This book is a practical guide to the effective treatment of cerebral palsy in children. It provides a set of principles by which to observe and analyze individual patients' problems and then plan treatment. With the help of this book, non-specialists working with children with cerebral palsy can make decisions and choose the appropriate therapeutic activities for each child. It includes examples of how to apply these principles to real-life situations, using easy-to-follow descriptions and illustrations. New to this revised edition is a chapter on sensory integration problems with children with cerebral palsy, which looks at ways of evaluating and then dealing with these problems. The author also integrates theory with practical skills more closely.

Assessment and Management of Eating and Drinking Difficulties

Assessment and Management of Eating and Drinking Difficulties

Assessment and management of eating and drinking difficulties


Many children with cerebral palsy have eating and drinking difficulties These range from relatively minor difficulties in coordination of oral movements causing eating to be slow and with excessive spillage, to severe incoordination of the swallowing mechanism, causing ill health and even life-threatening conditions. Mealtimes may take up to 15 times longer than for other children (Gisel and Patrick 1988), and despite this the children often do not receive adequate nourishment. A community-based study by Reilly et al. (1996) revealed oral-motor problems in more than 90 per cent of a sample of 49 children with cerebral palsy, of whom over a third were at risk of chronic undernourishment.

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