An Examination of Improvement in Swallowing and Speech Production on the Quality of Life Among Children with Cerebral Palsy in Mombasa County, Kenya
Notice bibliographique
Résumé
The purpose of this research was to examine if an improvement in swallowing and speech production can increase the quality of life among children with Cerebral Palsy (CP). Dynamic Systems Theory by Smith and Thelen (1995) was adopted. Case study design was adopted for the study which allowed a researcher to look into a single subject in depth. Piloting was done at the Association for the Physically Disabled of Kenya (APDK), Mombasa County. Purposive sampling was employed to sample children between 3-8 years of age with Cerebral Palsy. Modified speech assessment tools and a list of the evidence-based swallowing exercises were used to collect data. Data analysis was carried out using both qualitative and quantitative methods. Data was analyzed using Statistical Package for Social Sciences (SPSS, version 24.0) and descriptive statistics of frequencies and percentages were used to summarize the demographic information. Analysis of Covariance (ANCOVA) for the pre-treatment and post treatment engaging swallowing exercises was computed at .05 alpha level. Tables and graphs were used to present the data. A p-value < 0.05 was considered statistically significant if there were differences in the mean ranks of the responses. Findings revealed that before treatment through swallowing exercises, an average of one child with CP could communicate through speech and was able to feed variety of food without problems. However, after the administration of swallowing exercise during the eighth week, an average of children with CP across all the groups were able to communicate through speech and feed a variety of food without help The use of tongue extension, tongue retraction , tongue tip up, elevating tongue towards palate, opening of the jaw, circular movement of the jaw and lip press on tongue depressor had the highest mean rank implying that they had better effects on speech and vocal quality among children with CP under the study. The study concludes that apart from enhancing speech production, swallowing exercises positively impacted on quality of life among children with CP. The study recommends the government should create awareness regarding the need to promote speech therapy courses and medical education to increase the number of available speech therapists. Keywords: improvement in swallowing exercise; speech production; quality of life; children with Cerebral Palsy
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,005 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».