TY - JOUR
T1 - Dysphagia limit in children with cerebral palsy aged 4 to 12 years
AU - Schepers, Florentine V.
AU - van Hulst, Karen
AU - Spek, Bea
AU - Erasmus, Corrie E.
AU - van den Engel-Hoek, Lenie
N1 - Funding Information: We gratefully acknowledge all the children and their parents for participating in this study. We also wish to thank the participating tertiary hospitals, rehabilitation centres, special needs schools, and their affiliated speech and language therapists who helped to recruit the children. The authors have stated that they had no interests which might be perceived as posing a conflict or bias. Publisher Copyright: © 2021 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press
PY - 2022/2
Y1 - 2022/2
N2 - Aim: To assess the dysphagia limit in children with cerebral palsy (CP) according to Eating and Drinking Ability Classification System (EDACS) level, sex, and age compared to typically developing children. Method: Seventy-seven children with CP (54 males, 23 females; mean age 7y 6mo, SD 2y 2mo, age range 4–12y) were assessed with the Maximum Volume Water Swallow Test. Median dysphagia limit in the CP group was compared with data of typically developing children. Results: The dysphagia limit of children with CP differed significantly (p<0.001) from typically developing children. The latter showed a threefold higher median dysphagia limit (22mL) compared to children with CP in EDACS level I (7mL). The higher the EDACS level, the lower the dysphagia limit in children with CP. EDACS level explained 55% of the variance in the dysphagia limit of the CP group. Interpretation: Where children with CP in EDACS levels IV and V showed that their capacity met the level of their performance, children in EDACS level I had the ability to perform a maximum capacity task, but still had a threefold lower median dysphagia limit than typically developing children. Establishment of the dysphagia limit should be part of general swallowing assessment in children with CP.
AB - Aim: To assess the dysphagia limit in children with cerebral palsy (CP) according to Eating and Drinking Ability Classification System (EDACS) level, sex, and age compared to typically developing children. Method: Seventy-seven children with CP (54 males, 23 females; mean age 7y 6mo, SD 2y 2mo, age range 4–12y) were assessed with the Maximum Volume Water Swallow Test. Median dysphagia limit in the CP group was compared with data of typically developing children. Results: The dysphagia limit of children with CP differed significantly (p<0.001) from typically developing children. The latter showed a threefold higher median dysphagia limit (22mL) compared to children with CP in EDACS level I (7mL). The higher the EDACS level, the lower the dysphagia limit in children with CP. EDACS level explained 55% of the variance in the dysphagia limit of the CP group. Interpretation: Where children with CP in EDACS levels IV and V showed that their capacity met the level of their performance, children in EDACS level I had the ability to perform a maximum capacity task, but still had a threefold lower median dysphagia limit than typically developing children. Establishment of the dysphagia limit should be part of general swallowing assessment in children with CP.
UR - http://www.scopus.com/inward/record.url?scp=85113175730&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/dmcn.15031
DO - https://doi.org/10.1111/dmcn.15031
M3 - Article
C2 - 34418067
SN - 0012-1622
VL - 64
SP - 253
EP - 258
JO - Developmental Medicine and Child Neurology
JF - Developmental Medicine and Child Neurology
IS - 2
ER -