Reported Eating Ability of Young Children With Cerebral Palsy: Is There an Association With Gross Motor Function?
Reported eating ability of young children with cerebral palsy: is there an association with gross motor function?
Filed under: Rehab Centers
Arch Phys Med Rehabil. 2012 Oct 24;
Weir KA, Bell KL, Caristo F, Ware RS, Davies PS, Fahey M, Rawicki B, Boyd RN
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: : One hundred and seventy children (110 males, 65%) were assessed on 396 occasions (range 1-4 occasions), including 67 at 1yr 6mo (49 males), 99 at 2yrs (66 males), 111 at 2yrs 6mo (71males) and 119 at 3 yrs (64 males). 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 four items of the Pediatric Evaluation of Disability Inventory (PEDI). The association between capability to eat food textures and GMFCS level was examined using generalized estimating equations. RESULTS: GMFCS levels at initial presentation were: I=62; II=32. III=24; IV=22; and V=30. Reported capability to eat cut up/chunky and “all textures? of table foods decreased significantly as GMFCS level increased. Decreased capability to eat pureed/ blended and ground/lumpy foods compared to GMFCS I was significantly associated with GMFCS levels IV-V only. CONCLUSION: Reported attainment of eating skills was closely associated with GMFCS 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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