Karen van Hulst Oral motor performance in children with neurodevelopmental disabilities - about dysphagia and drooling
This thesis focuses on the assessment and treatment of complex oral motor activities in seriously impaired children with dysphagia and drooling.read more
Karen van Hulst Oral motor performance in children with neurodevelopmental disabilities - about dysphagia and droolingThis thesis focuses on the assessment and treatment of complex oral motor activities in seriously impaired children with dysphagia and drooling. Insight has been gained that drooling still exists in 3-15% of preschoolers at the age of four and invasive treatment of saliva loss under that age is not advisable. Knowledge of the determinants of dysphagia in children with Cerebral Palsy has been increased and children can be classified reliably by the EDACS (Eating and Drinking Ability Classification System). The assessment of disabling saliva loss has been further refined and there is proof that saliva loss can be measured in 5 minutes (DQ5) instead of 10, which can serve as a cut-off point for decision making in drooling treatment. To personalize drooling intervention, adverse effects (AEs) on oral motor performance after Botulinum Toxin-A in salivary glands have been identified as well as independent predictors of AEs. Evidence has been found that a combination of objective and subjective drooling outcome measurements, both regarding severity as well as impact on the child and family, is preferable to decide whether treatment is necessary and to evaluate the effects. Finally, Global similarities and differences in drooling treatment became apparent in an international collaboration resulting in a narrative review.
Date, time and location PhD defense
- Date: 14 November 2019
- Time: 10:30 hrs
- Location: Radboud Universiteit, Academiezaal Aula, Comeniuslaan 2
Karen van Hulst (1962) graduated in 1985 from the bachelor training Speech and language therapy. She has been working as a speech language therapist in the Radboudumc (pediatric neurology/pediatric rehabilitation) for over thirty years. Karen obtained her master Evidenced-Based Practice (MSc) at the University of Amsterdam (2008-2010). In 2012 she started her PhD training at the Donders Institute of Brain, Cognition and Behaviour (DCMN) in swallowing and saliva control problems in children with neurodevelopmental disabilities. She combined her clinical work for the interdisciplinary swallowing and saliva control team at the Amalia children’s hospital, with her PhD training. Karen remains involved in patient care, scientific research and education in the pediatric SLT team of the department of rehabilitation.
- Promotor(s): Prof. S. Geurts
- Co-promotor(s): C. Erasmus, P. Jongerius