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AGREEMENT BETWEEN PARENTS AND CLINICIANS FOR CHEWING PERFORMANCE LEVEL OF CHILDREN WITH CEREBRAL PALSY

Year 2022, Volume: 33 Issue: 1, 63 - 68, 20.04.2022
https://doi.org/10.21653/tjpr.960506

Abstract

Purpose: The study was aimed to examine the agreement between parents and clinicians for determining chewing performance level in children with cerebral palsy (CP).
Methods: This cross sectional study included 50 children with CP and their mothers. The Karaduman Chewing Performance Scale (KCPS) was used to determine chewing performance level in children. Mothers of children with CP scored the level that best describes their child’s chewing performance level twice with one-week interval. An experienced physical therapist in terms of chewing and swallowing disorders was also scored chewing performance level by using the KCPS.
Results: The physical therapist and mothers agreed on exactly the same KCPS level in 41 of 50 children (82%). There was an excellent positive correlation between the KCPS scores of the physical therapist and the mothers (r=0.959, p<0.001). There was also a substantial agreement in the KCPS scoring between physical therapist and mothers (p<0.001, :0.769). There was an excellent positive correlation between two examinations of mothers (r=0.991, p<0.001). Perfect agreement in the KCPS scoring was detected between two examinations of mothers (p<0.001, :0.846).
Conclusion: The agreement between therapists and parents suggests that parents could determine chewing performance level in children with CP. This may provide an efficient and less costly method to perform observational or community screening studies to define children’s chewing performance, especially when evaluation of a clinician is not feasible.

References

  • 1. Le Révérend BJ, Edelson LR, Loret C. Anatomical, functional, physiological and behavioural aspects of the development of mastication in early childhood. Br J Nutr. 2014; 111: 403-14.
  • 2. Linas N, Peyron MA, Eschevins C, Hennequin M, Nicolas E, Collado V. Natural food mastication capability in preschool children according to their oral condition: A preliminary study. J Texture Stud. 2020;51(5):755-65.
  • 3. Tarkowska A, Katzer L, Ahlers MO. Assessment of masticatory performance by means of a color-changeable chewing gum. J Prosthodont Res. 2017;61(1):9-19.
  • 4. van der Bilt A. Assessment of mastication with implications for oral rehabilitation: a review. J Oral Rehabil. 2011;38(10):754-80.
  • 5. Cichero JAY. Evaluating chewing function: Expanding the dysphagia field using food oral processing and the IDDSI framework. J Texture Stud. 2020;51(1):56-66.
  • 6. Serel Arslan S, Demir N, Barak Dolgun A, Karaduman AA. Development of a new instrument for determining the level of chewing function in children. J Oral Rehabil. 2016; 43: 488-95.
  • 7. Serel Arslan S, Aydın G, Alemdaroğlu I, Yılmaz Ö, Karaduman AA. Reliability and validity of the Karaduman Chewing Performance Scale in paediatric neuromuscular diseases: A system for classification of chewing disorders. J Oral Rehabil. 2018; 45: 526-31.
  • 8. Serel Arslan S, Demir N, Karaduman AA, Tanyel FC, Soyer T. Chewing function in children with repaired esophageal atresia-tracheoesophageal fistula. Eur J Pediatr Surg. 2018; 28: 534-8.
  • 9. Bahr D, Johanson N. A family-centered approach to feeding disorders in children (Birth to 5-Years). Perspect Swallow Disord (dysphagia). 2013;22:161-71.
  • 10. Serel Arslan S, Demir N, Karaduman AA. Effect of a new treatment protocol called Functional Chewing Training on chewing function in children with cerebral palsy: a double-blind randomised controlled trial. J Oral Rehabil. 2017; 44: 43-50.
  • 11. Palisano R, Rosenbaum P, Walter S, Russel D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997; 39: 214-23.
  • 12. Şahan AK, Sevim M, Serel Arslan S. Pediatrik popülasyonda beslenme ve yutma bozukluklarında klinik değerlendirme basamakları. Turkiye Klinikleri J Health Sci. 2020;5(1):157-65.
  • 13. Mukaka MM. Statistics corner: a guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012; 24: 69-71.
  • 14. Viera AJ, Garrett JM. Understanding interobserver agreement: the kappa statistic. Fam Med. 2005; 37: 360-3.
  • 15. Serel Arslan S, Ilgaz F, Demir N, Karaduman AA. The effect of the inability to intake chewable food texture on growth, dietary intake and feeding behaviors of children with cerebral palsy. J Dev Phys Disabil. 2018; 30: 205-14.
  • 16. Aarthun A, Øymar KA, Akerjordet K. Parental involvement in decision-making about their child's health care at the hospital. Nurs Open. 2018;6(1):50-8.
  • 17. Barton C, Bickell M, Fucile S. Pediatric oral motor feeding assessments: A systematic review. Phys Occup Ther Pediatr. 2018; 38:190-209.
  • 18. Eliasson AC, Krumlinde-Sundholm L, Rösblad B, Beckung E, Arner M, Ohrvall AM, Rosenbaum P. The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006;48(7):549-54.
  • 19. Hidecker MJ, Paneth N, Rosenbaum PL, Kent RD, Lillie J, Eulenberg JB, Chester K Jr, Johnson B, Michalsen L, Evatt M, Taylor K. Developing and validating the Communication Function Classification System for individuals with cerebral palsy. Dev Med Child Neurol. 2011;53(8):704-10.
  • 20. Morris C, Galuppi BE, Rosenbaum PL. Reliability of family report for the Gross Motor Function Classification System. Dev Med Child Neurol. 2004; 46:455-60.
  • 21. Rackauskaite G, Thorsen P, Uldall PV, Ostergaard JR. Reliability of GMFCS family report questionnaire. Disabil Rehabil. 2012; 34: 721-4.
  • 22. Mutlu A, Kara OK, Gunel MK, Karahan S, Livanelioğlu A. Agreement between parents and clinicians for the motor functional classification systems of children with cerebral palsy. Disabil Rehabil. 2011; 33: 927-32.
  • 23. Mutlu A, Kara ÖK, Livanelioğlu A, Karahan S, Alkan H, Yardımcı BN, et al. Agreement between parents and clinicians on the communication function levels and relationship of classification systems of children with cerebral palsy. Disabil Health J. 2018; 11: 281-6.
  • 24. Morris C, Kurinczuk JJ, Fitzpatrick R, Rosenbaum PL. Who best to make the assessment? Professionals' and families' classifications of gross motor function in cerebral palsy are highly consistent. Arch Dis Child. 2006;91: 675-679.
  • 25. Serel Arslan S, Ilgaz F, Demir N, Karaduman AA. Yutma bozukluğu olan serebral palsili çocuklarda büyüme yetersizliği ve beslenme şeklinin ebeveynlerin kaygı durumu üzerindeki etkisi. Bes Diy Der. 2018;45(1):28-34.

SEREBRAL PALSİLİ ÇOCUKLARIN ÇİĞNEME PERFORMANS SEVİYESİ İÇİN EBEVEYNLER VE KLİNİSYENLER ARASINDAKİ UYUM

Year 2022, Volume: 33 Issue: 1, 63 - 68, 20.04.2022
https://doi.org/10.21653/tjpr.960506

Abstract

Amaç: Bu çalışmada serebral palsili (SP) çocuklarda çiğneme performans seviyesinin belirlenmesinde ebeveynler ve klinisyenler arasındaki uyumun incelenmesi amaçlandı.
Yöntem: Bu kesitsel çalışmaya SP'li 50 çocuk ve anneleri dahil edildi. Çocuklarda çiğneme performans seviyesini belirlemek için Karaduman Çiğneme Performans Skalası (KÇPS) kullanıldı. SP'li çocukların anneleri, çocuklarının çiğneme performans seviyesini en iyi tanımlayan düzeyi birer hafta arayla iki kez puanladı. Çiğneme ve yutma bozuklukları konusunda deneyimli bir fizyoterapist de KÇPS’yi kullanarak çiğneme performans seviyesini puanlandı.
Sonuçlar: Fizyoterapist ve anneler, 50 çocuğun 41'inde (%82) tamamen aynı KÇPS seviyesi üzerinde anlaştılar. Fizyoterapist ve annelerin KÇPS puanları arasında mükemmel, pozitif yönde korelasyon vardı (r=0,959, p<0,001). Fizyoterapist ve anneler arasında KÇPS puanlamasında da önemli bir uyum vardı (p<0,001, : 0,769). Annelerin iki değerlendirmesi arasında mükemme, pozitif yönde korelasyon vardı (r=0,991, p<0,001). Annelerin iki değerlendirmesi arasında KÇPS skorlamasında mükemmel uyum saptandı (p<0,001, :0,846).
Tartışma: Terapistler ve ebeveynler arasındaki uyum, ebeveynlerin SP'li çocuklarda çiğneme performans seviyesini belirleyebileceğini düşündürmektedir. Bu, özellikle bir klinisyenin değerlendirilmesi mümkün olmadığı durumlarda, çocukların çiğneme performansını tanımlamak için gözlemsel veya topluluk tarama çalışmaları yapmak için verimli ve daha az maliyetli bir yöntem sağlayabilir.

References

  • 1. Le Révérend BJ, Edelson LR, Loret C. Anatomical, functional, physiological and behavioural aspects of the development of mastication in early childhood. Br J Nutr. 2014; 111: 403-14.
  • 2. Linas N, Peyron MA, Eschevins C, Hennequin M, Nicolas E, Collado V. Natural food mastication capability in preschool children according to their oral condition: A preliminary study. J Texture Stud. 2020;51(5):755-65.
  • 3. Tarkowska A, Katzer L, Ahlers MO. Assessment of masticatory performance by means of a color-changeable chewing gum. J Prosthodont Res. 2017;61(1):9-19.
  • 4. van der Bilt A. Assessment of mastication with implications for oral rehabilitation: a review. J Oral Rehabil. 2011;38(10):754-80.
  • 5. Cichero JAY. Evaluating chewing function: Expanding the dysphagia field using food oral processing and the IDDSI framework. J Texture Stud. 2020;51(1):56-66.
  • 6. Serel Arslan S, Demir N, Barak Dolgun A, Karaduman AA. Development of a new instrument for determining the level of chewing function in children. J Oral Rehabil. 2016; 43: 488-95.
  • 7. Serel Arslan S, Aydın G, Alemdaroğlu I, Yılmaz Ö, Karaduman AA. Reliability and validity of the Karaduman Chewing Performance Scale in paediatric neuromuscular diseases: A system for classification of chewing disorders. J Oral Rehabil. 2018; 45: 526-31.
  • 8. Serel Arslan S, Demir N, Karaduman AA, Tanyel FC, Soyer T. Chewing function in children with repaired esophageal atresia-tracheoesophageal fistula. Eur J Pediatr Surg. 2018; 28: 534-8.
  • 9. Bahr D, Johanson N. A family-centered approach to feeding disorders in children (Birth to 5-Years). Perspect Swallow Disord (dysphagia). 2013;22:161-71.
  • 10. Serel Arslan S, Demir N, Karaduman AA. Effect of a new treatment protocol called Functional Chewing Training on chewing function in children with cerebral palsy: a double-blind randomised controlled trial. J Oral Rehabil. 2017; 44: 43-50.
  • 11. Palisano R, Rosenbaum P, Walter S, Russel D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997; 39: 214-23.
  • 12. Şahan AK, Sevim M, Serel Arslan S. Pediatrik popülasyonda beslenme ve yutma bozukluklarında klinik değerlendirme basamakları. Turkiye Klinikleri J Health Sci. 2020;5(1):157-65.
  • 13. Mukaka MM. Statistics corner: a guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012; 24: 69-71.
  • 14. Viera AJ, Garrett JM. Understanding interobserver agreement: the kappa statistic. Fam Med. 2005; 37: 360-3.
  • 15. Serel Arslan S, Ilgaz F, Demir N, Karaduman AA. The effect of the inability to intake chewable food texture on growth, dietary intake and feeding behaviors of children with cerebral palsy. J Dev Phys Disabil. 2018; 30: 205-14.
  • 16. Aarthun A, Øymar KA, Akerjordet K. Parental involvement in decision-making about their child's health care at the hospital. Nurs Open. 2018;6(1):50-8.
  • 17. Barton C, Bickell M, Fucile S. Pediatric oral motor feeding assessments: A systematic review. Phys Occup Ther Pediatr. 2018; 38:190-209.
  • 18. Eliasson AC, Krumlinde-Sundholm L, Rösblad B, Beckung E, Arner M, Ohrvall AM, Rosenbaum P. The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006;48(7):549-54.
  • 19. Hidecker MJ, Paneth N, Rosenbaum PL, Kent RD, Lillie J, Eulenberg JB, Chester K Jr, Johnson B, Michalsen L, Evatt M, Taylor K. Developing and validating the Communication Function Classification System for individuals with cerebral palsy. Dev Med Child Neurol. 2011;53(8):704-10.
  • 20. Morris C, Galuppi BE, Rosenbaum PL. Reliability of family report for the Gross Motor Function Classification System. Dev Med Child Neurol. 2004; 46:455-60.
  • 21. Rackauskaite G, Thorsen P, Uldall PV, Ostergaard JR. Reliability of GMFCS family report questionnaire. Disabil Rehabil. 2012; 34: 721-4.
  • 22. Mutlu A, Kara OK, Gunel MK, Karahan S, Livanelioğlu A. Agreement between parents and clinicians for the motor functional classification systems of children with cerebral palsy. Disabil Rehabil. 2011; 33: 927-32.
  • 23. Mutlu A, Kara ÖK, Livanelioğlu A, Karahan S, Alkan H, Yardımcı BN, et al. Agreement between parents and clinicians on the communication function levels and relationship of classification systems of children with cerebral palsy. Disabil Health J. 2018; 11: 281-6.
  • 24. Morris C, Kurinczuk JJ, Fitzpatrick R, Rosenbaum PL. Who best to make the assessment? Professionals' and families' classifications of gross motor function in cerebral palsy are highly consistent. Arch Dis Child. 2006;91: 675-679.
  • 25. Serel Arslan S, Ilgaz F, Demir N, Karaduman AA. Yutma bozukluğu olan serebral palsili çocuklarda büyüme yetersizliği ve beslenme şeklinin ebeveynlerin kaygı durumu üzerindeki etkisi. Bes Diy Der. 2018;45(1):28-34.
There are 25 citations in total.

Details

Primary Language English
Subjects Rehabilitation
Journal Section Araştırma Makaleleri
Authors

Selen Serel Arslan 0000-0002-2463-7503

Numan Demır 0000-0001-6308-0237

Aynur Ayşe Karaduman 0000-0001-6252-1934

Publication Date April 20, 2022
Published in Issue Year 2022 Volume: 33 Issue: 1

Cite

APA Serel Arslan, S., Demır, N., & Karaduman, A. A. (2022). AGREEMENT BETWEEN PARENTS AND CLINICIANS FOR CHEWING PERFORMANCE LEVEL OF CHILDREN WITH CEREBRAL PALSY. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 33(1), 63-68. https://doi.org/10.21653/tjpr.960506
AMA Serel Arslan S, Demır N, Karaduman AA. AGREEMENT BETWEEN PARENTS AND CLINICIANS FOR CHEWING PERFORMANCE LEVEL OF CHILDREN WITH CEREBRAL PALSY. Turk J Physiother Rehabil. April 2022;33(1):63-68. doi:10.21653/tjpr.960506
Chicago Serel Arslan, Selen, Numan Demır, and Aynur Ayşe Karaduman. “AGREEMENT BETWEEN PARENTS AND CLINICIANS FOR CHEWING PERFORMANCE LEVEL OF CHILDREN WITH CEREBRAL PALSY”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 33, no. 1 (April 2022): 63-68. https://doi.org/10.21653/tjpr.960506.
EndNote Serel Arslan S, Demır N, Karaduman AA (April 1, 2022) AGREEMENT BETWEEN PARENTS AND CLINICIANS FOR CHEWING PERFORMANCE LEVEL OF CHILDREN WITH CEREBRAL PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi 33 1 63–68.
IEEE S. Serel Arslan, N. Demır, and A. A. Karaduman, “AGREEMENT BETWEEN PARENTS AND CLINICIANS FOR CHEWING PERFORMANCE LEVEL OF CHILDREN WITH CEREBRAL PALSY”, Turk J Physiother Rehabil, vol. 33, no. 1, pp. 63–68, 2022, doi: 10.21653/tjpr.960506.
ISNAD Serel Arslan, Selen et al. “AGREEMENT BETWEEN PARENTS AND CLINICIANS FOR CHEWING PERFORMANCE LEVEL OF CHILDREN WITH CEREBRAL PALSY”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 33/1 (April 2022), 63-68. https://doi.org/10.21653/tjpr.960506.
JAMA Serel Arslan S, Demır N, Karaduman AA. AGREEMENT BETWEEN PARENTS AND CLINICIANS FOR CHEWING PERFORMANCE LEVEL OF CHILDREN WITH CEREBRAL PALSY. Turk J Physiother Rehabil. 2022;33:63–68.
MLA Serel Arslan, Selen et al. “AGREEMENT BETWEEN PARENTS AND CLINICIANS FOR CHEWING PERFORMANCE LEVEL OF CHILDREN WITH CEREBRAL PALSY”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 33, no. 1, 2022, pp. 63-68, doi:10.21653/tjpr.960506.
Vancouver Serel Arslan S, Demır N, Karaduman AA. AGREEMENT BETWEEN PARENTS AND CLINICIANS FOR CHEWING PERFORMANCE LEVEL OF CHILDREN WITH CEREBRAL PALSY. Turk J Physiother Rehabil. 2022;33(1):63-8.