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[Feeding problems in severely handicapped children].

K Matsui1, H Suzuki, Y Hirayama

  • 1Division of Child Neurology, National Center Hospital for Mental, Nervous and Muscular Disorders, Kodaira, Tokyo.

No to Hattatsu = Brain and Development
|September 1, 1992
PubMed
Summary
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Severely handicapped children

Area of Science:

  • Neurology
  • Pediatrics
  • Rehabilitation Medicine

Context:

  • Severely handicapped children often present complex feeding challenges.
  • Nutritional support and airway management are critical in this population.

Purpose:

  • To investigate the relationship between neurological impairment and feeding methods in severely handicapped children.
  • To identify clinical and neurophysiological markers that predict feeding outcomes.

Summary:

  • Nineteen severely handicapped children were grouped by feeding method (tube-fed, oral-fed with dysphagia, oral-fed). Clinical assessments, cranial CT, EEG, and blink reflex tests were performed.
  • Group 1 (tube-fed) showed severe cerebral and brainstem lesions, poor head control, and need for airway intervention. Group 2 (oral-fed with dysphagia) and Group 3 (oral-fed) had milder lesions and better motor control.

Related Experiment Videos

  • Cranial CT, EEG, and blink reflex (R2 component) findings correlated with the severity of handicap and feeding method, suggesting their utility in management decisions.

    • Impact:

    • Findings aid in determining appropriate feeding strategies for severely handicapped children based on neurological status.
    • Highlights the importance of comprehensive neurodiagnostic evaluation for optimizing care and preventing complications.