A DESCRIPTION OF ORAL AND SWALLOWING CHARACTERISTICS IN PEDIATRIC PATIENTS WITH NEUROMUSCULAR DISEASES

Year 2020, Volume: 10 Issue: 3, 292 - 296, 29.09.2020

Hasan Erkan Kılınç , İpek Alemdaroğlu Numan Bulut , Selen Serel Arslan , Aynur Ayşe Karaduman , Öznur Tunca

https://doi.org/10.33808/clinexphealthsci.674812

Cited By: 1

Abstract

Objective:The aim of our study was to put forth the existing problems about oral structure/function and swallowing function in patients who have different pediatric nuromuscular diseases (NMD’s).
Methods:Fourty five pediatric patients with NMD’s aged 10.22±3.32 years old were included in the study. Oral intake levels of patients were determined with Functional Oral Intake Scale (FOIS). Oral structural and functional examination, assesment of complaints related to swallowing problems, and three ounce water swallow test were perfomed to all patients.
Reseults: In oral assessment, structural problems were determined at varying rates between 13.3% and 46.6%, problems related to oral functions between %4.4 and 26.6%, and complaints related to swallowing problems between 11.1% to 33.3%. Five patients (%11) were failed in three ounce water swallow test.
Conclusion:The findings related to oral structure/function and swallowing function indicate a risk of swallowing dysfunction with different symptoms and problems in NMD’s. These symptoms may result in life-threatening complications added to their current neuromuscular problems.
Keywords: Swallowing, Oral Examination, Aspiration Pneumonia

Keywords

Swallowing, Oral examination, Aspiration Pneumonia

References

• Referans1 Logemann JA. The evaluation and treatment of swallowing disorders. Current Opinion in Otolaryngology & Head and Neck Surgery. 1998;6(6):395-400.
• Referans2 Van den Engel-Hoek L, Erasmus C, Van Bruggen H, De Swart B, Sie L, Steenks M, et al. Dysphagia in spinal muscular atrophy type II More than a bulbar problem? Neurology. 2009;73(21):1787-91.
• Referans3 Hanayama K, Liu M, Higuchi Y, Fujiwara T, Tsuji T, Hase K, et al. Dysphagia in patients with Duchenne muscular dystrophy evaluated with a questionnaire and videofluorography. Disability and rehabilitation. 2008;30(7):517-22.
• Referans4 Chen Y-S, Shih H-H, Chen T-H, Kuo C-H, Jong Y-J. Prevalence and risk factors for feeding and swallowing difficulties in spinal muscular atrophy types II and III. The Journal of pediatrics. 2012;160(3):447-51. e1.
• Referans5 Crary MA, Mann GDC, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Archives of physical medicine and rehabilitation. 2005;86(8):1516-20.
• Referans6 Louis S. KO, Ruscello DM. Oral speech mechanism screening examination (OSMSE). Baltimore University Park Press; 1981.
• Rerefans7 Zemlin WR. Anatomy and physiology. Speech and hearing science. 4 ed. Englewood Cliffs: Pentice-Hall; 1998.
• Referans8 Abou-Atme YS, Chedid N, Melis M, Zawawi KH. Clinical measurement of normal maximum mouth opening in children. Cranio : the journal of craniomandibular practice. 2008;26(3):191-6.
• Referans9 Suiter DM, Leder SB. Clinical utility of the 3-ounce water swallow test. Dysphagia. 2008;23(3):244-50.
• Referans10 Suiter DM, Leder SB, Karas DE. The 3-ounce (90-cc) water swallow challenge: a screening test for children with suspected oropharyngeal dysphagia. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2009;140(2):187-90.
• Referans11 van den Engel-Hoek L, et al. . Feeding and Swallowing Disorders in Pediatric Neuromuscular Diseases: An Overview. Journal of Neuromuscular Diseases 2015;2(4):357-69.
• Rerefans12 Corbin-Lewis K, Liss J. Clinical anatomy & physiology of the swallow mechanism: Nelson Education; 2014.
• Referans13 van Bruggen HW, van de Engel-Hoek L, Steenks MH, Bronkhorst EM, Creugers NH, de Groot IJ, et al. Predictive factors for masticatory performance in Duchenne muscular dystrophy. Neuromuscular disorders : NMD. 2014;24(8):684-92.
• Referans14 Willig TN, Paulus J, Lacau Saint Guily J, Beon C, Navarro J. Swallowing problems in neuromuscular disorders. Archives of physical medicine and rehabilitation. 1994;75(11):1175-81.
• Referans15 Nozaki S, Umaki Y, Sugishita S, Tatara K, Adachi K, Shinno S. Videofluorographic assessment of swallowing function in patients with Duchenne muscular dystrophy. Rinsho shinkeigaku= Clinical neurology. 2007;47(7):407-12.
• Referans16 Lunn MR, Wang CH. Spinal muscular atrophy. The Lancet. 2008;371(9630):2120-33.
• Referenas17 van den Engel-Hoek L, Erasmus CE, van Hulst KC, Arvedson JC, de Groot IJ, de Swart BJ. Children with central and peripheral neurologic disorders have distinguishable patterns of dysphagia on videofluoroscopic swallow study. Journal of child neurology. 2013:088307381350187.
• Referans18 van den Engel-Hoek L, de Groot IJ, de Swart BJ, Erasmus CE. Feeding and Swallowing Disorders in Pediatric Neuromuscular Diseases: An Overview. Journal of Neuromuscular Diseases. 2015;2(4):357-69.
• Referans19 Hamanaka-Kondoh S, Kondoh J, Tamine K, Hori K, Fujiwara S, Maeda Y, et al. Tongue pressure during swallowing is decreased in patients with Duchenne muscular dystrophy. Neuromuscular disorders : NMD. 2014;24(6):474-81.
• Referans20 Corbin-Lewis K, Liss J. Clinical anatomy & physiology of the swallow mechanism: Nelson Education; 2014. 154-72 p.
• Referans21 Shaker R, Cook IJ, Dodds WJ, Hogan WJ. Pressure-flow dynamics of the oral phase of swallowing. Dysphagia. 1988;3(2):79-84.
• Referans22 Weckmueller J, Easterling C, Arvedson J. Preliminary temporal measurement analysis of normal oropharyngeal swallowing in infants and young children. Dysphagia. 2011;26(2):135-43.