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Feeding management of children with severe cerebral palsy and eating impairment: an exploratory study.

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Title: Feeding management of children with severe cerebral palsy and eating impairment: an exploratory study.
Authors: Gisel EG (AUTHOR), Tessier M (AUTHOR), Lapierre G (AUTHOR), Seidman E (AUTHOR), Drouin E (AUTHOR), Filion G (AUTHOR)
Source: Physical & Occupational Therapy in Pediatrics. 2003, Vol. 23 Issue 2, p19-44. 26p.
Abstract: Some children with cerebral palsy and severe feeding impairment experience pulmonary complications from aspiration and gastroesophageal reflux. This exploratory study examined whether pulmonary function would improve following one year of intervention with optimal positioning for feeding, control of gastroesophageal reflux and use of food textures that would minimize aspiration from swallowing. Two children showed a 28% and 45% improvement, respectively, in functional residual capacity. One child experienced a 37% improvement in total respiratory resistance and a 284% improvement in respiratory compliance. All children gained sufficient weight to maintain their growth trajectories but only one who was changed from oral to tube feeding due to aspiration showed catch-up growth in length. One child showed pathological gastroesophageal reflux that was controlled medically throughout the study period. Although all children experienced pulmonary illnesses during the one year of follow up, control of aspiration permitted a clinically significant improvement of their pulmonary obstructive syndrome. Further study is needed to more fully determine the effect of this treatment approach on pulmonary function. [ABSTRACT FROM AUTHOR]
Copyright of Physical & Occupational Therapy in Pediatrics is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Feeding management of children with severe cerebral palsy and eating impairment: an exploratory study.
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  Data: <searchLink fieldCode="JN" term="%22Physical+%26+Occupational+Therapy+in+Pediatrics%22">Physical & Occupational Therapy in Pediatrics</searchLink>. 2003, Vol. 23 Issue 2, p19-44. 26p.
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  Data: Some children with cerebral palsy and severe feeding impairment experience pulmonary complications from aspiration and gastroesophageal reflux. This exploratory study examined whether pulmonary function would improve following one year of intervention with optimal positioning for feeding, control of gastroesophageal reflux and use of food textures that would minimize aspiration from swallowing. Two children showed a 28% and 45% improvement, respectively, in functional residual capacity. One child experienced a 37% improvement in total respiratory resistance and a 284% improvement in respiratory compliance. All children gained sufficient weight to maintain their growth trajectories but only one who was changed from oral to tube feeding due to aspiration showed catch-up growth in length. One child showed pathological gastroesophageal reflux that was controlled medically throughout the study period. Although all children experienced pulmonary illnesses during the one year of follow up, control of aspiration permitted a clinically significant improvement of their pulmonary obstructive syndrome. Further study is needed to more fully determine the effect of this treatment approach on pulmonary function. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Physical & Occupational Therapy in Pediatrics is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/j006v23n02_03
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        Text: English
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