Orofacial myofunction therapy improves the swallowing and language use of children with Pierre-Robin malformation
10.3760/cma.j.issn.0254-1424.2023.09.004
- VernacularTitle:口面肌功能治疗改善Pierre-Robin序列征术后吞咽功能及语言障碍的疗效观察
- Author:
Hongman ZHU
1
;
Min ZHU
;
Yi XU
;
Xiaoke ZHAO
;
Jian PAN
Author Information
1. 南京医科大学附属儿童医院康复科，南京 210008
- Keywords:
Orofacial myofunction treatment;
Pierre-Robin sequence;
Swallowing disorders;
Nutritional status;
Speech and language disorders
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(9):786-790
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore any effect of orofacial myofunction therapy (OMT) on the swallowing and speech of children with Pierre-Robin malformation (PRS) after a corrective operation.Methods:Fifty-two children with dysphagia caused by PRS mandibular distraction osteogenesis were randomly divided into an observation group and a control group, each of 26. All were given routine nutrition support, but the observation group was additionally provided with OMT. Swallowing disorders, nutritional risk and body mass index were compared between the two groups after 6 months of the intervention. Orofacial muscle functioning and speech and language disorders were also compared between the two groups at the age of 3.Results:After the 6-month intervention the average Ichiro Fujishima dysphagia score in the observation group had improved significantly compared with before treatment and with the control group. The observation group′s nutritional status was also significantly better. At age three the orofacial myofunction classification of the observation group remained significantly better, on average, than that in the control group, and dysarthria or language retardation was significantly less prevalent.Conclusion:OMT can significantly improve the swallowing function, speech and nutritional status of children after surgery to correct PRS. This therapy is worthy of promotion and clinical application.
