Document Detail


Drooling in cerebral palsy: hypersalivation or dysfunctional oral motor control?
MedLine Citation:
PMID:  19207297     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To investigate whether drooling in children with cerebral palsy (CP) in general and in CP subtypes is due to hypersalivation. METHOD: Saliva was collected from 61 healthy children (30 males, mean age 9y 5mo [SD 11mo]; 31 females, mean age 9y 6mo [1y 2mo]) and 100 children with CP who drooled (57 males, mean age 9y 5mo [3y 11mo], range 3-19y; 43 females, mean age 10y 1mo [4y 9mo], range 4-19y), of whom 53 had spastic, 42 had dyskinetic, and five had ataxic CP. Almost all children were affected bilaterally, and 90 of them were at Gross Motor Function Classification System levels III or higher. The saliva was collected by the swab saliva collection method. The intensity of drooling was evaluated using the drooling quotient. RESULTS: No difference was found in the flow rates, age, or sex between healthy children and children with CP who drooled. On additional subgroup analysis, the flow rates of children with dyskinetic CP differed statistically from those of healthy children (submandibular p=0.047, parotid p=0.040). INTERPRETATION: This study supports the finding in previous studies that no hypersalivation exists in children with CP who drool. Dysfunctional oral motor control seems to be responsible for saliva overflow from the mouth, whereas increased unstimulated salivary flow may occur in children with dyskinetic CP as a result of hyperkinetic oral movements.
Authors:
Corrie E Erasmus; Karen Van Hulst; Liselotte J C Rotteveel; Peter H Jongerius; Frank J A Van Den Hoogen; Nel Roeleveld; Jan J Rotteveel
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-02-03
Journal Detail:
Title:  Developmental medicine and child neurology     Volume:  51     ISSN:  1469-8749     ISO Abbreviation:  Dev Med Child Neurol     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-30     Completed Date:  2009-07-22     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0006761     Medline TA:  Dev Med Child Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  454-9     Citation Subset:  IM    
Affiliation:
Nijmegen Multidisciplinary Drooling Centre, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, The Netherlands. c.erasmus@cukz.umcn.nl
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Case-Control Studies
Cerebral Palsy / complications*,  physiopathology
Child
Child, Preschool
Female
Humans
Male
Movement Disorders / complications*,  physiopathology
Parotid Gland / metabolism
Saliva / metabolism
Sialorrhea / complications*,  etiology*,  physiopathology
Submandibular Gland / metabolism
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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