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

    Access Status
    Fulltext not available
    Authors
    Weir, K.
    Bell, K.
    Caristo, F.
    Ware, R.
    Davies, P.
    Fahey, M.
    Rawicki, B.
    Boyd, Roslyn
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Weir, K. and Bell, K. and Caristo, F. and Ware, R. and Davies, P. and Fahey, M. and Rawicki, B. et al. 2013. Reported eating ability of young children with cerebral palsy: Is there an association with gross motor function?. Archives of Physical Medicine and Rehabilitation. 94 (3): pp. 495-502.
    Source Title
    Archives of Physical Medicine and Rehabilitation
    DOI
    10.1016/j.apmr.2012.10.007
    ISSN
    0003-9993
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/34841
    Collection
    • Curtin Research Publications
    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 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. © 2013 American Congress of Rehabilitation Medicine.

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