Johnson Hilary M, Reid Susan M, Hazard Catherine J, Lucas James O, Desai Mala, Reddihough Dinah S
Communication Resource Centre, SCOPE, 830 Whitehorse Road, Box Hill, 3128, Australia.
Dev Med Child Neurol. 2004 Jan;46(1):39-45. doi: 10.1017/s0012162204000076.
The aim of this study was to determine the effectiveness of an intraoral appliance, the Innsbruck Sensorimotor Activator and Regulator (ISMAR), in improving drooling and eating skills in a group of children with cerebral palsy, and to determine which factors might indicate good candidates for this type of treatment. Eighteen children (13 males, five females; mean age 7 years 10 months, range 4 to 13 years) were selected. Measures of drooling and feeding skills were taken at baseline, at the completion of a 6-month control phase, and at two more 6-monthly time points after the ISMAR was fitted. Children varied greatly in both the length of time taken to tolerate wearing the ISMAR and duration for which the appliance was worn. Only six children (four females, two males) completed the full study. Their motor disabilities were athetosis (n=3), spastic quadriplegia (n=2), and hypotonia (n=1); four of the six children used a wheelchair for locomotion. None had epilepsy and none had greater than mild cognitive impairment. For these children drooling severity scores and eating and drinking skills improved significantly over the treatment period in comparison with the control phase. We conclude that the ISMAR remains a valid option in improving drooling in children and merits further study.
本研究的目的是确定一种口腔内矫治器——因斯布鲁克感觉运动激活器和调节器（ISMAR），对改善一组脑瘫儿童流口水和进食技能的有效性，并确定哪些因素可能表明是这类治疗的合适人选。选取了18名儿童（13名男性，5名女性；平均年龄7岁10个月，范围4至13岁）。在基线时、6个月对照期结束时以及安装ISMAR后的另外两个6个月时间点，对流口水和进食技能进行了测量。儿童在耐受佩戴ISMAR的时间长度和佩戴矫治器的时长方面差异很大。只有6名儿童（4名女性，2名男性）完成了整个研究。他们的运动障碍类型为手足徐动症（n = 3）、痉挛性四肢瘫（n = 2）和肌张力减退（n = 1）；6名儿童中有4名使用轮椅进行移动。没有人患有癫痫，也没有人有大于轻度的认知障碍。对于这些儿童，与对照期相比，在治疗期间流口水严重程度评分以及进食和饮水技能有显著改善。我们得出结论，ISMAR仍是改善儿童流口水的一种有效选择，值得进一步研究。
