Clinimetrics of measures of oropharyngeal dysphagia for preschool children with cerebral palsy and neurodevelopmental disabilities: a systematic review

Benfer, Katherine A; Weir, Kelly A.; Boyd, Roslyn N.

doi:10.1111/j.1469-8749.2012.04302.x

Cited by 84 publications

(56 citation statements)

References 46 publications

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“…Existem escalas para a avaliação da disfagia, como a Dysphagia Severity Scale, que são usadas para indivíduos com deficiência mental ou física em geral, mas não há no Brasil uma escala validada direcionada para avaliação das crianças com PC 36,45 .…”

Section: Disfagiaunclassified

Digestive tract neural control and gastrointestinal disorders in cerebral palsy

Araújo¹,

Silva²,

Mendes³

2012

J Pediatr (Rio J)

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Objectives: To examine the neural control of digestive tract and describe the main gastrointestinal disorders in cerebral palsy (CP), with attention to the importance of early diagnosis to an efficient interdisciplinary treatment.Sources: Systematic review of literature from 1997 to 2012 from Medline, Lilacs, Scielo, and Cochrane Library databases. The study included 70 papers, such as relevant reviews, observational studies, controlled trials, and prevalence studies. Qualitative studies were excluded. The keywords used were: cerebral palsy, dysphagia, gastroesophageal reflux disease, constipation, recurrent respiratory infections, and gastrostomy. Summary of the findings:The appropriate control of the digestive system depends on the healthy functioning and integrity of the neural system. Since CP patients have structural abnormalities of the central and peripheral nervous system, they are more likely to develop eating disorders. These range from neurological immaturity to interference in the mood and capacity of caregivers. The disease has, therefore, a multifactorial etiology. The most prevalent digestive tract disorders are dysphagia, gastroesophageal reflux disease, and constipation, with consequent recurrent respiratory infections and deleterious impact on nutritional status. Conclusions:Patients with CP can have neurological abnormalities of digestive system control; therefore, digestive problems are common. The issues raised in the present study are essential for professionals within the interdisciplinary teams that treat patients with CP, concerning the importance of comprehensive anamnesis and clinical examination, such as detailed investigation of gastrointestinal disorders. Early detection of these digestive problems may lead to more efficient rehabilitation measures in order to improve patients' quality of life.J Pediatr (Rio J). 2012;88(6):455-64: Cerebral palsy, dysphagia, gastroesophageal reflux disease, constipation. ResumoObjetivos: Abordar as peculiaridades do controle neuronal digestório e descrever as principais manifestações digestórias na paralisia cerebral, atentando-se à importância do diagnóstico precoce para intervenção interdisciplinar eficaz. Fontes dos dados:Revisão sistemática de 1997 a 2012 das bases de dados MEDLINE, LILACS, SciELO e Cochrane Library. Incluem-se 70 artigos, como revisões relevantes, estudos observacionais, ensaios clínicos e estudos de prevalência. Excluíram-se pesquisas qualitativas. Os termos pesquisados foram: paralisia cerebral, disfagia, doença do refluxo gastroesofágico, constipação intestinal, infecção respiratória e gastrostomia. Síntese dos dados:O controle adequado do trato digestório depende do funcionamento e integridade do sistema nervoso. Como indivíduos portadores de paralisia cerebral possuem anormalidades estruturais evidentes no sistema nervoso central e periférico, estão mais propensos a desenvolver distúrbios do trato digestório, com repercussões nutricionais. As alterações vão desde imaturidade neurológica até interferência do estado d...

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Section: Disfagiaunclassified

Digestive tract neural control and gastrointestinal disorders in cerebral palsy

Araújo¹,

Silva²,

Mendes³

2012

J Pediatr (Rio J)

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“…21 The aim of the current review was to examine the evidence for the validity and reliability of descriptive ordinal scales used to classify the eating and drinking ability of individuals with CP. These scales could then potentially be adopted in clinical and populationbased research.…”

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confidence: 99%

“…5,15 Although valid and reliable systems are available to classify movement, 16,17 manual, 18 and communication ability 19 in CP, there is inconsistent use of the measures of eating, drinking, and feeding difficulties. 3,20,21 A survey of international CP surveillance registers revealed that, in 2009, 13 out of 21 active CP registries collected eating and drinking data using 11 different measures. 22 The use of a consistent indicator of eating and drinking ability would enable more rigorous investigation of the prevalence of feeding disorders, and of associations between the severity of eating and drinking limitations and other health indicators such as growth, respiratory health, and gastrostomy use.…”

mentioning

confidence: 99%

“…23 A recent systematic review examined the psychometric performance and clinical utility of quantitative measures of oropharyngeal dysphagia in children with neurodevelopmental disabilities. 21 The aim of the current review was to examine the evidence for the validity and reliability of descriptive ordinal scales used to classify the eating and drinking ability of individuals with CP. These scales could then potentially be adopted in clinical and populationbased research.…”

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confidence: 99%

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A systematic review of ordinal scales used to classify the eating and drinking abilities of individuals with cerebral palsy

Sellers

Pennington

Mandy

et al. 2013

Develop Med Child Neuro

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AIM The aim of this review was to examine systematically the scope, validity, and reliability of ordinal scales used to classify the eating and drinking ability of people with cerebral palsy (CP).METHOD Six electronic databases were searched to identify measures used to classify eating and drinking ability; in addition, two databases were used to track citations of key texts. The constructs assessed by each measure were examined in relation to the World Health Organization International Classification of Functioning, Disability and Health. Evidence of validity and reliability of the identified scales was appraised from peer-reviewed studies using standard criteria.RESULTS Fifteen scales were identified in 23 papers. Clinician or researcher assessment was required for 13 scales; nine scales made use of information from parents and carers through interviews or questionnaires. Eight scales used the terms mild, moderate, and severe (with varying definitions) to describe different aspects of eating and drinking impairment. There was an assessment of either content validity and/or reliability for five scales; however, none met the recommended psychometric quality standards. Individuals with cerebral palsy (CP) experience activity limitations including limitations in sitting, standing, walking, handling objects, and speaking. Impairments can also interfere with the oral functions required for eating, drinking, and swallowing, 1,2 and the ability to bring food and drink to the mouth.3 Limitations in the ability to bite, chew and swallow, and self-feed are often associated with prolonged mealtimes and loss of both food and fluid from the mouth; this can lead to insufficient food and fluid intake to ensure growth and good health, 3-7 as well as adverse respiratory consequences such as episodes of choking and aspiration. 1,[8][9][10] The prevalence of eating and drinking difficulties in individuals with CP is unclear.11 Estimates range from 27% 12 to 90%, 13 depending on the definitions and measurement tools used. It has been proposed that prevalence is related to the severity of motor impairment, 14 although eating and drinking difficulties also occur in individuals with mildly affected gross motor function. 22 The use of a consistent indicator of eating and drinking ability would enable more rigorous investigation of the prevalence of feeding disorders, and of associations between the severity of eating and drinking limitations and other health indicators such as growth, respiratory health, and gastrostomy use. 23A recent systematic review examined the psychometric performance and clinical utility of quantitative measures of oropharyngeal dysphagia in children with neurodevelopmental disabilities. 21 The aim of the current review was to examine the evidence for the validity and reliability of descriptive ordinal scales used to classify the eating and drinking ability of individuals with CP. These scales could then potentially be adopted in clinical and populationbased research. METHOD Search strategyA systematic search ...

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“…-Brief Assessment of Motor Function; -Oral Motor Deglutition Scale; -Behavioral Assessment Scale of Oral Functions in Feeding; -Dysphagia Disorders Survey (DDS); -Feeding Behaviour Scale; -Functional Feeding Assessment; -Gisel Video Assessment; -Oral Motor Assessment Scale; -Pre-Speech Assessment Scale (PSAS); -Schedule for Oral Motor Assessment (SOMA) [18]. Spośród nich DDS, SOMA i PSAS uznano za narzędzia o najlepszych właściwościach psychometrycznych i zarekomendowano je do stosowania u dzieci z zaburzeniami neurorozwojowymi [19].…”

Section: Metody Diagnostyczne Stosowane W Ocenie Zaburzeń Karmieniaunclassified

Eating and drinking ability classification system in cerebral palsy

Michalska¹,

Panasiuk²,

Pogorzelska³

et al. 2017

Child Neurology

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sTResZCZeNieCzynności jedzenia i picia to złożone procesy, które poza prawidłowym funkcjonowaniem motorycznym obszaru orofacjalnego wymagają również synchronizacji z oddychaniem, stabilności posturalnej, w tym kontroli głowy, oraz szeregu innych sprawności motorycznych. Zaburzenia karmienia są powszechne w mó-zgowym porażeniu dziecięcym. Istota i ciężkość zaburzeń mogą różnić się, w zależności od deficytów sensomotorycznych, zaburzeń motoryki dużej i małej, czy deficytów poznawczych. Celem pracy jest przedstawienie systemu klasyfikującego ocenę umiejętności jedzenia i picia u osób z mózgowym porażeniem dziecięcym, komplementarnego wobec istniejących systemów służących ocenie lokomocji (GMFCS), manipulacji (MACS) i komunikacji (CFCS). Słowa kluczowe: zaburzenia karmienia, systemy klasyfikacyjne, mózgowe porażenia dziecięce aBsTRaCT Eating and drinking are complex processes that, in addition to proper motor functioning of orofacial area, require synchronization with breathing, postural stability including head control and a range of other motor skills. Feeding disorder is common in cerebral palsy. The nature and severity of the problems may differ in relation to sensorimotor impairment, gross and fine motor limitations or cognitive deficits. The aim of the study is to present a classification system for assessing the ability of eating and drinking in people with cerebral palsy, complementary to the existing systems assessing gross motor function (GMFCS), manual ability (MACS) and communication function (CFCS).

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Clinimetrics of measures of oropharyngeal dysphagia for preschool children with cerebral palsy and neurodevelopmental disabilities: a systematic review

Cited by 84 publications

References 46 publications

Digestive tract neural control and gastrointestinal disorders in cerebral palsy

Digestive tract neural control and gastrointestinal disorders in cerebral palsy

A systematic review of ordinal scales used to classify the eating and drinking abilities of individuals with cerebral palsy

Eating and drinking ability classification system in cerebral palsy

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