Wilson Erin M, Hustad Katherine C
Waisman Center, University of Wisconsin-Madison.
J Med Speech Lang Pathol. 2009;MARCH:nihpa57357.
The goals of this study were to 1) describe the feeding skills of young children with cerebral palsy (CP); and 2) elucidate the type and severity of feeding problems for children with and without oral-motor involvement. METHOD: Parents of 37 children (16 females, 21 males) with CP, who ranged in age from 11-58 months (mean age = 41 months), completed questionnaires regarding their child's past and current feeding abilities. Children were also clinically evaluated to determine whether each had evidence of oral-motor involvement. RESULTS: Children with CP and oral-motor involvement had significantly more difficulty with self-feeding, increased frequency of coughing and choking, increased prevalence of swallowing evaluation and feeding therapy, and were introduced to solid food at a later age relative to children with CP who did not have oral-motor involvement. Both groups of children were similar in their history of tube feeding, bottle feeding, difficulty with solid foods, use of adaptive equipment, duration of mealtimes, and presence of choking, coughing, and gagging. CONCLUSIONS: Children with and without oral-motor involvement initially presented with similar feeding difficulties. However, feeding problems appeared to resolve to a greater extent in children without oral-motor involvement. The difficulties identified early in life, for children with oral-motor involvement, appeared to persist with development.
本研究的目标是：1）描述脑瘫（CP）幼儿的进食技能；2）阐明有和没有口部运动障碍的儿童进食问题的类型和严重程度。方法：37名CP儿童（16名女性，21名男性）的家长完成了关于其孩子过去和当前进食能力的问卷，这些儿童年龄在11至58个月之间（平均年龄 = 41个月）。还对儿童进行了临床评估，以确定每名儿童是否有口部运动障碍的证据。结果：有口部运动障碍的CP儿童在自主进食方面困难显著更多，咳嗽和窒息频率增加，吞咽评估和进食治疗的患病率增加，并且相对于没有口部运动障碍的CP儿童，开始食用固体食物的年龄更晚。两组儿童在管饲、奶瓶喂养史、固体食物困难、使用适应性设备、用餐时间长短以及窒息、咳嗽和作呕情况方面相似。结论：有和没有口部运动障碍的儿童最初出现的进食困难相似。然而，没有口部运动障碍的儿童进食问题似乎在更大程度上得到解决。对于有口部运动障碍的儿童，在生命早期发现的困难似乎随着发育持续存在。
