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Effekten av intra- och extraoralsensorisk intensivbehandling med eltandborste: Hos nio barn med Down syndrom
Linköping University, Department of Clinical and Experimental Medicine, Speech and Language Pathology .
Linköping University, Department of Clinical and Experimental Medicine, Speech and Language Pathology .
2010 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesisAlternative title
The Effect of an Intra- and Extraoral Intensive Sensory Treatment with an Electric Toothbrush : A study on nine children with Down Syndrome (English)
Abstract [sv]

Barn med Down syndrom (DS) har problem med hypotonus och hyposensitivitet som begränsar rörligheten i ansiktets och munnens muskulatur, vilket därmed försvårar tal och sväljning. Målet med en intra- och extraoralsensorisk behandling är att öka medvetenheten och kontrollen av munnens muskulatur, dess rörelser, spänning och känsel.  Syfte med föreliggande studie var att undersöka effekten av en intra- och extraoralsensorisk intensivbehandling med eltandborste hos en grupp barn med DS och hypotonus. Effekten valdes att studeras utifrån områdena orofacial funktion, läppslutning, talproduktion och oralsensorik. Nio barn i åldrarna 6 till 12 år genomgick behandlingen med fyra behandlingstillfällen i veckan under fyra veckor. Före behandlingsstarten gjordes en baseline-mätning och efter utvärderades behandlingseffekten vid tre tillfällen, utspritt på tre veckor. Bedömningsmaterialet som användes bestod av NOT-S och kompletterande intervjufrågor till föräldrar, delar av STORM och SVANTE samt eftersägning.  Resultaten visar på att det sker någon form av förbättring för alla deltagare, inom minst ett område. Effekten av behandlingen varierade mellan deltagarna. Det är därför viktigt med individanpassad intervention, då samma metod inte alltid fungerar, är meningsfull och mottas lika bra hos alla patienter.

Abstract [en]

Children with Down syndrome (DS) have problems with hypotonia and hyposensitivity restricting movement of the face and mouth muscles, thus impeding speaking and swallowing. The goal of intra- and extraoral sensory processing is to increase awareness and control of the oral muscles, its movements, tension and oral sensation. The objective of this study is to investigate the effects of an intra- and extraoral sensory intensive treatment with electric toothbrush in a group of children with DS and hypotonia. The effects were studied from the perspectives of orofacial function, lip closure, speech production and oral sensitivity. Nine children aged 6 to 12 years underwent treatment with four sessions per week for four weeks. Before starting treatment, a baseline was performed and afterwards the effects of the treatment were evaluated on three occasions over a period of three weeks. Assessment materials included NOT-S and additional interview questions for the parents, part of STORM and SVANTE, as well as repetition. The results show that there is improvement for all participants in at least one of the studied areas. The outcome of the treatment varied between the participants. Therefore it can be important with individualized intervention, as the same method does not always work or may not be appropriate and not received the same by all patients.

Place, publisher, year, edition, pages
2010. , 40 p.
Keyword [en]
Down syndrome, oral sensory stimulation with electric toothbrush, orofacial function, lip closure, speech production, oral sensation.
Keyword [sv]
Down syndrom, oralsensorisk stimulering med eltandborste, orofacial funktion, läppslutning, talproduktion, oralsensorik
National Category
Otorhinolaryngology
Identifiers
URN: urn:nbn:se:liu:diva-57119ISRN: LIU-IKE/SLP-A--10/004--SEOAI: oai:DiVA.org:liu-57119DiVA: diva2:323357
Presentation
2010-05-27, Terassen, HU/US, Linköping, 09:00 (Swedish)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2010-06-10 Created: 2010-06-10 Last updated: 2010-12-10Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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  • de-DE
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  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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  • text
  • asciidoc
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