Subject: Neurodevelopmental Disorders and Neurodisability

Series: Clinics in Developmental Medicine

Publication date: 01/01/1996

ISBN: 9781898683087

Edition: 1st

Pages: 168

Feeding the Disabled Child

Peter B Sullivan, Lewis Rosenbloom (Editors)

Ways to buy

Hardback edition (complete book)


Disabled children often have feeding difficulty. Choking, food spillage and protracted mealtimes can pose enormous problems for their carers and the accompanying nutritional deficit imposes additional burdens on the affected child.

In this book the aetiology of these problems is placed in context by a detailed description of normal feeding development in infants. The often under-recognised nutritional and neurodevelopmental consequences of inadequate nutrient intake together with the respiratory complications and the important problems of constipation and drooling, which may accompany oromotor dysfunction, are detailed. The clinical and nutritional assessment and the application of diagnostic imaging techniques in the evaluation of such children are described. The methods of management of these children’s problems form the core of this volume and they range from oromotor therapy to various techniques for enteral feeding. The ethical issues raised by the vigorous intervention needed to improve the nutritional state of severely disabled children is explored, together with the need to provide ongoing psychological support for their carers.

Clinics in Developmental Medicine No. 140

Peter B Sullivan
Peter B Sullivan

Dr Sullivan is Head of the Department of Paediatrics at the University of Oxford. He is a Fellow of Magdalen College Oxford and holds an appointment as an honorary consultant paediatrician at the John Radcliffe Hospital in Oxford.

He researches into the gastrointestinal and nutritional problems of children with neurological disabilities and has a special interest in the provision of a clinical service for children with complex gastrointestinal problems.

He has published original scientific reports as well as reviews and book chapters on the gastrointestinal problems encountered in neurologically impaired children.


Other books by Peter B Sullivan
Lewis Rosenbloom
Lewis Rosenbloom

Lewis Rosenbloom has been a Consultant Paediatric Neurologist since 1971. He holds
an honorary appointment to the Royal Liverpool Children’s NHS Foundation Trust UK.
His special clinical, teaching and research interests are in paediatric neurodisability.

He has published widely on many aspects of cerebral palsy including feeding issues and life expectation in disabled people. 

Other books by Lewis Rosenbloom

Contributors v
Foreword ix
James F Bosma
1. Introduction 1
P. B. Sullivan and L. Rosenbloom
2.The Development of Eating Skills in infants and young children 11
R. D. Stevenson and Janet Allaire
3. The causes of feeding difficulties in disabled children 23
P. B. Sullivan and L. Rosenbloom
4. The nutritional and neurodevelopmental consequences of feeding difficulties in disabled children 33
L. Rosenbloom and P. B. Sullivan
5. The respiratory consequences of neurological deficit 40
Ben N. J. Shaw
6. The therapeutic approach to the child with feeding difficulty I. Assessment 47
L. S. Wolf and RP Glass
7. Nutritional assessment of the disabled child 62
V. Stallings and B S. Zemel
8. Diagnostic imaging in the assessment of alimentary function of the disabled child 77
E. Loveday
9. Drooling 92
P. Blasco
10. Constipation in disabled children 106
G. Clayden
11. The therapeutic approach to the child with feeding difficulty: II. Management and treatment 117
L. Carroll and S. Reilly
12. The therapeutic approach to the child with feeding difficulty: III. Enteral feeding 132
D. A. Lloyd and A. Pierro
13. The ethics and implications of treatment programmes for disabled children with feeding difficulties 151
L. Rosenbloom and P. B. Sullivan
Index 157

'This book will likely evolve into the core text in this area. It covers a great deal of material about a focused area in a comprehensive, practical, clinically applicable fashion. It will help the care of children with neurological impairments.'

Bruce Shapiro, Johns Hopkins University School of Medicine

'The book progresses smoothly from theory to practice, providing many useful tips in the assessment, investigation, and treatment of the disabled child. The book is well structured and easy to read. We are pleased to recommend this book to paediatricians, nurses, dieticians, speech therapists and others with an interest in the care of disabled children.'

Journal of the Royal College of Physicians of London

Each chapter in Feeding the Disabled Child is written by an expert on the particular subject covered. Thoughtful editing prevents repetition and the key concepts are well covered. It is a well referenced and comprehensive view.'

Developmental Medicine & Child Neurology

'The authors have made their 'object' improving the quality of life of the individual and the carer. This book will, with humanity and erudition, assist others in that aim. Unlike its subject, the slim volume, in familiar red, is not deficient in energy nor micronutrients.' Archives of Disease in Childhood

Archives of Disease in Childhood

'I am sure that this book will be welcomed by a large number of professionals caring for disabled children. It conveys a strong sense of personal experience as well as being extensively referenced. It will be of great value to all those involved in management of the disabled child, both as a source of rapid advice and as a resource for in-depth learning.'

Journal of the Royal Society of Medicine