Serebral Palsili Çocuklarda Salya Kontrolünün ve (Hiper) Salivasyonun Incelenmesi

Abstract

The aim of this study was indicate the effect of the oral motor functions that changes by different neurologic features seen with the different types of CP on salivation. Twenty cerebral palsied children were included in this study and age interval was 4 to 18. Children who had drooling treatment and had any diseases about salivation, were excluded. Ten "normal" children of the same age range participated in the study as a control group. Spastic and dyskinetic children were divided in to two groups, with drooling and without drooling. Drooling questionary, salivary flow rates test, Swallowing Ability and Function Evaluation (SAFE), Gross Motor Function Classification System (GMFCS), Pediatric Evaluation of Disability Index (PEDI), head control and position evaluation, were applied to all groups. According to the results, there was no differences between groups about salivary flow rates (p>0,05). We have found differences between groups about SAFE scores, GMFCS levels and PEDI scores in favour of children without drooling (p<0,05). There was no differences between the same evaluations and salivary flow rates (p>0,05). In conclusion we found that different clinical types of cerebral palsy don't effect salivary flow rates. But orofarengeal swallowing abilities are important for drooling. Also we found that cerebral palsied children with drooling had more difficulties in the daily life skills than the others.