Nutritional Management and Support in a Patient with Cerebral Palsy: A Case Report
Serebral Palsili Bir Olguda Beslenme Yönetimi ve Destek Tedavisi: Olgu Sunumu
DOI:
https://doi.org/10.51271/jashso.52Keywords:
Cerebral Palsy, Enteral Nutrition, PEG (Percutaneous Endoscopic Gastrostomy), Ketogenic Diet, Nutrition ManagementAbstract
Cerebral palsy (CP) is one of the most common neurodevelopmental disorders in childhood; it is a heterogeneous and complex clinical condition that causes permanent impairment in motor skills. Cerebral palsy affects not only motor functions but also sensory, cognitive, behavioural, and nutritional aspects, significantly reducing the quality of life of individuals. Complications such as dysphagia, gastroesophageal reflux, and oromotor coordination problems, in particular, make oral feeding difficult and necessitate enteral nutrition. Malnutrition negatively affects the prognosis of CP and can pave the way for the development of secondary health problems. Therefore, in the follow-up of individuals with CP, medical nutrition therapy should be evaluated with a multidisciplinary approach. In this study, the enteral feeding process in a case of CP with severe motor impairment was addressed, highlighting the importance of nutrition management.
References
1. Vitrikas K., Dalton H., Breish D. Cerebral palsy: an overview. American Family Physician. 2020;101(4):213–220.
2. Sudip Paul, A. N. (30 July 2022). A Review on Recent Advances of Cerebral Palsy. Oxidative Medicine and Cellular Longevity.
3. Sadowska M., Sarecka Hujar B., Kopyta I. Cerebral palsy: current opinions on definition, epidemiology, risk factors, classification and treatment options. Neuropsychiatric Disease 10.2147/NDT.S235165. and Treatment. 2020;16:1505–1518. doi:
4. Ruiz Brunner M. M., Cuestas E. The construction of the definition of cerebral palsy: a historical journey to the present day. Rev FacCien Med UnivNac Cordoba. 2019;76(2):113–117. doi: 10.31053/1853.0605.v76.n2.23649.
5. Novak I., Morgan C., Adde L., et al. Early, accurate diagnosis and early intervention in cerebral palsy: advances in diagnosis and treatment. JAMA Pediatrics. 2017;171(9):897–907. doi: 10.1001/jamapediatrics.2017.1689.
6. Parikh N. A., Hershey A., Altaye M. Early detection of cerebral palsy using sensorimotor tract biomarkers in very preterm infants. Paediatric Neurology. 2019;98:53–60. doi: 10.1016/j.pediatrneurol.2019.05.001.
7. Badawi N., Mcintyre S., Hunt R. W. Perinatal care with a view to preventing cerebral palsy. Developmental Medicine & Child Neurology. 2021;63(2):156 161. doi: 10.1111/dmcn.14754.
8. Stavsky M., Mor O., Mastrolia S. A., Greenbaum S., Than N. G., Erez O. Cerebral palsy—trends in epidemiology and recent developments in prenatal mechanisms of disease, treatment, and prevention. Frontiers In Pediatrics. 2017;5:p. 2017. doi: 10.3389/fped.2017.00021.
9. Gomes V, Campos MA, Gregório MJ. Relationship between motor function, feeding skills and weight in children and adolescents with cerebral palsy. Acta Port Nutr. 2016;6:20-3. https://doi.org/10.21011/apn.2016.0604
10. Zhao, Y.; Tang, H.; Peng, T.; Li, J.; Liu, L.; Fu, C.; Zhou, H.; Huang, S.; Huang, Y.; Zeng, P.; et al. Relationship Between Nutritional Status and Severity of Cerebral Palsy: A Multicentre Cross-Sectional Study. J. Rehabil. Med. 2023, 55, jrm00367.
11. Romano, C.; van Wynckel, M.; Hulst, J.; Broekaert, I.; Bronsky, J.; Dall’Oglio, L.; Mis, N.F.; Hojsak, I.; Orel, R.; Papadopoulou, A.; et al. European Society for Paediatric Gastroenterology, Hepatology and Nutrition Guidelines for the Evaluation and Treatment of Gastrointestinal and Nutritional Complications in Children with Neurological Impairment. J. Paediatr. Gastroenterol. Nutr. 2017, 65, 242–264.
12. Bischoff, S.C.; Austin, P.; Boeykens, K.; Chourdakis, M.; Cuerda, C.; Jonkers Schuitema, C.; Lichota, M.; Nyulasi, I.; Schneider, S.M.; Stanga, Z.; et al. ESPEN Practical Guideline: Home Enteral Nutrition. Clin. Nutr. 2022, 41, 468–488.
13. Dipasquale, V.; Cucinotta, U.; Alibrandi, A.; Laganà, F.; Ramistella, V.; Romano, C. Early Tube Feeding Improves Nutritional Outcomes in Children with Neurological Disabilities: A Retrospective Cohort Study. Nutrients 2023, 15, 2875.
14. Morrow, A.M.; Quine, S.; Loughlin, E.V.O.; Craig, J.C. Different Priorities: A Comparison of Parents’ and Health Professionals’ Perceptions of Quality of Life in Quadriplegic Cerebral Palsy. Arch. Dis. Child. 2008, 93, 119–125.
15. Maciej Zagierski, A. G.-S. (2024). Home Enteral Nutrition in Patients with Cerebral Palsy in the Years 2012–2022: A Longitudinal Analysis of Data from the National Health Fund of Poland. Nutrients.
16. Stina Oftedal, S. M. (February 2025). The evolution of nutrition management in children with severe neurological impairment with a focus on cerebral palsy. Journal of Human Nutrition and Dietetics.
17. Kossoff, E. H., B. A. Zupec-Kania, S. Auvin, et al. 2018. “Optimal Clinical Management of Children Receiving Dietary Therapies for Epilepsy: Updated Recommendations of the International Ketogenic Diet Study Group.” Epilepsia Open 3, no. 2: 175–192.
18. Kovac, S., V. N. Vakharia, C. Scott, and B. Diehl. 2017. “Invasive Epilepsy Surgery Evaluation.” Seizure 44: 125–136.
Downloads
Published
How to Cite
Issue
Section
License
All content published in Journal of Advanced Studies in Health Science and Obesity (JASHSO) is licensed under the Creative Commons CC BY 4.0 International License.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format, so long as attribution is given to the creator.
