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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
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URL Address
<a href="http://doi.org/10.1111/dmcn.13156" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/dmcn.13156</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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Assessment of impaired coordination between respiration and deglutition in children and young adults with ataxia telangiectasia
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Developmental Medicine and Child Neurology
Date
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2016
Subject
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Pediatrics; dysphagia; patterns; Neurosciences & Neurology; management; cerebral-palsy; disease; dynamics; neurodegeneration; pharyngeal; feeding difficulties; ataxia telangectasia; trajectory; characteristics; expiratory patterns of peri-deglutitive airflow
Creator
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Lefton-Greif M A; Perlman A L; He X M; Lederman H M; Crawford T O
Description
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AimThis cross-sectional investigation aimed to assess the value of non-invasive measures of temporal respiratory-swallow coupling in individuals with ataxic swallowing. MethodTwenty participants (11 males, 9 females; range 9-21y) with ataxia telangiectasia were presented with water and pudding boluses. Their 193 swallows were compared with 2200 swallows from 82 age-matched healthy controls. The two components of airway protection during swallowing that were analyzed were: direction of peri-deglutitive airflow and duration of deglutitive inhibition of respiratory airflow (DIORA). ResultsSafe expiratory patterns of peri-deglutitive airflow occurred significantly less often in participants with ataxia telangiectasia than in age-matched control participants (younger p<0.015 and older p<0.001). The frequency of an expiratory pattern of peri-deglutitive airflow increased with age in participants in the comparison group (p=0.006), but not in those with ataxia telangiectasia (p=0.234). With age, mean duration of DIORA decreased in controls (p<0.001) but was unchanged in participants with ataxia telangiectasia (p=0.164). InterpretationNon-invasive quantitative measures of respiratory-swallow coupling capture temporal relationships that plausibly contribute to airway compromise from dysphagia. Changes in respiratory-swallow coupling observed with advancing age in control participants were not seen in participants with ataxia telangiectasia. Measures of perturbations may herald swallowing problems prior to development of pulmonary and nutritional sequelae.
Identifier
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<a href="http://doi.org/10.1111/dmcn.13156" target="_blank" rel="noreferrer noopener">10.1111/dmcn.13156</a>
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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).
2016
ataxia telangectasia
cerebral-palsy
characteristics
Crawford T O
Developmental Medicine and Child Neurology
Disease
dynamics
Dysphagia
expiratory patterns of peri-deglutitive airflow
feeding difficulties
He X M
Lederman H M
Lefton-Greif M A
Management
neurodegeneration
Neurosciences & Neurology
Patterns
Pediatrics
Perlman A L
pharyngeal
Trajectory