Oral hydration in children with cerebral palsy

Authors

  • Maria Teresa Botti Rodrigues Santos Universidade Cruzeiro do Sul - UNICSUL
  • Maria Cristina Duarte Ferreira Serviço Nacional de Aprendizagem Comercial - SENAC
  • Renata Oliveira Guaré Universidade Cruzeiro do Sul - UNICSUL
  • Oliver A. Nascimento Universidade Federal de São Paulo – UNIFESP
  • Jose R. Jardim Universidade Federal de São Paulo – UNIFESP

DOI:

https://doi.org/10.20396/bjos.v13i2.8640912

Keywords:

Cerebral palsy, Motor skills disorders, Muscle spasticity, Osmolar concentration, Fluid therapy

Abstract

Salivary osmolality reflects the hydration status of individuals with cerebral palsy necessary for adequate unstimulated salivary flow rate. Aim: To investigate whether oral motor performance is determinant for the hydration status and the effect of a supplemental oral fluid supply on salivary osmolality. Methods: The sample consisted of 99 children with cerebral palsy aged 6 to 13 years old. In this study, children participated in 2-day evaluations: 1st day - baseline: saliva collection, caries experience and oral motor performance evaluations; and 2nd day: saliva collection after supplemental fluid supply. Prior to each evaluation, the participants were trained for saliva collection. Unstimulated whole saliva was collected using cotton roll at baseline, with the amount of fluid usually offered by caregivers, and 48 h after baseline, with as much as twice the normal daily fluid intake previously offered. Salivary osmolality was measured using a freezing point depression osmometer. Caries experience index for decayed, missed and filled teeth (DMFT) was evaluated. According to the Oral Motor Assessment Scale, the children were classified into subfunctional or functional groups. Chi-square, Student’s t test and Pearson’s correlation coefficient were used. Results: The subfunctional group presented a higher percentage of quadriplegic children (p<0.001), with significantly higher values for caries experience (p<0.001) and salivary osmolality (p<0.001), which did not diminish when supplemental fluid supply was offered, compared with the functional group (p=0.001). Conclusions: The effectiveness of oral motor performance plays an important role in the hydration status of children with cerebral palsy and those with worse oral motor performance may be at higher risk of oral diseases.

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Author Biographies

Maria Teresa Botti Rodrigues Santos, Universidade Cruzeiro do Sul - UNICSUL

Universidade Cruzeiro do Sul - UNICSUL, School of Dentistry, Area of Pediatric, São Paulo, SP.

Maria Cristina Duarte Ferreira, Serviço Nacional de Aprendizagem Comercial - SENAC

Serviço Nacional de Aprendizagem Comercial - SENAC, Area of Pediatric, São Paulo, SP.

Renata Oliveira Guaré, Universidade Cruzeiro do Sul - UNICSUL

Universidade Cruzeiro do Sul - UNICSUL, School of Dentistry, Area of Pediatric, São Paulo, SP.

Oliver A. Nascimento, Universidade Federal de São Paulo – UNIFESP

Universidade Federal de São Paulo – UNIFESP, Paulista School of Medicine, Respiratory Division, São Paulo, SP.

Jose R. Jardim, Universidade Federal de São Paulo – UNIFESP

Universidade Federal de São Paulo – UNIFESP, Paulista School of Medicine, Respiratory Division, São Paulo, SP.

Published

2009-12-30

How to Cite

1.
Santos MTBR, Ferreira MCD, Guaré RO, Nascimento OA, Jardim JR. Oral hydration in children with cerebral palsy. Braz. J. Oral Sci. [Internet]. 2009 Dec. 30 [cited 2022 Dec. 1];13(2):140-5. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8640912

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