Abstract
Videofluoroscopic modified barium swallow (VMBS) examinations may provide clinically relevant information regarding deglutition in children with cerebral palsy and dysphagia. A retrospective review of clinical evaluations and VMBS studies on 90 consecutive children with cerebral palsy and dysphagia was completed. Most children were referred because of concerns regarding airway protection during oral feedings. Most children had multiple disabilities and 93% were nonambulatory. The majority of children were totally dependent for oral feedings (80%). Oral and pharyngeal phase abnormalities were present in almost all patients. Abnormalities of deglutition were observed only while swallowing specific food textures in the majority of patients. Aspiration of specific food textures was significantly more common than aspiration of all food textures (p<0.0001). Finally, aspiration was silent in 97% of the patients. VMBS studies can provide clinicians with valuable information regarding the most appropriate food textures and rates of oral feeding for children with cerebral palsy and dysphagia.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Jones PM: Feeding disorders in children with multiple handicaps. Dev Med Child Neurol 31:404–406, 1989
Loughlin GM: Respiratory consequences of dysfunctional swallowing and aspiration. Dysphagia 3:126–130, 1989
Kramer SS: On the care and feeding of children. Dysphagia 3:109–110, 1989
Helfrich-Miller KR, Rector KL, Straka JA: Dysphagia: its treatment in the profoundly retarded patient with cerebral palsy. Arch Phys Med Rehabil 67:520–525, 1986
Griggs CA, Jones PM, Lee RE: Videofluoroscopic investigation of feeding disorders of children with multiple handicaps. Dev Med Child Neurol 31303–308, 1989
Tuchman DN: Cough, choke, sputter: the evaluation of the child with dysfunctional swallowing. Dysphagia 3:111–116, 1989
Kramer SS: Radiologic examination of the swallowing-impaired child. Dysphagia 3:117–125, 1989
Linden P, Siebens AA: Dysphagia: predicting laryngeal penetration. Arch Phys Med Rehabil 64:281–284, 1983
Splaingard ML, Hutchins B, Sulton LD, Chaudhuri G: Aspiration in rehabilitation patients: videofluoroscopy vs bedside clinical assessment. Arch Phys Med Rehabil 69:637–640, 1988
Sorin R, Somers S, Austin W, Bester S: The influence of videofluoroscopy on the management of the dysphagic patient. Dysphagia 2:127–135, 1988
Zerilli KS, Stefans VA, Dipietro MA: Protocol for the use of videofluoroscopy in pediatric swallowing dysfunction. Am J Occup Ther 44:441–446, 1990
Sloan RF: The cinefluorographic study of cerebral palsy deglutition patterns. J Osaka Dental Univer 11:58–73, 1977
Capute AJ, Accardo PJ: Cerebral palsy. The spectrum of motor dysfunction. In: Capute AJ, Accardo PG (eds): Developmental Disabilities in Infancy and Childhood. Baltimore, MD: Paul H Brooks 1991, pp 335–348
Logemann JA: Manual for the Videofluorographic Study of Swallowing. San Diego: College Hill Press, 1986
Ferketic MM, Golper LA, Kagel MC, Larkins PG, Linden PL, Logemann JA, Morris SE, Schery TK, Spahr FT: Task Force on Dysphagia. Knowledge and skills needed by speech-language pathologists providing services to dysphagic patients/clients. ASHA 28:35–38, 1989
Norusis MJ: SPSS/PC + 4.0 Base Manual. Chicago, IL: SPSS Inc, 1990
Patrick J, Boland M, Stoski D, Murray GE: Rapid correction of wasting in children with cerebral palsy. Dev Med Child Neurol 28:734–739, 1986
Shapiro BK, Green P, Krick J, Allen D, Capute AJ: Growth of severely impaired children: neurological versus nutritional factors. Dev Med Child Neurol 28:729–733, 1986
Dodds WJ, Logeman JA, Stewart ET: Radiologic assessment of abnormal oral and pharyngeal phases of swallowing. AJR 154:965–974, 1990
McPherson KA, Kenny DJ, Koheil R, Bablich K, Sochaniwskiy A, Milner M: Ventilation and swallowing interactions of normal children and children with cerebral palsy. Dev Med Child Neurol 34:577–588, 1992
Rogers B, Msall M, Shucard D: Hypoxemia during oral feedings in adults with dysphagia and severe neurologic disabilities. Dysphagia 8:43–48, 1993
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Rogers, B., Arvedson, J., Buck, G. et al. Characteristics of dysphagia in children with cerebral palsy. Dysphagia 9, 69–73 (1994). https://doi.org/10.1007/BF00262762
Issue Date:
DOI: https://doi.org/10.1007/BF00262762