Effect of a Nutritional Support System (Diet and Supplements) for Improving Gross Motor Function in Cerebral Palsy: An Exploratory Randomized Controlled Clinical Trial

Most patients with cerebral palsy (CP) do not respond to physical therapy due to deterioration in their nutritional status, secondary to gastrointestinal disorders and the catabolic state of the disease itself. However, basic treatments only contemplate the energy requirements and do not consider su...

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Bibliographic Details
Published in:Foods 2020-10, Vol.9 (10), p.1449
Main Authors: Leal-Martínez, Fernando, Franco, Denise, Peña-Ruiz, Andrea, Castro-Silva, Fabiola, Escudero-Espinosa, Andrea A, Rolón-Lacarrier, Oscar G, López-Alarcón, Mardia, De León, Ximena, Linares-Eslava, Mariana, Ibarra, Antonio
Format: Article
Language:English
Subjects:
Botulinum toxin
Brain research
Care and treatment
Cerebral palsy
child
Clinical trials
Diet
diet modification
Diet therapy
Dietary supplements
Energy requirements
Food science
Gastrointestinal diseases
Glutamine
Health aspects
Human motion
Immunoglobulins
Malnutrition
Medical research
Medicine, Experimental
Metabolism
Motor ability
motor development delay
nutrition disorder
Nutrition disorders
Nutrition research
Nutritional status
nutritional support
Nutritionally induced diseases
Paralysis
Patients
Probiotics
Proteins
Selenium
Spasticity
Support systems
Vitamins
Walking
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Summary:Most patients with cerebral palsy (CP) do not respond to physical therapy due to deterioration in their nutritional status, secondary to gastrointestinal disorders and the catabolic state of the disease itself. However, basic treatments only contemplate the energy requirements and do not consider supplementation with glutamine, zinc, selenium, colecalciferol, spirulina, omega 3 or even vegetal proteins. In this study, we determined the effect of using a nutritional support system (NSS): diet and supplements, on the gross motor function in children with CP with spastic diparesic and Gross Motor Function Classification System III (GMFCS III). An exploratory study was performed. Thirty patients (from 4 to 12 years old) were randomly assigned to: (1) dietary surveillance (FG), (2) deworming and WHO diet (CG), or (3) deworming and the NSS (IG). Gross motor function was evaluated using the gross motor function measure (GMFM) scale. The IG-treated group presented a significant improvement in standing and walking parameters analyzed in the GMFM compared with FG and CG groups. Fifty percent of the IG-treated patients managed to walk, while in the other groups, no patients were able to walk. The NSS used in the present work improves gross motor function and promotes walking in patients with CP.
ISSN:2304-8158
2304-8158
DOI:10.3390/foods9101449