Cerebral Palsy. A Life Filled with All Sorts of Difficulties

CP is the most frequent cause of disability in childhood. The clinical state of these children is determined by motoric, cognitive and perceptive disorders, subject to a stable lesion overtime. Regarding energy requirements, CP children have specific needs, due to clinical variability and therapy requirements [1]. The capacity to reach a sufficient suitable oral ingestion is priority. The problem however is when such contribution is not enough. In this sense, parents and/or carers play a fundamental role in detecting difficulties. There is a predominant family rejection to tube feeding even though feeding and swallowing difficulties are present. Enteral tube feeding is reserved to patients with major dysfunction of the swallowing and feeding process, with a high risk of aspiration and/or malnutrition. Tube indication requires providing extensive information to parents or carers, as feeding implies a significant social role, and not only a nutritional support tool [2,3].