Scholarlink

<p>Feeding disorders in children with cerebral palsy (CP) involve both sensory-motor difficulties and caregiver mealtime behaviors. This study examined feeding problems and caregiver behaviors in children with CP compared to typically developing (TD) children.&#xa0;190 children (90 = CP; 100 = TD) and their caregivers participated in the study. Caregivers completed the Screening Tool for Eating Problems (STEP) and the Parent Mealtime Action Scale (PMAS). Children with CP were assessed using GMFCS, MACS, and EDACS by an occupational therapist.&#xa0;Significant differences across functional classification levels were observed on several STEP subscales in children with CP. After Bonferroni correction, Risk of Aspiration differed significantly across GMFCS, MACS, and EDACS levels, whereas Food Selectivity and Feeding Skills Deficits differed across MACS and EDACS levels (<i>p</i> &lt; 0.05). Compared with TD children, children with CP showed higher Risk of Aspiration and Food Selectivity scores, lower Daily Fruit and Vegetable Availability scores, and higher Special Meals and Many Food Choices scores (<i>p</i> &lt; 0.05). Follow-up hierarchical regression analyses indicated that Feeding Skills Deficits was associated with Special Meals, whereas Nutrition Behavior was associated with Many Food Choices.&#xa0;Children with CP experienced more pronounced feeding difficulties, and their caregivers exhibited more caregiver mealtime behaviors than those in the TD group. These findings highlight the close relationship between child feeding difficulties and caregiver responses, emphasizing the importance of considering both factors in feeding assessment and intervention.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

A Comparative Look at Feeding Difficulties and Caregiver Approaches in Children with Cerebral Palsy

  • 期刊论文

  • 发表日期：

    2026年7月6日

查看全文
  • Damla Ece Irmak,
  • Ezginur Gündoğmuş,
  • Tarık Demirok,
  • Hatice Abaoğlu,
  • Gonca Bumin

摘要

Feeding disorders in children with cerebral palsy (CP) involve both sensory-motor difficulties and caregiver mealtime behaviors. This study examined feeding problems and caregiver behaviors in children with CP compared to typically developing (TD) children. 190 children (90 = CP; 100 = TD) and their caregivers participated in the study. Caregivers completed the Screening Tool for Eating Problems (STEP) and the Parent Mealtime Action Scale (PMAS). Children with CP were assessed using GMFCS, MACS, and EDACS by an occupational therapist. Significant differences across functional classification levels were observed on several STEP subscales in children with CP. After Bonferroni correction, Risk of Aspiration differed significantly across GMFCS, MACS, and EDACS levels, whereas Food Selectivity and Feeding Skills Deficits differed across MACS and EDACS levels (p < 0.05). Compared with TD children, children with CP showed higher Risk of Aspiration and Food Selectivity scores, lower Daily Fruit and Vegetable Availability scores, and higher Special Meals and Many Food Choices scores (p < 0.05). Follow-up hierarchical regression analyses indicated that Feeding Skills Deficits was associated with Special Meals, whereas Nutrition Behavior was associated with Many Food Choices. Children with CP experienced more pronounced feeding difficulties, and their caregivers exhibited more caregiver mealtime behaviors than those in the TD group. These findings highlight the close relationship between child feeding difficulties and caregiver responses, emphasizing the importance of considering both factors in feeding assessment and intervention.