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    Oropharyngeal dysphagia and gross motor skills in children with cerebral palsy

    Access Status
    Open access via publisher
    Authors
    Benfer, K.
    Weir, K.
    Bell, K.
    Ware, R.
    Davies, P.
    Boyd, Roslyn
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Benfer, K. and Weir, K. and Bell, K. and Ware, R. and Davies, P. and Boyd, R. 2013. Oropharyngeal dysphagia and gross motor skills in children with cerebral palsy. Pediatrics. 131 (5): pp. e1553-e1562.
    Source Title
    Pediatrics
    DOI
    10.1542/peds.2012-3093
    ISSN
    0031-4005
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/34139
    Collection
    • Curtin Research Publications
    Abstract

    OBJECTIVES: To determine the prevalence of oropharyngeal dysphagia (OPD) and its subtypes (oral phase, pharyngeal phase, saliva control), and their relationship to gross motor functional skills in preschool children with cerebral palsy (CP). It was hypothesized that OPD would be present across all gross motor severity levels, and children with more severe gross motor function would have increased prevalence and severity of OPD. METHODS: Children with a confirmed diagnosis of CP, 18 to 36 months corrected age, born in Queensland between 2006 and 2009, participated. Children with neurodegenerative conditions were excluded. This was a cross-sectional population-based study. Children were assessed by using 2 direct OPD measures (Schedule for Oral Motor Assessment; Dysphagia Disorders Survey), and observations of signs suggestive of pharyngeal phase impairment and impaired saliva control. Gross motor skills were described by using the Gross Motor Function Measure, Gross Motor Function Classification System (GMFCS), Manual Ability Classification System, and motor type/ distribution. RESULTS: OPD was prevalent in 85% of children with CP, and there was a stepwise relationship between OPD and GMFCS level. There was a significant increase in odds of having OPD, or a subtype, for children who were nonambulant (GMFCS V) compared with those who were ambulant (GMFCS I) (odds ratio = 17.9, P = .036). CONCLUSIONS: OPD was present across all levels of gross motor severity using direct assessments. This highlights the need for proactive screening of all young children with CP, even those with mild impairments, to improve growth and nutritional outcomes and respiratory health. Pediatrics 2013;131:e1553- e1562. Copyright © 2013 by the American Academy of Pediatrics.

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