Feeding disorders are common in children with cerebral palsy due to neurological impairments that can affect swallowing, gastrointestinal function, and oral motor skills. Some key factors that contribute to inadequate nutritional intake include inability to self-feed, prolonged feeding times, and inability to communicate. Left untreated, feeding disorders can lead to growth problems, functional immune deficiency, behavioral issues, and reduced quality of life. Treatment involves addressing any underlying medical issues like gastroesophageal reflux through positioning, thickened liquids, or medication. For severe cases, feeding tubes may be required to ensure adequate nutrition.

1. Feeding disorders in the Child with Cerebral Palsy Dr Owen Hensey Central Remedial Clinic Dublin

2. Environment Behaviour Physical Factors influencing feeding

3. Normal swallow Trachea Epiglottis Pharynx Bolus Epiglottis

4. Normal swallow Trachea Epiglottis Pharynx Bolus Epiglottis

5. Neurological coordination

6. Normal Gastrointestinal Tract Anatomy

8. Weight Centiles

13. Normal Stomach

14. Gastro-oesophageal reflux acid reflux diaphragm oesophagus lower oesophageal sphincter stomach

18. Aspiration Pneumonia

19. Bronchiectasis

22. Barium Swallow

24. Oesophageal Stricture

25. pH studies Normal Severe reflux (pH<4)

31. Medical management of feeding disorders

36. PEG tube

37. Mickey button

38. Mickey button

39. Nissan fundoplication

42. Jejunal Feeding Naso-Jejunal Tube Gastro-Jejunal Tube

48. Improved survival Respiratory care Gastrostomy feeding Epilepsy control Improved nutrition Immunization Improved social and living standards