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The relationship between breast milk intake and speech in children with cerebral palsy

BACKGROUND/AIM: Cerebral palsy (CP) is a nonprogressive neurodevelopmental disorder that cause damage to the developing brain (0–3 years) for various reasons. Children with CP commonly have speech disorders due to impairment in neuromuscular control of oro-motor coordination. We focused on the relat...

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Autores principales: KAYA ÖZÇORA, Gül Demet, BEKTAŞ, Gonca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Scientific and Technological Research Council of Turkey 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569807/
https://www.ncbi.nlm.nih.gov/pubmed/33819974
http://dx.doi.org/10.3906/sag-2011-43
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author KAYA ÖZÇORA, Gül Demet
BEKTAŞ, Gonca
author_facet KAYA ÖZÇORA, Gül Demet
BEKTAŞ, Gonca
author_sort KAYA ÖZÇORA, Gül Demet
collection PubMed
description BACKGROUND/AIM: Cerebral palsy (CP) is a nonprogressive neurodevelopmental disorder that cause damage to the developing brain (0–3 years) for various reasons. Children with CP commonly have speech disorders due to impairment in neuromuscular control of oro-motor coordination. We focused on the relationship between breast milk intake and speech functions in children with CP. MATERIALS AND METHODS: The gross motor function classification system (GMFCS) was used to categorize the gross motor function. The viking speech scale (VSS) was used to classify the speech in children with cerebral palsy. Children were subdivided into two groups as term and preterm based on gestational age. The duration of exclusive breast milk intake was defined as the period when the infant received breast milk alone. We used Spearman’s correlation coefficient to evaluate the relationship between the duration of breast milk intake, GMFCS, and VSS. RESULTS: The median level of viking speech scale was 2 in preterm-born children and 4 in term-born children. There was no correlation between age and VSS levels.We observed a statistically significant difference in terms of preterm- or term-born status among children with different VSS levels. There was a weak positive correlation between birth weight and VSS level, indicating better speech function in children with lower birth weight. There was a moderate negative correlation between the duration of exclusive breast milk intake, the total duration of breast milk intake, and the corrected age of weaning completion with VSS level. CONCLUSION: The duration of breast milk intake may reflect the oromotor function and predict speech performance in children with cerebral palsy. We wanted to emphasize that speech language therapy is as important as motor rehabilitation.
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spelling pubmed-85698072021-11-17 The relationship between breast milk intake and speech in children with cerebral palsy KAYA ÖZÇORA, Gül Demet BEKTAŞ, Gonca Turk J Med Sci Article BACKGROUND/AIM: Cerebral palsy (CP) is a nonprogressive neurodevelopmental disorder that cause damage to the developing brain (0–3 years) for various reasons. Children with CP commonly have speech disorders due to impairment in neuromuscular control of oro-motor coordination. We focused on the relationship between breast milk intake and speech functions in children with CP. MATERIALS AND METHODS: The gross motor function classification system (GMFCS) was used to categorize the gross motor function. The viking speech scale (VSS) was used to classify the speech in children with cerebral palsy. Children were subdivided into two groups as term and preterm based on gestational age. The duration of exclusive breast milk intake was defined as the period when the infant received breast milk alone. We used Spearman’s correlation coefficient to evaluate the relationship between the duration of breast milk intake, GMFCS, and VSS. RESULTS: The median level of viking speech scale was 2 in preterm-born children and 4 in term-born children. There was no correlation between age and VSS levels.We observed a statistically significant difference in terms of preterm- or term-born status among children with different VSS levels. There was a weak positive correlation between birth weight and VSS level, indicating better speech function in children with lower birth weight. There was a moderate negative correlation between the duration of exclusive breast milk intake, the total duration of breast milk intake, and the corrected age of weaning completion with VSS level. CONCLUSION: The duration of breast milk intake may reflect the oromotor function and predict speech performance in children with cerebral palsy. We wanted to emphasize that speech language therapy is as important as motor rehabilitation. The Scientific and Technological Research Council of Turkey 2021-08-30 /pmc/articles/PMC8569807/ /pubmed/33819974 http://dx.doi.org/10.3906/sag-2011-43 Text en Copyright © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Article
KAYA ÖZÇORA, Gül Demet
BEKTAŞ, Gonca
The relationship between breast milk intake and speech in children with cerebral palsy
title The relationship between breast milk intake and speech in children with cerebral palsy
title_full The relationship between breast milk intake and speech in children with cerebral palsy
title_fullStr The relationship between breast milk intake and speech in children with cerebral palsy
title_full_unstemmed The relationship between breast milk intake and speech in children with cerebral palsy
title_short The relationship between breast milk intake and speech in children with cerebral palsy
title_sort relationship between breast milk intake and speech in children with cerebral palsy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569807/
https://www.ncbi.nlm.nih.gov/pubmed/33819974
http://dx.doi.org/10.3906/sag-2011-43
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