Article

The aim of our study was to identify feeding and gastrointestinal system (GIS)
problems in children with cerebral palsy (CP), and to evaluate the relationship
between these problems and the severity of CP. A total of 120 children with CP
were enrolled consecutively into the study (67 males, 53 females; mean age:
6.0+/-2.4 years; range: 2-12 years). The children were classified according to
the Swedish classification as diplegic, hemiplegic, or quadriplegic. Severity of
CP was classified based on the Gross Motor Function Classification System. The
amount of time that the caregiver allocated to mealtimes, modifications of the
food, as well as feeding and GIS problems was evaluated. Feeding dysfunction was
classified as mild, moderate, or severe. Comparisons of GIS and feeding disorders
and the severity of CP were carried out using chi test. The results indicated
lack of appetite in 46 of the 120 children (38.3%), sialorrhea in 37 (30.8%),
constipation in 30 (25%), difficulty in swallowing in 23 (19.2%), and feeding
dysfunction in 26 (21.7%). On the basis of the Gross Motor Function
Classification System (GMFCS), the incidence of GIS problems and feeding
dysfunction was found to be significantly higher in the children classified in
the severe group. The time taken to consume meals was significantly longer among
children with feeding dysfunction. Feeding and GIS problems are frequent in
children with CP, and more marked in those with severe CP. Approximately one
fourth of children with CP suffer from feeding dysfunction, and more time has to
be allocated to consume meals.

Langue : ANGLAIS