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Rehabilitation Practice and Science

Translated Title

神經功能缺損孩童流涎之探討

Abstract

Drooling is a common problem among children with a neurological deficit. To establish the incidence of drooling and to determine the factors related to drooling in a population of the children with a neurological deficit, seventy-two children of Chang Gung Children Hospital were analyzed, prospectively. They were aged from 2 to 8 years. Of the seventy-two children, thirty-two children had cerebral palsy (CP), nineteen children had other neurological deficits, and nineteen children, without any neurological deficits, were used as the control group.All the children underwent two assessments for drooling: (1) the direct quantitative measurement of the amount of whole stimulated saliva (2) the clinical interview for drooling severity and frequency with the modified Thomas-Stonell & Greenberg scoring system. The results showed that 26% of the children with a neurological deficit had severe or constant drooling. The severity and frequency of drooling was not related to the amount of stimulated saliva. From the clinical interviews and chart review, oral feeding, speech output, articulation, phonation, mentality, and seizure history were closely related to the severity and the frequency of drooling. In contrast, the etiology of the neurological deficit, the severity of morbidity, and the muscle tone of CP may not be related to the severity of drooling . Present management for drooling including behavioral treatment, oromotor facilitation, electroacupunture or ear acupunture, medication treatment and surgical intervention are also discussed in this paper.

Language

Traditional Chinese

First Page

61

Last Page

66

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