Clinical practice Swallowing problems in cerebral palsy

被引:72
|
作者
Erasmus, Corrie E. [1 ]
van Hulst, Karen [2 ]
Rotteveel, Jan J. [1 ]
Willemsen, Michel A. A. P. [1 ]
Jongerius, Peter H. [3 ]
机构
[1] Radboud Univ Nijmegen, Med Ctr, Dept Paediat Neurol, Donders Inst Brain Cognit & Behav, NL-6525 ED Nijmegen, Netherlands
[2] Radboud Univ Nijmegen, Med Ctr, Dept Rehabil, NL-6525 ED Nijmegen, Netherlands
[3] Sint Maartensklin, Dept Rehabil, Nijmegen, Netherlands
关键词
Cerebral palsy; Children; Swallowing problems; Neuroanatomical control; Practical approach; Multidisciplinary swallowing/drooling team; BOTULINUM TOXIN; CORTICAL REPRESENTATION; CHILDREN; DYSFUNCTION; DISORDERS; ACTIVATION; DYSPHAGIA; NETWORK; IMPAIRMENTS; MANAGEMENT;
D O I
10.1007/s00431-011-1570-y
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Cerebral palsy (CP) is the most common physical disability in early childhood. The worldwide prevalence of CP is approximately 2-2.5 per 1,000 live births. It has been clinically defined as a group of motor, cognitive, and perceptive impairments secondary to a non-progressive defect or lesion of the developing brain. Children with CP can have swallowing problems with severe drooling as one of the consequences. Malnutrition and recurrent aspiration pneumonia can increase the risk of morbidity and mortality. Early attention should be given to dysphagia and excessive drooling and their substantial contribution to the burden of a child with CP and his/her family. This review displays the important functional and anatomical issues related to swallowing problems in children with CP based on relevant literature and expert opinion. Furthermore, based on our experience, we describe a plan for approach of investigation and treatment of swallowing problems in cerebral palsy.
引用
收藏
页码:409 / 414
页数:6
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