TY - JOUR
T1 - Oral-motor skills following sensorimotor therapy in two groups of moderately dysphagic children with cerebral palsy
T2 - Aspiration vs nonaspiration
AU - Gisel, Erika G.
AU - Applegate-Ferrante, Toni
AU - Benson, Jane
AU - Bosma, James F.
PY - 1996
Y1 - 1996
N2 - The purpose of this study was to determine the effect of oral sensorimotor treatment on oral-motor skills and measures of growth in moderately eating impaired children with cerebral palsy who were stratified by state of aspiration/nonaspiration. Twenty-seven children aged 2.5-10.0 years participated in this study (aspiration: n = 7, nonaspiration: n = 20). Weight and skinfold measures were taken. Children were observed at lunch time and six domains of feeding were examined: spoon feeding, biting, chewing, cup drinking, straw drinking, swallowing, and drooling. Children underwent 10 weeks of control and 10 weeks of sensorimotor treatment, 5-7 minutes/day, 5 days/week. Treatment compliance for the entire group was 67%. Children who aspirated had significantly poorer oral-motor skills in spoon feeding, biting, chewing, and swallowing than children who did not aspirate. There was significant improvement in eating: spoon feeding (fewer abnormal behaviors, p <0.03), chewing (more normal behaviors, p <0.003), and swallowing (more normal behaviors, p <0.008). There were no significant changes in drinking skills. Children as a group maintained their pretreatment weight-age percentile but did not show any catch-up growth. Children showed adequate energy reserves as measured by skinfold thicknesses. Improvement in oral-motor skills may help these children to ingest food more competently (i.e., less spillage). However, their weight remains at the lowest level of age norms.
AB - The purpose of this study was to determine the effect of oral sensorimotor treatment on oral-motor skills and measures of growth in moderately eating impaired children with cerebral palsy who were stratified by state of aspiration/nonaspiration. Twenty-seven children aged 2.5-10.0 years participated in this study (aspiration: n = 7, nonaspiration: n = 20). Weight and skinfold measures were taken. Children were observed at lunch time and six domains of feeding were examined: spoon feeding, biting, chewing, cup drinking, straw drinking, swallowing, and drooling. Children underwent 10 weeks of control and 10 weeks of sensorimotor treatment, 5-7 minutes/day, 5 days/week. Treatment compliance for the entire group was 67%. Children who aspirated had significantly poorer oral-motor skills in spoon feeding, biting, chewing, and swallowing than children who did not aspirate. There was significant improvement in eating: spoon feeding (fewer abnormal behaviors, p <0.03), chewing (more normal behaviors, p <0.003), and swallowing (more normal behaviors, p <0.008). There were no significant changes in drinking skills. Children as a group maintained their pretreatment weight-age percentile but did not show any catch-up growth. Children showed adequate energy reserves as measured by skinfold thicknesses. Improvement in oral-motor skills may help these children to ingest food more competently (i.e., less spillage). However, their weight remains at the lowest level of age norms.
KW - Aspiration
KW - Deglutition
KW - Deglutition disorders
KW - Drinking
KW - Eating
KW - Eating impairment
KW - Nutritional
KW - Oral sensorimotor therapy
KW - Status
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U2 - 10.1007/BF00385801
DO - 10.1007/BF00385801
M3 - Article
C2 - 8556880
AN - SCOPUS:0029921182
SN - 0179-051X
VL - 11
SP - 59
EP - 71
JO - Dysphagia
JF - Dysphagia
IS - 1
ER -