Oral Health in Children with Cerebral Palsy

Akhter, Rahena; Hassan, N.; Nadkarni, Mangala A.; Martin, Elizabeth F.; Khandaker, Gulam

doi:10.5772/intechopen.79452

Cited by 4 publications

(6 citation statements)

References 20 publications

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“…These results were in accordance with the study performed by Mutoh, et al, ( 2019), who stated that, hippo therapy was linked with improved cadence, step length, mean acceleration; stabilized displacement of patients; and positive relationship between the psychological status and QOL of the caregivers than those seen in the control group (p < 0.05). Also, consistent with the study done by Chang, et al, (2019) and Akhter, et al, (2018) who reported that, trained caregivers had positive effect on daily living skills of CP children and improvement of hygiene measures related to oral care.…”

Section: (Menlah Et Al 2020)supporting

confidence: 90%

Effect of Empowerment program for caregivers on Quality life of children with Cerebral palsy

Sayed

Abdelmonem

Ahmed

2021

Egyptian Journal of Health Care

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Background: Cerebral palsy (CP) is a multi-disorder which disturbs ability of child to move, sustain posture and balance. Quality of life is increasingly recognized as a major factor in determining a child's health and well-being. There are many ways to enhance the quality of life for children with (CP), such as empowering the caregivers. Aim: to evaluate the effect of empowerment program for caregivers on quality life of children with cerebral palsy. Design: A quasi-experimental research design (one group pre/posttest) was conducted at neurology out-patient clinic of Children Hospital at Ain shams University Hospital. Sample: A purposive sample consisted of 75 children and their caregivers at the previously mentioned setting. Tools: Four tools were used as children and their caregivers' demographic characteristics, activity of daily living, child quality of life inventory and family empowerment scale. Results: revealed that 74.7% of the studied children were partially dependent at total activities, while 50.7% of them were independent at post program, detected through p value <0.01. Also, revealed that there was slight significant difference related to physical, emotional and social function at pre and post program at p value <0.05. But, there was no significant difference between mean score at pre and post program related school function at p value >0.05. Conclusion: There was high significant difference between mean scores at pre and post empowerment program for caregivers of children with cerebral palsy at p value <0.01. Empowerment program for caregivers had positive effect on quality life of their children. Recommendation: Preparing continuous empowerment program for caregivers of children suffered from cerebral palsy.

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Section: (Menlah Et Al 2020)supporting

confidence: 90%

Effect of Empowerment program for caregivers on Quality life of children with Cerebral palsy

Sayed

Abdelmonem

Ahmed

2021

Egyptian Journal of Health Care

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“…If dental erosions are observed in this group of patients, they should be referred to a gastroenterologist, and periodic examinations should be provided, and consumption of acidic beverages should be completely stopped for the health of soft tissues in the mouth. 9 Rieken et al 28 , stated that the reason for the…”

Section: % Of the Examined Children With Cp Use Regularmentioning

confidence: 99%

“…This effect limits the motor functions of the tongue, jaws, and orofacial muscles. 9 Dysfunction in the muscles also affects the salivary glands, causing a decrease in saliva production, which provides a basic protection against tooth decay. 10 In patients with CP, saliva production can sometimes be a contributing factor in easier chewing and swallowing of food.…”

Section: Introductionmentioning

confidence: 99%

“…Active mouth breathing should be reduced to increase saliva production. 9 Generally, food retention in the buccal and labial sulcus of the mouth in children with CP is due to weak muscles of mastication and poor brushing of these areas due to inadequate in-hand manipulation. 11 In most children with CP who drool, the etiologic factor is not excessive production of saliva, but the inability to swallow saliva due to oromotor dysfunction.…”

Section: Introductionmentioning

confidence: 99%

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Health of intraoral soft tissues in children with cerebral palsy and associated factors

Tunali

Karaçay

Tabancali

et al. 2021

Mucosa

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Background Cerebral palsy (CP) is a movement and posture disorder caused by damage to the immature brain. Oral health and functions are affected due to developmental disorders in the neuromuscular system of children with CP. The main ones are the hard and soft tissues in the mouth and chewing and swallowing functions.Objective The aim of our study is to determine the condition of the oral soft tissues and associated factors in children diagnosed with CP in the growth and development period and to lead studies to prevent possible problems.Methods Fifty-one children who receive service from Metin Sabancı units were included in the study. Diseases concomitant with CP, dietary habits, medications, and medical history forms, including the family status of the children were prepared. Physical examination of tonsillitis according to Brodsky Grading Scale, drooling with Balasco method, swallowing with clinical examination, gingival inflammation according to Modified Gingival Index (MGI) Classification, nutritional status and findings of reflux complaint were performed through face-toface interviews with parents.Results 62.7% of children with CP included in our study were boys and 37.3% were girls. The mean age of the children was 9.63 ± 2.40 years. Nutritional disorders were found in 45% of the children, mouth breathing in 57% and gastroesophageal reflux disease in 19%. The rate of children with CP with incorrect swallowing was 63% and the rate of those with drooling was 45%. A significant relationship was found between drooling and incorrect swallowing. 45% of the examined children with CP use medication due to the complaint of epilepsy. In 12% of children, the tonsillar tissue covers 50-75% of the airway patency. In 78% of the children, the MGI value was

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“…Also, to identify the relationships between DMFTI and demographic data of children with CP, DMFTI and CP location, Silness-Loe plaque index and demographic data of children with CP, Silness-Loe plaque index, and CP location were other objectives. Many studies have been conducted worldwide regarding oral health status 7,8 and caregiver support of children with CP. 9 However, only one study was conducted on the prevalence of CP in Sri Lankan children, a descriptive cross-sectional study.…”

Section: Introductionmentioning

confidence: 99%

Use of statistical models for predicting oral health status of children with cerebral palsy in Sri Lanka

Weerasekara¹,

Nawarathna²,

Herath³

2021

BBIJ

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Cerebral Palsy (CP) is the most common movement disorder in children, which is defined as ‘‘a group of permanent disorders of the development of movement and posture, causing activity limitations attributed to non-progressive disturbances occurred in developing fetal or infant brain. In this study, we consider the four most common CP types categorized by the location of movement problems named Monoplegia, Diplegia, Hemiplegia, and Quadriplegia. Oral health is a state of being free from the chronic mouth, facial pain, oral and throat cancer, oral sores, congenital disabilities such as cleft lip and palate, tooth decay and tooth loss, and other diseases disorders oral cavity. The main goal of the study is to create suitable statistical models for predicting the oral health status of children with CP using Silness-Löe plaque index and DMFT Index (DMFTI). Also, to identify the relationships between DMFTI and demographic, DMFTI and CP location, Silness-Loe plaque index and demographic data, Silness-Loe plaque index and CP location, Care index (CI) and demographic data, and the CI and CP location. This analysis was performed on a sample of 93 children with CP in the Central Province, Sri Lanka. The independent sample t-test and one-way ANOVA test were used to identify the relationship between variables, and effect sizes were calculated using partial Eta squared value to measure the strength of the relationship. Further Multiple Linear Regression (MLR) model, Random Forest Regression (RFR) model, and the Support Vector Regression (SVR) model were used to predict the oral health status using DMFTI and plaque index separately. A comparison was conducted for the fitted models using the Coefficient of determination (R-squared). There is a significant difference between the mean values of the plaque index for different CP locations. Children with diplegia have the lowest plaque index, while children with hemiplegia have the highest plaque index. The accuracy of the MLR model for predicting DMFTI is 23.60% and 20.80% for Permanent and primary teeth separately, and 20.00% for predicting Plaque Index. Those accuracies for the RFR model are 92.64%, 93.11% and 90.32%, while 95.36%, 85.65% and 80.07% for SVR model respectively. Therefore, the RFR Model was considered the best-fitted model for predicting oral health status using DMFTI and the plaque index of Sri Lankan children with CP. Besides, children with hemiplegia have a higher risk of having lower oral health status.

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Oral Health in Children with Cerebral Palsy

Cited by 4 publications

References 20 publications

Effect of Empowerment program for caregivers on Quality life of children with Cerebral palsy

Effect of Empowerment program for caregivers on Quality life of children with Cerebral palsy

Health of intraoral soft tissues in children with cerebral palsy and associated factors

Use of statistical models for predicting oral health status of children with cerebral palsy in Sri Lanka

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