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Lookup NU author(s): Professor Lindsay Pennington
This is the authors' accepted manuscript of an article that has been published in its final definitive form by Taylor & Francis, 2020.
For re-use rights please refer to the publisher's terms and conditions.
Aim To explore the characteristics and associated factors of oromotor dysfunction in minimally verbal children with cerebral palsy (CP) aged five to six years, recruited from a population-based registry. Methods Twenty children with CP who were minimally verbal completed a standardised, observational oromotor assessment. Linear regression analyses examined the relationship between oromotor dysfunction and potential associated factors (e.g., fine and gross motor function, communication, feeding). Results Oromotor dysfunction affected every participant and was identified in all structures examined (i.e., face, jaw, lips, tongue). Oromotor movements showed little dissociation between jaw, lip and tongue movements. Oromotor dysfunction was univariately associated with the Manual Ability Classification System levels IV-V (p=0.001), reduced communication skills (p=0.002), and a prolonged eating duration (>45 minutes) (p=0.006), even when non-verbal cognition served as a covariate. Interpretation Oromotor dysfunction was highly prevalent in our sample of minimally verbal children with CP, having significant functional impacts on feeding and communication. Findings suggest that fine motor function (i.e., Manual Ability Classification System levels IV-V) is a stronger predictor than gross motor function for identifying children with CP who are minimally verbal and at risk of oromotor dysfunction.
Author(s): Mei C, Hodgson M, Reilly S, Fern B, Reddihough D, Mensah F, Pennington L, Losche A, Morgan A
Publication type: Article
Publication status: Published
Journal: Disability and Rehabilitation
Online publication date: 03/08/2020
Acceptance date: 23/06/2020
Date deposited: 25/06/2020
ISSN (print): 0963-8288
ISSN (electronic): 1464-5165
Publisher: Taylor & Francis
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