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Dublin Core
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Title
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Treatment of Symptoms in Children with Q3 Conditions Scoping Review Results
Text
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URL Address
<a href="http://doi.org/10.1017/s0012162200000463" target="_blank" rel="noreferrer noopener">http://doi.org/10.1017/s0012162200000463</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Air swallowing in Rett syndrome
Publisher
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Developmental Medicine and Child Neurology
Date
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2000
Subject
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Child; Humans; Adult; Adolescent; Female; Child Preschool; Risk Factors; Video Recording; Fluoroscopy; Aerophagy/di [Diagnosis]; Rett Syndrome/di [Diagnosis]; Aerophagy/pp [Physiopathology]; Aerophagy/px [Psychology]; Apnea/di [Diagnosis]; Apnea/pp [Physiopathology]; Apnea/px [Psychology]; Feeding Behavior/ph [Physiology]; Larynx/pp [Physiopathology]; Rett Syndrome/pp [Physiopathology]; Rett Syndrome/px [Psychology]; Stress Psychological/co [Complications]; feeding difficulties; Rett syndrome; physical intervention; hollow tube; gum shield; palatal training devices; air bloat; hyperventilation
Creator
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Morton R E; Pinnington L; Ellis R E
Description
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The possible causes of excessive swallowing of air leading to bloating, which is common in Rett syndrome (RS), were investigated during feeding and at rest. Seven individuals with RS aged between 4 and 33 years (three with air bloat) underwent feeding videoflouroscopy and concurrent respiration monitoring. The results were compared with a randomly selected group of 11 individuals, aged between 2 and 16 years, with quadriplegic cerebral palsy and feeding problems, some of whom had mild air bloat. All individuals from both groups had isolated pharyngeal swallows and several mouth breathed; this may account for some air swallowing but not the severe air bloat characteristic of RS. Thirty-three individuals with RS aged between 3 and 44 years were monitored for nasal respiration, chest movements, swallowing, and vocal cord position at rest (between feeding). Twenty had air bloat, 17 of whom swallowed air during breath-holding in the same way, and three gulped air during hyperventilation. Of the 13 without air bloat, eight did not have recurrent breath-holding and five did, but without concurrent air swallowing. Several methods for reducing air swallowing in apnoea were investigated. The most successful was a dummy with an air leak, but this was poorly tolerated and could only be used for short periods of time. Apnoeas and air bloat are often worse when individuals are distressed and may in some individuals be reduced by anxiolytic medications.
Identifier
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<a href="http://doi.org/10.1017/s0012162200000463" target="_blank" rel="noreferrer noopener">10.1017/s0012162200000463</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2000
Adolescent
Adult
Aerophagy/di [Diagnosis]
Aerophagy/pp [Physiopathology]
Aerophagy/px [Psychology]
air bloat
Apnea/di [Diagnosis]
Apnea/pp [Physiopathology]
Apnea/px [Psychology]
Child
Child Preschool
Developmental Medicine and Child Neurology
Ellis R E
Feeding Behavior/ph [Physiology]
feeding difficulties
Female
Fluoroscopy
gum shield
hollow tube
Humans
hyperventilation
Larynx/pp [Physiopathology]
Morton R E
palatal training devices
physical intervention
Pinnington L
Rett syndrome
Rett Syndrome/di [Diagnosis]
Rett Syndrome/pp [Physiopathology]
Rett Syndrome/px [Psychology]
Risk Factors
Stress Psychological/co [Complications]
Video Recording