Characteristics of Swallowing Disorder in Pediatric Patients with Central Nervous System Disorders: Comparing to Central Nervous System Intact Patients with Gastro-intestinal Disorders.
- Author:
Hyeon Sook KIM
1
;
June Jungyun CHOE
Author Information
1. Department of Physical Medicine and Rehabilitation, Sung Kyun Kwan University College of Medicine.
- Publication Type:Original Article
- Keywords:
Pediatric swallowing disorders;
Bedside swallowing examination;
Videofluoroscopic swallowing study(VSS);
Central nervous system disorder
- MeSH:
Central Nervous System Diseases*;
Central Nervous System*;
Child;
Deglutition Disorders*;
Deglutition*;
Gastroesophageal Reflux;
Humans;
Incidence;
Peristalsis;
Physical Examination;
Reflex
- From:Journal of the Korean Academy of Rehabilitation Medicine
1998;22(3):506-515
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate common symptoms and severities of swallowing disorders in pediatric patients with a central nervous system disorder. METHOD: Twenty six pediatric patients with age ranging from 1 month to 3 years who had complained feeding and swallowing difficulties were studied. The subjects were divided into two groups according to the presence or absence of a central nervous system disorder. After taking the history and physical examination, a bedside swallowing test and a videofluoroscopic swallowing study were done. The parameters of oral preparatory phase, oral phase and pharyngeal phase were evaluated. RESULTS: In the bedside swallowing test, the patients with a central nervous system disorder showed a significantly higher incidence of decreased swallowing reflex, postural abnormality, tendency of poor secretion control and absent gag reflex. In the videofluoroscopic swallowing study, patients with a central nervous system disorder showed delayed oral transport time, poor oral control, pharyngeal triggering, aspiration, nasal regurgitation and esophageal reflux. Compared to the patients without a central nervous system disorder, the patients with a central nervous system disorder showed a significantly higher incidence of decreased pharyngeal peristalsis and delayed pharyngeal triggering. The patients with a central nervous system disorder also showed a more profound swallowing disorder than that of the patients without a central nervous system disorder, having more chances of a non-oral feeding than those without a central nervous system disorder. CONCLUSION: The children with a swallowing disorder and central nervous system disordershowed the different features from those without a central nervous system disorder in the bedside swallowing test and videofluoroscopic swallowing study. So that a complete swallowing evaluation including the videofluoroscopic a swallowing study will be helpful to children with swallowing disorder and central nervous system disorder for the evaluation and treatment of pharyngeal stage swallowing dysfunction.
