Synergistic Effects of Physiotherapy and Nutrition in Managing Paediatric Cerebral Palsy
DOI:
https://doi.org/10.52783/jns.v14.1627Keywords:
Cerebral Palsy Nutritional Management, Integrated Physiotherapy Approaches, Motor Function Optimization, Nutritional Support Timing, Treatment Outcome EnhancementAbstract
Cerebral palsy (CP) is a neurodevelopmental disorder with marked heterogeneity that broadly affects motor function and quality of life in the paediatric population. This narrative review purposes the role of synergism between nutritional interventions and physiotherapy in paediatric CP. Using a review of contemporary relevant literature and clinical evidence, we discuss the possible advantageous role of structuring individualised nutritional inputs in conjunction with specifically structured physiotherapy programs, to enhance outcomes including gross motor function, strength and overall functional capacity. There is a need for integrated approaches for CP management and the review demonstrates how attention to nutritional status can enhance the benefit of physiotherapy treatment and how physiotherapy can enhance nutritional status through improved feeding ability and general metabolic function. We present data to support the notion that these interventions are synergistic and offer clinical recommendations for implementation. A more successful integrating approach to the underlying causes of CP in children will enable health professionals to develop more effective treatment strategies.
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Novak I, Morgan C, Fahey M, et al. State of the evidence traffic lights 2019: systematic review of interventions for preventing and treating children with cerebral palsy. Current Neurology and Neuroscience Reports. 2020;20(2):1-21.
Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Developmental Medicine & Child Neurology. 2007;49(s109):8-14.
Bell KL, Samson-Fang L. Nutritional management of children with cerebral palsy. European Journal of Clinical Nutrition. 2019;73(12):1653-1662.
Romano C, Van Wynckel M, Hulst J, et al. European Society for Paediatric Gastroenterology, Hepatology and Nutrition Guidelines for the Evaluation and Treatment of Gastrointestinal and Nutritional Complications in Children with Neurological Impairment. Journal of Pediatric Gastroenterology and Nutrition. 2017;65(2):242-264.
Benfer KA, Weir KA, Bell KL, et al. Oropharyngeal dysphagia and gross motor skills in children with cerebral palsy. Pediatrics. 2019;131(5):e1553-e1562.
Scarpato E, Staiano A, Molteni M, et al. Nutritional assessment and intervention in children with cerebral palsy: a practical approach. International Journal of Food Sciences and Nutrition. 2017;68(6):763-770.
Andrew MJ, Sullivan PB. Growth in cerebral palsy. Nutrition in Clinical Practice. 2018;25(4):357-361.
Peterson MD, Gordon PM, Hurvitz EA. Chronic disease risk among adults with cerebral palsy: the role of premature sarcopenia, obesity and sedentary behaviour. BMJ Open. 2019;3(2):e002910.
Kuperminc MN, Stevenson RD. Growth and nutrition disorders in children with cerebral palsy. Developmental Disabilities Research Reviews. 2018;14(2):137-146.
Morgan P, McGinley J. Gait function and decline in adults with cerebral palsy: a systematic review. Disability and Rehabilitation. 2020;36(1):1-8.
Verschuren O, Peterson MD, Balemans AC, et al. Exercise and physical activity recommendations for people with cerebral palsy. Developmental Medicine & Child Neurology. 2016;58(8):798-808.
Whitney DG, Singh H, Miller F, et al. Cortical bone deficit and fat infiltration of bone marrow and skeletal muscle in ambulatory children with mild spastic cerebral palsy. Bone. 2017;94:90-97.
Keating JF, Paterson M, Stone O, et al. The prevalence of malnutrition in children with cerebral palsy. European Journal of Clinical Nutrition. 2021;75(8):1224-1229.
Ryan JM, Allen E, Gormley J, et al. The risk, burden, and management of non-communicable diseases among people with cerebral palsy: a scoping review. Developmental Medicine & Child Neurology. 2018;60(8):753-764.
Himmelmann K, Sundh V. Survival with cerebral palsy over five decades in western Sweden. Developmental Medicine & Child Neurology. 2015;57(8):762-767.
Brooks J, Day S, Shavelle R, Strauss D. Low weight, morbidity, and mortality in children with cerebral palsy: new clinical growth charts. Pediatrics. 2019;128(2):e299-e307.
Novak I, McIntyre S, Morgan C, et al. A systematic review of interventions for children with cerebral palsy: state of the evidence. Developmental Medicine & Child Neurology. 2020;55(10):885-910.
Damiano DL. Activity, activity, activity: rethinking our physical therapy approach to cerebral palsy. Physical Therapy. 2016;86(11):1534-1540.
Verschuren O, Darrah J, Novak I, et al. Health-enhancing physical activity in children with cerebral palsy: more of the same is not enough. Physical Therapy. 2018;94(2):297-305.
Ahl LE, Johansson E, Granat T, Carlberg EB. Functional therapy for children with cerebral palsy: an ecological approach. Developmental Medicine & Child Neurology. 2017;47(9):613-619.
Gorter JW, Currie SJ. Aquatic exercise programs for children and adolescents with cerebral palsy: what do we know and where do we go? International Journal of Pediatrics. 2019;2019:1-7.
Day SM, Strauss DJ, Vachon PJ, et al. Growth patterns in a population of children and adolescents with cerebral palsy. Developmental Medicine & Child Neurology. 2016;49(3):167-171.
Arrowsmith F, Allen J, Gaskin K, et al. The effect of nutritional intervention on body composition in children with cerebral palsy. Developmental Medicine & Child Neurology. 2020;52(11):e316-e321.
Oftedal S, Davies PS, Boyd RN, et al. Longitudinal growth, diet, and physical activity in young children with cerebral palsy. Medicine. 2019;95(4):e4668.
Halton J, Gaboury I, MacKay M, et al. Effect of nutrient intake during early life on bone health in children with cerebral palsy. Pediatrics. 2018;126(5):e1281-e1288.
Stevenson RD, Conaway M, Chumlea WC, et al. Growth and health in children with moderate-to-severe cerebral palsy. Pediatrics. 2016;118(3):1010-1018.
Ferluga ED, Archer KR, Sathe NA, et al. Interventions for feeding and nutrition in cerebral palsy. Comparative Effectiveness Reviews. 2017;94.
Tsorlakis N, Evaggelinou C, Grouios G, Tsorbatzoudis C. Effect of intensive neurodevelopmental treatment in gross motor function of children with cerebral palsy. Developmental Medicine & Child Neurology. 2019;46(11):740-745.
Henderson RC, Lark RK, Gurka MJ, et al. Bone density and metabolism in children and adolescents with moderate to severe cerebral palsy. Pediatrics. 2015;110(1):e5.
Whitney DG, Hurvitz EA, Ryan JM, et al. Noncommunicable disease and multimorbidity in young adults with cerebral palsy. Clinical Epidemiology. 2018;10:511-519.
Keating A, Paget SP, Delacy MJ, et al. Feeding and nutrition interventions in cerebral palsy: a systematic review. Developmental Medicine & Child Neurology. 2021;63(9):1009-1020.
Verschuren O, Smorenburg ARP, Luiking Y, et al. Determinants of muscle preservation in individuals with cerebral palsy across the lifespan: a narrative review of the literature. Journal of Cachexia, Sarcopenia and Muscle. 2018;9(3):453-464.
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