Oral hydration in children with cerebral palsy

Oral hydration in children with cerebral palsy

Autor Santos, Maria Teresa Botti Rodrigues Google Scholar
Ferreira, Maria Cristina Duarte Google Scholar
Guaré, Renata Oliveira Google Scholar
Nascimento, Oliver Augusto Autor UNIFESP Google Scholar
Jardim, José Roberto Autor UNIFESP Google Scholar
Instituição Universidade Cruzeiro do Sul School of Dentistry
Serviço Nacional de Aprendizagem Comercial
Universidade Federal de São Paulo (UNIFESP)
Resumo AIM:To investigate whether oral motor performance is determinant for the hydration status and the effect of a supplemental oral fluid supply on salivary osmolality.METHODS:The sample consisted of 99 children with cerebral palsy aged 6 to 13 years old. In this study, children participated in 2-day evaluations: 1st day - baseline: saliva collection, caries experience and oral motor performance evaluations; and 2nd day: saliva collection after supplemental fluid supply. Prior to each evaluation, the participants were trained for saliva collection. Unstimulated whole saliva was collected using cotton roll at baseline, with the amount of fluid usually offered by caregivers, and 48 h after baseline, with as much as twice the normal daily fluid intake previously offered. Salivary osmolality was measured using a freezing point depression osmometer. Caries experience index for decayed, missed and filled teeth (DMFT) was evaluated. According to the Oral Motor Assessment Scale, the children were classified into subfunctional or functional groups. Chi-square, Student's t test and Pearson's correlation coefficient were used.RESULTS:The subfunctional group presented a higher percentage of quadriplegic children (p<0.001), with significantly higher values for caries experience (p<0.001) and salivary osmolality (p<0.001), which did not diminish when supplemental fluid supply was offered, compared with the functional group (p=0.001).CONCLUSIONS:The effectiveness of oral motor performance plays an important role in the hydration status of children with cerebral palsy and those with worse oral motor performance may be at higher risk of oral diseases.
Palavra-chave cerebral palsy
motor skills disorders
muscle spasticity
osmolar concentration
fluid therapy
Idioma Inglês
Data de publicação 2014-04-01
Publicado em Brazilian Journal of Oral Sciences. Faculdade de Odontologia de Piracicaba - UNICAMP, v. 13, n. 2, p. 140-145, 2014.
ISSN 1677-3225 (Sherpa/Romeo)
Publicador Faculdade de Odontologia de Piracicaba - UNICAMP
Extensão 140-145
Fonte http://dx.doi.org/10.1590/1677-3225v13n2a12
Direito de acesso Acesso aberto Open Access
Tipo Artigo
SciELO S1677-32252014000200140 (estatísticas na SciELO)
Endereço permanente http://repositorio.unifesp.br/handle/11600/8351

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