{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:40:25Z","timestamp":1787841625815,"version":"build-2784847793"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine whether the thickness of swallowing\u2010related muscles measured by ultrasonography (US) differs according to dysphagia status in children with cerebral palsy (CP) and to identify muscle\u2010specific associations between US measurements and swallowing symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross\u2010sectional study, 66 children with CP aged 2\u201318\u2009years were evaluated at a tertiary outpatient rehabilitation clinic. B\u2010mode US was used to measure the thickness of swallowing\u2010related muscles. Symptom\u2010defined dysphagia was defined as a Pediatric Eating Assessment Tool\u201010 (Pedi\u2010EAT\u201010) score of \u2265\u20094. Muscle thicknesses were compared between children with and without dysphagia. Associations between individual Pedi\u2010EAT\u201010 items and muscle thickness measurements were explored using Spearman correlation and univariate linear regression analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 66 children, 27 (40.9%) met the criteria for dysphagia. US\u2010measured muscle thickness did not differ significantly between children with and without dysphagia for the masseter (0.66\u2009\u00b1\u20090.12 vs. 0.68\u2009\u00b1\u20090.10\u2009cm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.520), genioglossus (0.69\u2009\u00b1\u20090.15 vs. 0.64\u2009\u00b1\u20090.13\u2009cm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.166), geniohyoid (0.60\u2009\u00b1\u20090.14 vs. 0.64\u2009\u00b1\u20090.13\u2009cm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.208), anterior digastric (0.50\u2009\u00b1\u20090.12 vs. 0.50\u2009\u00b1\u20090.12\u2009cm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.887), or mylohyoid muscles (0.15\u2009\u00b1\u20090.03 vs. 0.15\u2009\u00b1\u20090.05\u2009cm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.959). Symptom\u2010level analyses demonstrated inverse associations between selected swallowing complaints and specific muscle measurements, with the strongest association observed between \u201ccoughs while eating\u201d and genioglossus thickness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although swallowing\u2010related muscle thickness did not differ between children with CP with and without dysphagia, US measurements were associated with specific caregiver\u2010reported swallowing complaints. These findings suggest that US may provide complementary, symptom\u2010oriented information in the clinical assessment of swallowing difficulties in children with CP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.70501","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T03:20:03Z","timestamp":1783740003000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Swallowing Muscle Ultrasonography in Children With Cerebral Palsy and Dysphagia: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9666-9483","authenticated-orcid":false,"given":"Mazlum Serdar","family":"Akaltun","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Gaziantep University Faculty of Medicine  Gaziantep Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4295-4286","authenticated-orcid":false,"given":"B\u00fclent","family":"Alyanak","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation G\u00f6lc\u00fck Necati \u00c7elik State Hospital  Kocaeli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4137-7731","authenticated-orcid":false,"given":"Ebru","family":"Umay","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Health Sciences, Etlik City Hospital  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20108749.2007.tb12609.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13052\u2010025\u201001903\u20101"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13760\u2010018\u201001071\u20106"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017\u20100731"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2014.12.021"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20108223(02)90084\u20102"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.16338"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.02.038"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radi.2022.12.007"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010020\u201010234\u20108"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14079"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2017.11.007"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2011.632466"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2017.1323235"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.11.049"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13439"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000022136"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000017304"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010024\u201062032\u2010z"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010021\u201082039\u20100"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010012\u20109407\u2010z"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999\u2010024\u201000971\u20106"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/J.1469\u20108749.2012.04431.X"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1808\u201086942011000500018"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.3233\/PRM\u2010230029"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2017.02.018"}],"container-title":["Laryngoscope 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