Avaliação das disfagias orofaringeas na paralisia cerebral tetraparetica espastica e atetosica

AUTOR(ES)
DATA DE PUBLICAÇÃO

2003

RESUMO

The objective of this study was to evaluate and compare the oral and pharyngeal swallow phases data of patients with spastic tetraparetic cerebral palsy (TCP) and athetosic cerebral palsy (ACP). Eleven children of both sexes, aged between 10 months and 8 years, were divided into two groups and analysed, by means of clinical evaluation and videofluoroscopy. The results were: the children with spastic tetraparetic cerebral palsy presented greater commitment in the neurological, clinical and language-speech aspects. In the clinical evaluation all the children presented primitive reflexes. Those with athetosic cerebral palsy had a better performance in the oral phase. In the pharyngeal phase were identified in clinical aspiration signals in both groups (TCP and ACP) representing 10 children. There was correlation between the clinical evaluation findings and the videofluoroscopical evaluation results. Aspirations were observed in 80% of the PCT and 67% of the PCA children. Swallowing alterations were similar in the two CP groups, but the inferior performance of the PCT children probably occurred due to the primitive reflexes and inappropriate body position, the cognitive aspect that was worse than the group of PCA, the psychomotor delayed development, action drugs use in the CNS and epileptic seizures ocurrance. The videofluoroscopy was an excelent complementary examination and can aid the therapy

ASSUNTO(S)

raio x deglutição fonoaudiologia avaliação - instrumentos

ACESSO AO ARTIGO

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