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Correct Feeding Positions for Children with Cerebral Palsy

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Grace Blackburn

on 14 February 2017

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Transcript of Correct Feeding Positions for Children with Cerebral Palsy

Correct Feeding Positions for Children with Cerebral Palsy
Grace Blackburn & Sydney Ruggles
Cerebral Palsy
* condition that affects muscle control and movement that is caused by an injury to the part of the baby's brain that controls movement
*affects body movement, muscle coordination and posture
*3 types- spastic, dyskinetic or athetoid, and ataxic
*often not diagnosed until a baby's first year or even later
Spastic Cerebral Palsy
*most common form
*stiff and weak muscles
*Spastic diplegia-stiffness occurs primarily in the legs
*Spastic hemiplegia-one side of the body is affected with arm usually being stiffer than leg
*Spastic quadriplegia- all four limbs including the torso and face are affected (often have epilepsy)
Athetoid (Dyskinetic) Cerebral Palsy
*affects 10-20%
*uncontrolled, slow movements
*muscles of the face, tongue, and throat affected which can cause drooling
*hard time with posture and speech
*often unable to grasp or hold objects
Ataxic Cerebral Palsy
*affects 5-10%
*wide-based gait
*unsteady and shaky (tremor)
*tremor worsens when completely a voluntary movement
Feeding in the Classroom
Lap
*usually performed at home but may be done by aid
1) Sit child upright on lap
2) Place hand gently on the back of the neck to keep head upright
3) Eat/drink
* Do NOT let child lay back- risk of choking
Feeding in the Classroom
Independent
Adapted Floor Seating- place child against the wall and place a cut-out floor table in front of them to support their posture (cushion or blanket may be necessary)

Adapted Chairs- floor or upright options; be sure to have chair at appropriate height and measurements for child; gives extra support
Feeding in the Classroom
In extreme cases, some students will not be able to leave their wheelchair
There are portable desks that can be easily put on and removed from the chair
Utensils
Students with more severe cerebral palsy may not be able to properly move their necks, or move their hand to their mouths
Paddled handles on spoons help grip
For children who cannot grasp a handle, there are spoons with cuff attachments with straps
Weighted handles on spoons often help muscle control
Cut out cups keep the neck from moving- may need straw and lid
Full transcript