Breathing Therapy Research Articles

Asuhan Keperawatan pada Orang Dewasa dengan Ca Ovarium

Introduction:Ovarian cancer is very common in women and in its early stages usually does not cause complaints. Complaints will only be felt when they have entered stage II to stage IV where the patient will begin to feel pain, anemia, ascites until anorexia occurs. Pain felt in patients with ovarian cancer is usually chronic, acute to chronic and intermittent. This condition is based on the stage of cancer experienced. Objectives:This study aims to describe nursing care and approriate intervention in ovarium cancer patient who experience pain Method: This research is a case study design using simple random sampling technique for sampling. This research was conducted in December 2020 with an assessment guide instrument for data collection. Researchers use the nursing care process from the assessment stage to evaluation Result: The complaint that most felt and disturbed the patient was pain around the surgical area that radiated to the back on a scale of 5, the pain was intermittent and felt like being stabbed. Pain will be felt when the patient moves. The provision of deep breathing therapy interventions carried out for a period of 3 days has not been able to reduce the scale of pain felt in post-operative ovarian cancer patients Conclusion: Pain management measures show that they have not been able to change the pain scale they feel, so they can continue until the pain scale shows a decrease. Nurses can apply and modify alternative uses of other non-pharmacological therapies in reducing pain in addition to deep breathing relaxation techniques.

The Effect of Mindfulness-Based Breathing and Music Therapy Practice on Nurses' Stress, Work-Related Strain, and Psychological Well-being During the COVID-19 Pandemic: A Randomized Controlled Trial.

Infectious diseases cause psychological problems for health care workers and especially nurses. Nurses who provided coronavirus disease-2019 (COVID-19) patients with care experience negative feelings such as stress, work-related strain, discomfort, and helplessness related to their high-intensity work. The aims of this study are to investigate the effect of the mindfulness-based breathing and music therapy practice on stress, work-related strain, and psychological well-being levels of nurses who provided COVID-19 patients with care. This randomized controlled trial was conducted in a COVID-19 department at a university hospital in Turkey. Nurses who care for patients infected with COVID-19 were randomly divided into an intervention group (n = 52) and a no-treatment control group (n = 52). The intervention group received mindfulness-based breathing and music therapy. In data collection, the Personal Information Form, State Anxiety Inventory, Work-Related Strain Scale, and Psychological Well-Being Scale were used. The data from the study showed that mindfulness-based breathing and music therapy decreased stress and work-related strain (P < .05) and increased psychological well-being (P < .05). The control group showed no statistically significant changes on these measures (P > .05). The mindfulness-based breathing and music therapy practice reduced nurses' stress and work-related strain and increased psychological well-being during the COVID-19 pandemic.

Post-traumatic stress disorder, depression and anxiety symptoms in COVID-19 outpatients with different levels of respiratory and ventilatory support in the acute phase undergoing three months follow-up.

The well-known COVID-19 pandemic totally transformed people's lives, paving the way to various psychopathological symptoms. In particular, patients may experience a short- and long-term decreasing in their wellbeing. In this vein, the aim of this paper was to assess the COVID-19 patients' psychopathological profile (post-traumatic stress disorder, distress, anxiety and depression symptoms), detecting possible differences linked to the ventilatory treatments. Outpatients who recovered from COVID-19 were asked to provide socio-demographic and clinical information, and to complete a brief psychological screening evaluation (Impact of Event Scale-Revised [IES-R], Depression Anxiety Stress Scale [DASS-21]). Overall, after informed consent, 163 Italian patients took part in this research. Of them, 31.9% did not undergo any ventilatory therapy, 27.6% undertook oxygen therapy, 28.2% underwent noninvasive mechanical ventilation, and 12.3% received invasive mechanical ventilation. Although no statistically significant differences were revealed among patients stratified by spontaneous breathing or ventilatory therapies, they reported statistically significant more depression (4.5+5.2 vs. 3.5+3.2; P=0.017) and anxiety (4.3+4.5 vs. 2.4+2.6; P<0.00001) symptoms than normative groups. Moreover, patients experiencing COVID-19 disease as a trauma, complained statistically significant higher levels of depression, anxiety and stress symptoms than who did not describe a clinically relevant traumatic experience (P<0.001). Thus, this study suggests to healthcare professionals to consider COVID-19 experience as a potential real trauma for patients, and underlines the necessity to define patients' psychopathological profile in order to propose tailored and effective preventive and supportive psychological interventions.

Functional nasal breathing rehabilitation: Effectiveness and feasibility of an online integrative breathing therapy protocol

&lt;p&gt;&lt;strong&gt;Purpose:&lt;/stong&gt; Nasal disuse and mouth breathing are associated with negative structural, functional, postural, occlusal, and behavioural changes. While there is some research to suggest that nasal breathing exercises can reduce mouth breathing, clinical protocols have not been extensively investigated. The purpose of this research was to determine the feasibility and effectiveness of a nasal breathing rehabilitation protocol based on Integrative Breathing Therapy principles called Functional Nasal Breathing Rehabilitation (FNBR).&lt;p&gt;

Functional nasal breathing rehabilitation: Effectiveness and feasibility of an online integrative breathing therapy protocol

&lt;p&gt;&lt;strong&gt;Purpose:&lt;/strong&gt; Nasal disuse and mouth breathing are associated with negative structural, functional, postural, occlusal, and behavioural changes. While there is some research to suggest that nasal breathing exercises can reduce mouth breathing, clinical protocols have not been extensively investigated. The purpose of this research was to determine the feasibility and effectiveness of a nasal breathing rehabilitation protocol based on Integrative Breathing Therapy principles called Functional Nasal Breathing Rehabilitation (FNBR).&lt;p&gt;

The Effect of Voice Record (Murottal) of Surah Ar-Rad Verses 1-28 with Video on Elderly Anxiety Level in RW 02 Batursari Village in Covid-19 Times

World Health Organization declared covid-19 as the sixth public health emergency that required global attention. The Covid-19 pandemic caused the risk of complications which was higher in some vulnerable populations including the elderly. Moreover, Covid-19 prevention such as self-isolation and quarantine affected community activities as well as causing psychosocial problems, one of which was anxiety. Some anxiety treatments could be conducted using distraction techniques, deep breathing, and music therapy including murottal Al Qur’an. To figure out the effect of the medium of murottal of Surah Ar-Rad verses 1-28 with video as the media on the elderly anxiety level in rw 02 Batursari village in Covid-19 times. The study used a pre-experimental design with one group pretest and posttest design. Measurement of research variables was carried out before and after giving the medium of the video to the elderly who experienced anxiety. The samples were 41 respondents who were selected using the purposive sampling technique. The results showed that the average age of the respondents was 64 years, with an average value of anxiety level before the medium of 10.14 and after the medium, the average value of the respondent's anxiety level decreased to 3.65 or decreased by 6.49. Based on the Mann-Whitney test, the results obtained a Z value of -7.897 and a significance value of 0.001 (p 0.05) with an effect size of 1.23. Therefore, there was the effect of the medium of murottal of surah Ar-Rad verses 1-28 with video on the elderly anxiety level in RW 02 Batursari village during in Covid-19 times. There is an effect of the medium of murottal of surah Ar-Rad verses 1-28 with video on the elderly anxiety level in rw 02 Batursari village during in Covid-19 times.

Investigation of the Effectiveness of Traditional Breathing Therapy on Pulmonary Function in College Students with Obstructive Sleep Apnea.

Background Obstructive sleep apnea (OSA) is a problem that involves many body systems, but its impact on the respiratory system deserves special attention. While there are many studies investigating the use of continuous positive airway pressure (CPAP) to treat lung function in patients with sleep apnea, the lack of studies in the literature on the effects of traditional breathing therapy on lung function in patients with OSA prompted us to conduct such a study. Objective The present randomized trial aims to assess the effect of traditional breathing therapy on daytime sleepiness and pulmonary function in college students with OSA. Methods Forty college students (male) with OSA were randomly divided into two groups: the control group (CG) and the traditional breathing therapy group (TG). Daytime sleepiness symptoms in OSA are measured primarily by the Epworth Sleepiness Scale (ESS). Pulmonary function measurements included FVC, FEV1, PEE, and MEF50%. The changes in morning blood pressure (BP), including diastolic BP and systolic BP, were also recorded. Data were recorded before and after the experiment. Results A decrease in ESS at 12 weeks after intervention had statistical significance compared with values recorded before intervention (P < 0.05). A decrease in systolic and diastolic BP at 12 weeks after intervention had statistical significance compared with values recorded before intervention (P < 0.05). Comparisons made in terms of pulmonary functions demonstrated a statistically significant increase in 12-week postintervention values of FVC, FEV1, PEF, and MEF50% (P < 0.05). Conclusion Our study shows the positive effects of traditional breathing therapy on pulmonary function parameters. This suggests that traditional breathing therapy treatment in OSA patients is as effective as CPAP on pulmonary function, while there is an improvement in daytime sleepiness and a modest decline in the mean daytime systolic and diastolic BP.

Opioids and obstructive sleep apnea.

Freire C, Sennes LU, Polotsky VY. Opioids and obstructive sleep apnea. J Clin Sleep Med. 2022;18(2):647-652.

Acceptability of capnography-assisted respiratory therapy: a new mind-body intervention for COPD.

Dyspnoea self-management is often suboptimal for patients with COPD. Many patients with COPD experience chronic dyspnoea as distressing and disabling, especially during physical activities. Breathing therapy is a behavioural intervention that targets reducing the distress and impact of dyspnoea on exertion in daily living.Using a qualitative design, we conducted interviews with 14 patients after they participated in a novel mind–body breathing therapy intervention adjunct, capnography-assisted respiratory therapy (CART), combined with outpatient pulmonary rehabilitation. Comprehensive CART consisted of patient-centred biofeedback, tailored breathing exercises, a home exercise programme and motivational interviewing counselling. We assessed participants’ perceptions and reported experiences to gauge the acceptability of CART and refine CART based on feedback. Constant comparative analysis was used to identify commonalities and themes.We identified three main themes relating to the acceptability and reported benefits of CART: (1) self-regulating breathing; (2) impact on health; and (3) patient satisfaction. Our findings were used to refine and optimise CART (i.e. its intensity, timing and format) for COPD.By addressing dysfunctional breathing behaviours and dysregulated interoception, CART offers a promising new paradigm for relieving dyspnoea and related anxiety in patients with COPD.

Lowering Blood Pressure After Following Slow Deep Breathing Therapy In Elderly Group

Hypertension in the elderly is a non-communicable disease that is one of the main causes of premature death in the world which results in complications in the elderly due to physical changes. This study aims to identify lowering blood pressure in the elderly with hypertension. This research method uses a case study design and consists of four respondents. Data collection was carried out in the Duri Kepa Community Health Center Village, Kebon Jeruk District, West Jakarta on 26-29 May 2021. The results of the research carried out were a significant decrease on the 3rd and 4th days from Stage II (moderate) to Stage I (mild). ) and from Stage III (severe) to Stage II (moderate). Conclusions from this research ApplicationSlow Deep Breathing therapy reduces blood pressure significantly, as evidenced by data on the characteristics of elderly people with hypertension.

Nasal High Flow at 25 L/min or Expiratory Resistive Load Do Not Improve Regional Lung Function in Patients With COPD: A Functional CT Imaging Study.

BackgroundNasal high flow (NHF) is a non-invasive breathing therapy that is based on the delivery via a large-caliber nasal cannula of heated and humidified air at flow rates that exceed peak inspiratory flow. It is thought that positive airway pressure generated by NHF can help reduce gas trapping and improve regional lung ventilation. There are no data to confirm this hypothesis at flow rates applicable in stable chronic obstructive pulmonary disease (COPD) patients.MethodsIn this study, we used non-rigid registration of computed tomography (CT) images acquired at maximal expiration and inspiration to compute regional lung attenuation changes (ΔHU), and lung displacement (LD), indices of regional lung ventilation. Parametric response maps (Galban et al., 2012) were also computed in each experimental condition. Eight COPD patients were assessed at baseline (BL) and after 5 min of NHF and expiratory resistive loading (ERL).ResultsΔHU was: BL (median, IQR): 85 (67.2, 102.8); NHF: 90.7 (57.4, 97.6); ERL: 74.6 (46.4, 89.6) HU (p = 0.531); and LD: 27.8 (22.3, 39.3); 17.6 (15.4, 27.9); and 20.4 (16.6, 23.6) mm (p = 0.120) in the 3 conditions, respectively. No significant difference in trapping was observed. Respiratory rate significantly decreased with both treatments [BL: 17.3 (16.4, 18.9); NHF: 13.7; ERL: 11.4 (9.6, 13.2) bpm; and p < 0.001].ConclusionNeither NHF at 25 L/min nor ERL significantly improved the regional lung ventilation of stable COPD patients with gas trapping, based on functional lung CT imaging. Further study including more subjects is needed to assess the potential effect of NHF on regional lung function at higher flow rates.Clinical Trial Registrationwww.clinicaltrials.gov/under, identifier NCT03821311.

Combination of feet soaking in warm water and deep breathing relaxation with classical music accompaniment to lower headaches' hypertensive patients

Hypertension is a problem that is found in people in both developed and developing countries, including Indonesia. One of the symptoms of hypertension is headache and neck stiffness. Management of Hypertension consists of pharmacological and non-pharmacological therapies. Non-pharmacological therapies (foot soak in warm water and breathing therapy in classical music accompaniment) can reduce hypertension. This community service aims to health the steps of Mekar Sari citizens in hypertension cases with non-pharmacological therapies it makes comport feels. The data were obtained from the majority of residents suffering from hypertension and who had complaints of headaches and neck stiffness. The approach method is with lectures on delivery of material, then soak the feet of warm water and relaxation therapy in deep breathing with classical music accompaniment then evaluated. The results of these therapies showed the increase in knowledge about hypertension non-pharmacological therapy in Mekar Sari citizens. There was a decrease in both systolic and diastolic blood pressure and a decrease in scale after warm water foot baths and breathing therapy. Based on the service results, it is expected that this activity can be applied independently twice a week.

COMPARISON OF THE EFFECT GROUP ACTIVITY THERAPY: PERCEPTION STIMULATION &amp; DEEP BREATH THERAPY TO ELDERLY STRESS IN CIREBON CITY

Hypertension as ranks first a degenerative disease that affects the elderly with a prevalence of 45.9% at the age of 55-64 years, 57.6% at the age of 65-74 years, and 63.8% at the age of 75 and over. Stress is one of the risk factors for hypertension in the elderly. Various studies show stress has a strong influence on the onset of hypertension in the elderly, also contributing as much as 9% to the risk of developing hypertension. Perceptual stimulation group activity therapy and deep breaths are non-pharmacological methods of treating psychological stress. The purpose of this study was to determine the effect of group activity therapy (TAK): perceptual stimulation and deep breaths on the stress level of the elderly in Cirebon City. Experimental research design pre- and post intervention, elderly population with essential hypertension in Sitopeng Health Center Cirebon City, total sample 32 people, simple random sampling technique, and data analysis &nbsp;using thetechnique&nbsp; Mann Whitney and Wilcoxon. There were differences in stress levels in the elderly in Cirebon City after treatment in the activity therapy group: perceptual stimulation and deep breathing therapy, where the value of α = 0.031 &lt;0.05. Puskesmas can use a group activity therapy approach in carrying out activities (for example, health promotion), which can have a positive effect on the emotional health of the elderly. &nbsp;

THE EFFECT OF COMPLEMENTARY THERAPIES OF SLOW DEEP BREATHING AND LAVANDULA ESSENTIAL OIL FOR INCREASING FEMALE PRISONERS’ SELF-ESTEEM AT THE CORRECTIONAL FACILITY, CLASS IIB, YOGYAKARTA

Prisoners will undoubtedly experience major changes in the prison in terms of environment, roles, and activities during their detention. All these changes make them experience a decrease in self-esteem. Complementary therapy in the forms of slow deep breathing and essential oil of Lavandula can cause physical and psychological relaxation so that it is expected to affect the prisoners’ self-esteem. This study aimed to find out the effect of complementary therapies of slow deep breathing and Lavandula essential oil on female prisoners’ self-esteem. The type of this study was experimental research using a pre-post-test design and a two-group design. Samples in this study consisted of 41 respondents. Furthermore, the employed data analysis was the Wilcoxon test. The results in this study indicated that the majority of respondents were in the categories of early adulthood (65.9%), having secondary education level (48.8%), having been married (48.8%), and having a length of sentence of 1 – 5 years (61%). In the group given slow deep breathing therapy, respondents who had low self-esteem in the pre-test was 33.33%. However, in the post-test, they decreased to 5.56%. Meanwhile, its significance value (2-tailed) was 0.025 (p &lt; 0.05). In the group given Lavandula essential oil therapy, respondents who had low self-esteem in the pre-test was 34.78%. However, in the post-test, they also decreased to 4.34%. Meanwhile, its significance value (2-tailed) was 0.008 (p &lt; 0.05). It can be concluded that complementary therapies of slow deep breathing and Lavandula essential oil can increase female prisoners’ self-esteem.

Breathing therapy and emotional freedom techniques on public speaking anxiety in Turkish nursing students: A randomized controlled study

Background and objectivePublic speaking is a common challenge that university students have to face. This study aims to determine the effects of Breathing Therapy and Emotional Freedom Techniques (EFT) on public speaking anxiety in Turkish nursing students. MethodsThis randomized controlled study included 76 nursing students. Data were collected using the Descriptive Characteristics Form, Subjective Units of Disturbance Scale, The State-Trait Anxiety Inventory, and the Speech Anxiety Scale. ResultsBefore the administration of Breathing Therapy and EFT, the students’ median scores from the Subjective Units of Disturbance Scale, the State-Trait Anxiety Inventory, and the Speech Anxiety Scale were similar. However, the median scores of the Subjective Units of Disturbance Scale, the State-Trait Anxiety Inventory, and the Speech Anxiety Scale scores significantly decreased in both of the experimental groups after the interventions (p <0.001). EFT (d = 3.18) was more effective than Breathing Therapy (d = 1.46) in reducing Speech anxiety. ConclusionIt was found that Breathing Therapy and EFT are effective methods to reduce stress, anxiety, and speaking anxiety.

Implementation Of Pursed Lip Breathing And Semi Fowler Position in COPD Patients Which Get Nebulizer in IGD: A Literature Review

Background: Chronic obstruction of pulmonary disease (COPD) is a pulmonary disease caused by the blockage of the air flow channel that occurs much in Indonesia due to the high exposure to the risk factors causing COPD such as the habit of smoking and unhealthy environment. The obstruction of the respiratory tract that occurs in COPD patients is usually characterized by shortness of breath. Various ways can be done to overcome shortness of breath is with pharmacological therapy in the form of nebulizer therapy. One of the effective non-pharmacological therapies to reduce shortness of breath with pursed lip breathing therapy and the giving of semi Fowler position.&#x0D; Objectives: Identify the research articles that display the results of analysis of the introduction of pursed lip breathing and the provision of semi Fowler in COPD patients who get therapy nebulizer in IGD space&#x0D; Research Method: The search for articles is done electronically using a Sience Direct, NCBI and Google Scholar databases. The search for the article used is the last 5 years. Keyword in search "pursed lip breathing, position semi-Fowler and chronic obstructive pulmonary disease" so obtained 5 research articles in review.&#x0D; Results: The feeding of pursed lip breathing and the giving of semi Fowler can effectively lower the shortness of breath in COPD patients. Step in the intervention of this combination by encouraging the patient to inhale the breath from the nose and the patient bent forward 30 to 40 degrees with the head lifted 16 to 18 degrees breathed slowly through the lips as much as 7 counts later afterwards the patient positions the Head 45&#x0D; Conclusion: The feeding of pursed lip breathing and the giving of semi Fowler is proven to decrease the shortness of breath in COPD patients&#x0D; Keyword: pursed lip breathing, position semi-fowler dan chronic obstructive pulmonary disease

Real-world Evaluation of a Novel Technology-enabled Capnometry-assisted Breathing Therapy for Panic Disorder

Anxiety disorders which include generalized anxiety disorder, panic disorder (PD), post-traumatic stress disorder, and obsessive-compulsive disorder are common psychiatric condition associated with significant social, occupational, physical, and economic costs

The Effects of Deep Breathing on Blood Pressure Reduction in Elderly Hypertensive Patients at a Retirement Home in Surabaya

Introduction: The hypertension incidences in the elderly does not only cause stroke but also an increasein the mortality rate. The elderly who suffer from hypertension require further therapy to lower their bloodpressure levels. One of the self-therapies that nurses can provide to hypertensive patients is deep breathingtherapy. This study aims to determine the effects of deep breathing therapy in the elderly with hypertension.Method: This study employed a quasi-experimental research design with two groups of pretest-posttestdesign. A total of 12 research samples were divided into two groups: the treatment group and the controlgroup, each group consisted of six respondents. The research instruments utilized were a questionnaire,SOP (Standard Operating Procedure) of breathing techniques, blood pressure measurement tools(sphygmomanometer and stethoscope) and observation sheets on blood pressure measurement. The datawere analyzed using paired t-test and independent t-test.Results: All of the respondents in the study were women aged 55 years old or older. The mean value ofsystolic blood pressure before being given the intervention was 158.33 mmHg in the treatment group and157.69 mmHg in the control group. The analysis with an Independent t-test between the control group andthe treatment group indicated p = 0.002 (?&lt;0.05) as the difference in systolic blood pressure between the twogroups. The treatment group experienced a drop in blood pressure by 10-30 mmHg.Conclusion: Deep breathing therapy effectively reduces blood pressure in the elderly with hypertension byconsistent interventions for seven consecutive days.

Analogy between classical Yoga/Zen breathing and modern clinical respiratory therapy.

Anesthesiologists and intensivists are modern-day professionals who provide appropriate respiratory care, vital for patient survival. Recently, anesthesiologists have increasingly focused their attention on the type of spontaneous breathing made by non-intubated patients with pulmonary disease cared for in an intensive care unit, and also patients with chronic pain receiving cognitive behavioral therapy. Prior to our modern understanding of respiratory physiology, Zen meditators recognized that breathing has a significant impact on a person’s mental state and general physical well-being. Examples of this knowledge regarding respiration include the beneficial effects of deep inhalation and slow exhalation on anxiety and general wellness. The classical literature has noted many suggestions for breathing and its psycho-physical effects. In the present review, we examine the effect of classical breathing methods and find an analogy between typical Yoga/Zen breathing and modern clinical respiratory therapy. Evidence is increasing about historical breathing and related meditation techniques that may be effective in modern clinical practice, especially in the field of anesthesiology, such as in improving respiratory function and reducing chronic pain. Clarification of the detailed mechanisms involved is anticipated.

Intervención de la terapia del lenguaje en las alteraciones deglutorias y de la voz en pacientes con cáncer de cabeza y cuello

Introducción: En Costa Rica, la incidencia de cáncer de cabeza y cuello para el año 2016 fue de 68,3%, con una mortalidad por esta causa del 25,4%. Este tipo de cáncer se origina en las vías aerodigestivas, tiroides y glándulas salivares y genera alteraciones muy importantes en la deglución y la generación de la voz. Este artículo tiene como objetivo definir la intervención de terapia del lenguaje en las alteraciones deglutorias y de la voz en pacientes con cáncer de cabeza y cuello. Metodología: Se realizó una revisión narrativa basada en la revisión bibliográfica de artículos de revisión en inglés y español, libros publicados a partir del año 2000 al 2019 y el criterio de expertos, por ejemplo, terapeutas del lenguaje quienes han trabajado en la intervención de pacientes con cáncer de cabeza y cuello. Se utilizaron como motores de búsqueda Pubmed, Medline y Biblioteca de la Universidad Santa Paula; los descriptores utilizados fueron head and neck cancer, OR cancer treatment OR chemotherapy OR radiotherapy AND dysphagia OR disturbances in voice OR phonation OR deglution OR breathing OR vocal cords AND Therapy. Se revisaron un total de 25 artículos y se incluyeron 11 que cumplieron los criterios de inclusión. Resultados: según los artículos revisados y el criterio de las terapeutas del lenguaje de Costa Rica, en la intervención de las alteraciones deglutorias, se utilizan técnicas compensatorias (cambios posturales, la modificación de consistencia, la modificación del volumen y velocidad de presentación del bolo) y técnicas de rehabilitación (maniobras deglutorias, ejercicios específicos para la movilidad orofacial, técnicas de facilitación y terapia miofuncional), cuanto a las alteraciones de voz, se utilizan técnicas como la higiene vocal, trabajo vocal y las maniobras posturales. Conclusión: en Costa Rica las cifras del CCC equivalen al 3,5% en la población masculina y un 12% en las mujeres. Estos pacientes generalmente reciben tratamiento médico, el cual ocasiona efectos secundarios que pueden provocar alteraciones deglutorias y de la voz. El Terapeuta del Lenguaje cumple una función clave para pacientes sobrevivientes de cáncer de cabeza y cuello, ya que debe identificar y rehabilitar las alteraciones deglutorias y de la voz resultantes de la patología o su tratamiento, mediante técnicas compensatorias y de rehabilitación, técnicas de higiene vocal, trabajo vocal y maniobras posturales.