Redstone Fran, West Joyce F
Department of Speech-Language-Hearing Sciences, Lehman College, Bronx, NY, USA.
Pediatr Nurs. 2004 Mar-Apr;30(2):97-100.
Children with cerebral palsy and other neurodisabilities often have decreased postural control that exacerbates their feeding/swallowing disorders. Correct postural alignment is important in the normal feeding/swallowing process. In the child with cerebral palsy, the alignment and stability of the oral structures for feeding/swallowing may be compromised by abnormal muscle tone and movement patterns. Effective oral functioning for feeding begins with attaining better head stability to improve jaw control. Head control is influenced by trunk alignment, which depends upon the stability of the pelvic area. Techniques such as therapeutic seating and oral control can enhance postural alignment and improve oral functioning for the safe intake of food.
患有脑瘫和其他神经残疾的儿童通常姿势控制能力下降,这会加剧他们的进食/吞咽障碍。正确的姿势对齐在正常的进食/吞咽过程中很重要。对于患有脑瘫的儿童,进食/吞咽时口腔结构的对齐和稳定性可能会因异常的肌张力和运动模式而受到影响。有效的进食口腔功能始于获得更好的头部稳定性以改善下颌控制。头部控制受躯干对齐的影响,而躯干对齐又取决于骨盆区域的稳定性。诸如治疗性坐姿和口腔控制等技术可以增强姿势对齐,并改善口腔功能以安全摄入食物。