Swallowing Related Problems of Toddlers with Down Syndrome

Abstract

The study was aimed to define swallowing related problems of toddlers with Down syndrome (DS) by comparing toddlers with typically developing children (TDC). A total of 127 children (96 DS, 31 TDC), and their mothers included in the study. The presence of chewing disorders, food selectivity, drooling, coughing during swallowing was scored as ‘ absent’ or ‘present’. The Pediatric version of the Eating Assessment Tool-10 (PEDI EAT-10) was used to determine dysphagia symptom severity, and the Turkish version of the Feeding/Swallowing Impact Survey (T-FS-IS) was used to measure the impact of swallowing disorders on caregivers. Mothers of DS reported higher rates of chewing disorders (n = 39, 40.6%), drooling (n = 30, 31.3%) and coughing during swallowing (n = 50, 41.7%) than mothers of TDC (p < 0.01). The mean PEDI-EAT-10 score of children with DS was higher than TDC (p = 0.006). There were significant differences between groups in terms of T-FS-IS. Moderate to strong correlations were detected between PEDI-EAT-10 and total and subscale scores from T-FS-IS (p < 0.001). This prospective study defines swallowing related problems of toddlers with DS. The study results highlight the importance of early investigation of (i) swallowing concerns in children with DS, and (ii) caregivers’ quality of life to define swallowing problems and plan an appropriate swallowing related management program.

Validation and cross‐cultural adaptation of the Italian version of the paediatric eating assessment tool (I‐PEDI‐EAT‐10) in genetic syndromes

“…A weak sucking at birth, poor coordination between breathing and swallowing with consequent risk of bolus aspiration are common in CHARGE syndrome, especially in early infancy (Blake & Hudson, 2017; Onesimo et al., 2023). Orofacial hypotonia and oral sensory impairment were found to negatively contribute to oral sensory‐motor abilities in Down syndrome (DS) (Dovey et al., 2013; Jackson et al., 2016; Serel Arslan, 2022) and Smith Magenis syndrome (SMS) (Gropman et al., 2006; Smith et al., 1982), respectively.…”

“…Recently, Serel Arslan et al. administered the PEDI‐EAT‐10 in a genetic disease population comprising 96 toddlers with Down syndrome to better define their swallowing capabilities (Serel Arslan, 2022).…”

“…The tool has also been recently administered to children with eosinophilic esophagitis (Keles et al, 2022), gastroesophageal reflux disease (GERD) (Duncan et al, 2021), surgically fragile patients with neurological impairments (Caruso et al, 2020) and laryngeal mobility disorder disease to identify swallowing anomalies. Recently, Serel Arslan et al administered the PEDI-EAT-10 in a genetic disease population comprising 96 toddlers with Down syndrome to better define their swallowing capabilities (Serel Arslan, 2022).…”

Memahami Anak Berkebutuhan Khusus: Down Syndrome

“…Hal ini disebabkan kegiatan ini termasuk kedalam salah satu aktivitas utama pada kehidupan seseorang. Sehingga skill tersebut sangat diperlukan dalam kehidupan sehari-hari [6]. Beberapa penelitian terdahulu terkait penderita down syndrome sudah banyak dilakukan baik yang berkaitan dengan sosial emosional, kognitif, penerimaan pada lingkungan sosial.…”

“…Untuk Langkah validitas yang diterapkan pada metode analisi konten yaitu productivity, predictive validity, and contruct validity. Sedangkan jenis reliabilitas pada artikel ini adalah reliability category maksudnya melakukan pengukuran terkait kemampuan data yang diperoleh dengan cara pengulangan data untuk beberapa kategori [6].…”