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    Reliability and validity of the turkish version of the feeding/swallowing impact survey
    (Springer, 2018) Arslan, Selen Serel; Kilinc, Hasan Erkan; Yasaroglu, Omer Faruk; Inal, Ozgu; Demir, Numan; Karaduman, A. Ayse
    The purpose of this study was to translate the Feeding/Swallowing Impact Survey (FS-IS) into Turkish and to test its reliability and validity in caregivers of children with cerebral palsy (CP). Caregivers accompanying the 117 children with CP who were referred for an instrumental swallowing evaluation were included in the study. The FS-IS was translated from English into Turkish by using the forward, backward, forward translation method. Parents completed the Turkish version of the Feeding/Swallowing Impact Survey (T-FS-IS) which has 3 subscales including daily activities, worry and feeding difficulties. Swallowing function was assessed with Videofluoroscopic Swallowing Study, and penetration and aspiration severity was determined according to the Penetration-Aspiration Scale (PAS). The internal consistency, test-retest reliability, construct validity, and discriminant validity of the T-FS-IS were investigated. Internal consistency was excellent with Cronbach alphas all above 0.8 (Total score=0.99, daily activities=0.98, worries=0.98, and feeding difficulties=0.96). The Intraclass correlation coefficient was 0.93, demonstrating excellent test-retest reliability. All three subscales of the T-FS-IS including daily activities, worry, and feeding difficulties as well as the total score significantly correlated with the PAS scores. Caregivers whose children had aspiration reported worse scores in the T-FS-IS total and its subscales compared with caregivers whose children without airway aspiration according to PAS (p<0.01). The T-FS-IS is a reliable and valid instrument for measuring the impact of swallowing disorders on caregivers of children with CP. It can be used in clinical practice and research. Clinical trial number: NCT03005093.
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    The severity of chewing disorders is related to gross motor function and trunk control in children with cerebral palsy
    (Taylor & Francis Ltd, 2018) Arslan, Selen Serel; Demir, Numan; Inal, Ozgu; Karaduman, Aynur A.
    Purpose: The frequency of chewing disorders increases with decreasing level of gross motor function in children with cerebral palsy (CP). Besides its frequency, the severity of chewing disorders is also important. The aim of this study was to determine the relationship between chewing performance level and gross motor function, and trunk postural control in children with CP. Materials and methods: The study included 119 children with CP (age 2-10 years). Chewing performance level was determined by the Karaduman Chewing Performance Scale (KCPS). The Gross Motor Function Classification System (GMFCS) was used to determine the level of gross motor function. Segmental Assessment of Trunk Control (SATCo) was used to measure trunk control. Results: Children with spastic CP with a median age of 4 years were evaluated, of which 50.4% were male. The percentages of patients classified to GMFCS levels I to V were 43.7%, 6.7%, 9.2%, 5.0%, and 35.3%, respectively. The median KCPS score was 3 (min = 0, max = 4). A good correlation was found between KCPS and GMFCS (p<. 001, r = 0.70). Negative, excellent correlations between KCPS and SATCo static, SATCo active, and SATCo reactive postural controls were found (p<.001, r = -0.75, r = -0.77, r = -0.79; respectively). Conclusions: The severity of chewing disorders is related to the level of gross motor function and trunk postural control in children with CP.