Declaración de posicionamientos y buenas prácticas en el ejercicio profesional de la logopedia
15. Trastornos aerodigestivos
Descarga el capítuloEl logopeda es el profesional sanitario competente para prevenir, evaluar, diagnosticar e intervenir en los trastornos de las vías aerodigestivas, concretamente en las alteraciones de la voz, la deglución y la respiración, y debe mantener una formación específica y actualizada en este ámbito.
El CLC impulsa la investigación sobre la prevalencia, el impacto funcional, la evaluación y la intervención en los trastornos aerodigestivos, promueve la creación y validación de instrumentos adaptados al contexto lingüístico y cultural en catalán y castellano.
El CLC defiende un abordaje interdisciplinario y basado en la evidencia en el tratamiento de los trastornos aerodigestivos, y fomenta la colaboración entre profesionales y la participación activa de la persona y su entorno. Aconseja evitar prácticas clínicas no fundamentadas científicamente.
Bibliografía
Síndrome de la apnea obstructiva del sueño
- Camacho M, Certal V, Abdullatif J et al. Myofunctional therapy to treat obstructive sleep apnea: a systematic review and meta-analysis. Sleep. 2015;38(5):669-675. https://doi.org/10.5665/sleep.4652
- Guimarães KC, Drager LF, Genta PR, Marcondes BF, Lorenzi‑Filho G. Effects of oropharyngeal exercises on patients with moderate obstructive sleep apnea syndrome. Am J Respir Crit Care Med. 2009;179(10):962-966. https://doi.org/10.1164/rccm.200806-981OC
- Hsu B‑T et al. Effects of respiratory muscle therapy on obstructive sleep apnea: systematic review and meta-analysis. J Clin Sleep Med. 2020;16(5):785-801. https://doi.org/10.5664/jcsm.8318
- Ieto V, Kayamori F, Montes MI et al. Effects of oropharyngeal exercises on snoring: a randomized trial. Chest. 2015;148(3):683-691. https://doi.org/10.1378/chest.14-2953
- O’Connor-Reina, Carlos et al. "Improving adherence to myofunctional therapy in the treatment of sleep-disordered breathing." Journal of clinical medicine 10.24 (2021): 5772. https://doi.org/10.3390/jcm10245772
- Randerath W, Verbraecken J, Baguet JP et al. European Respiratory Society guideline on non‑CPAP therapies for obstructive sleep apnoea. Eur Respir Rev. 2021;30(162):210200. https://doi.org/10.1183/16000617.0200-2021
- Rodríguez‑Alcalá L, Baptista P et al. Evaluation of muscle strength of the tongue with the Tongue Digital Spoon in patients with obstructive sleep apnea. Life (Basilea). 2022;12(11):1841. https://doi.org/10.3390/life12111841
- Rueda JR, Mugueta‑Aguinaga I, Vilaró J, Rueda‑Etxebarria M; Cochrane Airways Group. Myofunctional therapy (oropharyngeal exercises) for obstructive sleep apnoea. Cochrane Database Syst Rev. 2020;(11):CD013449. https://doi.org/10.1002/14651858.CD013449.pub2
- Zhang F, Tian Z, Shu Y et al. Efficiency of orofacial myofunctional therapy in treating obstructive sleep apnoea: a meta-analysis of observational studies. J Oral Rehabil. 2022;49(7):734-745. https://doi.org/10.1111/joor.13325
- Kearney, Ann. "The Role of Speech-Language Pathologists in Adults With Obstructive Sleep Apnea and Snoring." Perspectives of the ASHA Special Interest Groups (2025): 1-8. https://doi.org/10.1044/2025_PERSP-24-00290
Tos crónica
- Mitchell SA, Garrod R, Clark L et al. Physiotherapy and speech-language therapy intervention for refractory chronic cough: multicentre randomized controlled trial. Thorax. 2017;72(2):129-136. https://doi.org/10.1136/thoraxjnl-2016-208843
- Slinger, Claire et al. "Speech and language therapy for management of chronic cough." Cochrane Database of Systematic Reviews 7 (2019). https://doi.org/10.1002/14651858.CD013067.pub2
- Vertigan AE, Kapela SL, Ryan NM, Birring SS. Pregabalin and speech pathology combination therapy for refractory chronic cough: a randomized controlled trial. Chest. 2016;149(3):639-648. https://doi.org/10.1378/chest.15-1271
- Vertigan AE, Theodoros DG, Gibson PG, Winkworth AL. Efficacy of speech pathology management for chronic cough: a randomized placebo-controlled trial of treatment efficacy. Thorax. 2006;61(12):1065-1069. https://doi.org/10.1136/thx.2006.064337
Movimiento paradójico de las cuerdas vocales
- Chiang T, Marcinow AM, deSilva BW et al. Exercise‑induced paradoxical vocal fold motion disorder: diagnosis and management. Laryngoscope. 2013;123(3):727-732. https://doi.org/10.1002/lary.23654
- Patel RR, Venediktov R, Schooling T, Wang B. Evidence‑based systematic review: effects of speech‑language pathology treatment for individuals with paradoxical vocal fold motion. Am J Speech Lang Pathol. 2015;24(3):566-584. https://doi.org/10.1044/2015_AJSLP-14-0120
- Sandage MD, Morton‑Jones M, Hall‑Landers RJ, Tucker JG. Treatment and outcome metrics for speech‑language pathology treatment of upper airway disorders: systematic review. J Speech Lang Hear Res. 2024;67(11): 4391-4410. https://doi.org/10.1044/2024_JSLHR-24-00396
Reflujo faringolaríngeo
- Huestis MJ, Keefe KR, Kahn CI, Tracy LF, Levi JR. Alternatives to Acid Suppression Treatment for Laryngopharyngeal Reflux. Annals of Otology, Rhinology & Laryngology. 2020;129(10):1030-1039. https://doi.org/10.1177/0003489420922870
- Lechien JR, Huet K, Khalife M et al. Impact of laryngopharyngeal reflux on subjective and objective voice assessments: prospective study. J Otolaryngol Head Neck Surg. 2016;45:59. https://doi.org/10.1186/s40463‑016‑0171‑1
- Pedersen M, Egg M. Laryngopharyngeal reflux – a randomized clinical controlled trial of voice changes after treatment in Scandinavian adults. J Community Med Health Educ. 2015;5:336. https://doi.org/10.4172/2161-0711.1000336
- Vashani K, Murugesh M, Hattiangadi G et al. Effectiveness of voice therapy in reflux‑related voice disorders. Dis Esophagus. 2009;22(1):27-32. https://doi.org/10.1111/j.1442-2050.2009.00992.x
Enfermedad pulmonar obstructiva crónica
- Borge, C.R., Hagen, K.B., Mengshoel, A.M. et al. Effects of controlled breathing exercises and respiratory muscle training in people with chronic obstructive pulmonary disease: results from evaluating the quality of evidence in systematic reviews. BMC Pulm Med 14, 184 (2014). https://doi.org/10.1186/1471-2466-14-184
- Mancopes, Renata et al. "Chronic obstructive pulmonary disease and dysphagia: what have we learned so far and what do we still need to investigate?." Perspectives of the ASHA Special Interest Groups 6.5 (2021): 1212-1221. https://doi.org/10.1044/2021_PERSP-20-00288
- Zhu Y, Zhang Z, Du Z et al. Mind–body exercise for stable COPD: systematic review and meta-analysis of randomized controlled trials. Sci Rep. 2024;14:18300. https://doi.org/10.1038/s41598-024-69394-4