Self-control and reinforcement in the management of a cerebral-palsied adolescent's drooling.
Self-control of swallowing and positive reinforcement were used to eliminate drooling of a non-vocal 16-year-old with severe spastic quadriplegia. Prompts for self-controlled swallowing appeared to be more effective than positive reinforcement. The effects of treatment were maintained at three-month follow-up, but not at six months. Drooling was eliminated again by prompts for self-controlled swallowing, and had not recurred one year after treatment had ended.
D000293:Adolescent; D001521:Behavior Therapy / Q000379:methods*; D002547:Cerebral Palsy / Q000150:complications*; D003463:Cues; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009128:Muscle Spasticity / Q000150:complications; D011782:Quadriplegia / Q000150:complications; D012054:Reinforcement, Psychology; D012648:Self Care; D012798:Sialorrhea / Q000209:etiology / Q000628:therapy*