Yıl: 2021 Cilt: 32 Sayı: 3 Sayfa Aralığı: 52 - 61 Metin Dili: İngilizce DOI: 10.21653/tjpr.751763 İndeks Tarihi: 27-10-2022

AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY

Öz:
Purpose: Oral motor problems and swallowing disorders are common in children with cerebral palsy (CP). This study was planned to examine the oral motor and swallowing related descriptive characteristics of children with CP. Methods: This study was carried out with 90 children with CP (39 girls and 51 boys) with a mean age of 70.35±28.39 months. Gross Motor Function Classification System (GMFCS) was used for functional motor level. The Tongue Thrust Rating Scale (TTRS) for tongue thrust severity, Karaduman Chewing Performance Scale (KCPS) for chewing performance level, Pediatric Eating Assessment Tool (PEDI-EAT-10) for dysphagia symptom severity and Drooling Severity and Frequency Scale for drooling were used. Results: According to GMFCS, 55.6% of children were in level V. The 87.8% of the children had pathological tongue thrust. The mean PEDI-EAT-10 score was 15.42±11.41. Chewing disorders were detected in 85.6%, and drooling was detected in 87.8% of CP children. The GMFCS level, clinical type of CP, presence of open mouth, food consistency and the number of pneumonia correlated with all oral motor and swallowing assessments (p<0.05). Conclusion: In this study, various oral motor and swallowing disorders were identified in children with CP, and a Turkish community-specific general profile of these children was obtained.
Anahtar Kelime:

SEREBRAL PALSİLİ ÇOCUKLARDA ORAL MOTOR VE YUTMA BOZUKLUKLARI İLE İLİŞKİLİ ÖZELLİKLERİN İNCELENMESİ: TANIMLAYICI BİR ÇALIŞMA

Öz:
Amaç: Serebral Palsili (SP) çocuklarda oral motor problemler ve yutma bozukluğu yaygın olarak görülmektedir. Bu çalışma, SP’li çocukların oral motor ve yutma bozukluğu ile ilgili tanımlayıcı özelliklerini incelemek amacı ile planlandı. Yöntem: Bu çalışma, yaş ortalaması 70.35±28.30 ay olan 90 SP’li çocuk (39 kız, 51 erkek) ile gerçekleştirildi. Motor fonksiyonel seviye için Kaba Motor Fonksiyon Sınıflandırma Sistemi (KMFSS) kullanıldı. Dil itme şiddetinin değerlendirilmesi için Dil İtme Derecelendirme Ölçeği (TTRS), salya problemi için Salya Şiddet ve Frekans Ölçeği, çiğneme performans seviyesi için Karaduman Çiğneme Performans Ölçeği (KCPS) ve yutma bozukluğu için Pediatrik Yeme Değerlendirme Aracı (PEDI-EAT-10) kullanıldı. Sonuçlar: KMFSS’ye göre çocukların % 55,6'sı seviye V düzeyindeydi. Çocukların %87,8'inde patolojik dil itme refleksi vardı. Ortalama PEDI-EAT-10 skoru 15,42±11,41 idi. SP’li çocukların % 87,8'inde çiğneme bozukluğu ve % 87,8'inde salya problemi saptandı. GMFCS düzeyi, klinik SP tipi, open mouth varlığı, besin kıvamı ve pnömoni sayısı tüm oral motor ve yutma değerlendirmeleri ile korelasyon gösterdi (p<0.05). Tartışma: Bu çalışmada SP'li çocuklarda çeşitli oral motor ve yutma bozuklukları tespit edildi ve bu çocuklar için Türk toplumuna özgü genel bir profil elde edildi.
Anahtar Kelime: Serebral Palsi Çiğneme Deglügasyon Yeme

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Kakooza-Mwesige A, Tumwine JK, Eliasson AC, Namusoke HK, Forssberg H. Malnutrition is common in Ugandan chil- dren with cerebral palsy, particularly those over the age of five and those who had neonatal complications. Acta Paediatr. 2015;104(12):1259-68.
  • 2. Bingham PM. Deprivation and dysphagia in premature infants. J. Child Neurol. 2009;24(6):743-9.
  • 3. Slattery J, Morgan A, Douglas J. Early sucking and swallowing problems as predictors of neurodevelopmental outcome in chil- dren with neonatal brain injury: a systematic review. Dev Med Child Neurol. 2012;54(9):796-806.
  • 4. Speyer R, Cordier R, Kim JH, Cocks N, Michou E, Wilkes-Gillan SJDM, et al. Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic re- view and meta-analyses. 2019;61(11):1249-58.
  • 5. Sherman V, Greco E, Moharir M, Beal D, Thorpe K, Martino RJDM, et al. Feeding and swallowing impairment in children with stroke and unilateral cerebral palsy: a systematic review. 2019;61(7):761-9.
  • 6. Polack S, Adams M, O’Banion D, Baltussen M, Asante S, Ker- ac M, et al. Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life. Dev Med Child Neurol. 2018;60(9):914-21.
  • 7. Mishra A, Malandraki GA, Sheppard JJ, Gordon AM, Levy ES, Tro- che MS. Voluntary cough and clinical swallow function in chil- dren with spastic cerebral palsy and healthy controls. Dyspha- gia. 2019;34(2):145-54.
  • 8. Hagberg B, Hagberg G. The origins of cerebral palsy. In: David TJ, ed. Recent advances in paediatrics XI. Edinburgh: Churchill Livingstone; 1993: p.67-83.
  • 9. Kerem Günel M, Mutlu A, Livanelioğlu A. Kaba Motor Fonksiy- on Sınıflandırma Sistemi Genişletilmiş ve Yeniden Düzenlen- miş Şekli. https://canchild.ca/system/tenon/assets/attach- ments/000/000/083/original/GMFCS-ER_Translation-Turkish. pdf. Access Date: June 10, 2020.
  • 10. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Gross motor function classification system for cerebral palsy. Dev Med Child Neurol. 1997;39(4):214-23.
  • 11. Wood E, Rosenbaum PJDM, Neurology C. The gross motor func- tion classification system for cerebral palsy: a study of reliability and stability over time. 2000;42(5):292-6.
  • 12. El O, Baydar M, Berk H, Peker O, Kosay C, Demiral Y. Interobserv- er reliability of the Turkish version of the expanded and revised gross motor function classification system. Disabil Rehabil. 2012;34(12):1030-3.
  • 13. Serel Arslan S, Demir N, Karaduman A. Reliability and validity of a tool to measure the severity of tongue thrust in children: the Tongue Thrust Rating Scale. J Oral Rehabil. 2017;44(2):119-24.
  • 14. Thomas-Stonell N, Greenberg J. Three treatment approaches and clinical factors in the reduction of drooling. Dysphagia. 1988;3(2):73-8.
  • 15. Serel Arslan S, Demir N, Barak Dolgun A, Karaduman A. Develop- ment of a new instrument for determining the level of chewing function in children. Oral Rehabil. 2016;43(7):488-95.
  • 16. Serel Arslan S, Demir N, Karaduman AA, Belafsky PC. The pe- diatric version of the eating assessment tool: a caregiver ad- ministered dysphagia-specific outcome instrument for children. Disabil Rehabil. 2018;40(17):2088-92.
  • 17. Chatterjee S, Hadi AS. Regression analysis by example. 5th ed. New Jersey: John Wiley & Sons; 2015; 424.
  • 18. Tranmer M, Elliot M. Binary logistic regression. Cathie Marsh Institute for Social Research, Teaching Paper 2008 (20). http:// hummedia.manchester.ac.uk/institutes/cmist/archive-publica- tions/working-papers/2008/2008-20-binary-logistic-regres- sion.pdf. Access date: 18.01.2021
  • 19. Çokluk. Ö Lojistik regresyon analizi: kavram ve uygulama. Kuram ve Uygulamada Eğitim Bilimleri 2010;10(3),1357-1407.
  • 20. Clawson EP, Kuchinski KS, Bach R. Use of behavioral interven- tions and parent education to address feeding difficulties in young children with spastic diplegic cerebral palsy. NeuroReha- bilitation. 2007;22(5):397-406.
  • 21. Vargün R, Ulu HÖ, Duman R, Yağmurlu A. Serebral palsili çocuk- larda beslenme problemleri ve tedavisi. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2004;57(04).
  • 22. Arvedson J, Brodsky L. The airway and swallowing. Pediatric swallowing and feeding: assessment and management. Albany, NY: Singular Publishing Group, a division of Thompson Learning, Inc; 2002: pp. 153-85.
  • 23. Reilly S, Skuse D, Poblete X. Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: a commu- nity survey. J Pediatr. 1996;129(6):877-82.
  • 24. Çubukçu ÇE. Prenatal dönemde ve bebeklikte ağız ve diş sağlığı. Güncel Pediatri. 2007;5(2), 77-81.
  • 25. Edvinsson SE, Lundqvist LO. Prevalence of orofacial dysfunction in cerebral palsy and its association with gross motor function and manual ability. Dev Med Child Neurol. 2016;58(4):385-94.
  • 26. Rajendran P, Mahalakshmi K, Anison JJ, Varghese SC. Or- thodontist’s view on cerebral palsy. Biomed Pharmacol J. 2018;11(1):557-63.
  • 27. Ovsenik M. Incorrect orofacial functions until 5 years of age and their association with posterior crossbite. Am J Orthod Dentofa. Orthop. 2009;136(3):375-81.
  • 28. Vázquez-Nava F, Quezada-Castillo J, Oviedo-Trevino S, Saldivar- González A, Sánchez-Nuncio H, Beltrán-Guzmán F, et al. Asso- ciation between allergic rhinitis, bottle feeding, non-nutritive sucking habits, and malocclusion in the primary dentition. Arch Dis Child. 2006;91(10):836-40.
  • 29. Hurley M, Vyas H. Respiratory problems in children with neuro- disability. J Paediatr Child Health. 2015;25(10):463-6.
  • 30. Prasse JE, Kikano GE. An overview of pediatric dysphagia. Clin Pediatr. 2009;48(3):247-51.
APA İNAL Ö, SEREL ARSLAN S, DEMIR N, Karaduman A (2021). AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY. , 52 - 61. 10.21653/tjpr.751763
Chicago İNAL ÖZGÜ,SEREL ARSLAN SELEN,DEMIR NUMAN,Karaduman A. Ayşe AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY. (2021): 52 - 61. 10.21653/tjpr.751763
MLA İNAL ÖZGÜ,SEREL ARSLAN SELEN,DEMIR NUMAN,Karaduman A. Ayşe AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY. , 2021, ss.52 - 61. 10.21653/tjpr.751763
AMA İNAL Ö,SEREL ARSLAN S,DEMIR N,Karaduman A AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY. . 2021; 52 - 61. 10.21653/tjpr.751763
Vancouver İNAL Ö,SEREL ARSLAN S,DEMIR N,Karaduman A AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY. . 2021; 52 - 61. 10.21653/tjpr.751763
IEEE İNAL Ö,SEREL ARSLAN S,DEMIR N,Karaduman A "AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY." , ss.52 - 61, 2021. 10.21653/tjpr.751763
ISNAD İNAL, ÖZGÜ vd. "AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY". (2021), 52-61. https://doi.org/10.21653/tjpr.751763
APA İNAL Ö, SEREL ARSLAN S, DEMIR N, Karaduman A (2021). AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32(3), 52 - 61. 10.21653/tjpr.751763
Chicago İNAL ÖZGÜ,SEREL ARSLAN SELEN,DEMIR NUMAN,Karaduman A. Ayşe AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32, no.3 (2021): 52 - 61. 10.21653/tjpr.751763
MLA İNAL ÖZGÜ,SEREL ARSLAN SELEN,DEMIR NUMAN,Karaduman A. Ayşe AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.32, no.3, 2021, ss.52 - 61. 10.21653/tjpr.751763
AMA İNAL Ö,SEREL ARSLAN S,DEMIR N,Karaduman A AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(3): 52 - 61. 10.21653/tjpr.751763
Vancouver İNAL Ö,SEREL ARSLAN S,DEMIR N,Karaduman A AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(3): 52 - 61. 10.21653/tjpr.751763
IEEE İNAL Ö,SEREL ARSLAN S,DEMIR N,Karaduman A "AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32, ss.52 - 61, 2021. 10.21653/tjpr.751763
ISNAD İNAL, ÖZGÜ vd. "AN INVESTIGATION OF CHARACTERISTICS RELATED TO ORAL MOTOR AND SWALLOWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY: A DESCRIPTIVE STUDY". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32/3 (2021), 52-61. https://doi.org/10.21653/tjpr.751763