DONNA REIGSTAD MS OTR*, PATRICIA DAVIES PHD OTR**, BRIAN ROGERS MD***, JOAN ARVEDSON PHD SLP****, WILLIAM GAVIN PHD*****
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|To assess the relationship between oral-motor function and seating position in |
children with cerebral palsy and
moderate to severe functional limitations
Design: A quantitative cohort intervention study using a two-level repeated measures method.
Setting: Home and clinic.
Participants: Eighteen medically stable children ages 24 to 70 months (mean 43 months) with a primary diagnosis of cerebral palsy. Children demonstrated functional gross motor abilities ranging from level III to level V on the Gross Motor Function scale 1.
Standardized oral-motor assessments (Schedule for Oral Motor AssessmentÐScreening Version, SOMA2) were performed on participants seated in chairs of varying support: one chair with minimal support had non-adjustable trunk and pelvic supports and chest and hip straps; the other was a chair with multiple adjustments and more support for the trunk, pelvis, and head, with a lap tray and hip strap. Each participant was offered four textures. The SOMA was scored via videotape by three therapists with a background in pediatric dysphagia who were blind to the purpose of the study.
|Measurements and Main Results|
|Seventy-two percent of the children in this study had scores on the SOMA Screening Version that indicated oral-motor dysfunction for at least one texture. No significant differences in oral-motor function with any texture were found between the two chairs that offered different levels of support. |
|In this study of 18 children ages 2 to 5 years with cerebral palsy, and moderate and severe levels of gross motor dysfunction, no statistically significant differences in oral-motor function were noted in two chairs offering different levels of postural support, even when standardized scales with established levels of reliability and validity were used. |
Further investigation is needed regarding the relationship between positioning and oral motor function in children with varying degrees of functional limitation in oral motor and gross motor skills.
- Palisano R, Rosenbaum P, Walter S, Russel D, Wood E, Galuppi B. (1997) Development and reliability of a system to classify gross motor function in children with cerebral palsy. Developmental Medicine & Child Neurology 39: 214Ð23.
- Reilly S, Skuse D, Mathisen B, Wolke D. (1995). The objective rating of oral motor function during feeding. Dysphagia 10: 177Ð191.
|How to Cite URL :|
|OTR M R D, OTR P D P, MD R B, SLP P A J, PHD G W.. Available From : http://www.pediatriconcall.com/fordoctor/ Conference_abstracts/report.aspx?reportid=109|