Table 2.
Changes in orofacial motricity and saliva through clinical evaluation speech therapy (structural and functional examination) in children exposed to the Zika virus in the intrauterine period in Manaus, Amazonas, Brazil.
| Lips | Tongue | Cheek | Palate | Vocal Quality |
Frequency of Swallowing | Cervical Auscultation |
OD Classification |
|
|---|---|---|---|---|---|---|---|---|
| 1 | Parted, tone decreased, and mobility altered | Posture and tone adequate, mobility not rated | Adequate | Hard inadequate and soft adequate | Adequate | Adequate | Adequate | Absent |
| 2 | Occluded, tone and mobility adequate | Posture and tone adequate, mobility not rated | Adequate | Hard inadequate and soft adequate | Adequate | Adequate | Adequate | Absent |
| 3 | Occluded, tone adequate, and mobility altered | Posture altered, tone and mobility adequate | Adequate | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Absent |
| 4 | Parted, tone and mobility adequate | Posture and tone adequate, mobility not rated | Adequate | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Mild |
| 5 | Occluded, tone and mobility adequate | Posture, tone, and mobility adequate | Adequate | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Absent |
| 6 | Parted, tone and mobility altered | Posture and tone altered, mobility not rated | Reduced | Hard and soft inadequate | Adequate | Sialorrhea | Adequate | Moderate |
| 7 | Parted, tone and mobility altered | Posture and tone altered, mobility not rated | Reduced | Hard inadequate and soft adequate | Inadequate | Sialostasis | Adequate | Mild |
| 8 | Parted, tone and mobility adequate | Posture and tone altered, mobility not rated | Reduced | Hard and soft inadequate | Inadequate | Sialorrhea | Altered (worsened after swallowing) | Serious |
| 9 | Occluded, tone and mobility adequate | Posture, tone, and mobility adequate | Adequate | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Absent |
| 10 | Parted, tone altered, and mobility adequate | Posture, tone, and mobility adequate | Reduced | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Absent |
| 11 | Parted, tone and mobility adequate | Posture and tone adequate, mobility not rated | Adequate | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Absent |
| 12 | Occluded, tone and mobility adequate | Posture and tone adequate, mobility not rated | Adequate | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Absent |
| 13 | Occluded, tone and mobility adequate | Posture, tone, and mobility adequate | Adequate | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Absent |
| 14 | Parted, tone and mobility altered | Posture and tone altered, mobility adequate | Adequate | Hard inadequate and soft adequate | Adequate | Adequate | Adequate | Absent |
| 15 | Parted, tone and mobility altered | Posture and tone altered, mobility not rated | Reduced | Hard suitable and soft inadequate | Inadequate | Sialostasis | Altered (worsened after swallowing) | Moderate |
| 16 | Parted, tone altered, and mobility adequate | Posture and tone altered, mobility not rated | Adequate | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Absent |
| 17 | Parted, tone decreased, and mobility adequate | Posture and tone altered, mobility not rated | Reduced | Hard suitable and soft adequate | Inadequate | Adequate | Adequate | Absent |
| 18 | Parted, tone and mobility adequate | Posture, tone, and mobility adequate | Adequate | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Absent |
| 19 | Parted, tone and mobility adequate | Posture and tone altered, mobility not rated | Reduced | Hard suitable and soft adequate | Inadequate | sialorrhea | Altered (worsened after swallowing) | Mild |
| 20 | Occluded, tone and mobility adequate | Posture, tone, and mobility adequate | Adequate | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Absent |
| 21 | Occluded, tone and mobility adequate | Posture, tone, and mobility adequate | Adequate | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Absent |
| 22 | Occluded, tone and mobility adequate | Posture, tone, and mobility adequate | Adequate | Hard suitable and soft adequate | Adequate | Adequate | Adequate | Absent |
ID: identification. OD: oropharyngeal dysphagia. Microcephalic patients are marked in gray.