Nutritional status and prevalence of dysphagia in cerebral palsy: usefulness of the Eating and Drinking Ability Classification System scale and correlation with the degree of motor impairment according to the Gross Motor Function Classification System

Ron, A. García; Toboso, R.M. González; Gascón, M. Bote; Santos, MO; Vecino, R; Pinedo, A. Bodas

doi:10.1016/j.nrleng.2019.12.006

Cited by 9 publications

(13 citation statements)

References 21 publications

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“…No obstante, aunque nuestros datos presentan diferencias, el EDACS parece ser un complemento viable para la evaluación clínica de las habilidades de alimentación en niños con PC para su uso en ensayos de vigilancia y práctica clínica 26 . Además, esta clasificación puede ser de utilidad para el seguimiento de los pacientes durante el desarrollo ya que los trastornos digestivos son una de las comorbilidades más frecuentes entre los niños con PC 27 .…”

Section: Discussionunclassified

Caracterización funcional de pacientes con parálisis cerebral que viven en la región de Magallanes y la Antártica Chilena

Barria

Ruiz²,

Castillo-Aguilar³

et al. 2022

Andes pediatr

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Objetivo: Caracterizar funcionalmente a pacientes con Parálisis Cerebral (PC) que viven en la región de Magallanes y la Antártica Chilena. Pacientes y Método: Estudio observacional descriptivo-retrospectivo de pacientes con parálisis cerebral, registrados en el Programa de Rehabilitación Ambulatorio de la Corporación de Rehabilitación Club de Leones Cruz del Sur de Punta Arenas entre los años 1986 y 2018. Los pacientes con PC se categorizaron clínicamente, y posteriormente se caracterizaron funcionalmente en base a sistemas de clasificación de habilidades motoras (escala GMFCS), manuales (escala MACS), alimentación (escala EDACS) y comunicación (escala CFCS). Resultados: Se incluyeron 106 pacientes con PC. En relación con la clasificación clínica, el tipo más común de PC fue la parálisis espástica bilateral, quienes también presentan el mayor porcentaje de compromiso de funcional en cada una de las áreas evaluada, seguido por la parálisis espástica unilateral. Los casos de PC distónica y otros tipos no clasificables presentaron menor frecuencia de casos. En base a la subclasificación clínica diagnóstica, la mayor frecuencia detectada fue la diplejia espástica, concentrando el compromiso funcional especialmente en las habilidades manuales y de comunicación de nivel I en comparación a la hemiplejia. En el caso de cuadriplejia, mixta y no clasificable, presentan menor frecuencia de casos, con un mayor compromiso general en las habilidades de alimentación en nivel I. Conclusión: Los resultados observados de la PC en la región de Magallanes y la Antártica Chilena son similares a estudios disponibles en la literatura. La completa evaluación y clasificación de pacientes con PC posibilita una mayor comprensión de la patología para futuros estudios.

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Section: Discussionunclassified

Caracterización funcional de pacientes con parálisis cerebral que viven en la región de Magallanes y la Antártica Chilena

Barria

Ruiz²,

Castillo-Aguilar³

et al. 2022

Andes pediatr

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“…25,26 Benzer şekilde EDACS ile değerlendirilen yeme içme becerilerinin disfaji ve düşük fonksiyonel kapasite ile ilişkili olduğu belirlenmiştir. 27,28 Bu çalışmada, oral motor becerilerin sınıflandırılmasına göre malnütrisyon durumları değerlendirildiğinde, çiğnemesi fonksiyonel sınırlar içinde olan çocuklarda malnütrisyon görülme oranlarının düşük, ısırma ve çiğnemesi olmayan çocuklarda ise malnütrisyon oranlarının daha yüksek olduğu görülmüştür. Benzer şekilde yeme içme becerileri güvenli ve etkin olan çocuklarda malnütrisyon görülme oranlarının da daha düşük olduğu saptanmıştır.…”

Section: Discussionunclassified

Evaluation of the Relationship Between Oral Motor Functions and Malnutrition in Children with Cerebral Palsy

Kürklü¹,

KARA²,

Ermumcu³

et al. 2022

J PMR Sci

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ÖZET Amaç: Serebral palsili (SP) çocuklarda beslenme problemleri ve malnütrisyon sıklıkla karşılaşılan sorunlardan biridir. Bu çalışma, SP tanısı almış çocuklarda sık görülen oromotor disfonksiyonlar ile malnütrisyon durumları arasındaki ilişkinin belirlenmesi amacıyla yürütülmüştür. Gereç ve Yöntemler: Araştırmaya 3-18 yaş arasındaki 55 SP tanısı almış çocuk dâhil edildi. SP'li çocukların kaba motor fonksiyon seviyeleri, kaba motor fonksiyon sınıflandırma sistemi (KMFSS) ile sınıflandırıldı. Çocukların yaşa ve cinsiyete özgü yaşa göre boy [height for age (HFA)], yaşa göre beden kütle indeksi [body mass index for age (BFA)] ve yaşa göre vücut ağırlığı [weight for age (WFA)] z skorları hesaplandı. Çocukların oral motor becerilerinin değerlendirilmesinde Karaduman Çiğneme Performans Skalası (KÇPS), Yeme ve İçme Becerileri Sınıflama Sistemi, Dil İtme Refleksi Skalası ve Pediatrik Yeme Değerlendirme Aracı-10 [Pediatric Eating Assessment Tool-10 (PEDI-EAT-10)] kullanıldı. Bulgular: Çocukların yaş ortalaması 8,4±3,85 yıl olup, KMFSS'ye göre çocukların %32,7'si Seviye 5'te yer almaktaydı. Çocuklarda HFA, BFA ve WFA z skoruna göre malnütrisyon görülme oranlarının sırasıyla %36,4, %27,3 ve %21,8 olduğu belirlendi. KÇPS'ye göre Seviye 1 olan çocukların çoğunluğunda HFA, BFA ve WFA z skoruna göre malnütrisyon bulunmaz iken (sırasıyla %85,7, %82,1 ve %89,5) KÇPS Seviye 5 olan çocuklarda malnütrisyon oranların daha yüksek olduğu saptandı (p<0,05). PEDI-EAT-10 puanlarının HFA, BFA ve WFA z skoruna göre malnütrisyon olan çocuklarda anlamlı düzeyde daha yüksek olduğu tespit edildi (p<0,05). Sonuç: SP'li çocuklarda çiğneme ve yutma bozuklukları sıklıkla karşılaşılan problemler arasındadır. Oral motor becerilerdeki azalma SP'li çocuklarda görülen malnütrisyon oranları ile ilişkilidir.Anah tar Ke li me ler: Çiğneme; disfaji; malnütrisyon; serebral palsi ABS TRACT Objective: Feeding problems and malnutrition are frequently seen in children with cerebral palsy (CP). This study aimed to determine the relationship between oromotor dysfunctions and malnutrition, which are common in children with CP. Material and Methods: This study was conducted with 55 children aged between 3-18 years diagnosed with CP. Gross motor function levels of children with CP were classified by gross motor function classification system (GMFCS). Z-scores for weight for age (WFA), height for age (HFA) and body mass index for age (BFA) were calculated. Oral motor skills of the children were evaluated by the Karaduman Chewing Performance Scale (KCPS), Eating and Drinking Skills Classification System, Tongue Thrust Rating Scale and Pediatric Eating Assessment Tool-10 (PEDI-EAT-10). Results: The mean age of the children was 8.4±3.85 years, and 32.7% of the them were at Level 5 according to GMFCS. According to the children's z scores of HFA, BFA and WFA, the prevalence of malnutrition in children was found as 36.4%, 27.3% and 21.8%, respectively. While the majority of children with KCPS Level 1 did not have malnutrition according to z scores of HFA, BFA and WFA (85.7...

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“…Numerous studies have shown that higher levels of motor impairment (GMFCS IV–V) were more likely to be associated with worse dysphagia symptoms and more frequent occurrences of malnutrition ( 19 – 21 ). It was also stated that there was a five-fold increase in GMFCS IV and a 15-fold increase in GMFCS V of having swallowing difficulties ( 22 ).…”

Section: Multisystem Consequences Of Atypical Movement Patternmentioning

confidence: 99%

“…Dysphagia in CP is described as poor tongue function impacting on bolus transport, delayed swallow initiation, and reduced pharyngeal motility ( 23 ). Neurological lesion in CP causes neuromuscular dysfunction which may have a direct or indirect effect on oral motor disorders, pharyngoesophageal dyskinesia, and/or intestinal dysmotility ( 21 ). Furthermore, physical abnormalities including posture, tone, and movement disorders in spastic quadriplegic CP children can result in abnormal motor development that affects the feeding process itself.…”

Section: Multisystem Consequences Of Atypical Movement Patternmentioning

confidence: 99%

Multisystem compensations and consequences in spastic quadriplegic cerebral palsy children

Wahyuni

2023

Front. Neurol.

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Spastic quadriplegic cerebral palsy (CP) is a permanent neuromuscular disorder causing limitation on all four limbs following a lesion on the developing brain. Most children with spastic quadriplegic CP are identified to be Gross Motor Function Classification System (GMFCS) level V, thus they have more comorbidities compared to other types at lower levels. Spastic quadriplegic CP is characterized by weak and inactive postural muscles of the neck and trunk, hence, they will undergo a total body extension as a compensatory mechanism leading to an atypical movement pattern, that give rise to multisystem consequences that reduce their quality of life. The relationship between atypical movement patterns, compensatory strategies, and multisystem consequences have not yet been explored. In fact, these multisystem consequences aggravate their condition and make movement much more atypical, forming a vicious cycle. This review aimed to provide a summary and highlight the mechanism of atypical movement pattern, multisystem compensations, and consequences in spastic quadriplegic CP children. It is true that central nervous system (CNS) lesion in CP is non-progressive, however the multisystem consequences may impair overall function over time. An understanding of how compensatory strategy and multisystem consequences in spastic quadriplegic CP offers the opportunity to intervene as early as possible to improve their quality of life.

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Nutritional status and prevalence of dysphagia in cerebral palsy: usefulness of the Eating and Drinking Ability Classification System scale and correlation with the degree of motor impairment according to the Gross Motor Function Classification System

Cited by 9 publications

References 21 publications

Caracterización funcional de pacientes con parálisis cerebral que viven en la región de Magallanes y la Antártica Chilena

Caracterización funcional de pacientes con parálisis cerebral que viven en la región de Magallanes y la Antártica Chilena

Evaluation of the Relationship Between Oral Motor Functions and Malnutrition in Children with Cerebral Palsy

Multisystem compensations and consequences in spastic quadriplegic cerebral palsy children

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