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

Abstract

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.

Keywords

• Cerebral Palsy
• Deglutition
• Eating
• Mastication

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 Kelimeler

• Serebral Palsi
• Çiğneme
• Deglügasyon
• Yeme

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