Santoro Amelia, Lang Maria Bianca Dasso, Moretti Elena, Sellari-Franceschini Stefano, Orazini Laura, Cipriani Paola, Cioni Giovanni, Battini Roberta
Department of Neuroscience, Otorhinolaryngology Division 1, University of Pisa and Cisanello Hospital, Pisa, Italy.
J Child Neurol. 2012 Jun;27(6):708-12. doi: 10.1177/0883073811424083. Epub 2011 Oct 21.
Children with neurodevelopmental disabilities, such as cerebral palsy, frequently have associated oral motor dysfunction, which leads to feeding difficulties, risk of aspiration, prolonged feeding times, and malnutrition with its attendant physical compromise. The authors propose a comprehensive multidisciplinary assessment, including neurological and dysphagia examination and ear, nose, and throat examination, to evaluate clinical indicators and severity of feeding impairment in children affected by neurodevelopmental disorders. A representative sample of 40 children with cerebral palsy (spastic, dyskinetic, or mixed), intellectual disability, and feeding problems was included in the study. A specific multidisciplinary evaluation and standardized mealtime observation in patients with cerebral palsy appear feasible and appropriate to recognize proactive indicators of dysphagia and to establish personalized programs of gastric and rehabilitative interventions.
患有神经发育障碍（如脑瘫）的儿童常常伴有口腔运动功能障碍，这会导致喂养困难、误吸风险、喂养时间延长以及营养不良及其带来的身体损害。作者提议进行全面的多学科评估，包括神经学和吞咽功能检查以及耳鼻喉检查，以评估受神经发育障碍影响儿童的喂养障碍临床指标和严重程度。该研究纳入了40名患有脑瘫（痉挛型、运动障碍型或混合型）、智力残疾且有喂养问题的儿童作为代表性样本。对脑瘫患者进行特定的多学科评估和标准化进餐观察，对于识别吞咽困难的前瞻性指标以及制定个性化的胃肠和康复干预方案似乎是可行且合适的。
