Canadian Journal of Speech-Language Pathology and Audiology

Oral-Motor and Respiratory Changes in Children With Spastic Cerebral Palsy Following Selective Posterior Rhizotomy

 
Author(s) Phyliss Flower
Volume 17
Number 2
Year 1993
Page(s) 87-92
Language English
Category
Keywords spastic
cerebral
palsy
selective
posterior
rhizotomy
speech
oral-motor
respiration
feeding
drooling
posture
Abstract Selective posterior rhizotomy (SPR) is a neurosurgical procedure performed to reduce spasticity in the lower extremities of children with spastic cerebral palsy. Sensory nerve rootlets in the lumbar area that are associated with abnormal responses on electrical stimulation are severed in this procedure. The secondary benefits reported are the increased function in the upper extremities as well as improvement in speech intelligibility, length of utterance, respiratory function, feeding and decreased drooling. One child, who demonstrated improvement in several areas, is the focus of this article and speculation regarding reasons for improvement are discussed. Assessment of oral-motor and speech functions with
respect to both instrumental and perceptual measures is examined. The importance of having a speech-language pathologist on the
rhizotomy team is also addressed.



La rhizotomie postérieure sélective est une intervention neurochirurgicale qui vise à réduire la spasmodicité des membres inférieurs chez les enfants ayant la paralysie cérébrale spasmodique. Elle comprend le sectionnement de racines de nerfs sensitifs de la région lombaire qui sont associés à des réactions anormales à la stimulation électrique. Cette intervention a pour avantages secondaires un meilleur fonctionnement des membres supérieurs, une amélioration de l'intelligibilité de la parole, de la longueur de l'énoncé, de la respiratiton et de l'alimentation et une réduction du bavage. Le présent article porte sur un enfant qui a présenté des améliorations à plusieurs égards et offre des hypothèses sur les causes de ces améliorations. En outre, on y aborde l'évaluation de la motricité orale et de la parole par des mesures instrumentales et perceptives. On mentionne également qu'il est important qu 'un/e orthophoniste fasse partie de I'équipe de rhizotomie.
Record ID 952
Link http://cjslpa.ca/files/1993_JSLPA_Vol_17/No_02_79-137/Flower_HumComm_1993.pdf
 
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