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2024, Number 1-4

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Rev Mex Med Fis Rehab 2024; 36 (1-4)

Management of dysphagia in patients with cerebral palsy at the CRIT Teleton Occidente: VitalStim vs oral motor therapy

Rincón BFJ, Luna PE, Guevara VS, Becerra RR, Funes GSA

Language: Spanish
References: 25
Page: 17-24
PDF size: 414.15 Kb.


ABSTRACT

Introduction: more than half of patients with cerebral palsy present dysphagia with chronic respiratory complications, being the most important causes of death. The gold standard for diagnosis is fibroendoscopic evaluation of swallowing, VitalStim and oral motor therapy are therapeutic options for this entity. Material and methods: a clinical trial was designed in patients with cerebral palsy with gross motor functional classification greater than or equal to three, sample (n = 10). A fiberendoscopic study of initial swallowing was performed and assigned to an intervention group sequentially, in the first group (n = 5) VitalStim was applied for 15 sessions, in the second (n = 5) 15 sessions of therapy. oral motor, at the end the final fibroendoscopic study was requested. Results: both groups obtained improvement, in the VitalStim group the labial seal improved (60%), reflex triggering (60%) and post swallowing residues (80%), in the oral motor therapy group the palatoglossal seal improved (50%). and triggering of swallowing reflex (50%). Conclusions: both treatments are useful without one being better to the other, presenting different areas of action. The therapy must be selected depending on the objectives to be treated, considering costs, material and trained experts. In future research, it is recommended to study the application of both therapies together.


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