Children with central and peripheral neurologic disorders have distinguishable patterns of dysphagia on videofluoroscopic swallow study
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Publication year
2014Source
Journal of Child Neurology, 29, 5, (2014), pp. 646-53ISSN
Publication type
Article / Letter to editor
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Organization
IQ Healthcare
Rehabilitation
Neurology
Journal title
Journal of Child Neurology
Volume
vol. 29
Issue
iss. 5
Page start
p. 646
Page end
p. 53
Subject
Radboudumc 0: Other Research DCMN: Donders Center for Medical Neuroscience; Radboudumc 3: Disorders of movement DCMN: Donders Center for Medical NeuroscienceAbstract
To determine whether findings on videofluoroscopic swallow studies reveal different patterns of dysphagia between children with central and peripheral neurologic disorders, a retrospective study of 118 videofluoroscopic swallow studies was completed. There were 3 groups: cerebral palsy with only spastic features (n = 53), cerebral palsy with dyskinetic features (n = 34), and neuromuscular disorders (myotonic dystrophy I, n = 5; spinal muscular atrophy I-II, n = 8; Duchenne muscular dystrophy, n = 8; other neuromuscular disorder, n = 10). Interpretation of the videofluoroscopic swallow studies was not blinded. The video fluoroscopic swallow study findings were compared dichotomously between the groups. Children with cerebral palsy demonstrated dysphagia in 1 or all phases of swallowing. In neuromuscular disorder, muscle weakness results in pharyngeal residue after swallow. The underlying swallowing problem in neuromuscular disorder is muscle weakness whereas that in cerebral palsy is more complex, having to do with abnormal control of swallowing. This study serves as a first exploration on specific characteristics of swallowing in different neurologic conditions and will help clinicians anticipate what they might expect.
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- Academic publications [238441]
- Electronic publications [122525]
- Faculty of Medical Sciences [90373]
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