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

Weir, Kelly A., Bell, Kristie L., Caristo, Fiona, Ware, Robert S., Davies, Peter S. W., Fahey, Michael, Rawicki, Barry and Boyd, Roslyn N. (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: 495-502. doi:10.1016/j.apmr.2012.10.007


Author Weir, Kelly A.
Bell, Kristie L.
Caristo, Fiona
Ware, Robert S.
Davies, Peter S. W.
Fahey, Michael
Rawicki, Barry
Boyd, Roslyn N.
Title Reported eating ability of young children with cerebral palsy: is there an association with gross motor function?
Journal name Archives of Physical Medicine and Rehabilitation   Check publisher's open access policy
ISSN 0003-9993
1532-821X
Publication date 2013-03-01
Year available 2012
Sub-type Article (original research)
DOI 10.1016/j.apmr.2012.10.007
Volume 94
Issue 3
Start page 495
End page 502
Total pages 8
Place of publication Maryland Heights, MO, United States
Publisher W.B. Saunders
Collection year 2013
Language eng
Formatted 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: One hundred and seventy children (110 males, 65%) were assessed on 396 occasions (range 1-4 occasions), including 67 at 1yr 6mo (49 males), 99 at 2yrs (66 males), 111 at 2yrs 6mo (71males) and 119 at 3 yrs (64 males).

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 four items of the Pediatric Evaluation of Disability Inventory (PEDI). The association between capability to eat food textures and GMFCS level was examined using generalized estimating equations.


Results: GMFCS levels at initial presentation were: I=62; II=32. III=24; IV=22; and V=30. Reported capability to eat cut up/chunky and „all textures‟ of table foods decreased significantly as GMFCS level increased. Decreased capability to eat pureed/ blended and ground/lumpy foods compared to GMFCS I was significantly associated with GMFCS levels IV-V only.

Conclusion: Reported attainment of eating skills was closely associated with GMFCS 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.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online: 24 October 2012.

 
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Created: Thu, 01 Nov 2012, 00:21:07 EST by Dr Kelly A Weir on behalf of Paediatrics & Child Health - RBWH