Prevalence of orofacial dysfunction in cerebral palsy and its association with gross motor function and manual ability

Edvinsson, Siv; Lundqvist, Lars–Olov

doi:10.1111/dmcn.12867

Cited by 30 publications

(40 citation statements)

References 31 publications

(65 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Pooled prevalence estimates stratified by GMFCS level were: 22.0% for level I (95% CI 6.9–51.9), 36.0% for level II (95% CI 23–51.4), 36.0% for level III (95% CI 10.8–72.3), 64.4% for level IV (95% CI 44.7–80.3), and 85.7% for level V (95% CI 45.5–97.7). Data from three studies provided pooled prevalence estimates for GMFCS levels I to III combined and GMFCS levels IV to V combined . The pooled prevalence estimates were 24.3% (95% CI 12.2–42.6) and 68.7% (95% CI 54.1–80.4) respectively.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta‐analyses

Speyer

Cordier

Kim

et al. 2019

Develop Med Child Neuro

View full text Add to dashboard Cite

Aim To determine the prevalence of drooling, swallowing, and feeding problems in persons with cerebral palsy (CP) across the lifespan. Method A systematic review was conducted using five different databases (AMED, CINAHL, Embase, MEDLINE, and PubMed). The selection process was completed by two independent researchers and the methodological quality of included studies was assessed using the STROBE and AXIS guidelines. Meta‐analyses were conducted to determine pooled prevalence estimates of drooling, swallowing, and feeding problems with stratified group analyses by type of assessment and Gross Motor Function Classification System level. Results A total of 42 studies were included. Substantial variations in selected outcome measures and variables were observed, and data on adults were limited. Pooled prevalence estimates determined by meta‐analyses were as high as 44.0% (95% confidence interval [CI] 35.6–52.7) for drooling, 50.4% (95% CI 36.0–64.8) for swallowing problems, and 53.5% (95% CI 40.7–65.9) for feeding problems. Group analyses for type of assessments were non‐significant; however, more severely impaired functioning in CP was associated with concomitant problems of increased drooling, swallowing, and feeding. Interpretation Drooling, swallowing, and feeding problems are very common in people with CP. Consequently, they experience increased risks of malnutrition and dehydration, aspiration pneumonia, and poor quality of life. What this paper adds Drooling, swallowing, and feeding problems are very common in persons with cerebral palsy (CP). The prevalence of drooling, swallowing, and feeding problems is 44.0%, 50.4%, and 53.5% respectively. There are limited data on the prevalence of drooling, swallowing, and feeding problems in adults. Higher Gross Motor Function Classification System levels are associated with higher prevalence of drooling, swallowing, and feeding problems. There is increased risk for malnutrition, dehydration, aspiration pneumonia, and poor quality of life in CP.

show abstract

Section: Resultsmentioning

confidence: 99%

Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta‐analyses

Speyer

Cordier

Kim

et al. 2019

Develop Med Child Neuro

View full text Add to dashboard Cite

show abstract

“…u 93,8% stwierdzili zaburzenia ustnej fazy połykania, u 78,5% nasilone ślinienie, u 70% zaburzenia gryzienia, a u 65% zaburzenia żucia. Częstość występowania zaburzeń karmienia waha się w zależności od źródła w przedziale 39%-85% [16]. Podobne rozbieżności dotyczą oceny występowa-nia dysfagii.…”

Section: Epidemiologia Zaburzeń Karmienia W Mpdzunclassified

“…Podobne rozbieżności dotyczą oceny występowa-nia dysfagii. W najnowszych badaniach stwierdzono jej występowanie odpowiednio u 80% [16] oraz 85% osób z mpdz [17]. Zaburzenia karmienia i dysfagia mogą mieć u poszczególnych osób różne nasilenie, stąd w systemach klasyfikujących umiejętność lokomocji i manipulacji (GMFCS i MACS) bywają sytuowane na różnych poziomach, a odsetek ich występowania wzrasta od poziomu I, do poziomu V, czyli wraz ze wzrostem stopnia zaburzeń motoryki [16,17].…”

Section: Epidemiologia Zaburzeń Karmienia W Mpdzunclassified

Eating and drinking ability classification system in cerebral palsy

Michalska¹,

Panasiuk²,

Pogorzelska³

et al. 2017

Child Neurology

View full text Add to dashboard Cite

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).

show abstract

“…Findings suggest that over 80% of children with CP have at least some degree of oral motor dysfunction [11], which can result in poor lip seal, reduced tongue movements [5], and immature jaw movements [10]. However, to date, no known study has quantified the underlying biomechanic characteristics of oromotor performance using movement kinematics during chewing in this population.…”

Section: Introductionmentioning

confidence: 99%

Spatial Characteristics of Jaw Movements During Chewing in Children with Cerebral Palsy: A Pilot Study

2017

View full text Add to dashboard Cite

This study compared jaw motion between children with cerebral palsy (CP) and their typically-developing (TD) peers during chewing. The jaw movements of 11 children with spastic CP (GMFCS levels II–V) all of whom were exclusively oral feeders with no reported clinical issues with feeding [mean age = 7.49 (2.30) years; 7 males, 4 females] and 11 age- and sex-matched TD peers [mean age = 7.54 (2.35) years] were recorded using optical motion capture. Participants chewed five trials of three different consistencies, including puree, mechanical soft, and solid. For each chewing sequence, the path distance (total amount of distance traveled by the jaw), average jaw speed, and working space (total 3-dimensional size of the jaw movements during chewing) were calculated. The CP group had greater path distances for mechanical soft and solids (p < 0.001) and larger working spaces (p < 0.001) than the TD group. Consistency differences were also found with path distances increasing for both groups with increased bolus consistency (p < 0.001). Puree was chewed most slowly for both groups (p = 0.05) and was associated with smaller working space than the other consistencies for both groups (p < 0.001). The TD group demonstrated slower speeds for mechanical soft as compared to solids (p = 0.05), a finding which was not observed in the CP group. The results suggest children with CP showed jaw movement differences during chewing despite being exclusive oral eaters with no reports of clinical feeding or deglutition disorders. Food consistency also influenced jaw movements in both children with CP and their TD peers.

show abstract

Prevalence of orofacial dysfunction in cerebral palsy and its association with gross motor function and manual ability

Cited by 30 publications

References 31 publications

Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta‐analyses

Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta‐analyses

Eating and drinking ability classification system in cerebral palsy

Spatial Characteristics of Jaw Movements During Chewing in Children with Cerebral Palsy: A Pilot Study

Contact Info

Product

Resources

About