Cervical Auscultation in Pediatric Patient with Cerebral Palsy : Narrative Review Ausculta Cervical en el Paciente Pediátrico con Parálisis Cerebral: Revisión Narrativa Narrative Review

Abstract

In the clinical care, the speech language pathologist has evaluative resources to describe the sequential biomechanics of swallowing; one of the resources used is Cervical Auscultation (CA). Taking into account the description of the importance of the timely and effective intervention of the swallowing processes in children with cerebral palsy, it is considered necessary to solve: what is the spectrographic profile that records the pharyngeal phase of swallowing in the pediatric patient with cerebral palsyl?. The Systematic review based of a PRISMA methodology, specifically in the use of cervical auscultation as a reference for the clinical evaluation of swallowing and dysphagia in diagnosed pediatric subjects. with Cerebral Palsy. Of the180 articles found in the cientific databases, taking 6 articles out of the total according to the eligibility criteria, establishing a 3.34% of inclusion. In the absence of instrumental swallowing evaluation processes, CA provides the accessibility of the procedure as a benefit, in addition to temporality characteristics in the sequence of swallowing sounds, without any type of adverse factor for its performance. The CA is an important resource in clinical evaluation, it establishes a first step in the physiological analysis of swallowing with the physiological aspects of the pharyngeal phase. This puts auscultation in a privileged position, but it must be standardized by cientifics  and theorists on the subject.