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口腔感觉运动治疗对脑瘫吞咽困难儿童生长指标、进食效率及误吸的影响。

Effect of oral sensorimotor treatment on measures of growth, eating efficiency and aspiration in the dysphagic child with cerebral palsy.

作者信息

Gisel E G, Applegate-Ferrante T, Benson J E, Bosma J F

机构信息

School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada.

出版信息

Dev Med Child Neurol. 1995 Jun;37(6):528-43. doi: 10.1111/j.1469-8749.1995.tb12040.x.

DOI:10.1111/j.1469-8749.1995.tb12040.x
PMID:7789662
Abstract

Twenty-seven children (mean age 5.1 years) with cerebral palsy and moderate eating impairment were studied to determine frequency of aspiration and the effect of 10 and 20 weeks of oral sensorimotor therapy on eating efficiency and measures of growth (weight, skinfold thickness). The eating efficiency of the children did not change markedly in response to oral sensorimotor therapy. Children maintained their centile rank in weight-for-age and skinfold-for-age measurements. However, there was no catch-up growth. The findings suggest that eating efficiency is not a good estimator of treatment outcome, but rather a diagnostic indicator of the severity of eating impairment. Monitoring of these children's growth is essential in order to provide nutritional rehabilitation as soon as their eating skills can no longer keep up with growth demands.

摘要

对27名患有脑瘫且存在中度进食障碍的儿童(平均年龄5.1岁)进行了研究,以确定误吸的频率以及为期10周和20周的口腔感觉运动疗法对进食效率和生长指标(体重、皮褶厚度)的影响。儿童的进食效率并未因口腔感觉运动疗法而发生显著变化。在年龄别体重和年龄别皮褶厚度测量中,儿童保持了他们的百分位排名。然而,没有出现追赶生长。这些发现表明,进食效率并非治疗效果的良好评估指标,而是进食障碍严重程度的诊断指标。对这些儿童的生长情况进行监测至关重要,以便在他们的进食技能无法再满足生长需求时尽快提供营养康复。

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