Oropharyngeal dysphagia in preschool children with cerebral palsy: Oral phase impairments

Benfer, Katherine A; Weir, Kelly A.; Bell, K.; Ware, Robert S.; Davies, Peter S. W.; Boyd, Roslyn N.

doi:10.1016/j.ridd.2014.08.029

Cited by 61 publications

(65 citation statements)

References 33 publications

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“…In 93.8% of the children, oral phase deficiencies appeared in chewing and swallowing, and changes were associated with a decline in their gross motor skills. In the other paper, they report that the oral motor patterns of children with CP vary from person to person, and that alterations in oral motor function may generate a spectrum of disabilities at each stage of the swallowing process, resulting in malnutrition, dehydration, pulmonary aspiration and pneumonia 4,11,12 .…”

Section: Figure 2 Articles Analyzed In the Systematic Reviewmentioning

confidence: 99%

“…It was found that the higher is the motor level of the group of children, the longer is the swallowing time for the liquid consistency and a significant difference was found between the groups for both consistencies, with progressive increase of the swallowing time the greater the impairment of the swallowing function. Oral transit time in children with cerebral palsy was higher and represented the severity of the dysphagia presented, demonstrating that the greater is the overall motor impairment presented, the longer is the oral transit time 1,3,9,11,[13][14][15][16][17][18][19][20] .…”

Section: Figure 2 Articles Analyzed In the Systematic Reviewmentioning

confidence: 99%

“…In them, it is confirmed that upper digestive alterations may trigger recurrent respiratory infections, insufficient nutritional intake, nutritional deficit in the growth curve, greater number of hospitalizations and the need for gastrostomy 1,10,11,15,[18][19][20][21] .…”

Section: Figure 2 Articles Analyzed In the Systematic Reviewmentioning

confidence: 99%

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Cerebral palsy dysphagia: a systematic review

2017

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Cerebral palsy (CP) encompasses a group of definitive and non-progressive conditions, with a non-progressive character and its installation in neonatal period. Motor disorders caused by CP may lead to changes in swallowing, resulting in limitations in the activities that are attributed to non-progressive disorders that do not reach the developing child's brain. This article reviews the clinical aspects of dysphagia in CP and the treatments in the area. Only papers published in the period from 2009 to 2017 were considered, using a methodological strategy for electronic search in the databases SciELO-Brazil, Lilacs and Medline/ Pubmed. The present research analyzed 24 articles, regarding the year of publication, sample and instruments used, verifying that Speech Therapists and other staff involved in the improvement and rehabilitation of cognitive functions have provided better rehabilitation conditions, despite the need for more therapy and diagnostic studies. Keywords: Cerebral Palsy; Swallowing Disorders; Risk Factors RESUMO A paralisia cerebral engloba um grupo de afecções definitivas e não progressivas no sistema nervoso central sem caráter progressivo e de instalação no período neonatal. Os distúrbios motores ocasionados pela paralisia cerebral podem acarretar alterações na deglutição ocasionando limitações de atividade que são atribuídas a distúrbios não progressivos que ocorrem no cérebro infantil em desenvolvimento. Esse artigo revisa os aspectos clínicos da disfagia na paralisia cerebral e as terapêuticas existentes na área. Foram considerados apenas os trabalhos publicados no período de 2009 a 2017, e utilizou-se como estratégia metodológica uma busca eletrônica nas bases de dados: SciELO-Brasil, Lilacs e Medline/ Pubmed. A presente pesquisa analisou 24 artigos, resumidamente, quanto ao ano de publicação, amostra e instrumentos utilizados, constatando que o Fonoaudiólogo e os demais profissionais envolvidos no aperfeiçoamento e reabilitação das funções cognitivas têm criado melhores condições de reabilitação, apesar da necessidade de mais estudos nas áreas de terapia e diagnóstico.

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Section: Figure 2 Articles Analyzed In the Systematic Reviewmentioning

confidence: 99%

Section: Figure 2 Articles Analyzed In the Systematic Reviewmentioning

confidence: 99%

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Cerebral palsy dysphagia: a systematic review

2017

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“…Patients with neurological impairments are known to have problems related to oral structure (19)(20)(21).…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Oral Structures and Feeding Function in Subacute Sclerosing Panencephalitis

Arslan¹,

Alemdaroğlu²,

Demir³

et al. 2016

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Purpose: The aim was to investigate the characteristics of oral structures and feeding in patients with Subacute Sclerosing Panencephalitis (SSPE).Methods: Twenty SSPE patients were included. Clinical evaluation of oral structures and oral hygiene were performed. Each patient was requested to take liquid, pudding and solid food consistencies during feeding evaluation. The Karaduman Chewing Performance Scale (KCPS) was used to determine the level of chewing function. The 3-ounce water swallow test was used to screen patients for aspiration risk. Results:The mean age was 13.76±1.92 years, of which 55% were male. Seven children (35%) had open mouth posture at rest, 5 (25%) had open bite, 12 (60%) had high arched palate, and 8 (40%) had tongue thrust. Eighteen children (90%) had oral hygiene problems. Feeding positions were variable with 1 child fed in supine, 6 in semi-sitting position, and 13 in upright sitting position. Findings during clinical feeding evaluation revealed the following: food acceptance (20, 100%), liquid intake (20, 80%), pudding intake (17, 85%), and solid food intake (5, 25%). Five children (25%) were in level I, 7 children (35%) were in level II, 3 children (15%) were in level III, and 5 children (25%) were in level IV according to the KCPS. Four children (25%) failed in 3 ounce water swallow test.Discussion: Problems with oral structures, oral hygiene, chewing and swallowing function can be seen in SSPE patients. Thus, clinical oral structure and feeding functions should be considered to evaluate in routine evaluation procedure in patients with SSPE. Tartışma: SSPE hastalarında oral yapılar, oral hijyen, çiğneme ve yutma fonksiyonunda problemler görülebilmektedir. Bu yüzden, SSPE hastalarının rutin değerlendirmesinde klinik oral yapı ve beslenme fonksiyonlarının değerlendirilmesi de düşünülmelidir.

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“…Benfer i wsp. [15] w grupie 130 dzieci z mpdz do 3 r.ż. u 93,8% stwierdzili zaburzenia ustnej fazy połykania, u 78,5% nasilone ślinienie, u 70% zaburzenia gryzienia, a u 65% zaburzenia żucia.…”

Section: Epidemiologia Zaburzeń Karmienia W Mpdzunclassified

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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Oropharyngeal dysphagia in preschool children with cerebral palsy: Oral phase impairments

Cited by 61 publications

References 33 publications

Cerebral palsy dysphagia: a systematic review

Cerebral palsy dysphagia: a systematic review

Clinical Characteristics of Oral Structures and Feeding Function in Subacute Sclerosing Panencephalitis

Eating and drinking ability classification system in cerebral palsy

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