Feeding Disorders in Children with Cerebral Palsy Spastic

Background/Aims: Children with cerebral palsy (CP) spastic is associated with the presence of feeding disorders in almost 60% of the affected children with subsequent undernutrition reported in up to 46% of them. Oral motor dysfunction (OMD) was found in all cases of children with cerebral palsy. Fe...

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Veröffentlicht in:Annals of nutrition and metabolism 2019-01, Vol.75, p.61
Hauptverfasser: Indriasari, Marina, Hardinsyah, Hardinsyah
Format: Artikel
Sprache:eng
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Zusammenfassung:Background/Aims: Children with cerebral palsy (CP) spastic is associated with the presence of feeding disorders in almost 60% of the affected children with subsequent undernutrition reported in up to 46% of them. Oral motor dysfunction (OMD) was found in all cases of children with cerebral palsy. Feeding difficulties associated with cerebral palsy was assessed with moderate to severe oralmotor dysfunction. Methods: The subjects were 45 children with CP in range of ages at 5–16 years old with mix gender that conducted in YPAC (Yayasan Pendidikan Anak Cacat) Jakarta. Spastic cerebral palsy children has significantly low feeding skill score. Children with poor OMD were unable to take solid food. Data were gathered at the homes by interview and by direct observation of mealtimes. Results: Children with CP who have poor oral motor function took significantly longer to eat non-mashed than mashed potato. Substitutes for viscous and solid but not pureed textures could be used for children with CP. Sensorimotor therapies, oral stimulation exercises or an intra-oral appliance, will improve the range of their effectiveness. Conclusion: Feeding disorders have effects on nutrition status, development, health, parent-child interaction, and overall family life. Oral feeding interventions for children with cerebral palsy may be effective in improving oral motor function.
ISSN:0250-6807
1421-9697
DOI:10.1159/000501751