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Clinical signs suggestive of pharyngeal dysphagia in preschool children with cerebral palsy

Overview of attention for article published in Analysis and Intervention in Developmental Disabilities, January 2015
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Title
Clinical signs suggestive of pharyngeal dysphagia in preschool children with cerebral palsy
Published in
Analysis and Intervention in Developmental Disabilities, January 2015
DOI 10.1016/j.ridd.2014.12.021
Pubmed ID
Authors

Katherine A. Benfer, Kelly A. Weir, Kristie L. Bell, Robert S. Ware, Peter S.W. Davies, Roslyn N. Boyd

Abstract

This study aimed to determine the discriminative validity, reproducibility, and prevalence of clinical signs suggestive of pharyngeal dysphagia according to gross motor function in children with cerebral palsy (CP). It was a cross-sectional population-based study of 130 children diagnosed with CP at 18-36 months (mean=27.4, 81 males) and 40 children with typical development (TD, mean=26.2, 18 males). Sixteen signs suggestive of pharyngeal phase impairment were directly observed in a videoed mealtime by a speech pathologist, and reported by parents on a questionnaire. Gross motor function was classified using the Gross Motor Function Classification System. The study found that 67.7% of children had clinical signs, and this increased with poorer gross motor function (OR=1.7, p<0.01). Parents reported clinical signs in 46.2% of children, with 60% agreement with direct clinical mealtime assessment (kappa=0.2, p<0.01). The most common signs on direct assessment were coughing (44.7%), multiple swallows (25.2%), gurgly voice (20.3%), wet breathing (18.7%) and gagging (11.4%). 37.5% of children with TD had clinical signs, mostly observed on fluids. Dysphagia cut-points were modified to exclude a single cough on fluids, with a modified prevalence estimate proposed as 50.8%. Clinical signs suggestive of pharyngeal dysphagia are common in children with CP, even those with ambulatory CP. Parent-report on 16 specific signs remains a feasible screening method. While coughing was consistently identified by clinicians, it may not reflect children's regular performance, and was not sufficiently discriminative in children aged 18-36 months.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 121 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 121 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 23 19%
Student > Ph. D. Student 15 12%
Student > Bachelor 10 8%
Other 9 7%
Researcher 8 7%
Other 24 20%
Unknown 32 26%
Readers by discipline Count As %
Medicine and Dentistry 28 23%
Nursing and Health Professions 22 18%
Psychology 8 7%
Social Sciences 5 4%
Neuroscience 5 4%
Other 16 13%
Unknown 37 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 January 2015.
All research outputs
#20,656,820
of 25,374,917 outputs
Outputs from Analysis and Intervention in Developmental Disabilities
#1,799
of 2,300 outputs
Outputs of similar age
#266,822
of 359,571 outputs
Outputs of similar age from Analysis and Intervention in Developmental Disabilities
#38
of 58 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,300 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.1. This one is in the 13th percentile – i.e., 13% of its peers scored the same or lower than it.
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We're also able to compare this research output to 58 others from the same source and published within six weeks on either side of this one. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.