Journals / Türk Fizyoterapi ve Rehabilitasyon / 2016 / Cilt: 27 - Sayı: 3

SUBAKUT SKLEROZAN PANENSEFALIT'DE ORAL YAPILARIN VE BESLENME FONKSİYONUNUN KLİNİK ÖZELLİKLER

CLINICAL CHARACTERISTICS OF ORAL STRUCTURES AND FEEDING FUNCTION IN SUBACUTE SCLEROSING PANENCEPHALITIS

Pages
116–120
DOI
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Thus, clinical oral structure and feeding functions should be considered to evaluate in routine evaluation procedure in patients with SSPE

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: The aim was to investigate the characteristics of oral structures and feeding in patients with Subacute Sclerosing Panencephalitis (SSPE).Methods: Twenty SSPE patients were included.
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Key Findings & Data:The Karaduman Chewing Performance Scale (KCPS) was used to determine the level of chewing function.
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Conclusion & Impact:Thus, clinical oral structure and feeding functions should be considered to evaluate in routine evaluation procedure in patients with SSPE
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose: The aim was to investigate the characteristics of oral structures and feeding in patients with Subacute Sclerosing Panencephalitis (SSPE).Methods: Twenty SSPE patients were included. Clinical evaluation of oral structures and oral hygiene were performed. Each patient was requested to take liquid, pudding and solid food consistencies during feeding evaluation. The Karaduman Chewing Performance Scale (KCPS) was used to determine the level of chewing function. The 3-ounce water swallow test was used to screen patients for aspiration risk.Results: The mean age was 13.76±1.92 years, of which 55% were male. Seven children (35%) had open mouth posture at rest, 5 (25%) had open bite, 12 (60%) had high arched palate, and 8 (40%) had tongue thrust. Eighteen children (90%) had oral hygiene problems. Feeding positions were variable with 1 child fed in supine, 6 in semi-sitting position, and 13 in upright sitting position. Findings during clinical feeding evaluation revealed the following: food acceptance (20, 100%), liquid intake (20, 80%), pudding intake (17, 85%), and solid food intake (5, 25%). Five children (25%) were in level I, 7 children (35%) were in level II, 3 children (15%) were in level III, and 5 children (25%) were in level IV according to the KCPS. Four children (25%) failed in 3 ounce water swallow test.Discussion: Problems with oral structures, oral hygiene, chewing and swallowing function can be seen in SSPE patients. Thus, clinical oral structure and feeding functions should be considered to evaluate in routine evaluation procedure in patients with SSPE

Özet

Amaç: Amaç, Subakut Sklerozan Panensefalit (SSPE)'li hastalarda oral yapıların ve beslenme özelliklerinin incelenmesidir.Yöntemler: Yirmi SSPE hastası dahil edildi. Oral yapılar ve oral hijyenin klinik değerlendirmesi yapıldı. Beslenme değerlendirmesinde her hastadan sıvı, puding ve katı besin kıvamlarını alması istendi. Çiğneme fonksiyonu seviyesinin belirlenmesinde Karaduman Çiğneme Performansı Skalası (KÇPS) kullanıldı. Hastalarda aspirasyon riskini belirlemek için 3 ons su yutma testi kullanıldı.Sonuçlar: Ortalama yaş 13.76±1.92 yıldı ve %55'i erkekti. Yedi çocukta (%35) dinlenmede açık ağız postürü, 5 (%25)'inde açık ısırık, 12 (%60)'sinde yüksek damak, ve 8 (%40)'inde dil itme refleksi vardı. Onsekiz (%90) çocukta oral hijyen problemleri vardı. Beslenme pozisyonları; 1'i sırtüstü, 6'sı yarı yatış pozisyonu, ve 13'ü dik oturma pozisyonu olmak üzere farklılık göstermekteydi. Klinik beslenme değerlendirmesi sonuçlarımız şöyleydi: besin kabulü (20, %100), sıvı alımı (20, %80), puding alımı (17, %85), ve katı besin alımı (5, %25). KÇPS'ye göre 5 çocuk (%25) seviye I, 7 çocuk (%35) seviye II, 3 çocuk (%15) seviye 3 ve 5 çocuk (%25) seviye IV'idi. Üç ons su yutma testinde 4 çocuk (%25) kaldı.Tartışma: SSPE hastalarında oral yapılar, oral hijyen, çiğneme ve yutma fonksiyonunda problemler görülebilmektedir. Bu yüzden, SSPE hastalarının rutin değerlendirmesinde klinik oral yapı ve beslenme fonksiyonlarının değerlendirilmesi de düşünülmelidir

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Cite This Article

ARSLAN, S. S., ALEMDAROĞLU, İ., DEMİR, N., KARADUMAN, A. A. (2016). SUBAKUT SKLEROZAN PANENSEFALIT'DE ORAL YAPILARIN VE BESLENME FONKSİYONUNUN KLİNİK ÖZELLİKLER. Türk Fizyoterapi ve Rehabilitasyon, Cilt: 27 - Sayı: 3, 116–120. https://ajindex.com/articles/402125

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References (14)

  1. Garg RK, Anuradha HK, Varma R, Singh MK, Sharma PK. Initial clinical and radiological findings in patients with SSPE: are they predictive of neurological outcome after 6 months of follow-up?. J Clin Neurosci. 2011;18(11):1458-62
  2. Singer C, Lang AE, Suchowersky O. Adult-onset subacute sclero-sing panencephalitis: case reports and review of the literature. Mov Disord. 1997;12(3):342-53
  3. Campbell C, Levin S, Humphreys P, Walop W, Brannan R. Subacu-te sclerosing panencephalitis: results of the Canadian Paediatric Surveillance Program and review of the literature. BMC Pediatr. 2005;5:47
  4. Anlar B, Köse G, Gürer Y, Altunbaşak S, Haspolat S, Okan M. Changing epidemiological features of subacute sclerosing pa-nencephalitis. Infection. 2001;29(4):192-5
  5. Campbell H, Andrews N, Brown KE, Miller E. Review of the effect of measles vaccination on the epidemiology of SSPE. Int J Epi-demiol. 2007;36(6):1334-48
  6. Chiu MH, Meatherall B, Nikolic A, Cannon K, Fonseca K, Joseph JT, et al. Subacute sclerosing panencephalitis in pregnancy. Lan-cet Infect Dis. 2016;16(3):366-75
  7. Honarmand S, Glaser CA, Chow E, Sejvar JJ, Preas CP, Cosentino GC, et al. Subacute sclerosing panencephalitis in the differential diagnosis of encephalitis. Neurology. 2004;63(8):1489-93
  8. Anlar B. Subacute sclerosing panencephalitis and chronic viral encephalitis. In: Dulac O, Lassonde M, Samat HB, editors. Hand-book of clinical neurology. Elsevier, 2013; p. 1183-9
  9. Nguefack S, Ngoh R, Demanou M, Chiabi A, Mah E, Mbassi Awa H, et al. Subacute Sclerosing Panencephalitis: A typical case but nearly misdiagnosed. Health Sci Dis. 2015;16(2):1-4
  10. Cruzado D, Masserey-Spicher V, Roux L, Delavelle J, Picard F, Haenggeli CA. Early onset and rapidly progressive subacute sc-lerosing panencephalitis after congenital measles infection. Eur J Pediatr. 2002;161(8):438-41
  11. Logemann JA. Anatomy and physiology of normal deglutition. In: Logeman JA, editor. Evaluation and treatment in swallowing disorders. Texas: Pro-ed; 1998; p. 13-52
  12. Serel Arslan S, Demir N, Barak Dolgun A, Karaduman AA. De-velopment of a new instrument for determining the level of chewing function in children. J Oral Rehabil. 2016;43(7):488-95
  13. Suiter DM, Leder SB. Clinical utility of the 3-ounce water swal-low test. Dysphagia. 2008;23(3):244-50
  14. Suiter DM, Leder SB, Karas DE. The 3-ounce (90-cc) water swallow challenge: a screening test for children with suspec-ted oropharyngeal dysphagia. Otolaryngol Head Ne