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Feeding intervention in children with cerebral palsy over an 18-month period in rural Eastern Cape
Dissertation (MCommunication Pathology)--University of Pretoria, 2016.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2016
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| _version_ | 1867613576786608128 |
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| access_status_str | Open Access |
| author2 | Kritzinger, Alta M. (Aletta Margaretha) |
| author_browse | Kritzinger, Alta M. (Aletta Margaretha) |
| author_facet | Kritzinger, Alta M. (Aletta Margaretha) |
| collection | Thesis |
| dc_rights_str_mv | © 2016 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (MCommunication Pathology)--University of Pretoria, 2016. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/56057 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:38:21.029Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/56057 Feeding intervention in children with cerebral palsy over an 18-month period in rural Eastern Cape Kritzinger, Alta M. (Aletta Margaretha) Pike, Tamaryn UCTD Dissertation (MCommunication Pathology)--University of Pretoria, 2016. The incidence of cerebral palsy (CP) is significantly higher in South Africa compared to international statistics. Feeding and swallowing difficulties associated with CP are of great concern in impoverished communities. There is a dearth of research regarding appropriate feeding interventions for children with CP in South Africa. The aims of this study were to (i) determine if there was a change in the anthropometric measurements of children with CP, (ii) in the feeding performance of children with CP and (iii) in the caregiver awareness of and concerns about their children’s feeding difficulties and weight over an 18-month period, following intervention and caregiver training, in a rural South African community. A simple time-series experiment was employed. An intensive five-day intervention block of neurodevelopmental therapy (NDT) and caregiver training was provided in August 2007 and August 2008. Pre-intervention, post-intervention and follow-up data were collected. Participants were purposively selected. Children (aged one to 18 years) with a confirmed diagnosis of CP and their caregivers were included. Data collected included anthropometric measurements of the child participants, and extracted questions from the Pediatric Evaluation of Disability Inventory (PEDI) and the Feeding Profile (Kenny et al. 1989). Statistically significant differences were observed in the mean weight, length/height and mid-upper arm circumference measurements of the child participants over the 18-month period. There was also a significant increase in the number of child participants able to tolerate ground/lumpy foods, instead of pureed foods, over the 18-month period. Individual participants demonstrated improvement in and maintenance of certain feeding skills over time. No significant differences were observed in the number of caregivers aware of and concerned about their children’s feeding difficulties and weight over the 18-month period. Although not classified as an effective intervention in the systematic review by Novak et al. (2013), NDT appeared to be a cost-effective and easily accessible approach for the purposes of the current study. As the caregivers, who lived far from healthcare facilities and services, received training, they could continue suggested activities at home. As no control group was used in the current study, it is not possible to say whether individual improvements in anthropometric measurements and feeding performance were as a result of intervention and caregiver training. KEY WORDS: Cerebral palsy (CP), feeding, swallowing, neurogenic dysphagia, neurodevelopmental therapy (NDT) nutrition, anthropometry, caregiver concerns, rural South Africa, poverty, CP intervention. Speech-Language Pathology and Audiology MCommunication Pathology Unrestricted 2016-07-28T05:59:12Z 2016-07-28T05:59:12Z 2016-09 2016 Dissertation Pike, T 2016, Feeding intervention in children with cerebral palsy over an 18-month period in rural Eastern Cape, MCommunication Pathology Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/56057> S2016 http://hdl.handle.net/2263/56057 en © 2016 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/octet-stream application/pdf University of Pretoria |
| spellingShingle | UCTD Feeding intervention in children with cerebral palsy over an 18-month period in rural Eastern Cape |
| title | Feeding intervention in children with cerebral palsy over an 18-month period in rural Eastern Cape |
| title_full | Feeding intervention in children with cerebral palsy over an 18-month period in rural Eastern Cape |
| title_fullStr | Feeding intervention in children with cerebral palsy over an 18-month period in rural Eastern Cape |
| title_full_unstemmed | Feeding intervention in children with cerebral palsy over an 18-month period in rural Eastern Cape |
| title_short | Feeding intervention in children with cerebral palsy over an 18-month period in rural Eastern Cape |
| title_sort | feeding intervention in children with cerebral palsy over an 18 month period in rural eastern cape |
| topic | UCTD |
| url | http://hdl.handle.net/2263/56057 |