Sialorrhea in children with cerebral palsy

Dias, Bruno Leonardo Scofano; Fernandes, Alexandre Ribeiro; Filho, Heber de Souza Maia

doi:10.1016/j.jped.2016.03.006

Cited by 42 publications

(66 citation statements)

References 56 publications

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“…However, side effects of these drugs have been broadly reported; approximately 10%–50% of patients suffer from side effects after treatment with anticholinergic drugs (Dias et al, ; Mato et al, ; Parr et al, ; Zeller et al, ). These side effects include dry mouth, skin reaction to patches, hyperactivity or change of behaviour, sleep disturbance, constipation and urinary retention (Dias et al, ; Mato et al, ; Odachi et al, ; Parr et al, ; Zeller et al, ). Among children, some of these side effects also included pupil dilatation (Mato et al, ; Odachi et al, ; Parr et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…These in turn, overall, impact on confidence and self-esteem, and also reduce opportunities for social inclusion (Kok, Burg, Hulst, Erasmus, & Hoogen, 2016). On the other hand, posterior drooling poses a risk of aspiration and contributes to the sensation of choking and anxiety, which may cause lung injury and respiratory complications if not diagnosed and treated (Dias, Fernandes, & Maia Filho, 2016;Pellegrini, Lunette, Carlo Ferrarese, & Tremolizzo, 2015).…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of noninvasive and invasive sialorrhoea management

Varley

Denieffe

O’Gorman

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To review published literature pertaining to the management of sialorrhoea while also highlighting the significance of the multidisciplinary approach. Background Sialorrhoea is a common and troublesome problem among certain neurological patients. It is distressing for patients and caregivers, and can be challenging for healthcare professionals. Various sialorrhoea management approaches have been documented. However, there is no clear consensus on best management practices. Therefore, it is necessary to systematically review and synthesise various approaches so as to provide an understanding of the efficacy of management approaches. Design Systematic literature review using PRISMA checklist (see Appendix S1). Method Five databases (ScienceDirect, Wiley Online Library, CINAHL, Cochrane Library and PubMed) were searched (years 2001–2018) following inclusion criteria. Out of 1,294 identified records, 29 studies met the inclusion criteria. Results Various management approaches identified, ranging from noninvasive, such as speech therapy aiming to enhance swallowing behaviour, to invasive treatment including anticholinergic medication, botulinum toxin injection and surgical techniques. However, in the majority of cases, there is no scientific evidence‐based management protocol leading to favourable results, and the evidence base for intervention effectiveness remains weak. Conclusions The multifactor nature of sialorrhoea and its associated complications presents challenges for the medical care team. None of the management strategies stand alone as the best modality; therefore, it is proposed that management strategies follow a multidisciplinary approach to meet the diverse needs of patients. Relevance to clinical practice A comprehensive understanding of different sialorrhoea management approaches will enable healthcare professionals to identify the signs and symptoms regarding sialorrhoea, and to assist in effective management implementation. This will help to improve the management of sialorrhoea, hence, to improve quality of life of patients and provide formative scope to the development of an integrated care pathway.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A systematic review of noninvasive and invasive sialorrhoea management

Varley

Denieffe

O’Gorman

et al. 2019

Journal of Clinical Nursing

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“…Very rarely is sialorrhea actually related to hypersecretion of saliva and is most commonly due to swallowing dysfunction [38]. In children with CP, the prevalence of sialorrhea is estimated to be between 10–58% and is specifically related to oromotor dysfunction, dysphagia and a lack of laryngeal sensation [39]. …”

Section: Respiratory Complicationsmentioning

confidence: 99%

Respiratory Care Considerations for Children with Medical Complexity

Chiang

Amin

2017

Children

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Children with medical complexity (CMC) are a growing population of diagnostically heterogeneous children characterized by chronic conditions affecting multiple organ systems, the use of medical technology at home as well as intensive healthcare service utilization. Many of these children will experience either a respiratory-related complication and/or they will become established on respiratory technology at home during their care trajectory. Therefore, healthcare providers need to be familiar with the respiratory related complications commonly experienced by CMC as well as the indications, technical and safety considerations and potential complications that may arise when caring for CMC using respiratory technology at home. This review will outline the most common respiratory disease manifestations experienced by CMC, and discuss various respiratory-related treatment options that can be considered, including tracheostomy, invasive and non-invasive ventilation, as well as airway clearance techniques. The caregiver requirements associated with caring for CMC using respiratory technology at home will also be reviewed.

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“…Também é importante destacar que nenhum paciente fez uso medicamentoso específico para o tratamento da sialorreia, tendo como efeito colateral deste uso, a xerostomia ou boca seca 15 . Este efeito poderia implicar em fator de confusão na aná-lise das variáveis estudadas, dificultando assim a análise fidedigna dos resultados do presente estudo.…”

Section: Espera Assistida Experimental Estadiamento Inicial Estadiameunclassified

“…Ao indicar um tratamento para o controle da sialorreia em crianças com PC, é necessário considerar a oportunidade de acesso dos pacientes ao método proposto, tendo em vista as condições financeiras, sociais e culturais de cada família. Vale refletir sobre o custo do tratamento e o risco dos procedimentos mais invasivos, para que tragam uma menor sobrecarga para cada paciente/família 15 .…”

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A bandagem elástica como recurso terapêutico para o controle da sialorreia: análise de sua eficácia

Sordi

Araújo²,

Cardoso

et al. 2017

Distúrb Comun

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A bandagem elástica como recurso terapêutico para o controle da sialorreia: análise de sua eficácia Elastic bandage as a therapeutic resource for the control of sialorrhea:an analysis of its efficacyEl vendaje elástico como recurso terapéutico para la gestión de babeo:análisis de su eficacia ResumoObjetivo: Verificar a eficácia da aplicação da bandagem elástica na musculatura supra-hióidea de pacientes com paralisia cerebral. Método: Estudo clínico prospectivo com análise da técnica de aplicações padronizadas de bandagem elástica em musculatura suprahioídea, realizada por oito semanas, consistindo na sua troca por três vezes por semana. Para analisar a eficácia do procedimento, questionários foram aplicados (qualidade de vida, controle de deglutição da saliva, de frequência e gravidade da sialorreia) e foi realizada avaliação do estadiamento da sialorreia em períodos pré e pós-terapias. Foram comparados dois grupos de pacientes, um denominado por espera assistida e outro, experimental, ambos com quatro * Universidade Federal de Sergipe, Aracaju, SE, Brasil. Contribuição dos autores:CS: orientação em todas as fases do trabalho, revisão do artigo e aprovação da versão final. BLA: revisão do artigo e aprovação da versão final. LVDC, LAVC, GMO, SSSS: coleta de dados, revisão de literatura, confecção do artigo e aprovação da versão final. CPHARC: orientação em todas as fases do trabalho, revisão do artigo e aprovação da versão final. Claudia Sordi, Brenda L. Araújo, Lavínia V. D. Cardoso, Laura A. V. Correia, Géssica M. Oliveira, Sinthia S. S. Silva, Carla P. H. A. R. César sujeitos no grupo, divididos igualitariamente entre os sexos, com idades entre quatro e doze anos (9 anos ± 3,55) para o grupo experimental e entre três e sete anos (4,25 ± 1,89) o de espera assistida. A bandagem elástica foi considerada eficaz quando o total de pontos obtidos após o procedimento foi igual ou superior a três pontos. Resultados: Houve diminuição da sialorreia em todos os sujeitos do grupo experimental por meio da aplicação da bandagem elástica e melhora na qualidade de vida, de acordo com seus responsáveis. No entanto, no grupo de espera assistida não foi observado progresso. Conclusão: A eficácia da aplicação da bandagem elástica para o controle da sialorreia foi comprovada no grupo experimental, contribuindo para o conhecimento na área da motricidade orofacial, além de enfatizar a reflexão acerca de procedimentos fonoterapêuticos não invasivos. E-mail para correspondência:Palavras-chave: Fonoaudiologia; Sialorreia; Ensaio clínico AbstractObjective: To verify the efficacy of elastic bandaging in supra-hyoid muscles in patients with cerebral palsy. Method: Prospective clinical study with the technique of standardized applications of elastic bandage in suprahyoid muscles, performed for 8 weeks, consisting of three times a week. In order to analyze the efficacy of the procedure, questionnaires were applied (quality of life, control of saliva swallowing, frequency and severity of sialorrhea) and evaluation of sialorrhea staging i...

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Sialorrhea in children with cerebral palsy

Cited by 42 publications

References 56 publications

A systematic review of noninvasive and invasive sialorrhoea management

A systematic review of noninvasive and invasive sialorrhoea management

Respiratory Care Considerations for Children with Medical Complexity

A bandagem elástica como recurso terapêutico para o controle da sialorreia: análise de sua eficácia

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