An investigation of drooling and salivation in children with spastic and dyskinetic cerebral palsy Spastik ve diskinetik tip serebral palsili çocuklarda salya kontrol probleminin ve salivasyonun incelenmesi

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Şipal M. S., DEMİR N., Arslan S. S., KARADUMAN A. A.

Turkish Journal of Physiotherapy and Rehabilitation, cilt.29, sa.3, ss.85-94, 2018 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 3
  • Basım Tarihi: 2018
  • Doi Numarası: 10.21653/tfrd.369968
  • Dergi Adı: Turkish Journal of Physiotherapy and Rehabilitation
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.85-94
  • Anahtar Kelimeler: Cerebral Palsy, Dyskinetic Cerebral Palsy, Spastic, Salivation, Drooling, DYSPHAGIA
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

© 2018 Turkish Physiotherapy Association. All rights reserved.Purpose: This study aimed to investigate the effects of oromotor features and associated factors on the salivation of children with spastic and dyskinetic cerebral palsy (CP). Methods: The study included 20 children with CP (CP group) and 10 healthy children (control group). The primary study groups were divided as CP(+) (CP with drooling), and CP(-) (CP without drooling), and each group had 10 subjects. The subgroups consisted of five subjects and were named as S(+) (spastic CP with drooling), S(-) (spastic CP without drooling), D(+) (dyskinetic CP with drooling), and D(-) (dyskinetic CP without drooling). All cases were assessed using Gross Motor Function Classification System (GMFCS), Drooling Severity and Frequency Scale (DSFS), Swab test for determination of salivary flow rate, Swallowing Ability and Function Evaluation (SAFE), and Pediatric Disability Evaluation Inventory (PEDI). Results: There was no significant difference between groups regarding salivary flow rates (p>0.05). Significant differences were found between groups concerning SAFE levels, GMFCS levels, and PEDI scores in favor of children without drooling (p<0.05). There was no significant relationship between the same evaluations and the salivary flow rates (p>0.05). Conclusion: Oral motor features did not have any effect on salivary flow rates while oropharyngeal swallowing skills were essential for drooling in children with spastic and dyskinetic cerebral palsy. Children with drooling have more difficulties in daily life skills.