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Szuflak K, Malak R, Fechner B, Sikorska D, Samborski W, Mojs E, Gerreth K. The Masticatory Structure and Function in Children with Cerebral Palsy—A Pilot Study. Healthcare (Basel) 2023; 11:healthcare11071029. [PMID: 37046956 PMCID: PMC10094554 DOI: 10.3390/healthcare11071029] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 03/22/2023] [Accepted: 03/29/2023] [Indexed: 04/07/2023] Open
Abstract
(1) Background: Muscle tension around the head and neck influences orofacial functions. The data exist concerning head posture during increased salivation; however, little is known about muscle tightness during this process. This study aims to investigate whether or not any muscles are related to problems with eating, such as drooling in individuals with cerebral palsy; (2) Methods: Nineteen patients between the ages of 1 and 14 were examined prior to the physiotherapy intervention. This intervention lasted three months and consisted of: relaxing muscles via the strain-counterstrain technique, functional exercises based on the NeuroDevelopmental Treatment-Bobath method, and functional exercises for eating; (3) Results: the tone of rectus capitis posterior minor muscle on the left side (p = 0.027) and temporalis muscle on the right side (p = 0.048) before the therapy, and scalene muscle on the right side after the therapy (p = 0.024) were correlated with drooling behavior and were considered statistically significant. Gross motor function was not considered statistically significant with the occurrence of drooling behavior (p ≤ 0.05). Following the therapeutic intervention, the frequency of drooling during feeding decreased from 63.16% to 38.89% of the total sample of examined patients; (4) Conclusions: The tightness of the muscles in the head area can cause drooling during feeding.
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Affiliation(s)
- Karolina Szuflak
- Department of Risk Group Dentistry Chair of Pediatric Dentistry, Poznan University of Medical Sciences, 60-812 Poznan, Poland
- Doctoral School, Poznan University of Medical Sciences, 60-812 Poznan, Poland
| | - Roksana Malak
- Department and Clinic of Rheumatology, Rehabilitation, and Internal Medicine, Poznan University of Medical Sciences, 61-545 Poznan, Poland
| | - Brittany Fechner
- Department and Clinic of Rheumatology, Rehabilitation, and Internal Medicine, Poznan University of Medical Sciences, 61-545 Poznan, Poland
| | - Dorota Sikorska
- Department and Clinic of Rheumatology, Rehabilitation, and Internal Medicine, Poznan University of Medical Sciences, 61-545 Poznan, Poland
| | - Włodzimierz Samborski
- Department and Clinic of Rheumatology, Rehabilitation, and Internal Medicine, Poznan University of Medical Sciences, 61-545 Poznan, Poland
| | - Ewa Mojs
- Department of Clinical Psychology, Poznan University of Medical Sciences, 60-812 Poznan, Poland
| | - Karolina Gerreth
- Department of Risk Group Dentistry Chair of Pediatric Dentistry, Poznan University of Medical Sciences, 60-812 Poznan, Poland
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Abstract
Although tinnitus and vertigo have been reported as associated with temporomandibular disorders (TMD) for many years, no control studies have been reported. This study was designed to include two large control populations, as well as a large TMD sample. The null hypothesis was tested. The results revealed that tinnitus and vertigo were significantly more prevalent in the TMD group than in either control group. Reasons for the association of TMD and these otologic symptoms have been proposed and they are discussed. Presently the cause is unknown.
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Affiliation(s)
- W S Parker
- Department of Otolaryngology, School of Medicine, University of California, Davis
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