Nutritional support in severely malnourished children with cerebral palsy

The frequency of underweight in children with cerebral palsy is about 60–70%. A benefit of nutritional support in children with cerebral palsy are underestimated. The use of nutritional support during active physical rehabilitation can have a positive effect on not only body weight, but also the component composition of the body and their rehabilitation potential.The aim of our study was to evaluate the effectiveness of nutritional support – a hypercaloric (1,5 kcal/ml) polymer formula with fibers (Pediashure 1,5 Fiber, Abbott) in children with cerebral palsy.Characteristics of children and research methods. Anthropometric indicators (body weight, height, body mass index, triceps skinfold thickness, subscapular skinfold thickness, mid-upper arm circumference, shoulder muscle circumference) and body composition were studied in 15 underweight children with cerebral palsy aged 4–10 years with the level of motor disorders GMFCSIII–IV. They were prescribed of nutritional support with a hyper caloric mixture (1,5kcal/ml) with fiber lasting 3months during active physical rehabilitation.Results. Against the background of nutritional support, there was a significant increase in body weight, height, z-score of body weight, mainly due to musculoskeletal, active cell and lean mass. In addition to correcting the nutritional status of children with cerebral palsy, an improvement in their motor abilities was noted.

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PP214-SUN HOME ENTERAL NUTRITIONAL SUPPORT IN CHILDREN WITH CEREBRAL PALSY

Clinical Nutrition Supplements ◽

10.1016/s1744-1161(11)70267-8 ◽

2011 ◽

Vol 6 (1) ◽

pp. 105

Author(s):

A.B. Martinez-Zazo ◽

V.M. Navas-Lôpez ◽

C. Martinez-Costa ◽

F. Sanchez-Valverde ◽

S. Redecillas-Ferreiro ◽

...

Keyword(s):

Cerebral Palsy ◽

Nutritional Support ◽

Children With Cerebral Palsy

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Cerebral Palsy in Children as a Risk Factor for Malnutrition

Annals of Nutrition and Metabolism ◽

10.1159/000431330 ◽

2015 ◽

Vol 66 (4) ◽

pp. 224-232 ◽

Cited By ~ 14

Author(s):

Lidia Perenc ◽

Grzegorz Przysada ◽

Jadwiga Trzeciak

Keyword(s):

Risk Factors ◽

Cerebral Palsy ◽

Physical Therapy ◽

Motor Function ◽

Physical Disabilities ◽

Regional Hospital ◽

Male Gender ◽

Z Score ◽

Malnourished Children ◽

Children With Cerebral Palsy

Aim: The main aim of this study was to determine some malnutrition risk factors among children with cerebral palsy (CP). Children with CP often require the assistance of physical therapy centers. Experience suggests that, apart from physical disabilities, this group often suffers from malnutrition. Methods: Data were gathered in the hospital among 128 children aged 3-18 years who were suffering from CP. The children were admitted from 2011 to 2013 to the Center for Neurological Physical Therapy for children in the Regional Hospital No. 2. St. Queen Jadwiga in Rzeszow (RORE). Statistical analyses were conducted for data on gender, age, type of CP, motor function level according to Gross Motor Function Classification Scale (GMFCS), body mass index (BMI) and hemoglobin levels in blood. Results: The risk of anemia differs based on gender - the risk is 6 times greater among boys than among girls (p = 0.0398). Risk of malnutrition is 3.5 times higher in children with tetraplegia than in children with diplegia or hemiplegia (p = 0.0043). Higher GMFCS scores are connected to greater proportions of malnourished children (for BMI z-score <-1.64, p = 0.0010). Conclusions: Among children with CP, malnourishment risk factors are male gender for anemia and tetraplegia and high GMFCS values.

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The influence of nutritional support on the anthropometric indicators of children with cerebral palsy

Clinical Nutrition ESPEN ◽

10.1016/j.clnesp.2021.09.645 ◽

2021 ◽

Vol 46 ◽

pp. S771

Author(s):

R. Rakhmaeva ◽

E. Ahmadullina ◽

A. Kamalova

Keyword(s):

Cerebral Palsy ◽

Nutritional Support ◽

Anthropometric Indicators ◽

Children With Cerebral Palsy

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Prevalence of Speech Problems and the Use of Augmentative and Alternative Communication in Children With Cerebral Palsy: A Registry-Based Study in Norway

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac19.1.12 ◽

2010 ◽

Vol 19 (1) ◽

pp. 12-20 ◽

Cited By ~ 29

Author(s):

Guro Andersen ◽

Tone R. Mjøen ◽

Torstein Vik

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Gestational Age ◽

Augmentative And Alternative Communication ◽

Alternative Communication ◽

Gross Motor ◽

Gross Motor Function ◽

Children With Cerebral Palsy ◽

Communicative Abilities ◽

Normal Speech

Abstract This study describes the prevalence of speech problems and the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP) in Norway. Information on the communicative abilities of 564 children with CP born 1996–2003, recorded in the Norwegian CP Registry, was collected. A total of 270 children (48%) had normal speech, 90 (16%) had slightly indistinct speech, 52 (9%) had indistinct speech, 35 (6%) had very indistinct speech, 110 children (19%) had no speech, and 7 (1%) were unknown. Speech problems were most common in children with dyskinetic CP (92 %), in children with the most severe gross motor function impairments and among children being totally dependent on assistance in feeding or tube-fed children. A higher proportion of children born at term had speech problems when compared with children born before 32 weeks of gestational age 32 (p > 0.001). Among the 197 children with speech problems only, 106 (54%) used AAC in some form. Approximately 20% of children had no verbal speech, whereas ~15% had significant speech problems. Among children with either significant speech problems or no speech, only 54% used AAC in any form.

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