关键词: COVID-19 Phoniatrics Speech-language pathology Telepractice Voice disorders Voice therapy

Mesh : COVID-19 Humans Pandemics SARS-CoV-2 United States Voice Voice Disorders / diagnosis epidemiology therapy

来  源:   DOI:10.1016/j.jvoice.2020.08.001   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
BACKGROUND: Since the beginning of the new pandemic, COVID-19 health services have had to face a new scenario. Voice therapy faces a double challenge, interventions using telepractice, and delivering rehabilitation services to a growing population of patients at risk of functional impairment related to the COVID-19 disease. Moreover, as COVID-19 is transmitted through droplets, it is critical to understand how to mitigate these risks during assessment and treatment.
OBJECTIVE: To promote safety, and effective clinical practice to voice assessment and rehabilitation in the pandemic COVID-19 context for speech-language pathologists.
METHODS: A group of 11 experts in voice and swallowing disorders from five different countries conducted a consensus recommendation following the American Academy of Otolaryngology-Head and Neck Surgery rules building a clinical guide for speech-language pathologists during this pandemic context.
RESULTS: The clinical guide provides 65 recommendations for clinicians in the management of voice disorders during the pandemic and includes advice from assessment, direct treatment, telepractice, and teamwork. The consensus was reached 95% for all topics.
CONCLUSIONS: This guideline should be taken only as recommendation; each clinician must attempt to mitigate the risk of infection and achieve the best therapeutic results taking into account the patient\'s particular reality.
摘要:
背景:自从新的大流行开始以来,COVID-19卫生服务不得不面临新的情况。语音治疗面临双重挑战,使用远程练习进行干预,并为越来越多的面临与COVID-19疾病相关的功能障碍风险的患者提供康复服务。此外,当COVID-19通过液滴传播时,了解如何在评估和治疗期间减轻这些风险至关重要.
目的:为了提高安全性,以及在COVID-19大流行背景下语音语言病理学家的语音评估和康复的有效临床实践。
方法:根据美国耳鼻咽喉-头颈外科学会规则,来自五个不同国家的11名语音和吞咽障碍专家组成的小组提出了一项共识建议,为这种大流行背景下的语言病理学家制定了临床指南。
结果:临床指南为临床医生在大流行期间处理嗓音障碍提供了65项建议,包括来自评估的建议,直接治疗,远程练习,和团队合作。所有主题达成了95%的共识。
结论:本指南仅应作为建议;每位临床医生必须尝试降低感染风险,并考虑患者的具体实际情况,达到最佳治疗效果。
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