuguese]275 · Electromyographic characterization of deglutition in individuals with and without clinical swallowing changes [Portuguese]276 · Evaluation of chewing on patients with obstructive sleep apnea syndrome [Portuguese]277· Speech-language pathology indication in obstructive sleep apnea and hypopnea syndrome in the city of Recife [Portuguese]278· Tongue strength and swallowing pattern in men with obstructive sleep apnea [Portuguese]279 · Speech Pathology therapy in obstructive sleep apnea syndrome [Portuguese]280
2011 XIII Brazilian Congress of Sleep Belo Horizonte - Brazil ABS - · Speech-language pathology therapy in obstructive sleep apnea syndrome [Portuguese]281
2011 VIII Sleep Medicine Congress of São Paulo São Paulo/SP- Brazil APM e AMB - · Speech-language therapy in OSA [Portuguese]282
2011 XXXVII Week of Studies of the Faculty of Speech language and hearing sciences at the Center for Life Sciences Campinas/SP- Brazil PUC-Campinas - · Snoring and apnea [Portuguese]283
2011 IV Brazilian Meeting of Orofacial Motricity Natal/RN-Brazil ABRAMO · Obstructive sleep apnea syndrome: etiology, pathophysiology and speech-language pathology intervention [Portuguese]284 -
2010 XVI Annual Scientific Meeting Poconé/MT-Brazil ABFCOC - · Oral breathing - snoring and apnea [Portuguese]285
2010 18º Brazilian Congress of Speech-language hearing sciences Curitiba/PR-Brazil SBFa · Effect of the sound blowing exercise on the voice of the elderly [Portuguese]286 · Indicative of obstructive sleep apnea syndrome in military police hospital staff [Portuguese]287 -
        · Proposal of a protocol for the quantitative evaluation of the posterior region of the mouth before and after speech therapy in subjects with OSAHS and snoring [Portuguese]288· Speech-language pathology performance in obstructive sleep apnea and hypopnea syndrome: what the literature says [Portuguese]289 -
2010 20th Congress of the European Sleep Research Society Lisboa - Portugal ESRS · Assessment of orofacial motricity in obstructive sleep apnea patients: a comparison between patients with and without nasal alterations. [Portuguese]290 -
2010 II Congress of Speech language and hearing sciences hospital Belém/PA- Brazil Tuiuti University of Parana · Speech-language pathology actuation in snoring and Sleep Apnea [Portuguese]291 -
2009 17º Brazilian Congress of Speech language and hearing sciences and 1º Ibero-American Speech language hearing sciences Congress Salvador/BA- Brazil SBFa · Analysis of tongue and soft palate evaluation in patients with obstructive sleep apnea syndrome [Portuguese]292 · Oral myofunctional therapy in patients with severe obstructive sleep apnea [Portuguese]293 · Sleep bruxism in oronasal breathing children 8 to 11 years of age: an association study [Portuguese]294 · Speech-language pathology treatment in Obstructive Sleep Apnea and Hypopnea Syndrome: Clinical case report [Portuguese]295 -
2009 3º World Sleep Congress São Paulo/SP - Brazil WASM · Phonoaudiological assessment of patients with obstructive sleep apnea [Portuguese]296 -
2008 16º Brazilian Congress of Speech language and hearing sciences Campos do Jordão/SP - Brazil SBFa · Acting of brazilian speech therapist together with patients with obstructive sleep apnea syndrome (OSAS) [Portuguese]297 · Descriptive analysis of anthropometric measures (MA) in patients with obstructive sleep apnea syndrome (OSAS) [Portuguese]298 -
        · Evaluation of the orofacial motricity and the impact on the quality of life of individuals with Obstructive Sleep Apnea and Hypopnea Syndrome [Portuguese]299 · Speech-language pathology in patients with obstructive sleep apnea syndrome [Portuguese]300  
2007 2º Composium Internacional Association of Logopedics and Phoniatrics São Paulo/SP- Brazil IALP · Obstructive Sleep Apnea-Hypopnea Syndrome: orofacial motricity [Portuguese]301 -
2007 XV Brazilian Congress of Speech language and hearing sciences Gramado - Brazil SBFª · Acting of brazilian speech therapist in obstructive sleep apnea syndrome: case report [Portuguese]302  
2006 5º FORL Foundation of Otolaryngologist Congress São Paulo FORL - Current Approaches: Speech-language therapy in snoring303
2005 X Brazilian Congress of Sleep Curitiba/PR- Brazil ABS · Acoustic characterization of snoring in different rates of obstructive sleep apnea and hypopnea [Portuguese]304 -
2005 XIII Brazilian Congress of Speech language and hearing sciences Santos/SP- Brazil SBFa · Evaluation of the stomatognathic system in patients with obstructive sleep apnea and hypopnea syndrome [Portuguese]305 -
2004 XII Brazilian Congress of Speech language and hearing sciences Foz do Iguaçu/PR - Brazil SBFa · Characterization of snoring in individuals with and without obstructive sleep apnea-hypopnea syndrome [Portuguese]306  
2004 3rd Annual Symposium: Care of the Professional Voice Filadélfia/PE-USA The Voice Foundation · Characterization of snoring in people with Obstructive Sleep Apnea Syndrome [Portuguese]307 -
2003 IX Journey of Speech language and hearing sciences Marília/SP - Brazil UNESP-Marília · Speech-language pathology attendance in a case of obstructive sleep apnea submitted to orthognathic surgery [Portuguese]308 -
2003 V International Congress of Speech-language pathology, XI Brazilian Congress of Speech-language pathology Fortaleza/CE- Brazil SBFa · Characterization of snoring in individuals with and without obstructive sleep apnea-hypopnea syndrome [Portuguese]309 -
2003 IX Brazilian Congress of Sleep Vitória/ES- Brazil ABS · Speech-language pathology intervention in the snoring patient [Portuguese]310 -
2003 APSS 17th Annual Meeting Pection/BC-Canada APSS · Phonoaudiological work at obstructive sleep apnea [Portuguese]311 -
2001 VIII Brazilian Congress of Sleep Salvador/BA-Brazil ABS · Speech-language pathology work in patients who snore [Portuguese]312 -

Legend: AAMS : Academy of Applied Myofunctional Sciences; ABA : Brazilian Academy of Audiology; ABFCOC : Brazilian Academy of Pathophysiology Cranio-oro-cervical; ABMS : Brazilian Association of Sleep Medicine; ABO- BA Brazilian Association of Dentistry- Bahia; ABORL-CCF : Brazilian Association of Otolaryngology and Cervical-Facial Surgery; ABRAMO : Brazilian Association of Orofacial Motricity; ABROS : Brazilian Association of Sleep Odontology; ABS : Brazilian Association of Sleep; ALAT : Latin-American Association of Thorax; AMB : Brazilian Medical Association; APM : Paulista Association of Medicine; APSS : Associated Professional of Sleep Societies; ATS : American Thoracic Society; CMOL : Latin-American Orofacial Motricity Community; CRFa : Regional Speech and hearing Counseling; COFAB : Speech language and hearing sciences Congress of Bauru; ESRS : European Sleep Research Society; FCMSCSP : Faculty of Medical Sciences of Santa Casa of Sao Paulo; FORL: Foundation of Otolaryngologist; IALP: International Association of Logopedics and Phoniatrics; IAOM: International Association of Orofacial Myology; IEP/HSL : Institute of Teaching and Research /Syrian-Lebanese Hospital; Institute EPAP : Institute of Education, Employability and Health; IPSA : International Pediatric Sleep Association; ISSS : International Surgical Sleep Society; PUC : Pontificial University Catholic- Campinas; PUC : Pontifical Catholic University; SBFa : Brazilian Society of Speech language and hearing sciences; SBN : Brazilian Society of Neuropsychology SPPT: Paulista Society of Pulmonology and Tisiology; SPTF : Portuguese Society of Speech Therapy; UNESPFMB : Faculty of Medicine of Botucatu Paulista State University; UFMG Federal University of Minas Gerais; UNICAMP : Campinas State University; USP-FOB : University of São Paulo-Faculty of Dentistry of Bauru; WASM : World Association of Sleep Medicine.

In total, the authors found 97 scientific presentations, 41 lectures, 40 papers, 12 monographs, 12 dissertations, 8 thesis, 8 book chapters, and 1 book, specified by year, as shown in Table 5.

Table 5. List of scientific presentations, lectures, articles, monographs, dissertations, thesis, book chapters, and books by Brazilian SLPs in the area of sleep disorders, according to the year of publication (in ascending order).
Year Articles Monographs Dissertations Thesis Book chapters Book Scientific presentations Lectures TOTAL/year
1999 1 1 - - - - - - 2
2000 - - - - - - - - -
2001 - - - - - - 1 - 1
2002 - - - - - - - - -
2003 - 1 - - - - 4 - 5
2004 3 - - - - - 2 - 5
2005 - - 1 - - - 2 - 3
2006 1 1 - - - - - 1 3
2007 2 - - - 3 - 2 - 7
2008 1 2 - 1 - - 4 - 8
2009 2 1 - - - 1 5 - 9
2010 4 1 - - - - 6 1 12
2011 2 5 - - 1 - 7 4 19
2012 1 2 1 1 - - 5 1 11
2013 3 2 - - - - 18 4 27
2014 4 1 3 1 3 - 6 7 25
2015 5 2 2 2 - - 18 12 41
2016 6 2 4 - - - 37 13 62
2017 5 - 2 - 1 - 34 20 62
In progress - - - 3 - - - - 3
TOTAL/type 40 21 13 8 8 1 151 63 305
 

DISCUSSION

SLHS involves activity in the prevention, assessment, diagnosis, and treatment of speech, language, social communication, cognitive communication, and swallowing disorders in children and adults313. Therefore, performance in sleep disorders is based on the interface of the areas of competence, especially concerning voice, breathing, chewing, swallowing, and human communication in general. Any performance should be based on scientific evidence314. Thus, the authors reviewed the participation of Brazilian SLPs in treatment of sleep disorders, targeting the best benefits for the patient315.

Among the 40 articles found, only 12 of them were published in journals that presented impact factor, a fact that is related to the low citation index of the journals focused on SLHS316 (Figure 1, Table 1, and Table 2).

Carrying out randomized studies and publication in a journal with high international impact resulted in greater interest for further investigations in scientific research in Brazil, with the development of techniques of orofacial myofunctional therapy in moderate OSA5. In 2015, a systematic review and meta-analysis317 showed that from a total of nine studies involving outcomes with reported polysomnography and sleepiness of adult patients, four of these studies were by Brazilians.

The publication of a randomized trial of techniques of orofacial myofunctional therapy in moderate OSA in an international journal with high impact encouraged Brazilian SLPs to conduct further scientific research in this area5. A high number of dissertations realized in public federal or state institutions were published in the years 2012, 2014, and 2015 (see Table 3). Therefore, a systematic review and meta-analysis of the outcomes of myofunctional therapy in obstructive breathing disorders during sleep in adults, published in 2015317, showed that from a total of nine studies, four were conducted by Brazilian SLPs.

As highlighted in Table 4, the lectures and presentations occurred at events organized by national and international associations/societies with strong scientific participation in the areas of both SLHS and sleep. The most frequent location of the events was Brazil, but we found participation in eight other countries (two from Europe, two from North America, and four from South America).

The number of scientific productions in this area more than doubled from 2010 to 2011; however, the highest production rates were observed in 2015 and 2016 (Table 5). Certainly, the advance in the knowledge of sleep medicine and its widespread dissemination in the media are notorious and are generating the interest of health professionals from all areas, including SLPs.

The search strategy of this article was not designed to provide any systematic or comprehensive results, but rather to provide an overview of the Brazilian contribution to the field. Future research employing a proper systematic review methodology is warranted in order to gather together and summarize all the available evidence in a broad a comprehensive manner.

There are innumerable public health problems related to sleep disorders, affecting occupational cases1-3 and interfering in everyday life318,319. Although the most frequent SLP approach refers to sleep-breathing disorders, we may note a growing interest in the understanding of the relationship of sleep disorders with other complaints and disorders, such as attention deficit disorder, written language disorders, hearing loss, and so on.19

The efficacy of orofacial myofunctional therapy is still questioned, and SLPs’ interventions are not widely recognized nationally or internationally. The main reason for this is the lack of randomized studies that evaluate its efficacy for the treatment of sleep-disordered breathing, for improvement of the quality of life, and/or for the improvement of adherence to CPAP.17 Likewise, most published studies are recent and present transversal evaluations or short-term follow-up results. There is a need for long-term follow-up studies and posterior reviews to enhance the evidence; thus, studies of the performance of SLPs in sleep disorder treatment should be encouraged.

 

CONCLUSIONS

Brazilian SLHS shows a pioneering approach in the performance of SLPs in diagnosis and treatment of sleep disorders, mainly obstructive breathing disorders during sleep. This statement is supported by the increasing number of scientific publications in the formats of articles in national and international journals, monographs, thesis, dissertations, books, and abstracts in annals of events, most of these at interdisciplinary events of national and international scope. Scientific articles are published in journals of the area of SLHS, thus remaining with a lower dissemination. Efforts to improve the publications in multidisciplinary journals with a higher impact factor should be made.

 

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