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Prevalence and predictors of drooling in 7- to 14-year-old children with cerebral palsy : a population study

REID SM; MCCUTCHEON J; REDDIHOUGH D; JOHNSON H
DEV MED CHILD NEUROL , 2012, vol. 54, n° 11, p. 1032-1036
Doc n°: 160893
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1111/j.1469-8749.2012.04382.x
Descripteurs : AJ23 - PARALYSIE CEREBRALE

AIM: To establish a prevalence estimate for drooling and explore factors
associated with drooling in a population sample of children with cerebral palsy
(CP) aged 7 to 14 years living in Victoria, Australia.
METHOD: A self-report
questionnaire was used to collect data on drooling from parents of children born
between 1996 and 2001, and registered with the Victorian Cerebral Palsy Register.
RESULTS: A total of 385 children (231 males, 154 females; mean age 10y 9mo [SD 1y
7mo], range 8-14y) were studied. The clinical type and distribution of CP were
spastic (341), ataxic (16), dyskinetic (17), hypotonic (10), and unknown (1).
Distribution in Gross Motor Function Classification System (GMFCS) levels was I
(103), II (98), III (52), IV (63), V (61), and unknown (8). After adjustment for
topographical pattern of motor impairment and GMFCS level, 40% were reported to
have experienced drooling between 4 years of age and the time of completing the
questionnaire. A significantly higher prevalence of drooling was found in
children with poor gross motor function and in those with more severe
presentations of CP, including poor head control, difficulty with eating, and
inability to sustain lip closure (p<0.001 for each). Drooling was shown to be
significantly associated with both intellectual disability and epilepsy in this
group of children (p<0.001 for both). INTERPRETATION: With a prevalence of 40%,
drooling is an important comorbidity in CP. It was considered severe in 15% of
children. Poor oromotor function was associated with drooling and could be the
target of interventions for this under-researched problem.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2012 Mac Keith
Press.

Langue : ANGLAIS

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