@article{
author = "Vuković, Mile and Todorović, Jelena",
year = "2021",
abstract = "Introduction. Cerebral palsy is characterized by abnormalities of
muscle tone, movement and motor abilities caused by disorders in brain
development. Many children with cerebral palsy have severe swallow-
ing problems. Cerebral Palsy. Cerebral palsy is a neurodevelopmental
disorder characterized by abnormalities in brain development. Swal-
lowing is a process by which a bolus that is formed within the oral
cavity is transported through the pharynx into the esophagus and stom-
ach. It has four phases: preparatory oral, oral, pharyngeal and esopha-
geal. Swallowing disorders in children with cerebral palsy. Swal-
lowing disorders vary depending on the type of cerebral palsy. Children
with spastic paralysis have a more pronounced disorder of the voluntary
phases of swallowing, while children with athetoid paralysis are ex-
pected to have a disorder at the oral-motor level. Neurological lesions
may affect the muscle function of the jaw, cheeks, lips, tongue, palate
and pharynx, which is manifested by difficulties in controlling saliva
and swallowing. Diagnosis and treatment of dysphagia in cerebral
palsy. Diagnosis and treatment of dysphagia is best accomplished by
a team of experts including a pediatrician, neurologist, otorhinolaryn-
gologist, gastroenterologist, radiologist, dental specialist, speech thera-
pist, nutritionist, and a specialist in physical medicine and rehabilitation.
Conclusion. Dysphagia is a common comorbidity in children with
cerebral palsy. Although swallowing disorders often correlate with the
type of cerebral palsy, the most prevalent signs of dysphagia include:
coughing, prolonged feeding time, laryngotracheal penetration and
aspiration, suffocation, which leads to dehydration, malnutrition, but
also to the need for alternative feeding methods. It is important to
emphasize the importance of early treatment by a team of experts, with
a speech therapist as a team leader., Uvod. Cerebralnu paralizu karakterišu abnormalnosti mišićnog
tonusa, pokreta i motoričkih sposobnosti usled poremećaja u
razvoju mozga. Mnoga deca sa cerebralnom paralizom imaju
izražene smetnje u gutanju. Cerebralna paraliza je neurora-
zvojni poremećaj za koji su karakteristične abnormalnosti u
razvoju mozga. Gutanje podrazumeva akt formiranja bolusa u
usnoj duplji i njegov tranzit kroz ždrelo u jednjak i želudac. Ima
četiri faze: pripremnu oralnu, oralnu, faringealnu i ezofagealnu.
Poremećaji gutanja kod dece sa cerebralnom paralizom va-
riraju u zavisnosti od tipa cerebralne paralize. Deca sa spastič-
nom paralizom imaju izraženiji poremećaj voljnih faza gutanja,
dok se kod dece sa atetoidnom paralizom očekuje poremećaj na
oralno-motoričkom nivou. Prisustvo neurološke lezije može da
utiče na mišiće vilice, obraze, usne, jezik, nepce i ždrelo, što se
manifestuje teškoćama u kontroli pljuvačke i u gutanju. Dija-
gnostika i tretman disfagije kod cerebralne paralize spro-
vodi se timski. Stručni tim uključuje pedijatra, neurologa, oto-
rinolaringologa, gastroenterologa, radiologa, specijalistu den-
talne medicine, logopeda, nutricionistu i specijalistu fizikalne
medicine i rehabilitacije. Zaključak. Disfagija predstavlja zna-
čajan komorbiditet kod dece sa cerebralnom paralizom. Iako
smetnje u gutanju često korelišu sa tipom cerebralne paralize,
u opšte znake disfagije mogu se izdvojiti: kašljanje, produženo
vreme hranjenja, laringotrahealna penetracija i aspiracija, gu-
šenje, što dovodi do dehidracije, neuhranjenosti, ali i do potre-
be za alternativnim metodama hranjenja. Važno je naglasiti
značaj ranog lečenja u koje je uključen tim stručnjaka, pri čemu
je logoped obično rukovodilac tima.",
publisher = "Društvo lekara Vojvodine Srpskog lekarskog društva, Novi Sad",
journal = "Medicinski Pregled",
title = "Eating and swallowing disorders in children with cerebral palsy, Poremećaji hranjenja i gutanja kod dece sa cerebralnom paralizom",
pages = "204-200",
number = "5-6",
volume = "74",
url = "https://hdl.handle.net/21.15107/rcub_rfasper_5133"
}