Análise da consistência alimentar e tempo de deglutição em crianças com paralisia cerebral tetraplégica espástica

Vivone, Graziela Pacheco; Tavares, Michelle Martins Mattos; Bartolomeu, Renata de Salles; Nemr, Kátia; Chiappetta, Ana Lúcia de Magalhães Leal

doi:10.1590/s1516-18462007000400011

Cited by 30 publications

(23 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Assim, a consistência pastosa é considerada a mais indicada para crianças com disfunção motora oral, por ser de mais fácil manipulação, reduzir tosse e aspiração, além de facilitar a alimentação da criança 34 . Estudo relata que em pacientes com MPS II foi evidenciado uma significante alteração na função oral e dificuldade com os alimentos sólidos repercutindo no estado nutricional desses pacientes 6,8 .…”

Section: Figura 4 -Grau De Disfagia Versus Consumo Alimentar Calóricounclassified

Interferência da disfagia orofaríngea no consumo alimentar de indivíduos com mucopolissacaridose II

Ferreira

Oliveira

Veiga³

et al. 2012

Rev. CEFAC

View full text Add to dashboard Cite

RESUMOObjetivo: o presente estudo visou relacionar o grau de disfagia com o consumo alimentar de indivíduos com mucopolissacaridose II (MPS II). Método: foram incluídos indivíduos com MPS II do departamento de genética da Universidade Estadual de Alagoas e excluídos aqueles com outros tipos de mucopolissacaridoses, bem como que estivessem em uso de via alternativa de alimentação. Realizadas avaliações antropométrica, dietética, fonoaudiológica para disfagia, clínica otorrinolaringológica e a videoendoscopia da deglutição. Resultados: foram estudados 07 indivíduos, do gênero masculino, entre 5 e 14 anos de idade, dos quais mais de 50% faziam uso de anti-hipertensivo e 42,8% manifestavam a forma grave da doença. Seis deles apresentaram déficit de altura/ idade e mais de 70% encontravam-se obesos segundo o Índice de Massa Corporal (IMC). Foi observada disfagia em cinco deles, com média diária de consumo calórico de 920,15 ± 244,09 calorias, contra 1264,94 ± 106,85 calorias para aqueles sem disfagia, com variação intra-individual significativamente maior no grupo de portadores de disfagia (p < 0,05). Além disso, os indivíduos sem disfagia apresentaram consumo alimentar mais elevado de carboidratos, proteínas e lipídios. Já para os micronutrientes, com exceção da média de consumo diária de ferro e vitamina E, todos os outros avaliados apresentaram médias diárias de consumo maiores no grupo sem disfagia (p < 0,05). Conclusão: foi observada uma elevada frequência de disfagia nos portadores de MPS II estudados, e isso foi associado ao baixo consumo alimentar calórico e desequilíbrio na proporção e quantidade de macronutrientes e de parte dos micronutrientes.

show abstract

Section: Figura 4 -Grau De Disfagia Versus Consumo Alimentar Calóricounclassified

Interferência da disfagia orofaríngea no consumo alimentar de indivíduos com mucopolissacaridose II

Ferreira

Oliveira

Veiga³

et al. 2012

Rev. CEFAC

View full text Add to dashboard Cite

show abstract

“…In addition to the overall paralysis, it can cause convulsive syndromes and respiratory complications, and is considered the most severe form of the disease. Frequently, it is associated with dysfunctional feeding (11,21) Postural changes caused by motor disorders provide inadequate performance of maintenance functions such as a lack of labial and an uncoordinated act of swallowing and breathing (27) . Thus, it is necessary that caregivers themselves regulate the food supply at random (15) .…”

Section: Introductionmentioning

confidence: 99%

Comparative study on gastrostomy and orally nutrition of children and adolescents with tetraparesis cerebral palsy

Caselli

Lomazi

Montenegro

et al. 2017

Arq. Gastroenterol.

View full text Add to dashboard Cite

-Background -Gastrostomy tube feeding (GTF) is indicated for children with feeding difficulties due to tetraspastic cerebral palsy, although there are no definitive conclusions about the benefits of GTF. Objective -To compare nutritional status and diet of pediatric patients with tetraparesis cerebral palsy who are fed by GTF with those fed orally (PO). Methods -A transversal and descriptive study on 54 patients with spastic tetraparesis was held. The referred parameters were: weight, knee height and estimated height, cutaneous folds and circumferences. The Frisancho reference was used to compare the skin folds and body circumferences. The Brooks et al. curve was adopted as a reference for weight, height, and BMI. Food inquiry was performed using the Habitual Dietary Recall method. The total energetic value (TEV) of macronutrients and fibers was performed by Avanutri ® version 4.0, a nutrition software program. The differences of nutritional parameters between the GTF and the PO groups were calculated by chi-squared and Fisher's exact tests, and the comparison between the groups for variable numbers was performed using the Mann-Whitney test. The significance level adopted was 5%. Results -The PO group presented more individuals in the malnourished range (24.14%) and high levels of adipose and thin mass depletion. The ingestion of lipids was larger in the GTF group, even though the proteins and fibers were higher in the PO group. The comparison between the diets in the GTF group indicated that the mixed diet (industrialized and artisanal) supplied a greater contribution of proteins and fibers. Conclusion -Comparing the groups, the tetraparesis cerebral palsy patients fed orally have a greater impairment of their nutritional status, even though they have higher intakes of protein and fiber than those patients fed by gastrostomy, demonstrating a consistent argument for the use of gastrostomy.

show abstract

“…The basic motor difficulties of these children can affect the oral motor function, influencing the performance of the functions of sucking, chewing, and swallowing, also developing changes in articulation and respiration, understood as the motor aspects and sensory structures from the oral cavity and pharynx to the entrance of the esophagus. 40,41 In relation to control of sphincter and hygiene (domain H) there was also no significant difference found, which is justifiable since it is known that cases of enuresis, frequency, urgency, and incontinence to stress occurs in many children with CP; these disturbances are related to decreased mobility, difficulty of cognition and communication, loss of the upper limb function, and neurogenic dysfunction. It is also known that urinary stasis and hygiene problems make children with CP more prone to urinary tract infections.…”

Section: Discussionmentioning

confidence: 92%

Discriminant validity of social and functional performance protocol to children with cerebral palsy

2016

View full text Add to dashboard Cite

Cerebral Palsy (CP) encompasses a group of permanent disorders of movement and posture development, attributed to non-progressive damage that occurs during fetal development or in the infant brain. As consequences to the motor skills, there can occur impairments in daily life abilities, interfering in independent ambulation, hygiene, and clothing care, but also in social, behavioral, and cognitive activities, causing a negative impact on the health and welfare of the child and its family. The International Classification of Functioning, Disability, and Health (ICF) is a classification system on functioning and disability and, because it is an extensive and complex classification, there is the possibility of grouping the more relevant codes for distinctive disorders forming the Core Sets. Based upon this idea an instrument named Protocolo de desempenho Social e Funcional de crianças com Paralisia Cerebral (DFS-PC) (Functional and Social Performance Evaluation Protocol for Children with Cerebral Palsy) was created. Objective: To evaluate the discriminant validity of the DFS-PC protocol to verify whether it is sensitive to the functional performance and social participation of cerebral palsy children when compared to typical development children. Method: It consisted in the application of the Functional and Social Performance Evaluation Protocol for Children with Cerebral Palsy (DFS-PC) to the caregivers of CP children and children with typical development. Results: The DFS-PC was considered sensitive to detect differences between CP children and children with typical development, presenting significant differences in 12 of the 16 domains when using the Mann-Whitney Test. Conclusion: This protocol is considered valid and suitable for use within the population of children with cerebral palsy.

show abstract

Análise da consistência alimentar e tempo de deglutição em crianças com paralisia cerebral tetraplégica espástica

Cited by 30 publications

References 3 publications

Interferência da disfagia orofaríngea no consumo alimentar de indivíduos com mucopolissacaridose II

Interferência da disfagia orofaríngea no consumo alimentar de indivíduos com mucopolissacaridose II

Comparative study on gastrostomy and orally nutrition of children and adolescents with tetraparesis cerebral palsy

Discriminant validity of social and functional performance protocol to children with cerebral palsy

Contact Info

Product

Resources

About