Academic Body of Public Health, School of Medicine, Autonomous University of Yucatan, 97000, Mexico.
Academic Body of Endodontic, Dental School, Autonomous University of Yucatan, 97000, Mexico.
Behav Neurol. 2021 Oct 25;2021:6299462. doi: 10.1155/2021/6299462. eCollection 2021.
This study is aimed at identifying the relationship between oral motor treatment and the improvement of abilities for feeding and swallowing in boys and girls with CP residing in the state of Yucatán. The sample consisted of 30 patients with a diagnosis of CP and the presence of ADT, with gross motor function levels from II to V, between 3 and 14 years old, of which 50% received oral motor treatment. The predominant diagnosis was spastic CP and tetraplegia. An interview was carried out with the tutor, the application of the gross motor skills scale, and an assessment of feeding skills. The feeding and swallowing skills that improved significantly with the oral motor treatment were mandibular mobility, tongue activity, abnormal reflexes, control of breathing, and general oral motor skills ( ≤ 0.05). Within the sample that did not receive oral motor treatment, 46% presented low or very low weight and 40% referred recurrent respiratory diseases. In the end, it was concluded that feeding skills improve significantly with oral motor treatment, regardless of the severity of gross motor involvement. Likewise, oral motor treatment was associated with a lower presence of respiratory diseases and nutritional compromise.
本研究旨在确定口腔运动治疗与改善 Yucatán 州脑瘫患儿进食和吞咽能力之间的关系。该样本包括 30 名脑瘫诊断和存在口部运动治疗适应证的患者，其粗大运动功能水平为 II 至 V 级，年龄在 3 至 14 岁之间，其中 50%接受了口腔运动治疗。主要诊断为痉挛型脑瘫和四肢瘫痪。对导师进行访谈，应用粗大运动技能量表，并评估喂养技能。口腔运动治疗可显著改善下颌运动、舌活动、异常反射、呼吸控制和一般口腔运动技能（≤0.05）。在未接受口腔运动治疗的样本中，46%的患儿体重偏低或极低，40%的患儿反复出现呼吸道疾病。总之，无论粗大运动受累程度如何，口腔运动治疗都能显著改善喂养技能。同样，口腔运动治疗与较低的呼吸道疾病和营养受损发生率有关。
