Enhancing Nutritional Status in Children with Cerebral Palsy

The Impact of Parental Feeding Rules Counseling and Special Spoon Utilization


  • Arif Mansur Universitas Andalas
  • Nining Sulistyawati Sekolah Tinggi Ilmu Kesehatan Madani Yogyakarta, Indonesia
  • Ira Mulya Sari Universitas Andalas, Indonesia




Cerebral Palsy, Counseling, Food Intake, Feeding Rules, Nutritional Status, Special Spoons


The objective of this article is to evaluate the effect on Parental Feeding Rules Counseling and Utilization of Special Spoons on the Nutritional Status for children with cerebral palsy. Children with cerebral palsy (CP) experience nutritional deficiencies resulting from food intake challenges caused by brain and nervous impairments. However, parental implementation, such as counseling on feeding rules and the use of specialized spoons, needs to be improved.  Method: A Pre Experimental design with a One Group Pretest-Posttest approach, namely counseling on feeding rules and the utilization of specialized spoons, on the food intake and nutritional status of children with cerebral palsy. The research was conducted at Griya Lare Utami and Special Need Schools  1 Bantul, with a minimum sample size of 18 parent-child pairs with cerebral palsy, selected through purposive sampling. Data analysis was performed using bivariate analysis with the Paired t-test. Result: Child weight and Stature have increase. Conclusion: The intervention programme seemed to increase in the weight and stature indicator, but there has been no change in the nutritional status of BMI-for-age and  Length-for-age.


Aggarwal, Srishti, Ravinder Chadha, and Renuka Pathak. 2015. “Nutritional Status and Growth in Children with Cerebral Palsy: A Review.” International Journal of Medical Science and Public Health 4 (6): 737–44.

Caram, Ana Lúcia Alves, André Moreno Morcillo, and Elizete Aparecida Lomazi Costa‐Pinto. 2008. “Nutritional Status of Children with Cerebral Palsy in a Brazilian Tertiary‐care Teaching Hospital.” Developmental Medicine & Child Neurology 50 (12): 956–956.

Dahl, M., and M. Gebre-Medhin. 1993. “Feeding and Nutritional Problems in Children with Cerebral Palsy and Myelomeningocoele.” Acta Paediatrica (Oslo, Norway: 1992) 82 (10): 816–20. https://doi.org/10.1111/j.1651-2227.1993.tb17617.x.

Dahlseng, M.O., A.-K. Finbråten, P.B. Júlíusson, J. Skranes, G. Andersen, and T. Vik. 2012. “Feeding Problems, Growth and Nutritional Status in Children with Cerebral Palsy.” Acta Paediatrica 101: 92–98.

Darwati, Maria Mexitalia, Soemedi Hadiyanto, Fitri Hartanto, and S.A. Nugraheni. 2014. “Pengaruh Intervensi Konseling Feeding Rules Dan Stimulasi Terhadap Status Gizi Dan Perkembangan Anak Di Posyandu Kabupaten Jayapura” 15 (6).

Gangil, A., A. K. Patwari, S. Aneja, B. Ahuja, and V. K. Anand. 2001. “Feeding Problems in Children with Cerebral Palsy.” Indian Pediatrics 38 (8): 839–46.

Jahan, Israt, Risad Sultana, Mohammad Muhit, Delwar Akbar, Tasneem Karim, Mahmudul Hassan Al Imam, Manik Chandra Das, et al. 2022. “Nutrition Interventions for Children with Cerebral Palsy in Low- and Middle-Income Countries: A Scoping Review.” Nutrients 14 (6): 1211. https://doi.org/10.3390/nu14061211.

Kemenkes, R. I. 2010. “Pedoman Umum Perlindungan Kesehatan Anak Berkebutuhan Khusus.” Jakarta: Bakti Husada.

Kuperminc, Michelle N., and Richard D. Stevenson. 2008. “Growth and Nutrition Disorders in Children with Cerebral Palsy.” Developmental Disabilities Research Reviews 14 (2): 137–46. https://doi.org/10.1002/ddrr.14.

Murashima, Megumi, Sharon L. Hoerr, Sheryl O. Hughes, and Stan A. Kaplowitz. 2012. “Feeding Behaviors of Low-Income Mothers: Directive Control Relates to a Lower BMI in Children, and a Nondirective Control Relates to a Healthier Diet in Preschoolers.” The American Journal of Clinical Nutrition 95 (5): 1031–37.

Orem, D. 2009. “Nursing: Concepts of Practice. St.” Rev Esc Enferm USP 43: 697–703.

Østensjø, Sigrid, Eva Brogren Carlberg, and Nina K. Vøllestad. 2005. “The Use and Impact of Assistive Devices and Other Environmental Modifications on Everyday Activities and Care in Young Children with Cerebral Palsy.” Disability and Rehabilitation 27 (14): 849–61.

Pinto, Carolina, Rute Borrego, Mafalda Eiró-Gomes, Inês Casimiro, Ana Raposo, Teresa Folha, Daniel Virella, and Ana Catarina Moreira. 2022. “Embracing the Nutritional Assessment in Cerebral Palsy: A Toolkit for Healthcare Professionals for Daily Practice.” Nutrients 14 (6): 1180. https://doi.org/10.3390/nu14061180.

Rebelo, Fernanda, Isabela Rodrigues Mansur, Teresa Cristina Miglioli, Maria Dalva Baker Meio, and Saint Clair Gomes Junior. 2022. “Dietary and Nutritional Interventions in Children with Cerebral Palsy: A Systematic Literature Review.” PloS One 17 (7): e0271993. https://doi.org/10.1371/journal.pone.0271993.

Rodgers, Rachel F., Susan J. Paxton, Robin Massey, Karen J. Campbell, Eleanor H. Wertheim, Helen Skouteris, and Kay Gibbons. 2013. “Maternal Feeding Practices Predict Weight Gain and Obesogenic Eating Behaviors in Young Children: A Prospective Study.” Int J Behav Nutr Phys Act 10 (1): 24.

Sadowska, Małgorzata, Beata Sarecka-Hujar, and Ilona Kopyta. 2020. “Cerebral Palsy: Current Opinions on Definition, Epidemiology, Risk Factors, Classification and Treatment Options.” Neuropsychiatric Disease and Treatment 16 (June): 1505–18. https://doi.org/10.2147/NDT.S235165.

Samson-Fang, L.dan Bell and K.L. 2013. “Assessment of Growth and Nutrition in Children with Cerebral Palsy.” European Journal of Clinical Nutrition 67: 5–8.

Sjakti, Hikari Ambara, Damayanti Rusli Syarif, Luh Karunia Wahyuni, and Lmral Chair. 2008. “Feeding Difficulties in Children with Cerebral Palsy.” Paediatrica Indonesiana 48 (4): 224–29.

Snik, D. a. C., P. H. Jongerius, N. M. de Roos, and O. Verschuren. 2019. “Nutritional Care: The ‘poor Child’ of Clinical Care in Children with Cerebral Palsy.” Journal of Pediatric Rehabilitation Medicine 12 (2): 133–38. https://doi.org/10.3233/PRM-180537.

Socrates, C., S. M. Grantham-McGregor, S. G. Harknett, and A. J. Seal. 2000. “Poor Nutrition Is a Serious Problem in Children with Cerebral Palsy in Palawan, the Philippines.” International Journal of Rehabilitation Research. Internationale Zeitschrift Fur Rehabilitationsforschung. Revue Internationale De Recherches De Readaptation 23 (3): 177–84. https://doi.org/10.1097/00004356-200023030-00007.

Stavsky, Moshe, Omer Mor, Salvatore Andrea Mastrolia, Shirley Greenbaum, Nandor Gabor Than, and Offer Erez. 2017. “Cerebral Palsy—Trends in Epidemiology and Recent Development in Prenatal Mechanisms of Disease, Treatment, and Prevention.” Frontiers in Pediatrics 5 (February): 21. https://doi.org/10.3389/fped.2017.00021.

Zainah, S. H., L. C. Ong, A. Sofiah, Bee Koon Poh, and IHMI Hussain. 2001. “Determinants of Linear Growth in Malaysian Children with Cerebral Palsy.” Journal of Paediatrics and Child Health 37 (4): 376–81.

Zhao, Yiting, Hongmei Tang, Tingting Peng, Jinling Li, Liru Liu, Chaoqiong Fu, Hongyu Zhou, et al. 2023. “Relationship Between Nutritional Status and Severity of Cerebral Palsy: A Multicentre Cross-Sectional Study.” Journal of Rehabilitation Medicine 55 (January): jrm00367. https://doi.org/10.2340/jrm.v55.4395.




How to Cite

Mansur, A., Sulistyawati, N., & Sari, I. M. (2023). Enhancing Nutritional Status in Children with Cerebral Palsy: The Impact of Parental Feeding Rules Counseling and Special Spoon Utilization . Indonesian Journal of Disability Studies, 10(2), 273–286. https://doi.org/10.21776/ub.ijds.2023.10.02.11