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Symptoms and complications of SARS-CoV-2 virus infection in the aspect of speech therapy rehabilitation – literature review

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Miszczak K., Łukowiak J., Tuz-Hrycyna N.
Polski Przegląd Otorynolaryngologiczny
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2023
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vol. 12
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issue 2
39-45
EN
Introduction: The past three years have seen the publication of numerous scientific studies from around the world, investigating the etiology, symptoms and complications of SARS CoV-2 virus infection, which causes COVID-19 disease. Until now, the long-term complications resulting from systemic dysfunction are unknown, but researchers are continually publishing the results of studies to date. Some of them already reliably show the various symptoms of the infection and their consequences. Furthermore, based on the course of the development of the infection and the associated management, scientists are predicting the complications of COVID-19. Aim: The aim of this article is to present the possible complications of SARS-CoV-2 virus infection from the perspective of speech therapy rehabilitation, based on a review of the worldwide literature. The sequelae of the infection shown herein are mainly related to disorders of all laryngeal functions, i.e. respiratory, protective and phonatory functions, as well as olfactory and/or taste disorders and language and communication disorders. Moreover, the article presents the possibilities of speech therapy rehabilitation for each of the disorders. Conclusions: Research indicates a number of symptoms and complications of COVID-19 infection, the vast majority of which relate to head and neck complications. The diagnosis and speech therapy of patients during the course of virus infection and during the post-infection recovery period is particularly important for the safety of patients and their comfort in life. Furthermore, it contributes to faster recovery, which seems particularly important in the case of active patients. In addition, multidisciplinary management in cooperation with doctors, physiotherapists and psychologists is necessary.
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(I)INFVo scale for perceptive evaluation of substitutional voices – validation of the Polish version

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Łukowiak J., Sobol M., Rzepakowska A.
Polish Journal of Otolaryngology
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2023
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vol. 77
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issue 5
14-22
EN
<br><b<Aim:</b> The aim of this study was to evaluate the relevance and reliability of the (I)INFVo scale – a clinical tool for the perceptual assessment of substitutional voice in patients after total laryngectomy. The process involved translating the scale into Polish and verifying the relevance and reliability of the tool in 33 native Polish-speaking patients using tracheo-esophageal or esophageal substitutional voice.</br> <br><b>Methods:</b> Voice recordings were rated using the perceptual-auditory (I)INFVo scale by two experts with 10 years of experience in phoniatrics and speech therapy and a clinical speech therapy graduate. One of the specialists listened to and assessed the voice recordings twice at a one-week interval. Objective measures – speech rate, diadochokinesis (DDK), and maximum phonation time (MPT) were calculated from the aforementioned recordings. The results of the Polish version of Voice Handicap Index (VHI-POL) self-assessment questionnaire including three subscales (functional, physical, and emotional) as obtained from the medical records of the study subjects were also used in the analysis. All values obtained in the study were submitted to correlation analysis.</br> <br><b>Results:</b> Very strong statistical relationships were obtained for inter- and intra-rater reliability. A statistically significant correlation was found between the parameters of the (I)INFVo scale and the objective measures (speech rate, DDK, MPT), the total VHI-POL scores, and the scores within the physical and functional subscales of the VHI-POL questionnaire, confirming the reliability of ratings provided by the experts using the validated scale.</br> <br><b<Conclusion:</b> The perceptual (I)INFVo scale appears to be a reliable and adequate tool for the diagnostics of patients using tracheo-esophageal and esophageal substitutional voice after total laryngectomy.</br>
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Objawy i powikłania zakażenia wirusem SARS-CoV-2 w aspekcie rehabilitacji logopedycznej – przegląd literatury

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Miszczak K., Łukowiak J., Tuz-Hrycyna N.
Polski Przegląd Otorynolaryngologiczny
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2023
|
vol. 12
|
issue 2
39-45
PL
Wstęp: W ostatnich 3 latach ukazały się liczne opracowania naukowe z całego świata, badające etiologię, objawy i powikłania zakażenia wirusem SARS-CoV-2, wywołującego chorobę COVID-19. Do dziś nieznane są długofalowe komplikacje, wynikające z ogólnoustrojowego zaburzenia funkcjonowania. Mimo to już teraz niektóre z nich rzetelnie ukazują różnorodne objawy infekcji oraz ich powikłania. Cel: Celem niniejszej pracy jest przedstawienie możliwych następstw infekcji wywołanej wirusem SARS-CoV-2 z perspektywy rehabilitacji logopedycznej na podstawie przeglądu ogólnoświatowej literatury. Ukazane w nim powikłania zakażenia, związane są głównie z zaburzeniami wszystkich funkcji krtani, tj.: oddechowej, obronnej i fonacyjnej, a także z zaburzeniami węchu i/lub smaku oraz zaburzeniami systemu językowego. Artykuł prezentuje przykładowe postępowanie logopedyczne w przypadku każdego z zaburzeń. Wnioski: Badania naukowe wykazują szereg objawów i powikłań infekcji COVID-19. Duża część dotyczy komplikacji w obrębie narządów głowy i szyi. Diagnoza i terapia logopedyczna pacjentów w trakcie zakażenia oraz w okresie rekonwalescencji po zakażeniu jest szczególnie istotna ze względu na bezpieczeństwo chorych oraz komfort ich życia. Przyczynia się również do szybszego powrotu do zdrowia, co wydaje się szczególnie istotne w przypadku aktywnych zawodowo pacjentów. Konieczne jest holistyczne postępowanie we współpracy z lekarzami, fizjoterapeutami i psychologami.
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