Zur apparativen Therapie orofazialer Dyskinesien bei zerebral bewegungsgestörten Patienten

Haberfellner, H; Richter, Manuel J.

doi:10.1007/bf02173092

Cited by 10 publications

(8 citation statements)

References 5 publications

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“…The impact of ISMAR therapy on functional feeding skills and growth parameters has been demonstrated here and improvement in ingestive skills has also been described in earlier communications [25,26,31]. Careful selection of candidates for this type of therapy is crucial to ensure success.…”

Section: Signi®cance Of Intraoral Appliance Therapy In the Clinical Cmentioning

confidence: 89%

“…There is still considerable potential for further improvement in drinking, swallowing, and clearing, suggesting that our results are not due to a ceiling eect from the assessment tool. In clinical practice, breakthroughs occurred even after 5 years of ISMAR therapy and later, particularly in lip and tongue movements [18,19,31].…”

Section: Functional Feedingmentioning

confidence: 99%

“…These conservative methods are used by Haberfellner and colleagues prior to any prescription of intraoral appliances [19]. Vestibular screens [31] are often prescribed prior to ISMAR therapy to determine a child's tolerance to increased sensory input in the mouth, to watch responses to the augmented demand for nasal breathing, and to determine caregivers' cooperation.…”

Section: Functional Feedingmentioning

confidence: 99%

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Respiratory and Acoustic Signals Associated with Bolus Passage during Swallowing

2000

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In order to advance our understanding of the relation between respiration and deglutition, simultaneous videofluoroscopy and respirodeglutometry was performed. Fifteen normal, healthy, young adults (20-29 years of age) were connected to a respirodeglutometer and positioned for simultaneous videofluoroscopic assessment in the lateral plane. Subjects performed three swallows each of a 5-ml and a 10-ml bolus of liquid barium and a 5-ml bolus of paste barium, for a total of nine swallows per subject. Location of the bolus head as identified with videofluoroscopy was associated with eight respirodeglutometric variables. In addition, temporal relations for seven respirodeglutometric variables were calculated as a function of bolus volume and viscosity. Significant temporal differences were found for five of the variables by volume. No significant temporal differences were noted by viscosity. Expiration occurred before 79% and after 96% of the swallows. The number of inspirations preceding a swallow suggested a possible effect resulting from the need to hold a bolus in the mouth before receiving instructions to swallow during videofluoroscopic assessment. This effect may be important during patient evaluation. For a significant number of swallows, respiratory flow ceased before the velum was fully elevated.

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Section: Signi®cance Of Intraoral Appliance Therapy In the Clinical Cmentioning

confidence: 89%

Section: Functional Feedingmentioning

confidence: 99%

Section: Functional Feedingmentioning

confidence: 99%

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Respiratory and Acoustic Signals Associated with Bolus Passage during Swallowing

2000

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“…On average, children took 128 ± 34 (SE) days. At this point ISMAR wear was switched from day-to night-time wear [31,32].…”

Section: Wear Adjustment Periodmentioning

confidence: 99%

“…However, even severely impaired children engage in social activity when given the opportunity. Facial deformity and reduced facial mobility is often equated with mental delay by teachers and family members [22,32,48]. Hence, children with cerebral palsy who have physical but no cognitive impairments may not be encouraged to reach their full potential in school and in activities of daily living.…”

Section: Facial Expressionmentioning

confidence: 99%

``Whole Body'' Mobility After One Year of Intraoral Appliance Therapy in Children with Cerebral Palsy and Moderate Eating Impairment

et al. 2000

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The reciprocal influence of body postures on the oral structures, but also of the oral structures on body postures, has been proposed by clinicians and is taken into consideration when treating children with poor postural control and moderate to severe eating impairments. However, this relationship has not been rigorously investigated. The purpose of this study was to document the possible relationships among oral-motor, postural, and ambulatory control. Ambulatory skills [exclusive use of wheelchair (w/c) vs w/c and ambulation], postural control when sitting, "pathologic" reflexes, and lip and tongue posture were recorded before and after one year of therapy with an intraoral appliance (ISMAR) in 20 children with cerebral palsy and moderate eating impairment. Significant improvement occurred in sitting (head-trunk-foot control) following one year of ISMAR therapy. Ambulatory status also significantly improved above the level of maturation. Half of the children showed marked improvement in oral posture, i.e., their resting mouth posture was closed rather than open. These results support an hypothesis of interaction between oral structures and postural control of the "whole body." Further studies are needed to determine the controls of such a relationship.

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Interventions and outcomes for children with dysphagia

Gisel

2008

Dev Disabil Res Revs

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Feeding problems are common even in typically developing infants and children. However, they are more frequent and persistent in children with developmental disabilities. This article will provide an overview of current literature and a rationale underlying the interventions used for children with cerebral palsy (CP) who have eating impairments (dysphagia). The review is not intended to be exhaustive, but papers were selected that highlight some of the issues and challenges of the field. Normal oral-motor development is briefly discussed to show how it may inform clinical practice in the understanding of feeding problems. Description of the risk factors and the nature and extent of eating impairments will show how interventions need to be specific to the severity of eating impairments. Examination of sensorimotor therapies, using oral stimulation exercises or an intra-oral appliance, will highlight the range of their effectiveness, as well as their limitations. Similarly, an examination of tube feeding, used for nutritional rehabilitation of the most severely affected children, will address the benefits, controversies as well as moral issues encountered by caregivers and professionals. Multi-center studies will be needed to obtain more homogeneous samples, large enough to address questions of early interventions and their subsequent effect on later development.

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Zur apparativen Therapie orofazialer Dyskinesien bei zerebral bewegungsgestörten Patienten

Cited by 10 publications

References 5 publications

Respiratory and Acoustic Signals Associated with Bolus Passage during Swallowing

Respiratory and Acoustic Signals Associated with Bolus Passage during Swallowing

``Whole Body'' Mobility After One Year of Intraoral Appliance Therapy in Children with Cerebral Palsy and Moderate Eating Impairment

Interventions and outcomes for children with dysphagia

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