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Journal of the Korean Academy of Rehabilitation Medicine 2002;26(1):19-25.
Assessment of Colonic Motility and Nutrients Intake in Children with Spastic Cerebral Palsy.
Park, Eun Sook , Park, Chang il , Cho, Sung Rae , Park, Sa Yun , Cho, Youn Soo
1Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. srcho918@hanmail.net
2Dietetic Department, Severance Hospital, Yonsei University, Korea.
경직성 뇌성마비 환아에서 대장운동 기능 및 영양섭취 상태의 평가
박은숙, 박창일, 조성래, 박사윤, 조윤수1
연세대학교 재활의학교실 및 재활의학연구소, 1연세대학교 세브란스병원 영양과

To evaluate the colonic motility and nutrients intake in children with spastic cerebral palsy (CP) and to compare the results with those of normal children.

Thirty-eight children with spastic CP were participated in this study. They took the radioopaque markers for 3 successive days. Then, abdominal X-ray was taken on the fourth day. Total and segmental colon transits were estimated by the simplified assessment of a single-film technique by Metcalf et al. The amounts of nutrients intake for 3 days were recorded and nutritional factors were analyzed by ESHA Food Processor. Then, daily intakes of the nutrients were compared with Recommended Dietary Allowance of the Korean Nutrition Society.

Total and segmental colon transit time were more

than 2 times delayed in children with spastic CP as compared with those of normal controls. Total colon transit time was significantly prolonged in quadriplegic and non-ambulatory children (p<0.05). On the evaluation of daily nutrients intake, most of nutritional factors were inadequate in children with spastic CP.

The children with spastic CP had the problems in colonic motility and nutritional intake. Also, delayed colon transit time was significantly related with poor mobility. Therefore, early intervention for these problems will be required in spastic CP, especially quadriplegic and non- ambulatory children. (J Korean Acad Rehab Med 2002; 26: 19-25)

Key Words: Colonic motiltiy, Colon transit time, Nutrients intake, Cerebral palsy


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