Limbrock G J, Castillo-Morales R, Hoyer H, Stöver B, Onufer C N
Kinderzentrum Munchen, Institute for Social Pediatrics and Youth Medicine, University of Munich.
Int J Orofacial Myology. 1993 Nov;19:30-7.
Infants with Down syndrome often present with a familiar orofacial disorder which exists at birth or becomes more pronounced by the end of the first year. The primary pathology includes hypotonicity of the perioral muscles, lips, and masticatory muscles and a protruding tongue, later followed by active tongue protrusion. This results in problems with sucking, swallowing, drooling and dentition. Early intervention methods employing the combination of Castillo-Morales Manual Orofacial Therapy and his specially designed palatal plate, can improve orofacial function, facial appearance and prevent secondary conditions like pseudoprognathism, dental diseases, malocclusions, open mouth habit and pseudomacroglossia. This retrospective study examines the outcome of therapy, as prescribed by Castillo-Morales, in 39 children with Down syndrome. Normally, the average age to begin oral therapy is between six to eight months. The children were treated with the Castillo-Morales Manual Orofacial Therapy and his palatal plate for an average of 17.9 months. In this study, clinical evaluations at the beginning and the end of therapy focused only on open mouth posture and tongue protrusion. In addition, the direct stimulating effect of the palatal plate on tongue protrusion was evaluated. Significant positive results were observed in all three areas.
患有唐氏综合征的婴儿通常会出现一种常见的口面部疾病，这种疾病在出生时就已存在，或者在一岁末时变得更加明显。主要病理包括口周肌肉、嘴唇和咀嚼肌的张力减退以及舌头突出，随后会出现主动伸舌。这会导致吸吮、吞咽、流口水和牙齿排列方面的问题。采用卡斯蒂略 - 莫拉莱斯口腔面部手法治疗及其专门设计的腭板相结合的早期干预方法，可以改善口面部功能、面部外观，并预防诸如假性凸颌、牙齿疾病、错牙合、张口习惯和假性巨舌等继发性病症。这项回顾性研究考察了按照卡斯蒂略 - 莫拉莱斯的治疗方案，对39名唐氏综合征患儿进行治疗的结果。通常，开始口腔治疗的平均年龄在6至8个月之间。这些患儿接受卡斯蒂略 - 莫拉莱斯口腔面部手法治疗及其腭板治疗的平均时长为17.9个月。在这项研究中，治疗开始和结束时的临床评估仅聚焦于张口姿势和伸舌情况。此外，还评估了腭板对伸舌的直接刺激效果。在所有这三个方面都观察到了显著的积极结果。
