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    Oropharyngeal dysphagia in children with cerebral palsy: comparisons between a high- and low-resource country

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    Authors
    Benfer, K.
    Weir, K.
    Bell, K.
    Nahar, B.
    Ware, R.
    Davies, P.
    Boyd, Roslyn
    Date
    2016
    Type
    Journal Article
    
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    Citation
    Benfer, K. and Weir, K. and Bell, K. and Nahar, B. and Ware, R. and Davies, P. and Boyd, R. 2016. Oropharyngeal dysphagia in children with cerebral palsy: comparisons between a high- and low-resource country. Disability and Rehabilitation. 39 (23): pp. 2404-2412.
    Source Title
    Disability and Rehabilitation
    DOI
    10.1080/09638288.2016.1229363
    ISSN
    0963-8288
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/47863
    Collection
    • Curtin Research Publications
    Abstract

    Purpose: There is paucity of research investigating oropharyngeal dysphagia (OPD) in young children with cerebral palsy (CP), and most studies explore OPD in high-resource countries. This study aimed at determining the proportion and severity of OPD in preschool children with CP in Bangladesh, compared to Australia. Method: Cross-sectional, comparison of two cohorts. Two hundred and eleven children with CP aged 18–36 months, 81 in Bangladesh (mean = 27.6 months, 61.7% males), and 130 in Australia (mean = 27.4 months, 62.3% males). The Dysphagia Disorders Survey (DDS) – Part 2 was the primary OPD outcome for proportion and severity of OPD. Gross motor skills were classified using the Gross Motor Function Classification System (GMFCS), motor type/distribution. Results: (i) Bangladesh sample: proportion OPD = 68.1%; severity = 10.4 SD = 7.9. Australia sample: proportion OPD = 55.7%; severity = 7.0 SD = 7.5. (ii) There were no differences in the proportion or severity of OPD between samples when stratified for GMFCS (OR = 2.4, p = 0.051 and β = 1.2, p = 0.08, respectively). Conclusions: Despite overall differences in patterns of OPD between Bangladesh and Australia, proportion and severity of OPD (when adjusted for the functional gross motor severity of the samples) were equivalent. This provides support for the robust association between functional motor severity and OPD proportion/severity in children with CP, regardless of the resource context.

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