Impact of Oral Appliance Therapy: Are Oral Skills and Growth Maintained One Year after Termination of Therapy?

Gisel, Erika G.; Haberfellner, H; Schwartz, Steven O.

doi:10.1007/s00455-001-0088-2

Cited by 20 publications

(32 citation statements)

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“…Sixteen studies investigated the effects of OME on swallowing in children 14,25–39 . Eight studies examined the effects of OME on swallowing physiology (), six studies examined functional swallowing outcomes (), and five studies explored the effects of OME on drooling ().…”

Section: Resultsmentioning

confidence: 99%

“…ISMAR) to standard rehabilitation received at school. Gisel et al 31 . evaluated children who continued to wear the ISMAR for a second year compared with those who did not.…”

Section: Resultsmentioning

confidence: 99%

“…The group receiving standard rehabilitation at school demonstrated no significant changes on the chewing domain ( d =0.27), swallowing domain ( d =0.19), or the clearing domain ( d =0.15) of the FFA. Gisel et al 31 . continued to track these two groups for 12 months and re‐assessed their performance on the FFA.…”

Section: Resultsmentioning

confidence: 99%

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The effects of oral‐motor exercises on swallowing in children: an evidence‐based systematic review

Arvedson

Clark

Lazarus

et al. 2010

Develop Med Child Neuro

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AIM The aim of this unregistered evidence-based systematic review was to determine the state and quality of evidence on the effects of oral motor exercises (OME) on swallowing physiology, pulmonary health, functional swallowing outcomes, and drooling management in children with swallowing disorders.METHOD A systematic search of 20 electronic databases was completed to identify relevant peerreviewed literature published in English between 1960 and 2007. Experimental or quasi-experimental design studies examining OME as a treatment for children with swallowing disorders were appraised for methodological quality by two assessors and reviewed by a third.RESULTS Sixteen studies of varying methodological quality were included. No study examining the effects of OME on pulmonary health in children was identified. The included studies incorporated a wide variety of OME, and mixed findings were noted across all of the outcomes targeted in this review.INTERPRETATION Based on the results of this evidence-based systematic review, there is insufficient evidence to determine the effects of OME on children with oral sensorimotor deficits and swallowing problems. Well-designed studies are needed to provide clinicians with evidence that can be incorporated into the preferences of the client and the clinicians' knowledge of anatomy, physiology, and neurodevelopment in the management of this group of children.Swallowing disorders in children vary widely in terms of clinical presentation, etiology, severity, complexity, and impact on daily life. 1 These disorders range from transient and developmental to multidimensional and chronic or progressive. 2,3 For example, swallowing disorders are common in children with a variety of etiologies that include, but are not limited to, cerebral palsy (CP), genetic syndromes such as Down syndrome, and craniofacial anomalies. These swallowing disorders may involve multiple aspects of the feeding process (e.g. gathering food to the mouth, preparation, etc.), the swallowing process (e.g. bolus formation, oral phase abnormalities, impaired pharyngeal phase function, and reduced upper esophageal sphincter function), as well as difficulty with drooling or managing secretions. 4 Drooling (sialorrhea) most often occurs because of infrequent swallowing of saliva (secretions), and less frequently because of excess saliva production. 5,6 Moreover, these disorders may result in several health-related complications such as inadequate nutritional status and growth, reactive airway disease, and aspiration pneumonia. 7 Other children present with more mild developmental swallowing problems or oral-motor inefficiencies that may not have a negative impact on nutrition or overall health status. Although often considered less severe than other swallowing disorders, these oral motor disorders have been associated with dental malocclusion and mouth open resting posture. 8 Regardless of the etiology or severity, disruptions in the feeding and swallowing process may result in an increased burden to the caregiver, socia...

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Section: Resultsmentioning

confidence: 99%

“…ISMAR) to standard rehabilitation received at school. Gisel et al 31 . evaluated children who continued to wear the ISMAR for a second year compared with those who did not.…”

Section: Resultsmentioning

confidence: 99%

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The effects of oral‐motor exercises on swallowing in children: an evidence‐based systematic review

Arvedson

Clark

Lazarus

et al. 2010

Develop Med Child Neuro

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“…We have also found that the GVA is not sensitive to small changes in ingestive skills [10]; therefore, we use it strictly as a diagnostic tool to determine the severity of an eating impairment [14]. On the other hand, the FFAm has proven to be an excellent tool to measure change following oral-motor therapies [10,11,26,27].…”

Section: Psychometric Properties Of Testsmentioning

confidence: 97%

Assessment of Ingestive and Oral Praxis Skills: Children with Cerebral Palsy vs. Controls

2000

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Eating impairments (dysphagia) in children with cerebral palsy (CP) have been well documented. However, individual components of ingestion, such as the feeding skills of eating and drinking and their relationship to oral-motor planning skills (praxis), remain largely undetermined. The purpose of the present study was to examine functional feeding and oral praxis skills in a group of children with CP and mild eating impairment and to compare their skills with a group of age-matched controls. As well, interobserver reliabilities and concurrent validity of these tests were examined to determine their reliability and to what extent they may be measuring similar constructs. Twenty-seven children with CP and 21 age-matched controls, aged 4.0-16 years, participated in this study. Two oral praxis tests (OFMF and OPT) and two standard ingestive skills tests (GVA and FFAm) were administered to each child. Children with CP scored consistently and significantly lower on the OFMF than controls (p < 0.001); similar results were achieved on the OPT (p < 0.001). Children with CP had difficulty with items where there was a high demand for repetition and smooth sequencing. On the ingestive skills tests children with CP took significantly longer for chewing a hard solid food texture than controls (p < 0.001), and functional feeding skills were also significantly poorer than in controls. Interrater reliability coefficients for the OPT and OFMF were excellent (all ICCs > 0.90). There was high concurrent validity between the OPT and OFMF (r = 0.90, p < 0.0001). The correlations for the FFAm and GVA tests were somewhat weaker (r = -0.54, p < 0. 0001). Correlations were negative; as functional feeding scores increased (improved), chewing time decreased (improved). Excellent reliable and valid assessment instruments are available to the practicing clinician. They cover a wide range of oral-motor performance and, so, must be used judiciously and for the purpose that they have been developed.

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“…A number of studies have investigated feeding skills patterns and health outcomes in children with CP (Gisel, Alphonce, & Ramsay, ; Reilly, Skuse, & Plobete, ; Sullivan et al, ; Troughton & Hill, ; Vik, Skrove, Dollner, & Helland, ; Yousafzai et al, ). It has also been shown that with proper interventions on knowledge and caregiver support in the positioning and use of utensils, feeding skills and child–caregiver interactions during feeding can be improved (Adams et al, ; Bailey & Angell, ; Das, Zaman, Hasan, Barua, & Chowdhury, ; Gisel, Applegate‐Ferrante, Benson, & Bosma, ; Gisel, Applegate‐Ferrante, Benson, & Bosma, ; Gisel, Haberfellner, & Schwartz, ; Haberfellner, Schwartz, & Gisel, ; Johnson et al, ; Marchand & Motil, ; Vekerdy, ).…”

Section: Introductionmentioning

confidence: 99%

The effect of a practical nutrition education programme on feeding skills of caregivers of children with cerebral palsy at Muhimbili National Hospital, in Tanzania

Mlinda

Leyna

Massawe

2018

Child

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Impact of Oral Appliance Therapy: Are Oral Skills and Growth Maintained One Year after Termination of Therapy?

Cited by 20 publications

References 14 publications

The effects of oral‐motor exercises on swallowing in children: an evidence‐based systematic review

The effects of oral‐motor exercises on swallowing in children: an evidence‐based systematic review

Assessment of Ingestive and Oral Praxis Skills: Children with Cerebral Palsy vs. Controls

The effect of a practical nutrition education programme on feeding skills of caregivers of children with cerebral palsy at Muhimbili National Hospital, in Tanzania

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