Clinical evaluation and statistical analysis of ventilation and swallowing in cerebral palsy

by Karen A. McPherson

Publisher: Faculty of Dentistry, University of Toronto in Toronto

Written in English
Published: Downloads: 757
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Edition Notes

Thesis (M.Sc.)--University of Toronto, Faculty of Dentistry, 1988.

Statementby Karen A. McPherson.
ID Numbers
Open LibraryOL21848411M

In our sample, 33 patients needed tracheostomy ventilation, which corresponds to a prevalence of %. All of them were admitted to long-term units. The clinical spectrum included patients with stroke, cancer, acute respiratory distress syndrome, spinal cord injury, neuromuscular diseases, cerebral palsy, and cardiac failure. Twenty-two of 34 (65%) had a non-progressive disability, most commonly severe cerebral palsy at level 5 in the gross motor function classification system (GMFCS),[21] 8/34 (23%) had a neurodegenerative condition, and 4/34 (12%) had a neuromuscular disorder. Five of 34 (15%) were using long term home ventilation, one invasive; four non-invasive. HNSF) published its latest clinical practice guideline, Bell’s Palsy, as a supplement to Otolaryngology–Head and Neck Surgery. Recommendations developed encour-age accurate and efficient diagnosis and treatment and, when applicable, facilitating patient follow-up . Speech therapy should be involved early, aiming to maximise the patient’s swallowing function and lip seal. Oral prostheses, trialled in neurologically impaired patients to improve lip seal, improve quality of life For patients with Parkinson’s disease, reduced oral sensation or cerebral pathology, swallow reminders may help

  We now want to evaluate whether non invasive ventilation may have a beneficial impact on swallowing considering some adjustments to ensure a good synchronisation between ventilation and swallowing. This could allow avoiding the necessity of a tracheostomy or a gastrostomy due to swallowing dysfunction and/or malnutrition. Background and Purpose Many clinical trials are currently being conducted to evaluate the ability of neuroprotectors and thrombolytic agents to improve survival and functional outcome after ischemic trials require early predictors of survival and disability for ethical and methodological reasons. The aim of the study was to determine which variables, of those easily assessable. Learn communication sciences disorders with free interactive flashcards. Choose from different sets of communication sciences disorders flashcards on Quizlet.   Damage to the brain resulting from a variety of causes in prenatal and early neonatal life produces handicaps varying in degree from mild personality aberration to total physical and mental incapacity. Suspicion of brain damage is aroused when deviations from the normal progression of changing motor.

Social Effects. According to an article in the December issue of “Clinical Rehabilitation,” young adults with cerebral palsy are less socially active and have fewer romantic relationships than their peers who do not have the condition physical impairments of cerebral palsy may limit the ability to participate in activities with others. Six clinical features—dysphonia, dysarthria, abnormal volitional cough, abnormal gag reflex, cough after swallow, and voice change after swallow—were assessed by means of an oropharyngeal evaluation and a clinical swallowing examination. Clinical assessments and VSS were completed on consecutive stroke patients (n=59) within 5 days of. Second, an expert was asked to make two modified Delphi surveys and to modify, delete, and supplement the entries in the statistical analysis at each level to finalize the steps to 20 items. The guidelines developed in this study reflect the selective use of cardiorespiratory physiotherapy evaluation methods in the clinical setting, based on.   This chapter reviews the main aspects of dysphagia in children: epidemiology, etiology, physiopathology, bedside assessment, and instrumental assessment in the perspective of planning treatment. More details will be given on the endoscopic assessment in children of different ages in consideration of the information useful in planning treatment. This chapter offers a review of the .

Clinical evaluation and statistical analysis of ventilation and swallowing in cerebral palsy by Karen A. McPherson Download PDF EPUB FB2

The clinical swallow evaluation was initially performed by a specialized speech-language pathologist in seventy children with cerebral palsy. Swallowing was classified as normal, functional, mild, moderate or severe dysphagia. The proposed scale was applied by two other speech-language pathology experts.

Many children with cerebral palsy (CP) suffer from feeding disorders. Twenty children with spastic CP and 20 neurologically normal children (age range – years) were monitored with ultrasound imaging of the oral cavity synchronized with surface electromyographic (EMG) recordings of masseter and infrahyoid museles and respiratory inductance plethysmograph (RIP) recordings during Cited by:   Data synthesis: The prevalence of sialorrhea is between 10% and 58% in cerebral palsy and has clinical and social consequences.

It is caused. Cerebral palsy (CP) is a neurodevelopmental condition comprising a group of permanent disorders of movement and posture that are attributed to nonprogressive disturbances of the developing brain.

The neuromuscular problems inherent in CP can affect oral health significantly in several ways. These can include changes in structure of the orofacial region, feeding problems, difficulties with Author: Rahena Akhter, Nur Mohmmad Monsur Hassan, Mangala Nadkarni, Elizabeth F.

Martin, Gulam Khandaker. Preliminary results of an investigation that synchronizes the videotaped output of a ultrasound camera and the analog data from physiological measurements of swallowing and ventilation in normal and cerebral palsied (CP) children are presented.

Four cerebral palsied children and three control children undertook a single sip-swallow of 5 ml of liquid and a solid mastication-swallow Cited by:   Cerebral palsy (CP) is considered as the main cause of severe physical impairment and malnutrition in children. This cross-sectional study intended to survey the nutritional status of children cerebral palsy in Riyadh, Saudi Arabia.

We examined 74 children (age: 1–10 yrs) with CP, who attended Sultan Bin Abdulaziz Humanitarian City (SBAHC), Riyadh Saudi Arabia.

Rapid weight gain schemes can lead to metabolic syndrome and other clinical sequelae especially in cerebral palsy patients where difficulty swallowing, encopresis, gastroesophageal reflux, and. 1. Evaluation of Cerebral Palsy Dr. Jose Austine Resident, Dept. of Orthopaedic surgery, Kasturba Medical College, Mangalore Moderators Dr.

Deepak Pinto Dr. Sharan Mallya 2. William John little – First clinical report of CP () Sir William Osler – Coined the term “ Cerebral Palsy “ Sigmund Freud – Complete description of CP HISTORY. In paediatric practice feeding, eating, drinking and swallowing difficulties are present in up to 1% of children.

Dysphagia is any disruption to the swallow sequence that results in compromise to the safety, efficiency or adequacy of nutritional intake. Swallowing difficulties may lead to pharyngeal aspiration, respiratory compromise or poor nutritional intake. Clinical Swallow Evaluation (CSE): Cranial Nerve Examination.

Inspection of the oral cavity should be completed making particular note of mucosa integrity, secretion management, and dental hygiene. The cranial nerve examination is necessary to assess the motor and sensory function of the swallow. The SLP asks the patient to perform a series of.

Background. Cerebral palsy (CP) is the most frequent cause of motor handicap in children. The prevalence of CP is stable and it is estimated to affect 2 to 3 per births in Europe [].The life expectancy for individuals affected by CP is generally lower that age-matched cohorts of healthy subjects, but varies according to the severity of the motor and cognitive handicap.

Cerebral palsy (CP) is defined by movement impairment of cerebral origin. 1 It is the most common childhood physical disability with an incidence in developed countries of per live births.2, 3, 4 Although CP manifests itself during childhood, it is a lifelong condition with heterogeneous presentation in levels of impairment and disability.

Comorbidities are common and include. As in the findings of Arvedson et al 3, cerebral palsy was significantly associated with OPA following univariate analysis; however, it was not evident following regression analysis in our study.

Children at risk of aspiration, or who have nutrition and growth issues secondary to oral motor and swallowing dysfunction, are more likely to be. Glossary acquired cerebral palsy — cerebral palsy that occurs as a result of injury to the brain after birth or during early childhood.

Apgar score — a numbered scoring system doctors use to assess a baby's physical state at the time of birth. asphyxia — a lack of oxygen due to trouble with breathing or poor oxygen supply in the air. ataxia— the loss of muscle control. BACKGROUND: Although respiratory exacerbations are common in patients with quadriplegic cerebral palsy (CP), little is known about the factors that are related to increased exacerbation risk.

This study aimed to identify the clinical and pulmonary function variables signaling risk of exacerbation in this type of patient. METHODS: Thirty-one children and young adults with quadriplegic CP. Statistical analysis.

A meta‐analysis was applied to compare changes in the effect size (post‐intervention and pre‐intervention) between the intervention group and the control group. For the meta‐analysis, the standardised mean difference was calculated along with the 95% confidence interval, with a significance level set to P.

Epidemiology and clinical presentations of cerebral palsy (CP) CP is a non-progressive disorder of movement and posture caused by damage to the developing brain either prenatally, during birth or postnatally.1 The prevalence of CP has remained stable in the past 40 years at 2– cases/ livebirths, despite.

With contributions from: Maribel Ciampitti, MS, CCC-SLP and Gail Sudderth, RRT Introduction By the yearthere will be overpatients requiring prolonged mechanical ventilation.1 Many of these patients will have dysphagia and require the interventions of a speech-language pathologist (SLP).

There is a paucity of research regarding best practices for managing this. Reilly S, Skuse D, Poblete X. Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: A community survey. J Pediatr. ;(6) Sochaniwskyj AE, Koheil RM, Bablich K, et al.

Oral motor functioning, frequency of swallowing and drooling in normal children with cerebral palsy. Intergroup comparisons and evaluation of predictors of postoperative VCD and swallowing dysfunction were made using the unpaired Student t test, the Fisher exact test, or the Mann-Whitney U test.

Multivariable logistic regression analysis. AIM: To determine the accuracy of 2-channel surface electromyography (sEMG) for diagnosing oropharyngeal dysphagia (OPD) in patients with cerebral palsy.

METHODS: Participants with cerebral palsy and OPD between 5 and 30 years of age and age- and sex-matched healthy individuals received sEMG testing during odes were placed over the submental and infrahyoid muscles. ASHA’s Practice Portal assists audiologists and speech-language pathologists in their day-to-day practices by making it easier to find the best available evidence and expertise in patient care, identify resources that have been vetted for relevance and credibility, and increase practice efficiency.

The presentation and clinical course of the dysphagia are determined by the level of the central nervous system insult and whether it is static or progressive.

3 Conditions that affect the central nervous system can have a significant effect on swallow, such as cerebral palsy, congenital viral infections, Arnold-Chiari malformation.

Cerebral palsy (CP) is a group of permanent movement disorders that appear in early childhood. Signs and symptoms vary among people and over time. Often, symptoms include poor coordination, stiff muscles, weak muscles, and tremors.

There may be problems with sensation, vision, hearing, swallowing, and speaking. Often, babies with cerebral palsy do not roll over, sit, crawl or walk as. Clinical Evaluation. A clinical evaluation of swallowing and feeding is the first step in determining the presence or absence of a swallowing disorder.

The evaluation addresses the swallowing-based activities of eating, drinking, and secretion management and may include oral hygiene (brushing, flossing, rinsing) and the management of oral.

Consistent with the clinical pathway used at the New Orleans VAMC, patients who demonstrated two or more features of aspiration risk on the clinical swallowing evaluation were further evaluated with a VSS (n = 36).Patients who demonstrated less than two clinical features were not evaluated with a VSS (n = 29).The VSS was completed with a standard protocol detailed previously [1,23].

Objective To examine the impact of fundoplication on reflux related hospital admissions for children with neurological impairment. Design Retrospective, observational cohort study.

Setting 42 children’s hospitals in the United States. Participants children with neurological impairment born between and who had at least one hospital admission at a study hospital before their.

Each type of cerebral palsy presents different symptoms that may hinder a child’s ability to live independently and complete daily activities. Occupational therapy can help with the following issues related to each type of CP: Spastic – Muscle stiffness in the upper and/or lower limbs and jerky movements characterize spastic cerebral palsy.

Statistical Analysis. Wherever deemed necessary, suitable statistical methods like Pearson Chi-square test, Student ‘t’ test and Z test were applied to find the significance of data obtained.

Results. Our study included children with cerebral palsy (CP) with mean chronological age of. ABCs of Pediatric Feeding & Swallowing Module V: Feeding & Swallowing Issues in Premature Infants. ABOUT SPEAKERS. Monica Wojcik, M.A., CCC-SLP is a certified speech instructor in Neurodevelopmental (NDT) Treatment.

She specializes in the assessment and treatment of. Study Design and Setting. This is a longitudinal, retrospective analysis of the Pediatric Health Information System (PHIS). 28 PHIS is an administrative database containing hospitalization data from 36 freestanding US pediatric hospitals from to All hospitals are affiliated with the Child Health Corporation of America (Shawnee Mission, KS).

We conducted a retrospective, observational cohort study from to of patients with neurologic impairment who required mechanical ventilation and subsequently received a bedside swallow evaluation (BSE) by a speech-language pathologist. A BSE was performed after mechanical ventilation in 25% (/2,) of all patients.Background.

Discharge of preterm infants is often delayed because of their oral feeding difficulties. Independent oral feeding is the last obstacle to pass after managing acute and chronic morbidities. We conducted this study to determine the prevalence, characteristics, and risk factors of swallowing dysfunction and suggest proper interventions to reduce aspiration and chronic lung injury.