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  • Reported eating ability of young children with cerebral palsy: Is there an association with gross motor function?

    Author(s)
    Weir, Kelly A
    Bell, Kristie L
    Caristo, Fiona
    Ware, Robert S
    Davies, Peter S
    Fahey, Michael
    Rawicki, Barry
    Boyd, Roslyn N
    Griffith University Author(s)
    Ware, Robert
    Year published
    2013
    Metadata
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    Abstract
    Objective: To examine the association between parent-reported ability of young children with cerebral palsy (CP) to eat different food textures and gross motor functional abilities. Design: Prospective, longitudinal, representative cohort study. Setting: Community and tertiary pediatric hospital settings. Participants: Children (N=170; 110 boys [65%]) were assessed on 396 occasions (range, 1–4 occasions), including 67 at 1 year 6 months (49 boys), 99 at 2 years (66 boys), 111 at 2 years 6 months (71 boys), and 119 at 3 years (64 boys). Interventions: Not applicable Main Outcome Measures: Gross motor function was determined ...
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    Objective: To examine the association between parent-reported ability of young children with cerebral palsy (CP) to eat different food textures and gross motor functional abilities. Design: Prospective, longitudinal, representative cohort study. Setting: Community and tertiary pediatric hospital settings. Participants: Children (N=170; 110 boys [65%]) were assessed on 396 occasions (range, 1–4 occasions), including 67 at 1 year 6 months (49 boys), 99 at 2 years (66 boys), 111 at 2 years 6 months (71 boys), and 119 at 3 years (64 boys). Interventions: Not applicable Main Outcome Measures: Gross motor function was determined using the Gross Motor Function Classification System (GMFCS). Parent-reported eating ability was determined using 4 items of the Pediatric Evaluation of Disability Inventory. The association between capability to eat food textures and GMFCS level was examined using generalized estimating equations. Results: The distribution of GMFCS levels at initial presentation was as follows: I, n=62; II, n=32; III, n=24; IV, n=22; and V, n=30. Reported capability to eat cut-up/chunky and “all textures” of table foods decreased significantly as GMFCS level increased. A decreased capability to eat pureed/blended and ground/lumpy foods compared with GMFCS I was significantly associated with GMFCS levels IV and V only. Conclusions: Reported attainment of eating skills was closely associated with GMFCS level in young children with CP across age levels. These results emphasize the need for early oral-motor and feeding screening in young children with CP across gross motor functional abilities.
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    Journal Title
    Archives of Physical Medicine and Rehabilitation
    Volume
    94
    Issue
    3
    DOI
    https://doi.org/10.1016/j.apmr.2012.10.007
    Subject
    Paediatrics
    Neurology and neuromuscular diseases
    Clinical nutrition
    Speech pathology
    Physiotherapy
    Publication URI
    http://hdl.handle.net/10072/173404
    Collection
    • Journal articles

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