Taş Seda Ayaz, Çankaya Tamer
Private 75th Year Special Education and Rehabilitation Centre, Turkey.
School of Physical Therapy and Rehabilitation, Abant İzzet Baysal University: 14280 Bolu, Turkey.
J Phys Ther Sci. 2015 Nov;27(11):3487-92. doi: 10.1589/jpts.27.3487. Epub 2015 Nov 30.
[Purpose] The aim of the present study was to investigate the relationship of drooling, nutrition, and head control in individuals with quadriparetic cerebral palsy. [Subjects and Methods] Fifty-six individuals between the ages 2 and 15 diagnosed with spastic quadriparetic cerebral palsy and their families/caretakers were included in the study. Drooling severity and frequency of individuals was evaluated by using the scale developed by Thomas-Stonell and Greenberg (Drooling Severity and Frequency Scale). Individuals having a drooling severity value of 1 were included in the not drooling group (group 2) (n=27). Individuals having a drooling severity of 2, 3, 4, or 5 were included in the drooling group (group 1) (n=29). The evaluations were applied to both groups. [Results] There were significant differences between the two groups in terms of gestational age, nutrition behavior, eating abilities, head control, gagging, nutritional status (inadequate nutrition, normal nutrition, over weight-obese), and low weight. It was established that as head control increased, drooling severity diminished, and as drooling severity increased, BMI index decreased. Independence of eating ability was found to be greater in the group having better drooling control. [Conclusion] In the present study, it was determined that drooling control affected nutritional functions and that drooling control was affected by head control.
[目的] 本研究旨在调查四肢瘫型脑瘫患者流口水、营养状况和头部控制之间的关系。[对象与方法] 本研究纳入了56名年龄在2至15岁之间、被诊断为痉挛性四肢瘫型脑瘫的患者及其家庭/照料者。采用Thomas-Stonell和Greenberg编制的量表(流口水严重程度和频率量表)评估患者的流口水严重程度和频率。流口水严重程度评分为1分的患者被纳入无流口水组(第2组)(n = 27)。流口水严重程度为2、3、4或5分的患者被纳入流口水组(第1组)(n = 29)。对两组患者均进行了评估。[结果] 两组在胎龄、营养行为、进食能力、头部控制、作呕反应、营养状况(营养不足、营养正常、超重 - 肥胖)和低体重方面存在显著差异。研究发现,随着头部控制能力的增强,流口水严重程度降低;随着流口水严重程度的增加,体重指数下降。流口水控制较好的组中进食能力的独立性更强。[结论] 在本研究中,确定了流口水控制影响营养功能,且流口水控制受头部控制的影响。