Oral hydration in children with cerebral palsy

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dc.contributor.authorSantos, Maria Teresa Botti Rodrigues
dc.contributor.authorFerreira, Maria Cristina Duarte
dc.contributor.authorGuaré, Renata Oliveira
dc.contributor.authorNascimento, Oliver Augusto [UNIFESP]
dc.contributor.authorJardim, José Roberto [UNIFESP]
dc.contributor.institutionUniversidade Cruzeiro do Sul School of Dentistry
dc.contributor.institutionServiço Nacional de Aprendizagem Comercial
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2015-06-14T13:47:04Z
dc.date.available2015-06-14T13:47:04Z
dc.date.issued2014-04-01
dc.description.abstractAIM: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.en
dc.description.affiliationUniversidade Cruzeiro do Sul School of Dentistry
dc.description.affiliationServiço Nacional de Aprendizagem Comercial
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP) Paulista School of Medicine
dc.description.affiliationUnifespUNIFESP, Paulista School of Medicine
dc.description.sourceSciELO
dc.format.extent140-145
dc.identifierhttp://dx.doi.org/10.1590/1677-3225v13n2a12
dc.identifier.citationBrazilian Journal of Oral Sciences. Faculdade de Odontologia de Piracicaba - UNICAMP, v. 13, n. 2, p. 140-145, 2014.
dc.identifier.doi10.1590/1677-3225v13n2a12
dc.identifier.fileS1677-32252014000200140.pdf
dc.identifier.issn1677-3225
dc.identifier.scieloS1677-32252014000200140
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/8351
dc.language.isoeng
dc.publisherFaculdade de Odontologia de Piracicaba - UNICAMP
dc.relation.ispartofBrazilian Journal of Oral Sciences
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectcerebral palsyen
dc.subjectmotor skills disordersen
dc.subjectmuscle spasticityen
dc.subjectosmolar concentrationen
dc.subjectfluid therapyen
dc.titleOral hydration in children with cerebral palsyen
dc.typeinfo:eu-repo/semantics/article
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