Objective: to verify the association between nutritional status and the occurrence of oropharyngeal dysphagia in individuals with cerebral palsy. Methods: a cross-sectional, quantitative study with people aged between two and 20 years. Neuromotor impairment, occurrence and degree of dysphagia, anthropometry, food consumption, feeding route, diet fractionation and consistency were evaluated. Swallowing evaluation was performed by a skilled speech-language-hearing therapist, through the Clinical Evaluation Protocol of Pediatric Dysphagia (PAD-PED, Portuguese acronym).The statistical analysis was performed adopting p<0.05%. Results: 40 subjects with a median of 8.7 (5.45-14.5) years, 65% of whom were males. Concerning neuromotor impairment, 72.5% were classified at levels IV and V. The prevalence of dysphagia was 70%, the feeding route being predominantly oral (77.5%) with a normal diet consistency (55%). In the growth curves, all of them were classified within an adequate height for their age. As for weight, body mass index and skinfolds, 82.5%, 85% and 62.5% were eutrophic, respectively. Statistically significant association was found between dysphagia and body mass index (p=0.018). The mean daily caloric and proteic intake was 1427.29±338.62 kcal and 56.86±17.57 grams, respectively. Statistically significant association was found between the feeding route and the amount of protein ingested daily (p=0.041). Conclusion: most subjects presented oropharyngeal dysphagia and more severe motor impairment; they were fed orally with a normal diet consistency. It was observed that the greater the difficulty in swallowing, the greater the impairment of nutritional status.

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Artigo de revisão http://revistaseletronicas.pucrs.br/ojs/index.php/faenfi/about/ http://dx.Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons BY-NC 4.0 Internacional.RESUMO Objetivo: Verificar na literatura a finalidade do uso da estimulação transcraniana não invasiva nos indivíduos com paralisia cerebral (PC). Materiais e Métodos: Este estudo se caracteriza como uma revisão integrativa da literatura. A coleta dos dados foi realizada de agosto a setembro de 2015, utilizando as bases eletrônicas Scielo, Medline/PubMed, PEDro e Lilacs. Os descritores e operadores boleanos utilizados foram congenital hemiplegia OR cerebral palsy AND transcranial magnetic stimulation OR transcranial direct current stimulation. Foram incluídos na amostra artigos publicados entre os anos de 2005 e 2015, nos idiomas inglês, espanhol e português. Resultados: A busca nas bases de dados resultou na coleta de 214 artigos, dos quais 12 preencheram os critérios de inclusão. O maior número de publicações que compuseram a amostra foi publicado entre os anos de 2013 e 2015. Oito estudos aplicaram a estimulação magnética transcraniana (EMT) para realização de diagnóstico, mapeamento cortical e avaliação da função da mão e quatro utilizaram a estimulação por corrente contínua (ETCC) e verificaram seu efeito sobre a distonia e a marcha de indivíduos com PC. Em relação ao tratamento de indivíduos com PC, os estudos mostraram resultados importantes do uso de estimulação transcraniana, sobretudo quando associado à fisioterapia. Conclusão: A pesquisa mostrou que a estimulação transcraniana não invasiva, por meio da EMT e da ETCC, tem sido utilizada na PC com a finalidade de tratamento e diagnóstico. Palavras-chave: estimulação magnética transcraniana; estimulação transcraniana por corrente contínua; paralisia cerebral. ABSTRACT Objective: To verify in the literature the purpose of using non-invasive transcranial magnetic stimulation in individuals with cerebral palsy (CP). Materials and Methods: This study is an integrative review of literature. The data collection was conducted from August to September, 2015, using the electronic data bases Scielo, Medline/PubMed, PEDro and Lilacs. The descriptors and Boolean operators used were congenital hemiplegia OR cerebral palsy AND transcranial magnetic stimulation OR transcranial direct current stimulation. The sample included papers published between 2005 and 2015, written in English, Spanish and Portuguese. Results: The research on the data bases resulted in 214 papers, from which 12 fulfilled the established criteria. The highest number of publications that composed the sample was published between the years of 2013 and 2015. Eight (8) studies used transcranial magnetic stimulation (TMS) for carrying out the diagnosis, cortical mapping, and evaluating hand function, and four (4) used transcranial direct current stimulation (TDCS) and verified its effects on dystonia and gait of individuals with CP. In relation to the treatment...