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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(4):671-677.
Characteristics of Dysphagia in Children with Cerebral Palsy via Videofluoroscopy.
Jung, Han Young , Kim, Sung A , Lee, Sang Heon , Kim, Sei Joo
1Department of Rehabilitation Medicine, Inha University College of Medicine.
2Department of Rehabilitation Medicine, Korea University College of Medicine.
비디오 투시조영 연하검사를 통한 뇌성마비 아동의 삼킴 장애의 특성
정한영, 김성아, 이상헌1, 김세주1
인하대학교 의과대학 재활의학과교실, 1고려대학교 의과대학 재활의학과교실

To describe the characteristics of specific swallowing abnormalities in children with cerebral palsy and identify the risk factors related to aspiration via videofluoroscopy.

Thirty-one children with cerebral palsy, aged from 1.3 years to 15.5 years, were investigated. After taking feeding history and physical examination, videofluoroscopic swallowing studies (VFSS) were performed according to the modified Logemann's protocol with liquid and puree mixed with barium. The swallowing patterns of oral and pharyngeal phase and presence or absence of aspiration were observed.

In VFSS, children with cerebral palsy showed oral phase abnormalities in 87.1% (27/31) including impairment of bolus formation, food pocketing and pharyngeal phase abnormalities in 83.9% (26/31) including pooling in valleculae, weak pharyngeal peristalsis.

The majority of children with cerebral palsy evaluated in this study had swallowing abnormalities. The main swallowing impairments were tongue movement in oral phase and pharyngeal peristalsis in pharyngeal phase.

Key Words: Cerebral palsy, Dysphagia, VFSS


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