Use of elastic bandage associated with speech therapy in the control ofsialorrhea (hypersalivation)

PURPOSE:to verify the effectiveness of the use of elastic bandage associated with speech therapy to control sialorrhea.METHODS:a longitudinal study was conducted with eleven children with a condition of chronic hypersalivation and neurological disorders. The perception of the speech therapists and of the responsible as of the graveness and the number of mouth towels utilized per day. Sialometry was also applied. Each participant received an application of the Kinesio Tape elastic bandage in the supra-hiodea musculature for thirty days. The children were evaluated without the bandage (T0), immediately after removal of the bandage (T1) and three months after (T2). The speech therapy treatment was realized by the same professional in two weekly sessions. The data was analyzed statistically.RESULTS:it was verified in the questionnaire there was a reduction of complaints of saliva choking in T1 (p=0.024). The average daily use of towels / cloths was of four (10.2%) in T0, two (5.1%) in T1 and four (10.2%) at T2. According to sialometry, there was a reduction of drooling from T0 to T1 (p=0.018) and no difference between T0 and T2 (p=0.215) and a raise from T1 to T2 (p=0.05). According to the speech therapist perception there was a reduction in drooling after thirty days after the use of the bandage, however no improvement was observed when comparing the results of thirty days without usage and three months without the bandage.CONCLUSION:the taping has shown to be effective in controlling sialorrhea during its use period, not being observed the permanence of the results after interruption of its application.

研究目的：验证弹性绷带联合言语治疗控制流涎症的临床有效性。研究方法：本研究为纵向研究，纳入11名患有慢性唾液分泌过多症且伴随神经系统疾病的儿童。由言语治疗师及患儿监护人对病情严重程度及每日口腔毛巾使用量进行评估，同时采用唾液流率测定法进行客观检测。所有受试者均在舌上肌群部位贴敷肌内效贴（Kinesio Tape）弹性绷带，干预时长为30天。分别在未使用绷带的基线状态下（T0）、移除绷带即刻（T1）及移除绷带后3个月（T2）三个时间点开展评估。言语治疗由同一名专业人员每周开展2次疗程。所有数据均采用统计学方法进行分析。研究结果：问卷调研结果显示，T1时间点患儿唾液呛咳相关主诉较基线显著减少（p=0.024）。每日毛巾/布巾的平均使用量在T0时为4（占比10.2%），T1时为2（占比5.1%），T2时为4（占比10.2%）。唾液流率测定结果显示，从T0至T1阶段流涎症状显著改善（p=0.018），T0与T2阶段无统计学差异（p=0.215），而T1至T2阶段流涎症状出现加重（p=0.05）。言语治疗师的评估结果显示，使用绷带30天后流涎症状有所缓解，但对比停用绷带30天与停用绷带3个月后的评估结果，未观察到症状持续改善的效果。研究结论：肌内效贴（Kinesio Tape）弹性绷带在使用期间可有效控制流涎症，但在停用绷带后，其治疗效果未出现持续性留存。