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Publication year
2009Source
Developmental Medicine and Child Neurology, 51, 6, (2009), pp. 454-459ISSN
Publication type
Article / Letter to editor

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Organization
Neurology
Otorhinolaryngology
Paediatrics
Rehabilitation
Health Evidence
Former Organization
Epidemiology, Biostatistics & HTA
Journal title
Developmental Medicine and Child Neurology
Volume
vol. 51
Issue
iss. 6
Page start
p. 454
Page end
p. 459
Subject
DCN 1: Perception and Action; IGMD 3: Genomic disorders and inherited multi-system disorders; NCEBP 10: Human Movement & Fatigue; NCEBP 12: Human Reproduction; NCEBP 2: Evaluation of complex medical interventions; NCEBP 6: Quality of nursing and allied health care; NCEBP 6: Quality of nursing and allied health careAbstract
AIM: To investigate whether drooling in children with cerebral palsy (CP) in general and in CP subtypes is due to hypersalivation. METHOD: Saliva was collected from 61 healthy children (30 males, mean age 9y 5mo [SD 11mo]; 31 females, mean age 9y 6mo [1y 2mo]) and 100 children with CP who drooled (57 males, mean age 9y 5mo [3y 11mo], range 3-19y; 43 females, mean age 10y 1mo [4y 9mo], range 4-19y), of whom 53 had spastic, 42 had dyskinetic, and five had ataxic CP. Almost all children were affected bilaterally, and 90 of them were at Gross Motor Function Classification System levels III or higher. The saliva was collected by the swab saliva collection method. The intensity of drooling was evaluated using the drooling quotient. Results : No difference was found in the flow rates, age, or sex between healthy children and children with CP who drooled. On additional subgroup analysis, the flow rates of children with dyskinetic CP differed statistically from those of healthy children (submandibular p=0.047, parotid p=0.040). INTERPRETATION: This study supports the finding in previous studies that no hypersalivation exists in children with CP who drool. Dysfunctional oral motor control seems to be responsible for saliva overflow from the mouth, whereas increased unstimulated salivary flow may occur in children with dyskinetic CP as a result of hyperkinetic oral movements.
This item appears in the following Collection(s)
- Academic publications [204994]
- Electronic publications [103240]
- Faculty of Medical Sciences [81051]
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