Clinical progression and outcome of dysphagia following paediatric traumatic brain injury: a prospective study

Morgan, A., Ward, E. and Murdoch, B. (2004) Clinical progression and outcome of dysphagia following paediatric traumatic brain injury: a prospective study. Brain Injury, 18 4: 359-376. doi:10.1080/02699050310001617424


Author Morgan, A.
Ward, E.
Murdoch, B.
Title Clinical progression and outcome of dysphagia following paediatric traumatic brain injury: a prospective study
Journal name Brain Injury   Check publisher's open access policy
ISSN 0269-9052
Publication date 2004-01-01
Sub-type Article (original research)
DOI 10.1080/02699050310001617424
Volume 18
Issue 4
Start page 359
End page 376
Total pages 18
Editor J. Kreutzer
N. Zasler
Place of publication UK
Publisher Taylor & Francis
Language eng
Subject C1
321025 Rehabilitation and Therapy - Hearing and Speech
730111 Hearing, vision, speech and their disorders
Abstract Objectives : To provide a preliminary clinical profile of the resolution and outcomes of oral-motor impairment and swallowing function in a group of paediatric dysphagia patients post-traumatic brain injury (TBI). To document the level of cognitive impairment parallel to the return to oral intake, and to investigate the correlation between the resolution of impaired swallow function versus the resolution of oral-motor impairment and cognitive impairment. Participants : Thirteen children admitted to an acute care setting for TBI. Main outcome measures : A series of oral-motor (Verbal Motor Production Assessment for Children, Frenchay Dysarthria Assessment, Schedule for Oral Motor Assessment) and swallowing (Paramatta Hospital's Assessment for Dysphagia) assessments, an outcome measure for swallowing (Royal Brisbane Hospital's Outcome Measure for Swallowing), and a cognitive rating scale (Rancho Level of Cognitive Functioning Scale). Results : Across the patient group, oral-motor deficits resolved to normal status between 3 and 11 weeks post-referral (and at an average of 12 weeks post-injury) and swallowing function and resolution to normal diet status were achieved by 3-11 weeks post-referral (and at an average of 12 weeks post-injury). The resolution of dysphagia and the resolution of oral-motor impairment and cognitive impairment were all highly correlated. Conclusion : The provision of a preliminary profile of oral-motor functioning and dysphagia resolution, and data on the linear relationship between swallowing impairment and cognition, will provide baseline information on the course of rehabilitation of dysphagia in the paediatric population post-TBI. Such data will contribute to more informed service provision and rehabilitation planning for paediatric patients post-TBI.
Keyword Neurosciences
Rehabilitation
Head-injury
Q-Index Code C1
Additional Notes Published in a high impact journal (IF=1.148) this paper is still the only published prospective group study documenting the recovery patterns of a group of children with dysphagia post traumatic brain injury. It has received positive review comments by experts in the filed of dysphagia (see Sasaki & Leder [2005], Dysphagia, 20, 63-64).

 
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Created: Wed, 15 Aug 2007, 13:37:49 EST