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뇌성마비 아동의 씹기 능력 관련 요인

Other Titles
 Factors Affecting the Chewing Ability of Children with Cerebral Palsy 
Authors
 최명수  ;  김향희  ;  김덕용  ;  박은숙 
Citation
 Korean Journal of Communication Disorders (언어청각장애연구), Vol.14(1) : 115-125, 2009 
Journal Title
Korean Journal of Communication Disorders(언어청각장애연구)
ISSN
 1229-2184 
Issue Date
2009
Keywords
cerebral palsy ; chewing ; type ; severity ; abnormal oral reflex ; tongue thrust ; tonic bite reaction ; oral paresthesia ; seizure history ; cognitive ability
Abstract
Background & Objectives: Children with cerebral palsy (CP) are expected to have different chewing patterns from normal children due to the abnormal movements of their jaw, lips and tongue. Abnormal chewing is closely connected with six factors: CP type, severity, abnormal oral reflex (e.g., tongue thrust), oral paresthesia, seizure history, and cognitive ability. This study investigates which of these factors are related to the chewing ability of children with CP. Methods: We identified 65 types of CP as well as their severity based on patient medical records when the level of GMFCS had been recorded. In other cases, a physical therapist assessed the children directly. Abnormal oral reflexes, oral paresthesia, seizure history, cognitive ability, and chewing ability were directly assessed. Results: Among the six factors considered, the factors that affected chewing ability were the type of CP, severity, abnormal oral reflex and seizure history. Among the CP types, only spastic quadriplegia and the mixed type were related to chewing ability. In addition, tongue thrust and tonic bite reaction were other related factors. Discussion & Conclusion: The results of this study help us predict the chewing ability of CP patients by investigating related factors. In addition, it is important to examine how the factors differ according to the types or the severity of CP. Subsequent studies on the chewing of CP patients based on this study are needed.
Files in This Item:
T200902443.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Deog Young(김덕용) ORCID logo https://orcid.org/0000-0001-7622-6311
Kim, Hyang Hee(김향희) ORCID logo https://orcid.org/0000-0003-4949-2512
Park, Eun Sook(박은숙) ORCID logo https://orcid.org/0000-0002-9144-3063
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/104179
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