Oral motor performance in spastic cerebral palsy individuals: are hydration and nutritional status associated?

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dc.contributor.author Santos, Maria Teresa
dc.contributor.author Batista, Renato
dc.contributor.author Previtali, Elisangela
dc.contributor.author Ortega, Adriana
dc.contributor.author Nascimento, Oliver [UNIFESP]
dc.contributor.author Jardim, Jose [UNIFESP]
dc.date.accessioned 2016-01-24T14:17:54Z
dc.date.available 2016-01-24T14:17:54Z
dc.date.issued 2012-02-01
dc.identifier http://dx.doi.org/10.1111/j.1600-0714.2011.01074.x
dc.identifier.citation Journal of Oral Pathology & Medicine. Malden: Wiley-Blackwell, v. 41, n. 2, p. 153-157, 2012.
dc.identifier.issn 0904-2512
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/34610
dc.description.abstract BACKGROUND: Previous studies reported alterations in salivary parameters in cerebral palsy (CP) individuals; however, none of these considered oral motor performance as possibly responsible for these conditions. the aim of this study was to investigate the influence of oral motor performance on the nutritional status and salivary parameters in individuals with CP.METHODS: Forty-three individuals aged 11-19 yearsold, with spastic CP were included in this study. Oral motor performance was evaluated using the Oral Motor Assessment Scale, which classified the individuals into two groups: subfunctional or functional. Unstimulated saliva was collected and the flow rate was calculated (ml / min). Salivary osmolality was measured using a freezing point depression osmometer. Blood samples were collected to evaluate complete blood count, total protein, albumin / globulin ratio and transferrin levels.RESULTS: the subfunctional (n = 21) and the functional group (n = 22) did not differ regarding sex (P = 0.193), however the functional group was older (P = 0.023) and had a higher mean BMI (P < 0.001). the subfunctional CP group presented a reduction in salivary flow rate (36.4%) (P < 0.01) and an increase in salivary osmolality (35.5%) (P < 0.001) compared to the functional group. Slightly lower values for red blood cells (millions / mm 3) (P < 0.001), hemoglobin (g / dl) (P < 0.009), hematocrit (%) (P = 0.001), number of platelets (N / mm 3), total protein (g / dl) and albumin / globulin ratio (P = 0.003 and P = 0.036, respectively) were determined for the subfunctional group, but within the normal range of normality.CONCLUSION: Cerebral palsy individuals appear to present impaired adequate hydration due to compromised oral motor performance. J Oral Pathol Med (2012) 41: 153-157 en
dc.description.sponsorship Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.format.extent 153-157
dc.language.iso eng
dc.publisher Wiley-Blackwell
dc.relation.ispartof Journal of Oral Pathology & Medicine
dc.rights Acesso restrito
dc.subject cerebral palsy en
dc.subject saliva en
dc.subject salivary parameters en
dc.subject osmolality en
dc.subject hydration en
dc.subject oral motor performance en
dc.subject nutritional status en
dc.title Oral motor performance in spastic cerebral palsy individuals: are hydration and nutritional status associated? en
dc.type Artigo
dc.rights.license http://olabout.wiley.com/WileyCDA/Section/id-406071.html
dc.contributor.institution Univ Cruzeiro Sul
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Univ Cruzeiro Sul, Persons Disabil Div, BR-04605001 São Paulo, Brazil
dc.description.affiliation Universidade Federal de São Paulo, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, São Paulo, Brazil
dc.description.sponsorshipID FAPESP: 08/00960-6
dc.identifier.doi 10.1111/j.1600-0714.2011.01074.x
dc.description.source Web of Science
dc.identifier.wos WOS:000299730800008


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