Alimentary difficulties in cerebral palsy: proposal of a protocol/Dificuldades alimentares na paralisia cerebral: proposta de um protocolo

Purpose: to propose a protocol able to analyze both the sensibility as oral motor function in feeding for patients with cerebral palsy. Methods: a selection of sensibility and oral motor function evaluation protocols was done. Then four speech-language pathologists developed tasks of the protocol for the analysis of alimentary difficulties. After its elaboration, the protocol was critically analyzed by 9 speech-language pathologists with experience in orofacial motricity and care of patients with cerebral palsy, and one nutritionist. A consensual analysis was made among the authors of the protocol about the permanence or removal of the tasks following the 0.7 criterion of agreement among the judges. After this analysis the protocol was applied in three individuals with cerebral palsy, one with feeding difficulty complaint and two without complaint. Results: after the judges' analysis, 100% of them agreed with the most of the tasks established in the protocol, the proposed suggestions were: changes in nomenclature and of some foods used in some tasks, for a detailed test, and the possibility of the observation in the chewing function. Conclusion: it was proposed the "Protocolo de Rastreio de Dificuldades Alimentares", a screening tool of alimentary difficulties for individuals with cerebral palsy. Keywords: Feeding Behavior; Protocols; Speech, Language and Hearing Sciences; Cerebral Palsy Objetivo: propor um protocolo que permita analisar tanto a sensibilidade, quanto a funcao motora oral na alimentacao para pacientes com paralisia cerebral. Metodos: foi realizada uma selecao de protocolos de avaliacao da sensibilidade e funcao motora oral. Em seguida, quatro fonoaudiologas confeccionaram as tarefas do protocolo para analise das dificuldades alimentares. Apos sua elaboracao, o protocolo foi analisado criticamente por nove fonoaudiologas com experiencia na area de motricidade orofacial e no atendimento a pacientes com paralisia cerebral, e por uma nutricionista (juizes). Foi realizada analise consensual entre os autores do protocolo sobre a permanencia ou retirada de tarefas, obedecendo ao criterio de 0,7 de concordancia entre os juizes. Apos essa analise, o protocolo foi aplicado em tres individuos com paralisia cerebral, sendo um com queixa de dificuldade alimentar e dois sem queixa. Resultados: apos a analise dos juizes, 100% deles concordaram com a maioria das tarefas estabelecidas no protocolo, as sugestoes propostas foram: alteracao de nomenclatura e d