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Non-invasive technique for assessment and management planning of oral–pharyngeal dysphagia in children with cerebral palsy

Published online by Cambridge University Press:  03 October 2000

Wilfred G Selley ,
Lynsey C Parrott ,
Penny C Lethbridge ,
Frederick C Flack ,
Richard E Ellis ,
Kerry J Johnston  and
John H Tripp
Wilfred G Selley
Affiliation:
Medical Physics Group, School of Physics, Univeristy of Exeter, Exeter, Devon, UK.
Lynsey C Parrott
Affiliation:
Vranch House School, Exeter, Devon, UK.
Penny C Lethbridge
Affiliation:
Vranch House School, Exeter, Devon, UK.
Frederick C Flack
Affiliation:
Medical Physics Group, School of Physics, Univeristy of Exeter, Exeter, Devon, UK.
Richard E Ellis
Affiliation:
Medical Physics Group, School of Physics, Univeristy of Exeter, Exeter, Devon, UK.
Kerry J Johnston
Affiliation:
Vranch House School, Exeter, Devon, UK.
John H Tripp
Affiliation:
Department of Child Health, Postgraduate Medical School, University of Exeter, Exeter, Devon, UK.
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Abstract

The non-invasive Exeter Dysphagia Assessment Technique (EDAT) was evaluated as a method of assessing the aetiology of dysphagia in children with cerebral palsy (CP). Data have been collected from a group of 20 typically developing children (nine girls, 11 boys; age range 7 to 14 years) for comparison with 125 dysphagic children with CP (81 boys, 44 girls; age range 1 to 18 years). The swallowing mechanism has been separated into physiological phases: anticipatory, delivery, oral transit, and oral–pharyngeal. Normal or abnormal function in each phase was recorded and the common causes of any impaired phase were considered, starting with generalized possibilities before focusing on specific parts of swallowing physiology. Data from 125 dysphagic children with CP show marked differences from the data for the typically developing children. Interpreting individual results was valuable in assisting the assessment team to formulate management strategies; two examples are presented. The technique appears to provide a cost effective, non-invasive, and valuable clinical tool.

Type
Original Articles
Information
Developmental Medicine and Child Neurology , Volume 42 , Issue 9 , September 2000 , pp. 617 - 623
Copyright
© 2000 Mac Keith Press

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