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Assessment of orofacial dysfunction using the NOT-S method in a group of Turkish children with cerebral palsy

  • Alev Alaçam
  • Buket Ceylan Çalık YılmazEmail author
  • Arzu Sukran Incioğlu
Original Scientific Article
  • 12 Downloads

Abstract

Objectives

A healthy determination of orofacial findings of children with cerebral palsy is important as this will lead us to utilize perfect multidisciplinary therapies of orofacial dysfunctions (OFD). Nordic Orofacial Test-Screening (NOT-S) is a comprehensive screening method of OFD which consists of a structured interview and clinical examination. The aim of our study was to evaluate the orofacial dysfunctions in a group of Turkish children with cerebral palsy using Nordic Orofacial Test-Screening (NOT-S) and find out the factors associated with OFD comparatively with a healthy group.

Materials and methods

NOT-S was applied to 84 children aged 3–16 years. Forty-two children with cerebral palsy were included in the study group and 42 healthy children were randomly selected for the control group. Two trained and calibrated examiners who were experienced on NOT-S interview and examination of the validity and reliability of the Turkish version performed screening and interpreted the results.

Results

NOT-S interview and clinical examination subscale scores of children with cerebral palsy were higher and found to be statistically significant (Mann–Whitney U test; p < 0.001). The total scale score of the cerebral palsy group was also statistically significant (p < 0.001). The most common dysfunctions were in the facial expression area (55.9%) and in the chewing and swallowing area (52.4%) following in sensory function area (47.6%).

Conclusions

The results of this study indicated that the NOT-S protocol was an effective and valuable tool for the comprehensive screening of orofacial dysfunctions in a group of Turkish children with cerebral palsy.

Keywords

Cerebral palsy Nordic orofacial test-screening Orofacial dysfunction 

Notes

Funding

The study has no funding support.

Compliance with ethical standards

Conflict of interest

There is no conflict of interest. In this article, none of the authors have any relation, connection or monetary interest with regard to the subject or material mentioned in the study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed child assent and written, informed parental consent to the research procedures and publication of results were obtained. Informed consent of the participants or their families was also collected.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Andersen GL, Irgens LM, Haagaas I, et al. Cerebral palsy in Norway: prevalence, subtypes and severity. Eur J Paediatr Neurol. 2008;12:4–13.CrossRefGoogle Scholar
  2. Asten P, Akre H, Persson C. Associations between speech features and phenotypic severity in Treacher Collins syndrome. BMC Med Genet. 2014;28:15–47.Google Scholar
  3. Bakke M, Bergendal B, McAllister A, Sjogreen L, Asten P. Development and evaluation of a comprehensive screening for orofacial dysfunction. Swed Dent J. 2007;31:75–84.Google Scholar
  4. Bakke M, Larsen SL, Lautrup C, Karlsborg M. Orofacial function and oral health in patients with Parkinson’s disease. Eur J Oral Sci. 2011;119:27–32.CrossRefGoogle Scholar
  5. Bakke M, Larsen BM, Dalager T, Moller E. Oromandibular dystonia—functional and clinical characteristics: a report on 21 cases. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;115:21–6.CrossRefGoogle Scholar
  6. Benfer KA, Weir KA, Bell KL, et al. Oropharyngeal dysphagia and gross motor skills in children with cerebral palsy. Pediatrics. 2013;131:1553–62.CrossRefGoogle Scholar
  7. Bergendal B, McAllister A, Stecksen-Blicks C. Orofacial dysfunction in ectodermal dysplasias measured using the Nordic Orofacial Test-Screening protocol. Acta Odontol Scand. 2009;67:377–81.CrossRefGoogle Scholar
  8. Bergendal B, Bakke M, McAllister A, Sjögreen L, Åsten P. Profiles of orofacial dysfunction in different diagnostic groups using the Nordic Orofacial Test (NOT-S)—A review. Acta Odontol Scand. 2014;72:578–84.CrossRefGoogle Scholar
  9. Bergendal B, McAllister A. Orofacial function and monitoring of oral care in amyotrophic lateral sclerosis. Acta Odontol Scand. 2017;75:179–85.CrossRefGoogle Scholar
  10. Dahlseng MO, Finbråten AK, Júlíusson PB, et al. Feeding problems, growth and nutritional status in children with cerebral palsy. Acta Paediatr. 2012;101:92–8.CrossRefGoogle Scholar
  11. De Felicio CM, Ferreira CLP. Protocol of orofacial myofunctional evaluation with scores. Int J Pediatr Otorhinolaryngol. 2008;72:367–75.CrossRefGoogle Scholar
  12. De Jersey MC. An approach to the problems of orofacial dysfunction in the adult. J Physiother. 1975;21:5–10.Google Scholar
  13. Edvinsson SE, Lundqvist LO. Inter-rater and intra-rater agreement on the Nordic Orofacial Test-Screening examination in children, adolescents and young adults with cerebral palsy. Acta Odontol Scand. 2014;72:120–9.CrossRefGoogle Scholar
  14. Edvinsson SE, Lundqvist LO. Prevalence of orofacial dysfunction in cerebral palsy and its association with gross motor function and manual ability. Dev Med Child Neurol. 2016;58:385–94.CrossRefGoogle Scholar
  15. Himmelmann K, Hagberg G, Wiklund LM, Eek MN, Uvebrant P. Dyskinetic cerebral palsy: a population-based study of children born between 1991 and 1998. Dev Med Child Neurol. 2007;49:246–51.CrossRefGoogle Scholar
  16. Leme MS, de Souza Barbosa T, Gavião MBD. Relationship among oral habits, orofacial function and oral health-related quality of life in children. Braz Oral Res. 2013;27:272–8.CrossRefGoogle Scholar
  17. Lundeborg I, McAllister A, Graf J, Ericsson E, Hultcrantz E. Oral motor dysfunction in children with adenotonsillar hypertrophy–effects of surgery. Logoped Phoniatr Vocol. 2009;34:111–6.CrossRefGoogle Scholar
  18. Marchesan IQ, Berretin-Felix G, Genaro KF. MBGR protocol of orofacial myofunctional evaluation with scores. Int J Orofac Myol. 2012;38:38–77.Google Scholar
  19. Nordberg A, Miniscalco C, Lohmander A, Himmelmann K. Speech problems affect more than one in two children with cerebral palsy: Swedish population-based study. Acta Paediatr. 2013;102:161–6.CrossRefGoogle Scholar
  20. Novak I, Hines M, Goldsmith S, Barclay R. Clinical prognostic messages from a systematic review on cerebral palsy. Pediatrics. 2012;130:1285–312.CrossRefGoogle Scholar
  21. Oreland A, Heijbel J, Persson M. Oral function in the physically handicapped with or without severe mental retardation. J Dent Child. 1989;56:17–25.Google Scholar
  22. Parkes J, Hill NAN, Platt MJ, Donnelly C. Oromotor dysfunction and communication impairments in children with cerebral palsy: a register study. Dev Med Child Neurol. 2010;52:1113–9.CrossRefGoogle Scholar
  23. Pinto VV, Alves LA, Mendes FM, Ciamponi AL. The nutritional state of children and adolescents with cerebral palsy is associated with oral motor dysfunction and social conditions: a cross-sectional study. BMC Neurol. 2016;16:55.CrossRefGoogle Scholar
  24. Reid SM, Mccutcheon J, Reddihough DS, Johnson H. Prevalence and predictors of drooling in 7-to 14-year-old children with cerebral palsy: a population study. Dev Med Child Neurol. 2012;54:1032–6.CrossRefGoogle Scholar
  25. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8–14.Google Scholar
  26. Saeves R, Asten P, Storhaug K, Bagesund M. Orofacial dysfunction in individuals with Prader-Willi syndrome assessed with NOT-S. Acta Odontol Scand. 2011;69:310–5.CrossRefGoogle Scholar
  27. Sigurdardottir S, Vik T. Speech, expressive language, and verbal cognition of preschool children with cerebral palsy in Iceland. Dev Med Child Neurol. 2011;53:74–80.CrossRefGoogle Scholar
  28. Sforza C, Mapelli A, Galante D, et al. The effect of age and sex on facial mimicry: a three dimensional study in healthy adults. Int J Oral Maxillofac Surg. 2010;39:990–9.CrossRefGoogle Scholar
  29. Stanley FJ, Blair E, Alberman E. Cerebral palsies: epidemiology and causal pathways (No. 151). Cambridge: Cambridge University Press; 2000.Google Scholar
  30. Van Der Burg JJW, Jongerius PH, Van Limbeek J, Van Hulst K, Rottevee W. Social intraction and self-esteem of children with cerebral palsyafter treatment for severe drooling. Eur J Pediatr. 2006;165:37–41.CrossRefGoogle Scholar
  31. Westbom L, Bergstrand L, Wagner P, Nordmark E. Survival at 19 years of age in atotal population of children and young people with cerebral palsy. Dev Med Child Neurol. 2011;53:808–14.CrossRefGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2019

Authors and Affiliations

  1. 1.Departmant of Pediatric Dentistry, Faculty of DentistryGazi UniversityAnkaraTurkey

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