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CLINICAL CHARACTERISTICS AND FACTORS RELATED TO SWALLOWING DISORDERS IN CEREBRAL PALSY UNDER 6 YEARS OF AGE AT HANOI REHABILITATION HOSPITAL
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Abstract
Objectives: To describe clinical characteristics and factors related to swallowing disorders in children with cerebral palsy under 6 years old at Hanoi Rehabilitation Hospital. Methods: A cross-sectional descriptive study, 69 children with cerebral palsy under 6 years old were examined and treated at the Pediatric Department - Hanoi Rehabilitation Hospital from October 2022 to July 2023. Children were assessed for swallowing disorders using the Swallowing Disorders Survey (DDS) scale, drooling status by the Thomas - Stonell and Greenberg Saliva Severity Scale, and gross motor function by the Gross Motor Function Classification System (GMFCS). Results: Among the 69 children participating in the study, 59 children had swallowing disorders, accounting for 81.2%, the average DDS score of the research group was 5.1 ± 5.18. Swallowing disorders occur at all levels of GMFCS, the risk of children with cerebral palsy having moderate - severe swallowing disorders in GMFCS IV-V groups is 13 times higher than in children with levels I-III (Cl95% = 3.89 - 43.5, p<0.01). In addition, swallowing disorders in children with cerebral palsy are closely related to the type of cerebral palsy, in which the dyskinetic type has an average DDS score of 12.4 ± 6.5, significantly higher than the spastic type of 4.94 ± 5.06. In the group of children with spastic cerebral palsy, quadriplegia had a higher rate of swallowing disorders as well as a higher average DDS score than diplegia and unilateral. Children with drooling have a 9.61 times higher risk of moderate to severe swallowing disorders than children without drooling. Conclusion: The rate of swallowing disorders in children with cerebral palsy is 81.2%, appearing at all levels of GMFCS. There is a significant relationship between the degree of swallowing disorder and cerebral palsy, gross motor function (GMFCS), anatomical localization and drooling in children with cerebral palsy.
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Keywords
Cerebral palsy, swallowing disorders, clinical characteristics, related factors.
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