Frequency of language and swallowing problems in children with cerebral palsy at a tertiary care hospital Rawalpindi, Pakistan.

Abstract

To investigate the occurrence of language and swallowing problem in individuals with cerebral palsy. The cross-sectional survey was conducted at the Riphah International University, Rawalpindi, Pakistan, from September 2018 to January 2019 while data was collected from the Armed Forces Institute of Rehabilitation Medicine, Rawalpindi, a tertiary care hospital. The sample comprised individuals with cerebral palsy of either gender aged 5-18 years. Language Sample Checklist was used for language problems and the North western Dysphagia Patient Checklist was used for swallowing problems. Data was analysed using SPSS- Version 21. Of the 55 subjects,62% were males, 38% were females, 76% were from urban areas and 24% were from rural areas. In terms of concepts, processing, and comprehension, 18(33%) persons were able to attempt the tasks, 45(81%) were unable to attempt morphological tasks, 41(74%) were unable to attempt sentence structure tasks, 40(72%) were unable to attempt literacy and narrative skills tasks, 41(74%)could not fulfil pragmatic tasks and 49(89%) had unintelligible speech. The patient checklist showed that 47(85%) children had normal medical history, 41(75%) had normal behavioural variable, 29(52%) had normal gross motor ability,40(73%) completed oral motor test, and 39(71%) had normal swallow trials. Language problems were more prevalent in children with cerebral palsy compared to swallowing difficulties.