%0 Journal Article %1 Gisel1996 %A Gisel, E. G. %A Applegate-Ferrante, T. %A Benson, J. %A Bosma, J. F. %D 1996 %J Dysphagia %K Body Weight; Cerebral Palsy; Child; Child, Preschool; Deglutition; Deglutition Disorders; Drinking; Eating; Eating Energy Metabolism; Female; Food; Foreign Bodies; Growth; Humans; Larynx; Lip; Male; Mastication; Motor Skills; Mouth; Psychomotor Performance; Sialorrhea; Skinfold Thickness; Tongue; Trachea %N 1 %P 59--71 %T Oral-motor skills following sensorimotor therapy in two groups of moderately dysphagic children with cerebral palsy: aspiration vs nonaspiration. %V 11 %X The purpose of this study was to determine the effect of oral sensorimotor treatment on oral-motor skills and measures of growth in moderately eating impaired children with cerebral palsy who were stratified by state of aspiration/nonaspiration. Twenty-seven children aged 2.5-10.0 years participated in this study (aspiration: n = 7, nonaspiration: n = 20). Weight and skinfold measures were taken. Children were observed at lunch time and six domains of feeding were examined: spoon feeding, biting, chewing, cup drinking, straw drinking, swallowing, and drooling. Children underwent 10 weeks of control and 10 weeks of sensorimotor treatment, 5-7 minutes/day, 5 days/week. Treatment compliance for the entire group was 67\%. Children who aspirated had significantly poorer oral-motor skills in spoon feeding, biting, chewing, and swallowing than children who did not aspirate. There was significant improvement in eating: spoon feeding (fewer abnormal behaviors, p < 0.03), chewing (more normal behaviors, p < 0.003), and swallowing (more normal behaviors, p < 0.008). There were no significant changes in drinking skills. Children as a group maintained their pretreatment weight-age percentile but did not show any catch-up growth. Children showed adequate energy reserves as measured by skinfold thicknesses. Improvement in oral-motor skills may help these children to ingest food more competently (i.e., less spillage). However, their weight remains at the lowest level of age norms.

@article{Gisel1996, abstract = {The purpose of this study was to determine the effect of oral sensorimotor treatment on oral-motor skills and measures of growth in moderately eating impaired children with cerebral palsy who were stratified by state of aspiration/nonaspiration. Twenty-seven children aged 2.5-10.0 years participated in this study (aspiration: n = 7, nonaspiration: n = 20). Weight and skinfold measures were taken. Children were observed at lunch time and six domains of feeding were examined: spoon feeding, biting, chewing, cup drinking, straw drinking, swallowing, and drooling. Children underwent 10 weeks of control and 10 weeks of sensorimotor treatment, 5-7 minutes/day, 5 days/week. Treatment compliance for the entire group was 67\%. Children who aspirated had significantly poorer oral-motor skills in spoon feeding, biting, chewing, and swallowing than children who did not aspirate. There was significant improvement in eating: spoon feeding (fewer abnormal behaviors, p < 0.03), chewing (more normal behaviors, p < 0.003), and swallowing (more normal behaviors, p < 0.008). There were no significant changes in drinking skills. Children as a group maintained their pretreatment weight-age percentile but did not show any catch-up growth. Children showed adequate energy reserves as measured by skinfold thicknesses. Improvement in oral-motor skills may help these children to ingest food more competently (i.e., less spillage). However, their weight remains at the lowest level of age norms.}, added-at = {2014-07-19T19:33:07.000+0200}, author = {Gisel, E. G. and Applegate-Ferrante, T. and Benson, J. and Bosma, J. F.}, biburl = {https://www.bibsonomy.org/bibtex/24f653257a698da158e0382158230f05f/ar0berts}, groups = {public}, interhash = {c9eee22e5285b2530482be8e278a868c}, intrahash = {4f653257a698da158e0382158230f05f}, journal = {Dysphagia}, keywords = {Body Weight; Cerebral Palsy; Child; Child, Preschool; Deglutition; Deglutition Disorders; Drinking; Eating; Eating Energy Metabolism; Female; Food; Foreign Bodies; Growth; Humans; Larynx; Lip; Male; Mastication; Motor Skills; Mouth; Psychomotor Performance; Sialorrhea; Skinfold Thickness; Tongue; Trachea}, number = 1, pages = {59--71}, pmid = {8556880}, timestamp = {2014-07-19T19:33:07.000+0200}, title = {Oral-motor skills following sensorimotor therapy in two groups of moderately dysphagic children with cerebral palsy: aspiration vs nonaspiration.}, username = {ar0berts}, volume = 11, year = 1996 }