Sb. Taylor et Je. Shelton, CALORIC REQUIREMENTS OF A SPASTIC IMMOBILE CEREBRAL-PALSY PATIENT - ACASE-REPORT, Archives of physical medicine and rehabilitation, 76(3), 1995, pp. 281-283
This article documents the reduced caloric requirements for a spastic,
immobile, cerebral palsy patient. We report an 11-year-old immobile,
spastic, quadriparetic patient who remained obese despite receiving le
ss than one half of the recommended basal caloric requirements for age
, Basal metabolic rate was determined by indirect calorimetry using a
Sensor Medics 2900 instrument, Standard reference sources indicate tha
t an able-bodied 11-year-old child of comparable height requires 1,493
kcal/d for support of basal metabolic functions, Our patient was foll
owed for 8 weeks on reduced calories and assessed for adequacy of diet
by nitrogen balance studies and other appropriate parameters, Our dat
a suggest that a subset of severely impaired children with cerebral pa
lsy may require much less in total kilocalories per day for nutritiona
l support than previous studies would indicate.