The influence of the structure of the masticatory system on the presence and severity of the gag reflex in children with cerebral palsy.

Autor:	Malak R; Department and Clinic of Rheumatology, Rehabilitation and Internal Medicine, Poznań University of Medical Sciences, Poland., Komisarek O; Department of Otolaryngology, Audiology and Phoniatrics, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland., Biel K; Department and Clinic of Rheumatology, Rehabilitation and Internal Medicine, Poznań University of Medical Sciences, Poland., Szuflak K; Department of Risk Group Dentistry, Chair of Pediatric Dentistry, Poznan University of Medical Sciences, Poland.; Doctoral School, Poznań University of Medical Sciences, Poland., Wiecheć K; Department of Clinical Psychology, Poznań University of Medical Sciences, Poland.; Department of Clinical and Health Psychology, SWPS University of Social Sciences and Humanities, Poznań, Poland, Szczapa T; Neonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, 2nd Department of Neonatology, Poznań University of Medical Sciences, Poland., Kasperkowicz J; Department and Clinic of Rheumatology, Rehabilitation and Internal Medicine, Poznań University of Medical Sciences, Poland., Matthews-Kozanecka M; Department of Social Sciences and the Humanities, Poznań University of Medical Sciences, Poland., Matthews-Brzozowska T; Department of Otolaryngology, Audiology and Phoniatrics, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland., Kobylińska M; Department of Clinical Auxology and Pediatrics Nursing Faculty of Health Sciences, Poznań University of Medical Sciences, Poland., Kwiatkowski J; Students Scientific Society of Maxillofacial Orthopedics and Orthodontics, Poznań University of Medical Sciences, Poland., Samborski W; Department and Clinic of Rheumatology, Rehabilitation and Internal Medicine, Poznań University of Medical Sciences, Poland., Mojs E; Department of Clinical Psychology, Poznań University of Medical Sciences, Poland.
Jazyk:	angličtina
Zdroj:	Advances in clinical and experimental medicine : official organ Wroclaw Medical University [Adv Clin Exp Med] 2024 Dec 19. Date of Electronic Publication: 2024 Dec 19.
DOI:	10.17219/acem/189851
Abstrakt:	Background: Dysphagia, prevalent in 90% of children with neurological disorders, poses risks of medical complications and is associated with cognitive and psychosocial challenges. The absence of the sucking-swallowing reflex and variations in the gag reflex contribute to feeding difficulties. Objectives: This study focuses on examining the impact of the gag reflex on the masticatory system structure in children with cerebral palsy, aiming to assess its significance. Material and Methods: This observational study investigated the gag reflex and soft palate shape in 25 children with cerebral palsy (average age: 14 years). Inclusion criteria considered specific levels of the Eating and Drinking Ability Classification System (EDACS) and the Gross Motor Function Classification System (GMFCS). Exclusion criteria comprised hypotension, inflammation and tumors. The Castillo-Morales questionnaire assessed variables and statistical analysis (Spearman's rank correlation and non-parametric tests) utilizing PQStat v. 1.8.6.120 software. Results: Findings did not reveal an association between the absence of the gag reflex and abnormal palate structure in children. Our results showed a correlation between higher tension of the buccinator muscles and mobility of the tongue on the structure of the palate. Conclusions: Children with neurological disorders, such as cerebral palsy, are a diverse group requiring specialized orthodontic treatment and close interdisciplinary collaboration.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu