Evaluation and Management of Respiratory Illness in Children With Cerebral Palsy

Frontiers in Pediatrics
Rachael MarpoleAndrew C Wilson

Abstract

Cerebral palsy (CP) is the most common cause of disability in childhood. Respiratory illness is the most common cause of mortality, morbidity, and poor quality of life in the most severely affected children. Respiratory illness is caused by multiple and combined factors. This review describes these factors and discusses assessments and treatments. Oropharyngeal dysphagia causes pulmonary aspiration of food, drink, and saliva. Speech pathology assessments evaluate safety and adequacy of nutritional intake. Management is holistic and may include dental care, and interventions to improve nutritional intake, and ease, and efficiency of feeding. Behavioral, medical, and surgical approaches to drooling aim to reduce salivary aspiration. Gastrointestinal dysfunction, leading to aspiration from reflux, should be assessed objectively, and may be managed by lifestyle changes, medications, or surgical interventions. The motor disorder that defines cerebral palsy may impair fitness, breathing mechanics, effective coughing, and cause scoliosis in individuals with severe impairments; therefore, interventions should maximize physical, musculoskeletal functions. Airway clearance techniques help to clear secretions. Upper airway obstruction may...Continue Reading

References

Aug 1, 1982·The American Journal of Clinical Nutrition·R H GilmanR B Sack
Apr 1, 1997·Developmental Medicine and Child Neurology·R PalisanoB Galuppi
Jul 1, 1997·Archives of Pediatrics & Adolescent Medicine·S J JacobsonC Macarthur
Jun 23, 1999·Developmental Medicine and Child Neurology·R E MortonJ Minford
Nov 26, 1999·Archives of Disease in Childhood·P B Sullivan
Mar 21, 2002·Journal of the American Dietetic Association·Ellen B FungRichard D Stevenson
Dec 24, 2002·Archives of Disease in Childhood·P C Seddon, Y Khan
Apr 8, 2003·The Journal of Bone and Joint Surgery. British Volume·H Kerr Graham, P Selber
Dec 9, 2003·The Laryngoscope·Gordon WorleyGregory F Hulka
Apr 13, 2004·Journal of Pediatric Gastroenterology and Nutrition·Masanobu KawaiShinobu Ida
Aug 5, 2004·The Journal of Pediatrics·Brian Rogers
Aug 19, 2004·European Journal of Gastroenterology & Hepatology·Mark van BlankensteinWim C J Hop
Oct 8, 2004·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Lee Barks
Feb 15, 2005·Developmental Medicine and Child Neurology·Peter B SullivanAdrian G Thomas
Feb 21, 2006·Journal of Paediatrics and Child Health·Dominic J WilkinsonDinah S Reddihough
Mar 31, 2006·Archives of Physical Medicine and Rehabilitation·Fang LinMohsen Makhsous
Mar 16, 2007·Developmental Medicine and Child Neurology·Steven M DayYvonne W Wu
Apr 17, 2008·BMC Gastroenterology·Reiko MiyazawaAkihiro Morikawa
Jun 13, 2008·BMC Gastroenterology·Anke J E de VeerAnneke L Francke
Aug 30, 2008·Developmental Medicine and Child Neurology·Helen SomervilleEdward V O'Loughlin
Dec 6, 2008·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kentigern ThorburnHendrick K F van Saene
Jan 23, 2009·Journal of Vascular and Interventional Radiology : JVIR·Andres H PenaRichard B Towbin
Feb 12, 2009·Developmental Medicine and Child Neurology·Corrie E ErasmusJan J Rotteveel
Jun 19, 2009·International Journal of Pediatric Otorhinolaryngology·Dayse Manrique, Juliana Sato
Jun 22, 2010·Developmental Medicine and Child Neurology·Arthur R T SchefferFrank J A van den Hoogen
Jul 17, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·D ReddihoughUNKNOWN Cereral Palsy Institute
Oct 1, 2011·Journal of Pediatric Rehabilitation Medicine·Audrius V Plioplys, Irene Kasnicka
Nov 16, 2011·Child: Care, Health and Development·M S AdamsT R Pring
Feb 15, 2012·Developmental Medicine and Child Neurology·Susan M ReidDinah S Reddihough
Feb 18, 2012·The Cochrane Database of Systematic Reviews·Margaret WalsheLindsay Pennington
Aug 11, 2012·Assistive Technology : the Official Journal of RESNA·Lelia Barks, Paul Davenport
Aug 14, 2012·Developmental Medicine and Child Neurology·Susan M ReidHilary Johnson
Jan 31, 2013·Journal of Paediatrics and Child Health·Victoria J GreenwoodDinah S Reddihough
Mar 16, 2013·Auris, Nasus, Larynx·Ehsan KhadiviMonavar Afzal Aghaee
Apr 17, 2013·Pediatrics·Katherine A BenferRoslyn N Boyd

❮ Previous
Next ❯

Citations

Jul 10, 2021·Curēus·Fahri EryilmazUmar Farooque

❮ Previous
Next ❯

Methods Mentioned

BETA
sedation
biopsy
bronchoalveolar lavage
X-ray

Software Mentioned

VFSS

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Related Papers

International Journal of Paediatric Dentistry
Samah K AburahmaRola Al Habashneh
European Journal of Pediatrics
Corrie E ErasmusPeter H Jongerius
Acta Paediatrica. Supplement
Emanuela CeriatiMassimo Rivosecchi
© 2021 Meta ULC. All rights reserved