Ślinotok w mózgowym porażeniu dziecięcym: ujęcie kliniczne, społeczne i terapeutyczne
| dc.contributor.author | Żulewska-Wrzosek, Justyna | |
| dc.contributor.author | Hinc-Nowak, Julia | |
| dc.date.accessioned | 2025-12-12T10:52:12Z | |
| dc.date.available | 2025-12-12T10:52:12Z | |
| dc.date.issued | 2025-12-12 | |
| dc.identifier.issn | 2544-7238 | |
| dc.identifier.uri | http://hdl.handle.net/11089/56960 | |
| dc.description.abstract | Drooling is a common symptom observed in children with cerebral palsy (CP). It may lead to medical complications, social and emotional difficulties, and a reduced quality of life for both the child and their caregivers. This review article presents the current state of knowledge regarding the causes, consequences, and treatment options for drooling in children with CP, with a particular focus on speech and language therapy as a key component of nonpharmacological intervention. Pharmacological and surgical approaches are also discussed, along with the importance of individualised therapy and interdisciplinary collaboration. Given the limited number of publications addressing this issue in Polish pedagogical and speechlanguage literature, this article may serve as a starting point for further research and deeper reflection on effective support for children with CP and excessive drooling. | en |
| dc.description.abstract | Ślinotok jest częstym objawem występującym u dzieci z mózgowym porażeniem dziecięcym (MPD). Może prowadzić do powikłań medycznych, trudności w funkcjonowaniu społecznym i emocjonalnym oraz obniżenia jakości życia dziecka i jego opiekunów. Niniejszy artykuł ma charakter przeglądowy i przedstawia aktualny stan wiedzy na temat przyczyn, konsekwencji oraz możliwości leczenia ślinotoku u dzieci z MPD, ze szczególnym uwzględnieniem terapii logopedycznej jako kluczowego elementu niefarmakologicznego postępowania. Omówiono także dostępne interwencje farmakologiczne i chirurgiczne oraz podkreślono znaczenie indywidualizacji działań i współpracy interdyscyplinarnej. Z uwagi na ograniczoną liczbę opracowań podejmujących tę tematykę w polskim piśmiennictwie pedagogicznym i logopedycznym niniejszy artykuł może stanowić podstawę do dalszych badań i pogłębionej refleksji nad skutecznym wsparciem dzieci z MPD i objawem nadmiernego ślinienia. | pl |
| dc.language.iso | pl | |
| dc.publisher | Wydawnictwo Uniwersytetu Łódzkiego | pl |
| dc.relation.ispartofseries | Logopaedica Lodziensia;11 | pl |
| dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0 | |
| dc.subject | cerebral palsy | en |
| dc.subject | drooling | en |
| dc.subject | therapeutic interventions | en |
| dc.subject | speech-language therapy | en |
| dc.subject | quality of life | en |
| dc.subject | mózgowe porażenie dziecięce | pl |
| dc.subject | ślinotok | pl |
| dc.subject | postępowanie terapeutyczne | pl |
| dc.subject | terapia logopedyczna | pl |
| dc.subject | jakość życia | pl |
| dc.title | Ślinotok w mózgowym porażeniu dziecięcym: ujęcie kliniczne, społeczne i terapeutyczne | pl |
| dc.title.alternative | Drooling in Cerebral Palsy: A Clinical, Social, and Therapeutic Approach | en |
| dc.type | Article | |
| dc.page.number | 271-283 | |
| dc.contributor.authorAffiliation | Żulewska-Wrzosek, Justyna - Akademia Pedagogiki Specjalnej im. Marii Grzegorzewskiej w Warszawie | pl |
| dc.contributor.authorAffiliation | Hinc-Nowak, Julia - Akademia Pedagogiki Specjalnej im. Marii Grzegorzewskiej w Warszawie | pl |
| dc.identifier.eissn | 2657-4381 | |
| dc.references | Almasri N.A., Alquaqzeh F.A., 2023, Determinants of quality of life of children and adolescents with cerebral palsy: a systematic review, „Physical & Occupational Therapy in Pediatrics”, vol. 43(4), s. 367–388. | pl |
| dc.references | Alrefai A., Aburahma S., Khader Y., 2009, Treatment of sialorrhea in children with cerebral palsy: A double-blind placebo-controlled trial, „Clinical Neurology and Neurosurgery”, vol. 111(1), s. 79–82. | pl |
| dc.references | Awaad H.M., Aly M.G., Kamal H.M., 2023, Kinesio Taping versus Oromotor Training on drooling in children with spastic cerebral palsy: comparative study, „The Egyptian Journal of Hospital Medicine”, vol. 91(1), s. 4462–4467. | pl |
| dc.references | Awan W.A., Aftab A., Janua U.I., Ramzan R., Khan N., 2017, Effectiveness of kinesio taping with oromotor exercises in improving drooling among children with cerebral palsy, „The Rehabilitation”, vol. 1(2), s. 21–27. | pl |
| dc.references | Bavikatte G., Sit P.L., Hassoon A., 2012, Management of drooling of saliva, „British Journal of Medical Practice”, vol. 5(1), 5071. | pl |
| dc.references | Bekkers S., Pruijn I.M.J., Van Hulst K., Delsing C.P., Erasmus C.E., Scheffer A.R.T., Van Den Hoogen F.J.A., 2019, Randomized controlled trial comparing botulinum vs surgery for drooling in children with neurodevelopmental disabilities, „Neurology”, vol. 92(11), s. 1195–1204. | pl |
| dc.references | Blasco P., 2012, Prevalence and predictors of drooling, „Developmental Medicine & Child Neurology”, vol. 54(11), s. 970. | pl |
| dc.references | Borrás S., Rossel V., 2005, Logopedia e intervención. Guía para la reeducación de la deglución atípica y trastornos asociados, Valencia: Nau llibres. | pl |
| dc.references | Bouchoucha M., Callais F., Renard P., Ekindjian O.G., Cugnenc P.H., Barbier J.P., 1997, Relationship between acid neutralization capacity of saliva and gastro-oesophageal reflux, „Archives of Physiology and Biochemistry”, vol. 105(1), s. 19–26. | pl |
| dc.references | Cantera M.J., Medinilla E.M., Martinez A.C., Gutierrez S.G., 2021, Comprehensive approach to children with cerebral palsy, „Anales de Pediatría”, vol. 95(4), s. 1–11. | pl |
| dc.references | Chen C.R., Su Y.C., Chen H.C., Lin Y.C., 2023, Botulinum Toxin for Drooling in Adults with Diseases of the Central Nervous System: A Meta-Analysis, „Healthcare (Basel)”, vol. 11(13), 1956. | pl |
| dc.references | Clark H., 2003, Neuromuscular treatments for speech and swallowing: A tutorial, „American Journal of Speech-Language Pathology”, vol. 12(4), s. 400–415. | pl |
| dc.references | Collins A., Burton A., Fairhurst C., 2020, Management of drooling in children with cerebral palsy, „Paediatrics and Child Health”, vol. 30(12), s. 425–429. | pl |
| dc.references | Colver A., Rapp M., Eisemann N., Ehlinger V., Thyen U., Dickinson H.O., Parkes J., Parkinson K., Nystrand M., Fauconnier J., Marcelli M., Michelsen S.I., Arnaud C., 2015, Self-reported quality of life of adolescents with cerebral palsy: a cross-sectional and longitudinal analysis, „The Lancet”, vol. 385(9969), s. 705–716. | pl |
| dc.references | Crary M., Carnaby G.D., Mathijs L., Maes S., Gelin G., Ortibus E., Rommel N., 2022, Spontaneous Swallowing Frequency, Dysphagia, and Drooling in Children With Cerebral Palsy, „Archives of Physical Medicine and Rehabilitation”, vol. 103(3), s. 451–458. | pl |
| dc.references | Domaracki L.S., Sisson L.A., 1990, Decreasing drooling with oral motor stimulation in children with multiple disabilities, „American Journal of Occupational Therapy”, vol. 44, s. 680–684. | pl |
| dc.references | El Nagar R., Al-Nemar A., Abdelazeim F., 2021, Effect of oromotor exercises on feeding in children with cerebral palsy: A systematic review, „Bulletin of Faculty of Physical Therapy”, vol. 26:36, s. 1–10. | pl |
| dc.references | Erasmus C.E., Hulst K. van, Rotteveel J.J., Willemsen M.A., Jongerius P.H., 2012, Clinical practice: swallowing problems in cerebral palsy, „European Journal of Pediatrics”, vol. 171(3), s. 409–414. | pl |
| dc.references | Erasmus C.E., Hulst K.V., Rotteveel L.J.C., Jongerius P.H., Van Den Hoogen F.J.A., Roeleveld N., Rotteveel J.J., 2009, Drooling in cerebral palsy: hypersalivation or dysfunctional oral motor control?, „Developmental Medicine & Child Neurology”, vol. 51(6), s. 454–459. | pl |
| dc.references | Fairhurst C.B., Cockerill H., 2011, Management of drooling in children, „Archives of Disease in Childhood Education and Practice Edition”, vol. 96(1), s. 25–30. | pl |
| dc.references | Greensmith A.L., Johnstone B.R., Reid S.M., Hazard C.J., Johnson H.M., Reddihough D.S., 2005, Prospective analysis of the outcome of surgical management of drooling in the pediatric population: A 10-year experience, „Plastic and Reconstructive Surgery”, vol. 116, s. 1233–1242. | pl |
| dc.references | Hegde A., Pani S.C., 2009, Drooling of saliva in children with cerebral palsy – etiology, prevalence, and relationship to salivary flow rate in an Indian population, „Special Care in Dentistry”, vol. 29(4), s. 163–168. | pl |
| dc.references | Hung S.A., Liao C.L., Lin W.P., Hsu J.C., Guo Y.H., Lin Y.C., 2021, Botulinum Toxin Injections for Treatment of Drooling in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis, „Children (Basel)”, vol. 8(12), 1089. | pl |
| dc.references | Iorgulescu G., 2009, Saliva between normal and pathological. Important factors in determining systemic and oral health, „Journal of Medicine and Life”, vol. 2(3), s. 303–307. | pl |
| dc.references | Jongerius P.H., Tiel P. van, Limbeek J. van, Gabreëls F.J.M., Rotteveel J.J., 2003, A systematic review for evidence of efficacy of anticholinergic drugs to treat drooling, „Archives of Disease in Childhood”, vol. 88(10), s. 911–914. | pl |
| dc.references | Limbrock G.J., Hoyer H., Scheying H., 1990, Drooling, chewing and swallowing dysfunctions in children with cerebral palsy: Treatment according to Castillo-Morales, „ASDC Journal of Dentistry for Children”, vol. 57(6), s. 445–451. | pl |
| dc.references | Little S.A., Kubba H., Hussain S.S., 2009, An evidence-based approach to the child who drools saliva, „Clinical Otolaryngology”, vol. 34(3), s. 236–239. | pl |
| dc.references | Makris T., Dorstyn D., Crettenden A., 2021, Quality of life in children and adolescents with cerebral palsy: a systematic review with meta-analysis, „Disability and Rehabilitation”, vol. 43(3), s. 299–308. | pl |
| dc.references | Manzoor M., Butt G.A., Nasir M., Hassan F., 2024, Effects of oral motor therapy in children with cerebral palsy: a randomized controlled trial, „Journal of Population Therapeutics and Clinical Pharmacology”, vol. 31(6), s. 1273–1280. | pl |
| dc.references | Marinone S., Gaynor W., Johnston J., Mahadevan M., 2017, Castillo Morales appliance therapy in the treatment of drooling children, „International Journal of Pediatric Otorhinolaryngology”, vol. 103, s. 129–132. | pl |
| dc.references | McInerney M.S., Reddihough D.S., Carding P.N., Swanton R., Walton C.M., Imms C., 2019, Behavioural interventions to treat drooling in children with neurodisability: A systematic review, „Developmental Medicine & Child Neurology”, vol. 61, s. 39–48. | pl |
| dc.references | Mier R.J., Bachrach S.J., Lakin R.C., Barker T., Childs J., Moran M., 2000, Treatment of sialorrhea with glycopyrrolate: A double-blind, dose-ranging study, „Archives of Pediatrics & Adolescent Medicine”, vol. 154(12), s. 1214–1218. | pl |
| dc.references | Mikami D., Furia C., Welker A., 2019, Addition of Kinesio Taping of the orbicularis oris muscles to speech therapy rapidly improves drooling in children with neurological disorders, „Developmental Neurorehabilitation”, vol. 22(1), s. 13–18. | pl |
| dc.references | Mokhlesin M., Mirmohammadkhani M., Tohidast S.A., 2021, The effect of Kinesio Taping on drooling in children with intellectual disability: A double-blind randomized controlled study, „International Journal of Pediatric Otorhinolaryngology”, vol. 153, 111017. | pl |
| dc.references | Morales Chávez M.C., Nualart Grollmus Z.C., Silvestre-Donat F.J., 2008, Clinical prevalence of drooling in infant cerebral palsy, „Medicina Oral, Patología Oral y Cirugía Bucal”, vol. 13(1), s. 22–26. | pl |
| dc.references | Ottenbacher K., Scoggins A., Wayland J., 1981, The effectiveness of a program of oral sensory-motor therapy with the severely and profoundly developmentally disabled, „Occupational Therapy Journal of Research”, vol. 1(2), s. 147–163. | pl |
| dc.references | Park H.W., Lee W.Y., Park G.Y., Kwon D.R., Lee Z.I., Cho Y.W., Ahn S.H., Lee D.K., 2012, Salivagram after gland injection of botulinum neurotoxin A in patients with cerebral infarction and cerebral palsy, „Physical Medicine and Rehabilitation”, vol. 4(4), s. 312–316. | pl |
| dc.references | Pedersen A.M., Bardow A., Jensen S.B., Nauntofte B., 2002, Saliva and gastrointestinal functions of taste, mastication, swallowing and digestion, „Oral Diseases”, vol. 8(3), s. 117–129. | pl |
| dc.references | Pelkonen A.M., Närhi L., Häkli S., Raatikainen A.M., Pirttiniemi P., Silvola A.S., 2023, Effectiveness of oral motor appliances on oral motor function and speech in children: a systematic review, „Acta Odontologica Scandinavica”, vol. 82(1), s. 9–17. | pl |
| dc.references | Reddihough D.S., Erasmus C.E., Johnson H., McKellar G.M., Jongerius P.H., 2010, Botulinum toxin assessment, intervention and aftercare for paediatric and adult drooling: international consensus statement, „European Journal of Neurology”, vol. 17(2), s. 109–121. | pl |
| dc.references | Reed J., Mans C.K., Brietzke S.E., 2009, Surgical management of drooling: A meta-analysis, „Archives of Otolaryngology – Head & Neck Surgery”, vol. 135(9), s. 924–931. | pl |
| dc.references | Reid S.M., McCutcheon J., Reddihough D.S., Johnson H., 2012, Prevalence and predictors of drooling in 7 to 14 year old children with cerebral palsy: a population study, „Developmental Medicine & Child Neurology”, vol. 54(11), s. 1032–1036. | pl |
| dc.references | Russo E.F., Calabro R.S., Sale P., Vergura F., De Cola M.C., Militi A., Bramanti P., Portaro S., Filoni S., 2019, Can muscle vibration be the future in the treatment of cerebral palsy-related drooling? A feasibility study, „International Journal of Medical Sciences”, vol. 16(11), s. 1447–1452. | pl |
| dc.references | Sadowska M., Sarecka-Hujar B., Kopyta I., 2020, Cerebral Palsy: Current Opinions on Definition, Epidemiology, Risk Factors, Classification and Treatment Options, „Neuropsychiatric Disease and Treatment”, vol. 16, s. 1505–1518. | pl |
| dc.references | Senner J.E., Logemann J., Zecker S., Gaebler-Spira D., 2007, Drooling, saliva production, and swallowing in cerebral palsy, „Developmental Medicine & Child Neurology”, vol. 46(12), s. 801–806. | pl |
| dc.references | Speyer R., Cordier R., Kim J.H., Cocks N., Michou E., Wilkes-Gillan S., 2019, Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta-analyses, „Developmental Medicine and Child Neurology”, vol. 61(11), s. 1249–1258. | pl |
| dc.references | Strauss D., Brooks J., Rosenbloom L., Shavelle R., 2008, Life expectancy in cerebral palsy: an update, „Developmental Medicine and Child Neurology”, vol. 50(7), s. 487–493. | pl |
| dc.references | Stuchell R.N., Mandel I.D., 1988, Salivary gland dysfunction and swallowing disorders, „Otolaryngologic Clinics of North America”, vol. 21(4), s. 649–661. | pl |
| dc.references | Szuflak K., Malak R., Fechner B., Sikorska D., Samborski W., Mojs E., Gerreth K., 2023, The masticatory structure and function in children with cerebral palsy – A pilot study, „Healthcare”, vol. 11(7), 1029. | pl |
| dc.references | Tahmassebi J.F., Curzon M.E.J., 2003, The cause of drooling in children with cerebral palsy – hypersalivation or swallowing defect?, „International Journal of Paediatric Dentistry”, vol. 13(2), s. 106–111. | pl |
| dc.references | Taş S.A., Cankaya T., 2015, An investigation of the relations of drooling with nutrition and head control in individuals with quadriparetic cerebral palsy, „Journal of Physical Therapy Science”, vol. 27(11), s. 3487–3492. | pl |
| dc.references | Trabacca A., Vespino T., Di Liddo A., Russo L., 2016, Multidisciplinary rehabilitation for patients with cerebral palsy: improving long-term care, „Journal of Multidisciplinary Healthcare”, vol. 9, s. 455–462. | pl |
| dc.references | Tuncer A., Uzun A., Tuncer A.H., Guzel H.C., Atılgan E.D., 2023, Bruxism, parafunctional oral habits and oral motor problems in children with spastic cerebral palsy: A cross-sectional study, „Journal of Oral Rehabilitation”, vol. 50(12), s. 1393–1400. | pl |
| dc.references | Van der Burg J.J., Didden R., Jongerius P.H., Rotteveel J.J., 2007, A descriptive analysis of studies on behavioural treatment of drooling (1970–2005), „Developmental Medicine and Child Neurology”, vol. 49, s. 390–394. | pl |
| dc.references | Van der Burg J.J., Jongerius P.H., Limbeek J. van, Hulst K. van, Rotteveel J., 2006a, Social interaction and self-esteem of children with cerebral palsy after treatment for severe drooling, „European Journal of Pediatrics”, vol. 165(1), s. 37–41. | pl |
| dc.references | Van der Burg J.J., Jongerius P.H., Limbeek J. van, Hulst K. van, Rotteveel J., 2006b, Drooling in children with cerebral palsy: a qualitative method to evaluate parental perceptions of its impact on daily life, social interaction, and self-esteem, „International Journal of Rehabilitation Research”, vol. 29(2), s. 179–182. | pl |
| dc.references | Varni J.W., Burwinkle T.M., Sherman S.A., Hanna K., Berrin S.J., Malcarne V.L., Chambers H.G., 2005, Health-related quality of life of children and adolescents with cerebral palsy: hearing the voices of children, „Developmental Medicine and Child Neurology”, vol. 47(9), s. 592–597. | pl |
| dc.references | Vijayasekaran S., Unal F., Schaff S.A., Johnson R.F., Ruttler R.J., 2007, Salivary gland surgery for chronic pulmonary aspiration in children, „International Journal of Pediatric Otorhinolaryngology”, vol. 71(1), s. 119–123. | pl |
| dc.references | Walshe M., Smith M., Pennington L., 2012, Interventions for drooling in children with cerebral palsy, „Cochrane Database of Systematic Reviews”, no. 11, CD008624. | pl |
| dc.references | Zamani S.M., Naderifar E., Torabi M.H., Kamali M., 2024, Non-Medical Treatments of Drooling by Speech and Language Pathologists in Cerebral Palsy Children: A Systematic Review, „Journal of Iranian Medical Council”, vol. 7(4), s. 599–613. | pl |
| dc.references | Zeller R.S., Davidson J., Lee H.M., Cavanaugh P.F., 2012, Safety and efficacy of glycopyrrolate oral solution for management of pathologic drooling in pediatric patients with cerebral palsy and other neurologic conditions, „Therapeutics and Clinical Risk Management”, vol. 8, s. 25–32. | pl |
| dc.contributor.authorEmail | Żulewska-Wrzosek, Justyna - jzulewska@aps.edu.pl | |
| dc.contributor.authorEmail | Hinc-Nowak, Julia - jhinc@aps.edu.pl | |
| dc.identifier.doi | 10.18778/2544-7238.11.18 |
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