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OBJECTIVES:

To determine the progression of oropharyngeal dysphagia (OPD) in preschool-aged children with cerebral palsy (CP) according to gross motor function. It was hypothesized that fewer children would have OPD at 60 months compared with 18 to 24 months (predominately Gross Motor Function Classification System [GMFCS] I–II).

METHODS:

Longitudinal population-based cohort of 179 children (confirmed CP diagnosis, born in Queensland in 2006–2009, aged 18–60 months at study entry [mean= 34.1 months±11.9; 111 boys; GMFCS I= 46.6%, II= 12.9%, III= 15.7%, IV= 10.1%, and V= 14.6%]). Children had a maximum of 3 assessments (median= 3, total n= 423 assessments). OPD was classified by using the Dysphagia Disorders Survey part 2 and rated from video by a certified pediatric speech pathologist. GMFCS was used to classify children’s gross motor function.

RESULTS:

OPD prevalence …