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Natl J Integr Res Med. 2013; 4(1): 78-86


A Study Of Feeding Problems In Children With Cerebral Palsy

Dr. Shardhha Diwan*, Dr.Jasmin Diwan**.

Abstract
Introduction: In children born before term development or in the presence of neurological compromise, problems are present with feeding & growth which can be related to an inadequate food intake, resulting from self-feeding impairment &oromotor dysfunction. Early intervention to correct the oromotor dysfunction is central to the management of children with neurological dysfunction. The purpose of present study is to find out the magnitude and extent of feeding dysfunction in patients of CP. Study design: prospective survey study Methods: 33 children with confirmed diagnosis of CP ( 7 – 96 month) were assessed for oromotor functions & interview of parent was taken for detailed feeding history and feeding habits. Feeding skill assessment was based on Gisel and Patrick’s feeding behavior skill score. Score of 4 or less was regarded as normal, score of 5-8 was defined as marginal problem & score of 9 or more was regarded as inadequate feeding skills. Results & conclusion: Descriptive analysis of collected data was done which shows that feeding dysfunction is prevalent in CP children. Maximum inadequate feeding skills present in spastic quadri CP (75.0%) & with GMFCS V. Problems found were sucking and swallowing problems, inability to self feed (48.5%), prolong feeding time (mean feeding time was 22.42 minutes, SD = 13.44 confidence interval (95%), improper feeding positions, coughing and chocking during feeding (6.1%), vomiting (3.0%), recurrent chest infections, oral motor dysfunction, drooling, cry / strong extensor thrust during feeding. [Diwan S J et al NJIRM 2013; 4(1) : 78-86]

Key words: cerebral palsy, oro-motor dysfunction, survey, G & P feeding skill score



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