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SEREBRAL PALSİLİ ÇOCUKLARDA ÇİĞNEME BOZUKLUĞUNA YÖNELİK FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARI

Yıl 2023, , 148 - 155, 03.04.2023
https://doi.org/10.34108/eujhs.1128271

Öz

Çiğneme bozukluğu, Serebral Palsi (SP)’li çocuklarda beslenme ve nörogelişimsel durum ile hem çocuk hem de ailenin yaşam kalitesini olumsuz yönde etkilemektedir. Bu nedenle SP’li çocuklar çiğneme bozukluğu açısından erken dönemde değerlendirilmeli ve uygun müdahale yaklaşımları uygulanmalıdır. Müdahale multidisipliner ekip yaklaşımı gerektirir ve fizyoterapistler bu ekibin önemli bir parçasıdır. Bu derleme sonucunda çiğneme bozukluğu olan SP’li çocuklarda çiğneme fonksiyonunun değerlendirilmesinde kullanılan sonuç ölçütlerinin büyük farklılıklar içerdiği, rehabilitasyon yaklaşımlarının çok bileşenli müdahaleler olduğu görülmüştür. Çiğneme bozukluğu olan SP’li çocuğu İşlevsellik, Yetiyitimi ve Sağlığın Uluslararası Sınıflandırması çerçevesindeki kavramlara dayalı olarak değerlendiren ve bütüncül olarak yaklaşan çalışmaların arttırılmasına ihtiyaç bulunmaktadır.

Destekleyen Kurum

Destekleyen kurum bulunmamaktadır.

Proje Numarası

-

Kaynakça

  • Serel Arslan S, Demir N, Barak Dolgun A, Karaduman A. Development of a new instrument for determining the level of chewing function in children. J Oral Rehabil 2016; 43(7):488-495.
  • Bakarčić D, Lajnert V, Jokić N, Gržić R. Masticatory efficiency in children with cerebral palsy. Eur J Paediatr Dent 2021; 22(1):77-82.
  • Lopes PAC, Amancio OMS, Araújo RFC, Vitalle MSdS, Braga JAP. Food pattern and nutritional status of children with cerebral palsy. Rev Paul Pediatr 2013; 31:344-349.
  • Remijn L, Speyer R, Groen B. et al. Assessment of mastication in healthy children and children with cerebral palsy: a validity and consistency study. J Oral Rehabil 2013; 40(5):336-347.
  • Nur F, Handryastuti S, Poesponegoro H. Feeding Difficulties in Children with Cerebral Palsy: Prevalence and Risk Factor. KnE Life Sciences 2019; 206-214.
  • Benfer KA, Weir KA, Bell KL, et al. Food and fluid texture consumption in a population‐based cohort of preschool children with cerebral palsy: Relationship to dietary intake. Dev Med Child Neurol 2015; 57(11):1056-1063.
  • Fung EB, Samson-Fang L, Stallings VA, et al. Feeding dysfunction is associated with poor growth and health status in children with cerebral palsy. J Am Diet Assoc 2002; 102(3):361-373.
  • Arvedson JC, Brodsky L, Lefton-Greif MA (3rd edition). Pediatric swallowing and feeding: Assessment and management. Plural Publishing, San Diego 2020; pp 369-405.
  • World Health Organization. International Classification of Functioning, Disability, and Health: Children & Youth Version: ICF-CY. http://apps.who.int/iris/bitstream/handle/10665/43737/9789241547321_eng.pdf;jsessionid=F20A1FB791E08F02B138AF31F927C835?sequence=1; Erişim tarihi: 13.01.2023.
  • Serel Arslan S. Çocuklarda Çiğneme Bozukluklarına Yaklaşım. T Klin Pediatri 2020; 29(3):168-174.
  • Remijn L, Vermaire JA, Nijhuis‐van der Sanden MW, Groen BE, Speksnijder CM. Validity and reliability of the mixing ability test as masticatory performance outcome in children with spastic cerebral palsy and children with typical development: a pilot study. J Oral Rehabil 2018; 45(10):790-797.
  • Gonçalves TMSV, Schimmel M, van der Bilt A, Chen J, van der Glas HW, Kohyama K, et al. Consensus on the terminologies and methodologies for masticatory assessment. J Oral Rehabil 2021; 48(6):745-761.
  • Remijn L, Speyer R, Groen BE, van Limbeek J, Nijhuis-van der Sanden MW. Validity and reliability of the Mastication Observation and Evaluation (MOE) instrument. Res Dev Disabil 2014; 35(7):1551-1561.
  • Serel Arslan S, Demir N, Karaduman AA. Turkish version of the Mastication Observation and Evaluation (MOE) Instrument: A reliability and validity study in children. Dysphagia 2020; 35(2):328-333.
  • Sonies BC, Cintas HL, Parks R, et al. Brief assessment of motor function: content validity and reliability of the oral motor scales. Am J Phys Med Rehabil 2009; 88(6):464-472.
  • Sheppard JJ, Hochman R, Baer C. The dysphagia disorder survey: validation of an assessment for swallowing and feeding function in developmental disability. Res Dev Disabil 2014; 35(5):929-942.
  • De Oliveira Lira Ortega A, Ciamponi AL, Mendes FM, Santos M. Assessment scale of the oral motor performance of children and adolescents with neurological damages. J Oral Rehabil 2009; 36(9):653-659.
  • Reilly S, Skuse D, Mathisen B, Wolke D. The objective rating of oral-motor functions during feeding. Dysphagia 1995; 10(3):177-191.
  • Nip IS, Wilson EM, Kearney L. Spatial characteristics of jaw movements during chewing in children with cerebral palsy: a pilot study. Dysphagia 2018; 33(1):33-40.
  • Remijn L, Weijers G, Nijhuis-van der Sanden MW, Groen BE, de Korte CL. Ultrasound imaging for analyzing lateral tongue movements during mastication in adults with cerebral palsy compared with adults without oral motor disabilities. Ultrasound Med Biol 2015; 41(6):1784-1793.
  • Remijn L, Groen BE, Speyer R, Van Limbeek J, Nijhuis-van Der Sanden MW. Reproducibility of 3D kinematics and surface electromyography measurements of mastication. Physiol Behav 2016; 155:112-121.
  • Remijn L, Groen B, Speyer R, et al. Can mastication in children with cerebral palsy be analyzed by clinical observation, dynamic ultrasound and 3D kinematics? J Electromyogr Kinesiol 2017; 32:22-29.
  • Briesemeister M, Schmidt KC, Ries LGK. Changes in masticatory muscle activity in children with cerebral palsy. J Electromyogr Kinesiol 2013; 23(1):260-266.
  • Botti Rodrigues Santos MT, Cristina Duarte Ferreira M, de Oliveira Guaré R, Sergio Guimarães A, Lira Ortega A. Teeth grinding, oral motor performance and maximal bite force in cerebral palsy children. Spec Care Dentist 2015; 35(4):170-174.
  • Wilson E, Simione M, Polley L. Paediatric oral sensorimotor interventions for chewing dysfunction: A scoping review. Int J Lang Commun Disord 2021; 56(6):1316-1333.
  • Serel Arslan S, Demir N, Karaduman A. Effect of a new treatment protocol called F unctional C hewing T raining on chewing function in children with cerebral palsy: a double‐blind randomised controlled trial. J Oral Rehabil 2017; 44(1):43-50.
  • Sharp WG, Volkert VM, Scahill L, McCracken CE, McElhanon B. A systematic review and meta-analysis of intensive multidisciplinary intervention for pediatric feeding disorders: how standard is the standard of care? J Pediatr 2017; 181:116-124.
  • Barton C, Bickell M, Fucile S. Pediatric Oral Motor Feeding Assessments: A Systematic Review. Phys Occup Ther Pediatr 2018; 38(2):190-209.
  • Holt International’s Feeding And Positioning Manual: Guidelines For Working With Babies And Children. https://www.holtinternational.org/nutrition-health/feeding-positioning-manual/; Erişim tarihi: 08.01.2023
  • Rogers B, Arvedson J. Assessment of infant oral sensorimotor and swallowing function. Ment Retard Dev Disabil Res Rev 2005; 11(1):74-82.
  • Arvedson JC. Assessment of pediatric dysphagia and feeding disorders: clinical and instrumental approaches. Dev Disabil Res Rev 2008; 14(2):118-127.
  • Widman-Valencia ME, Gongora-Meza LF, Rubio-Zapata H, et al. Oral Motor Treatment Efficacy: Feeding and Swallowing Skills in Children with Cerebral Palsy. Behav Neurol 2021; 2021:595-601.
  • Baghbadorani M, Soleymani Z, Dadgar H, Salehi M. The effect of oral sensorimotor stimulations on feeding performance in children with spastic cerebral palsy. Acta Med Iran 2014; 52(12):899-904.
  • Volkert VM, Peterson KM, Zeleny JR, Piazza CC. A clinical protocol to increase chewing and assess mastication in children with feeding disorders. Behav Modif 2014; 38(5):705-729.
  • He T, Stavropoulos D, Hagberg C, Hakeberg M, Mohlin B. Effects of masticatory muscle training on maximum bite force and muscular endurance. Acta Odontol Scand 2013; 71(3-4):863-869.
  • Inal O, Serel Arslan S, Demir N, Tunca Yilmaz O, Karaduman A. Effect of functional chewing training on tongue thrust and drooling in children with cerebral palsy: a randomised controlled trial. J Oral Rehabil 2017; 44(11):843-849.
  • Speyer R, Cordier R, Kim JH, et al. Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta‐analyses. Dev Med Child Neurol 2019; 61(11):1249-1258.
  • Alaimo C, Seiverling L, Jones EA. Teaching the Skill of Chewing From a Behavior Analytic Approach: A Systematic Review. Behav Modif 2022; 32(6):1007-1022.
  • Cichero JA, Lam P, Steele CM, et al. Development of international terminology and definitions for texture-modified foods and thickened fluids used in dysphagia management: the IDDSI framework. Dysphagia 2017; 32(2):293-314.
  • Arvedson JC. Assessment of pediatric dysphagia and feeding disorders: clinical and instrumental approaches. Dev Disabil Res Rev 2008; 14(2):118-127.
  • Banzato A, Cerchiari A, Pezzola S, et al. Evaluation of the Effectiveness of Functional Chewing Training Compared with Standard Treatment in a Population of Children with Cerebral Palsy: A Systematic Review of Randomized Controlled Trials. Children 2022; 9(12):1002-1018.
  • Sheppard JJ. Using motor learning approaches for treating swallowing and feeding disorders: a review. Lang Speech Hear Serv Sch 2008; 39(2):227-236.
  • Sheppard JJ. The role of oral sensorimotor therapy in the treatment of pediatric dysphagia. Perspectives on Swallowing and Swallowing Disorders. Dysphagia 2005; 14(2):6-10.
  • Cano-de-la-Cuerda R, Molero-Sánchez A, Carratalá-Tejada M, et al. Theories and control models and motor learning: clinical applications in neuro-rehabilitation. Neurologia 2015; 30(1):32-41.
  • Wolpert DM, Flanagan JR. Motor learning. Curr Biol 2010; 20(11):467-72.

PHYSIOTHERAPY AND REHABILITATION APPROACHES TO CHEWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY

Yıl 2023, , 148 - 155, 03.04.2023
https://doi.org/10.34108/eujhs.1128271

Öz

Chewing disorders negatively affect the nutritional and neurodevelopmental status of children with Cerebral Palsy (CP), as well as the quality of life of both the child and the family. Therefore, chewing function in children with CP should be evaluated early, and appropriate interventions should be applied. Chewing disorders management requires a multidisciplinary team and physiotherapists are an essential part of this team. As a result of this review, it has been found that the outcome measures used in the evaluation of chewing function in CP children with chewing disorders included great differences, and rehabilitation included multi-component interventions. There is a need for holistic studies based on concepts within the framework of the International Classification of Functioning, Disability, and Health for the management of chewing disorders in children with CP.

Proje Numarası

-

Kaynakça

  • Serel Arslan S, Demir N, Barak Dolgun A, Karaduman A. Development of a new instrument for determining the level of chewing function in children. J Oral Rehabil 2016; 43(7):488-495.
  • Bakarčić D, Lajnert V, Jokić N, Gržić R. Masticatory efficiency in children with cerebral palsy. Eur J Paediatr Dent 2021; 22(1):77-82.
  • Lopes PAC, Amancio OMS, Araújo RFC, Vitalle MSdS, Braga JAP. Food pattern and nutritional status of children with cerebral palsy. Rev Paul Pediatr 2013; 31:344-349.
  • Remijn L, Speyer R, Groen B. et al. Assessment of mastication in healthy children and children with cerebral palsy: a validity and consistency study. J Oral Rehabil 2013; 40(5):336-347.
  • Nur F, Handryastuti S, Poesponegoro H. Feeding Difficulties in Children with Cerebral Palsy: Prevalence and Risk Factor. KnE Life Sciences 2019; 206-214.
  • Benfer KA, Weir KA, Bell KL, et al. Food and fluid texture consumption in a population‐based cohort of preschool children with cerebral palsy: Relationship to dietary intake. Dev Med Child Neurol 2015; 57(11):1056-1063.
  • Fung EB, Samson-Fang L, Stallings VA, et al. Feeding dysfunction is associated with poor growth and health status in children with cerebral palsy. J Am Diet Assoc 2002; 102(3):361-373.
  • Arvedson JC, Brodsky L, Lefton-Greif MA (3rd edition). Pediatric swallowing and feeding: Assessment and management. Plural Publishing, San Diego 2020; pp 369-405.
  • World Health Organization. International Classification of Functioning, Disability, and Health: Children & Youth Version: ICF-CY. http://apps.who.int/iris/bitstream/handle/10665/43737/9789241547321_eng.pdf;jsessionid=F20A1FB791E08F02B138AF31F927C835?sequence=1; Erişim tarihi: 13.01.2023.
  • Serel Arslan S. Çocuklarda Çiğneme Bozukluklarına Yaklaşım. T Klin Pediatri 2020; 29(3):168-174.
  • Remijn L, Vermaire JA, Nijhuis‐van der Sanden MW, Groen BE, Speksnijder CM. Validity and reliability of the mixing ability test as masticatory performance outcome in children with spastic cerebral palsy and children with typical development: a pilot study. J Oral Rehabil 2018; 45(10):790-797.
  • Gonçalves TMSV, Schimmel M, van der Bilt A, Chen J, van der Glas HW, Kohyama K, et al. Consensus on the terminologies and methodologies for masticatory assessment. J Oral Rehabil 2021; 48(6):745-761.
  • Remijn L, Speyer R, Groen BE, van Limbeek J, Nijhuis-van der Sanden MW. Validity and reliability of the Mastication Observation and Evaluation (MOE) instrument. Res Dev Disabil 2014; 35(7):1551-1561.
  • Serel Arslan S, Demir N, Karaduman AA. Turkish version of the Mastication Observation and Evaluation (MOE) Instrument: A reliability and validity study in children. Dysphagia 2020; 35(2):328-333.
  • Sonies BC, Cintas HL, Parks R, et al. Brief assessment of motor function: content validity and reliability of the oral motor scales. Am J Phys Med Rehabil 2009; 88(6):464-472.
  • Sheppard JJ, Hochman R, Baer C. The dysphagia disorder survey: validation of an assessment for swallowing and feeding function in developmental disability. Res Dev Disabil 2014; 35(5):929-942.
  • De Oliveira Lira Ortega A, Ciamponi AL, Mendes FM, Santos M. Assessment scale of the oral motor performance of children and adolescents with neurological damages. J Oral Rehabil 2009; 36(9):653-659.
  • Reilly S, Skuse D, Mathisen B, Wolke D. The objective rating of oral-motor functions during feeding. Dysphagia 1995; 10(3):177-191.
  • Nip IS, Wilson EM, Kearney L. Spatial characteristics of jaw movements during chewing in children with cerebral palsy: a pilot study. Dysphagia 2018; 33(1):33-40.
  • Remijn L, Weijers G, Nijhuis-van der Sanden MW, Groen BE, de Korte CL. Ultrasound imaging for analyzing lateral tongue movements during mastication in adults with cerebral palsy compared with adults without oral motor disabilities. Ultrasound Med Biol 2015; 41(6):1784-1793.
  • Remijn L, Groen BE, Speyer R, Van Limbeek J, Nijhuis-van Der Sanden MW. Reproducibility of 3D kinematics and surface electromyography measurements of mastication. Physiol Behav 2016; 155:112-121.
  • Remijn L, Groen B, Speyer R, et al. Can mastication in children with cerebral palsy be analyzed by clinical observation, dynamic ultrasound and 3D kinematics? J Electromyogr Kinesiol 2017; 32:22-29.
  • Briesemeister M, Schmidt KC, Ries LGK. Changes in masticatory muscle activity in children with cerebral palsy. J Electromyogr Kinesiol 2013; 23(1):260-266.
  • Botti Rodrigues Santos MT, Cristina Duarte Ferreira M, de Oliveira Guaré R, Sergio Guimarães A, Lira Ortega A. Teeth grinding, oral motor performance and maximal bite force in cerebral palsy children. Spec Care Dentist 2015; 35(4):170-174.
  • Wilson E, Simione M, Polley L. Paediatric oral sensorimotor interventions for chewing dysfunction: A scoping review. Int J Lang Commun Disord 2021; 56(6):1316-1333.
  • Serel Arslan S, Demir N, Karaduman A. Effect of a new treatment protocol called F unctional C hewing T raining on chewing function in children with cerebral palsy: a double‐blind randomised controlled trial. J Oral Rehabil 2017; 44(1):43-50.
  • Sharp WG, Volkert VM, Scahill L, McCracken CE, McElhanon B. A systematic review and meta-analysis of intensive multidisciplinary intervention for pediatric feeding disorders: how standard is the standard of care? J Pediatr 2017; 181:116-124.
  • Barton C, Bickell M, Fucile S. Pediatric Oral Motor Feeding Assessments: A Systematic Review. Phys Occup Ther Pediatr 2018; 38(2):190-209.
  • Holt International’s Feeding And Positioning Manual: Guidelines For Working With Babies And Children. https://www.holtinternational.org/nutrition-health/feeding-positioning-manual/; Erişim tarihi: 08.01.2023
  • Rogers B, Arvedson J. Assessment of infant oral sensorimotor and swallowing function. Ment Retard Dev Disabil Res Rev 2005; 11(1):74-82.
  • Arvedson JC. Assessment of pediatric dysphagia and feeding disorders: clinical and instrumental approaches. Dev Disabil Res Rev 2008; 14(2):118-127.
  • Widman-Valencia ME, Gongora-Meza LF, Rubio-Zapata H, et al. Oral Motor Treatment Efficacy: Feeding and Swallowing Skills in Children with Cerebral Palsy. Behav Neurol 2021; 2021:595-601.
  • Baghbadorani M, Soleymani Z, Dadgar H, Salehi M. The effect of oral sensorimotor stimulations on feeding performance in children with spastic cerebral palsy. Acta Med Iran 2014; 52(12):899-904.
  • Volkert VM, Peterson KM, Zeleny JR, Piazza CC. A clinical protocol to increase chewing and assess mastication in children with feeding disorders. Behav Modif 2014; 38(5):705-729.
  • He T, Stavropoulos D, Hagberg C, Hakeberg M, Mohlin B. Effects of masticatory muscle training on maximum bite force and muscular endurance. Acta Odontol Scand 2013; 71(3-4):863-869.
  • Inal O, Serel Arslan S, Demir N, Tunca Yilmaz O, Karaduman A. Effect of functional chewing training on tongue thrust and drooling in children with cerebral palsy: a randomised controlled trial. J Oral Rehabil 2017; 44(11):843-849.
  • Speyer R, Cordier R, Kim JH, et al. Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta‐analyses. Dev Med Child Neurol 2019; 61(11):1249-1258.
  • Alaimo C, Seiverling L, Jones EA. Teaching the Skill of Chewing From a Behavior Analytic Approach: A Systematic Review. Behav Modif 2022; 32(6):1007-1022.
  • Cichero JA, Lam P, Steele CM, et al. Development of international terminology and definitions for texture-modified foods and thickened fluids used in dysphagia management: the IDDSI framework. Dysphagia 2017; 32(2):293-314.
  • Arvedson JC. Assessment of pediatric dysphagia and feeding disorders: clinical and instrumental approaches. Dev Disabil Res Rev 2008; 14(2):118-127.
  • Banzato A, Cerchiari A, Pezzola S, et al. Evaluation of the Effectiveness of Functional Chewing Training Compared with Standard Treatment in a Population of Children with Cerebral Palsy: A Systematic Review of Randomized Controlled Trials. Children 2022; 9(12):1002-1018.
  • Sheppard JJ. Using motor learning approaches for treating swallowing and feeding disorders: a review. Lang Speech Hear Serv Sch 2008; 39(2):227-236.
  • Sheppard JJ. The role of oral sensorimotor therapy in the treatment of pediatric dysphagia. Perspectives on Swallowing and Swallowing Disorders. Dysphagia 2005; 14(2):6-10.
  • Cano-de-la-Cuerda R, Molero-Sánchez A, Carratalá-Tejada M, et al. Theories and control models and motor learning: clinical applications in neuro-rehabilitation. Neurologia 2015; 30(1):32-41.
  • Wolpert DM, Flanagan JR. Motor learning. Curr Biol 2010; 20(11):467-72.
Toplam 45 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Seda Nur Kemer 0000-0002-0623-302X

Selen Serel Arslan 0000-0002-2463-7503

Proje Numarası -
Yayımlanma Tarihi 3 Nisan 2023
Gönderilme Tarihi 9 Haziran 2022
Yayımlandığı Sayı Yıl 2023

Kaynak Göster

APA Kemer, S. N., & Serel Arslan, S. (2023). SEREBRAL PALSİLİ ÇOCUKLARDA ÇİĞNEME BOZUKLUĞUNA YÖNELİK FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARI. Sağlık Bilimleri Dergisi, 32(1), 148-155. https://doi.org/10.34108/eujhs.1128271
AMA Kemer SN, Serel Arslan S. SEREBRAL PALSİLİ ÇOCUKLARDA ÇİĞNEME BOZUKLUĞUNA YÖNELİK FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARI. JHS. Nisan 2023;32(1):148-155. doi:10.34108/eujhs.1128271
Chicago Kemer, Seda Nur, ve Selen Serel Arslan. “SEREBRAL PALSİLİ ÇOCUKLARDA ÇİĞNEME BOZUKLUĞUNA YÖNELİK FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARI”. Sağlık Bilimleri Dergisi 32, sy. 1 (Nisan 2023): 148-55. https://doi.org/10.34108/eujhs.1128271.
EndNote Kemer SN, Serel Arslan S (01 Nisan 2023) SEREBRAL PALSİLİ ÇOCUKLARDA ÇİĞNEME BOZUKLUĞUNA YÖNELİK FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARI. Sağlık Bilimleri Dergisi 32 1 148–155.
IEEE S. N. Kemer ve S. Serel Arslan, “SEREBRAL PALSİLİ ÇOCUKLARDA ÇİĞNEME BOZUKLUĞUNA YÖNELİK FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARI”, JHS, c. 32, sy. 1, ss. 148–155, 2023, doi: 10.34108/eujhs.1128271.
ISNAD Kemer, Seda Nur - Serel Arslan, Selen. “SEREBRAL PALSİLİ ÇOCUKLARDA ÇİĞNEME BOZUKLUĞUNA YÖNELİK FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARI”. Sağlık Bilimleri Dergisi 32/1 (Nisan 2023), 148-155. https://doi.org/10.34108/eujhs.1128271.
JAMA Kemer SN, Serel Arslan S. SEREBRAL PALSİLİ ÇOCUKLARDA ÇİĞNEME BOZUKLUĞUNA YÖNELİK FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARI. JHS. 2023;32:148–155.
MLA Kemer, Seda Nur ve Selen Serel Arslan. “SEREBRAL PALSİLİ ÇOCUKLARDA ÇİĞNEME BOZUKLUĞUNA YÖNELİK FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARI”. Sağlık Bilimleri Dergisi, c. 32, sy. 1, 2023, ss. 148-55, doi:10.34108/eujhs.1128271.
Vancouver Kemer SN, Serel Arslan S. SEREBRAL PALSİLİ ÇOCUKLARDA ÇİĞNEME BOZUKLUĞUNA YÖNELİK FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARI. JHS. 2023;32(1):148-55.