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Positioning improves the oral and pharyngeal swallowing function in children with cerebral palsy

Larnert, G and Ekberg, Olle LU (1995) In Acta Pædiatrica 84(6). p.689-693
Abstract
Many children with cerebral palsy have feeding difficulties. The aim of this study was to investigate if trunk and neck positioning influenced oral and pharyngeal swallow. Five children with feeding problem aged 3-10 years with cerebral palsy were examined using videofluoroscopy. All children had tetraplegia with dystonia, i.e. poor head control and poor trunk stability. All children had gross aspiration and posterior oral leak. The pharyngeal phase was delayed in relation to the oral phase. Two children had pharyngeal retention. The children were positioned with both an extended and flexed neck. The flexed neck position was combined with a 30 degrees reclined sitting position. In both positions they were given puree with barium and liquid... (More)
Many children with cerebral palsy have feeding difficulties. The aim of this study was to investigate if trunk and neck positioning influenced oral and pharyngeal swallow. Five children with feeding problem aged 3-10 years with cerebral palsy were examined using videofluoroscopy. All children had tetraplegia with dystonia, i.e. poor head control and poor trunk stability. All children had gross aspiration and posterior oral leak. The pharyngeal phase was delayed in relation to the oral phase. Two children had pharyngeal retention. The children were positioned with both an extended and flexed neck. The flexed neck position was combined with a 30 degrees reclined sitting position. In both positions they were given puree with barium and liquid barium during video recording. In the reclined position with the neck flexed, aspiration decreased in all five children, oral leak diminished in two children and retention improved in one child. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cerebral palsy, neck extension, neck flexion, positioning, swallowing, videofluoroscopy
in
Acta Pædiatrica
volume
84
issue
6
pages
689 - 693
publisher
Wiley-Blackwell Publishing Ltd
external identifiers
  • pmid:7670257
  • scopus:0029007662
ISSN
1651-2227
DOI
10.1111/j.1651-2227.1995.tb13730.x
language
English
LU publication?
yes
id
33487fcf-3f10-4fac-996b-7dab77b81b1f (old id 1109194)
date added to LUP
2008-07-25 15:41:03
date last changed
2017-06-25 04:32:10
@article{33487fcf-3f10-4fac-996b-7dab77b81b1f,
  abstract     = {Many children with cerebral palsy have feeding difficulties. The aim of this study was to investigate if trunk and neck positioning influenced oral and pharyngeal swallow. Five children with feeding problem aged 3-10 years with cerebral palsy were examined using videofluoroscopy. All children had tetraplegia with dystonia, i.e. poor head control and poor trunk stability. All children had gross aspiration and posterior oral leak. The pharyngeal phase was delayed in relation to the oral phase. Two children had pharyngeal retention. The children were positioned with both an extended and flexed neck. The flexed neck position was combined with a 30 degrees reclined sitting position. In both positions they were given puree with barium and liquid barium during video recording. In the reclined position with the neck flexed, aspiration decreased in all five children, oral leak diminished in two children and retention improved in one child.},
  author       = {Larnert, G and Ekberg, Olle},
  issn         = {1651-2227},
  keyword      = {Cerebral palsy,neck extension,neck flexion,positioning,swallowing,videofluoroscopy},
  language     = {eng},
  number       = {6},
  pages        = {689--693},
  publisher    = {Wiley-Blackwell Publishing Ltd},
  series       = {Acta Pædiatrica},
  title        = {Positioning improves the oral and pharyngeal swallowing function in children with cerebral palsy},
  url          = {http://dx.doi.org/10.1111/j.1651-2227.1995.tb13730.x},
  volume       = {84},
  year         = {1995},
}