Oromotor dysfunction and communication impairments in children with cerebral palsy: a Register study
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01/12/2010
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Resumo |
Aim To report the prevalence, clinical associations, and trends over time of oromotor dysfunction and communication impairments in children with cerebral palsy (CP).<br/><br/>Method Multiple sources of ascertainment were used and children followed up with a standardized assessment including motor speech problems, swallowing/chewing difficulties, excessive drooling, and communication impairments at age 5 years.<br/><br/>Results A total of 1357 children born between 1980 and 2001 were studied (781 males, 576 females; median age 5y 11mo, interquartile range 3–9y; unilateral spastic CP, n=447; bilateral spastic CP, n=496; other, n=112; Gross Motor Function Classification System [GMFCS] level: I, 181; II, 563; III, 123; IV, 82; IV, 276). Of those with ‘early-onset’ CP (n=1268), 36% had motor speech problems, 21% had swallowing/chewing difficulties, 22% had excessive drooling, and 42% had communication impairments (excluding articulation defects). All impairments were significantly related to poorer gross motor function and intellectual impairment. In addition, motor speech problems were related to clinical subtype; swallowing/chewing problems and communication impairments to early mortality; and communication impairments to the presence of seizures. Of those with CP in GMFCS levels IV to V, a significant proportion showed a decline in the rate of motor speech impairment (p=0.008) and excessive drooling (p=0.009) over time.<br/><br/>Interpretation These impairments are common in children with CP and are associated with poorer gross motor function and intellectual impairment. |
Identificador | |
Idioma(s) |
eng |
Direitos |
info:eu-repo/semantics/restrictedAccess |
Fonte |
Parkes , J , Hill , N , Platt , M J & Donnelly , C 2010 , ' Oromotor dysfunction and communication impairments in children with cerebral palsy: a Register study ' Developmental Medicine and Child Neurology , vol 52 , no. 12 , pp. 1113-1119 . DOI: 10.1111/j.1469-8749.2010.03765.x |
Palavras-Chave | #/dk/atira/pure/subjectarea/asjc/2700/2728 #Clinical Neurology #/dk/atira/pure/subjectarea/asjc/2700/2735 #Pediatrics, Perinatology, and Child Health #/dk/atira/pure/subjectarea/asjc/2800/2806 #Developmental Neuroscience |
Tipo |
article |