{"id":164,"date":"2025-11-19T11:17:35","date_gmt":"2025-11-19T11:17:35","guid":{"rendered":"https:\/\/nutricia.es\/paralisis-cerebral\/\/?page_id=164"},"modified":"2026-02-04T16:24:51","modified_gmt":"2026-02-04T16:24:51","slug":"manejo-de-la-disfagia","status":"publish","type":"page","link":"https:\/\/nutricia.es\/paralisis-cerebral\/manejo-de-la-disfagia\/","title":{"rendered":"Manejo de la disfagia"},"content":{"rendered":"\n[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; module_alignment=&#8221;left&#8221; box_shadow_style=&#8221;preset3&#8243; box_shadow_vertical=&#8221;6px&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_header _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;&#8211;et_global_heading_font|800|||||||&#8221; title_text_align=&#8221;left&#8221; title_text_color=&#8221;#51338B&#8221; title_font_size=&#8221;50px&#8221; title_line_height=&#8221;1.5em&#8221; content_text_color=&#8221;#2B3C90&#8243; content_line_height=&#8221;1.5em&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; background_image=&#8221;https:\/\/nutricia.es\/paralisis-cerebral\/\/wp-content\/uploads\/2026\/01\/cabecera_manejo_disfagia_v1.jpg&#8221; custom_button_one=&#8221;on&#8221; button_one_text_size=&#8221;14px&#8221; button_one_text_color=&#8221;#FFFFFF&#8221; button_one_bg_color=&#8221;#2B3C90&#8243; button_one_border_radius=&#8221;50px&#8221; button_one_font=&#8221;&#8211;et_global_body_font|500|||||||&#8221; button_one_use_icon=&#8221;off&#8221; button_one_custom_margin=&#8221;30px||||false|false&#8221; button_one_custom_padding=&#8221;10px|40px|10px|40px|true|true&#8221; button_one_custom_padding_tablet=&#8221;10px|40px|10px|40px|true|true&#8221; button_one_custom_padding_phone=&#8221;5px|22px|5px|22px|true|true&#8221; button_one_custom_padding_last_edited=&#8221;on|phone&#8221; height=&#8221;500px&#8221; height_tablet=&#8221;268px&#8221; height_phone=&#8221;154px&#8221; height_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;0px|||-10px|false|false&#8221; custom_padding=&#8221;100px|200px|||false|false&#8221; custom_padding_tablet=&#8221;100px|200px|||false|false&#8221; custom_padding_phone=&#8221;0px|90px|0px|0px|false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; hover_enabled=&#8221;0&#8243; title_font_size_tablet=&#8221;50px&#8221; title_font_size_phone=&#8221;30px&#8221; title_font_size_last_edited=&#8221;on|phone&#8221; content_font_size_tablet=&#8221;&#8221; content_font_size_phone=&#8221;11px&#8221; content_font_size_last_edited=&#8221;on|phone&#8221; button_one_text_size_tablet=&#8221;14px&#8221; button_one_text_size_phone=&#8221;12px&#8221; button_one_text_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; button_one_bg_color__hover_enabled=&#8221;on|desktop&#8221; button_one_bg_color__hover=&#8221;#2B3C90&#8243; module_id=&#8221;cabeceras&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_post_title meta=&#8221;off&#8221; featured_image=&#8221;off&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;|700|||||||&#8221; title_text_color=&#8221;#51338B&#8221; custom_margin=&#8221;||-18px|||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_post_title][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<p><span style=\"font-weight: 400;\">La <\/span><b>disfagia <\/b><span style=\"font-weight: 400;\">es la dificultad para tragar alimentos o l\u00edquidos, y<\/span><b> es el problema de alimentaci\u00f3n m\u00e1s com\u00fan en ni\u00f1os con PCI<\/b><span style=\"font-weight: 400;\">. A veces se debe a alteraciones mec\u00e1nicas, es decir, a problemas en los m\u00fasculos o en la boca, pero lo m\u00e1s habitual en ni\u00f1os con par\u00e1lisis cerebral es que la disfagia est\u00e9 relacionada con alteraciones neurol\u00f3gicas, es decir, con el cerebro, porque las \u00e1reas que controlan la alimentaci\u00f3n y la degluci\u00f3n no funcionan como deber\u00edan.<sup>1<\/sup><\/span><\/p>\n<p><b>El tratamiento de la disfagia relacionada con la PCI requiere de la participaci\u00f3n de varios especialistas de la salud y se adapta a las necesidades de cada ni\u00f1o.\u00a0<\/b><\/p>\n<p><b>Normalmente se aborda de las siguientes maneras:<\/b><sup>1<\/sup><\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;2_5,3_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/nutricia.es\/paralisis-cerebral\/\/wp-content\/uploads\/2026\/01\/manejo_disfagia_01.jpg&#8221; title_text=&#8221;Mother feeding an pizza a little disabled girl in a wheelchair. Child cerebral palsy. Inclusion. Disability.&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<ul>\n<li aria-level=\"1\"><b>Tratamiento nutricional.<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">El objetivo es compensar, cuando se pueda, las dificultades para tragar de forma segura y eficaz. As\u00ed se busca que el ni\u00f1o mantenga una buena nutrici\u00f3n, est\u00e9 bien hidratado y se protejan los pulmones, evitando problemas graves como infecciones respiratorias.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Primero se elige la <\/span><b>v\u00eda de alimentaci\u00f3n<\/b><span style=\"font-weight: 400;\"> a trav\u00e9s de 4 aspectos fundamentales:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Funcionalidad del intestino<\/b><span style=\"font-weight: 400;\">: si el intestino est\u00e1 sano y puede usarse, se prefiere la alimentaci\u00f3n por boca. Si no, se recurre a la nutrici\u00f3n por v\u00eda intravenosa (parenteral).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Condiciones para comer por boca<\/b><span style=\"font-weight: 400;\">: se valora si el ni\u00f1o puede mantenerse sentado y con la cabeza bien colocada, si responde bien a los reflejos de la boca y garganta, y si no hay problemas graves que lo impidan.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Seguridad al tragar<\/b><span style=\"font-weight: 400;\">: es lo m\u00e1s importante. Si tragar no es seguro, se intenta compensar con cambios en la textura de los alimentos, el tama\u00f1o de las porciones o la postura. Si no se puede, se limita la comida por boca y se usa una sonda.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Eficacia al tragar<\/b><span style=\"font-weight: 400;\">: si el ni\u00f1o no logra comer lo suficiente para cubrir sus necesidades nutricionales, se a\u00f1aden suplementos o se combina la alimentaci\u00f3n por boca con la sonda.<\/span><\/li>\n<\/ul>\n<p><b>La adaptaci\u00f3n de la dieta<\/b><span style=\"font-weight: 400;\"> se basa en <\/span><b>cambiar la textura de los alimentos<\/b><span style=\"font-weight: 400;\"> para que el ni\u00f1o pueda <\/span><b>tragar de forma m\u00e1s segura y eficaz<\/b><span style=\"font-weight: 400;\">. Esto se puede <\/span><b>hacer de manera casera<\/b><span style=\"font-weight: 400;\">, usando utensilios como batidora, molinillo, moldes o sif\u00f3n, <\/span><b>o con productos espesantes<\/b><span style=\"font-weight: 400;\"> especiales <\/span><b>que se a\u00f1aden a la comida o bebida<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><b>Si quieres m\u00e1s informaci\u00f3n sobre los productos espesantes, visita el apartado \u201c<a href=\"\/paralisiscerebral\/espesantes\/\">Espesantes<\/a>\u201d.<\/b><\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;3_5,2_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<ol start=\"2\">\n\t<li><b> Tratamiento rehabilitador<\/b><\/li>\n<\/ol>\n<span style=\"font-weight: 400;\">Para que la alimentaci\u00f3n sea m\u00e1s segura y eficaz, se utilizan diferentes estrategias:<\/span>\n\n<span style=\"font-weight: 400;\">1.<\/span><span style=\"font-weight: 400;\">Adaptar el entorno<\/span>\n<ul>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Buena iluminaci\u00f3n para que el ni\u00f1o reconozca al cuidador y la comida.<\/span><\/li>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Temperatura agradable (ni fr\u00edo ni calor excesivo).<\/span><\/li>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reducir ruidos y olores fuertes si le molestan.<\/span><\/li>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Facilitar la comunicaci\u00f3n con sistemas alternativos si los necesita.<\/span><\/li>\n<\/ul>\n<ol start=\"2\">\n\t<li><span style=\"font-weight: 400;\"> <\/span><span style=\"font-weight: 400;\">Adaptar el material<\/span><span style=\"font-weight: 400;\">, eligiendo utensilios adecuados para el ni\u00f1o:<\/span><\/li>\n<\/ol>\n<ul>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tetinas y biberones especiales.<\/span><\/li>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cucharas y vasos adaptados para facilitar la ingesta.<\/span><\/li>\n<\/ul>\n<ol start=\"3\">\n\t<li><span style=\"font-weight: 400;\"> <\/span><span style=\"font-weight: 400;\">Control postural<\/span><span style=\"font-weight: 400;\">, una postura correcta ayuda a tragar mejor:<\/span><\/li>\n<\/ol>\n<ul>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sentado con los pies apoyados y rodillas en \u00e1ngulo de 90\u00b0.<\/span><\/li>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cabeza recta, evitando que est\u00e9 muy hacia atr\u00e1s (esto aumenta el riesgo de atragantamiento).<\/span><\/li>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A veces se necesita ayuda t\u00e9cnica o apoyo de fisioterapeutas y terapeutas ocupacionales.<\/span><\/li>\n<\/ul>\n<ol start=\"4\">\n\t<li><span style=\"font-weight: 400;\"> <\/span><span style=\"font-weight: 400;\">Adaptar la textura de los alimentos<\/span><span style=\"font-weight: 400;\"> para que tragar sea m\u00e1s f\u00e1cil y seguro.<\/span><\/li>\n<\/ol>\n<span style=\"font-weight: 400;\">Otras estrategias que se utilizan son:<\/span>\n<ul>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Integraci\u00f3n sensorial:<\/b><span style=\"font-weight: 400;\"> actividades para ayudar al cerebro a organizar las sensaciones y responder mejor durante la comida.<\/span><\/li>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Terapia miofuncional:<\/b><span style=\"font-weight: 400;\"> ejercicios para mejorar la fuerza y coordinaci\u00f3n de la boca y la lengua.<\/span><\/li>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Maniobras durante la ingesta:<\/b><span style=\"font-weight: 400;\"> t\u00e9cnicas que el terapeuta ense\u00f1a para que el ni\u00f1o trague de forma m\u00e1s segura.<\/span><\/li>\n<\/ul>\n<b>Estas son algunas recomendaciones para que las comidas de tu hijo o hija sean m\u00e1s placenteras y seguras:<\/b><sup>1,2<\/sup>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/nutricia.es\/paralisis-cerebral\/\/wp-content\/uploads\/2026\/01\/manejo_disfagia_02.jpg&#8221; title_text=&#8221;Young boy with cerebral palsy practices using a walker with guidance from his physical therapist in room for physical 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[et_pb_line_break_holder] -->  transition: all 0.2s ease 0s;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.card .back a:hover {<!-- [et_pb_line_break_holder] -->  background: #fff;<!-- [et_pb_line_break_holder] -->  color: #333;<!-- [et_pb_line_break_holder] -->  text-shadow: 0 0 1px #333;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.cardBox:nth-child(1) .card .back {<!-- [et_pb_line_break_holder] -->  background: #51338b;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.cardBox:nth-child(2) .card .back {<!-- [et_pb_line_break_holder] -->  background: #26A11A;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.cardBox:nth-child(3) .card .back {<!-- [et_pb_line_break_holder] -->  background: #51338b;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.cardBox:nth-child(4) .card .back {<!-- [et_pb_line_break_holder] -->  background: #26A11A;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.cardBox:nth-child(2) .card {<!-- [et_pb_line_break_holder] -->  -webkit-animation: giro 1.5s 1;<!-- [et_pb_line_break_holder] -->  animation: giro 1.5s 1;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.cardBox:nth-child(3) .card {<!-- [et_pb_line_break_holder] -->  -webkit-animation: giro 2s 1;<!-- [et_pb_line_break_holder] -->  animation: giro 2s 1;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.cardBox:nth-child(4) .card {<!-- [et_pb_line_break_holder] -->  -webkit-animation: giro 2.5s 1;<!-- [et_pb_line_break_holder] -->  animation: giro 2.5s 1;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->@-webkit-keyframes giro {<!-- [et_pb_line_break_holder] -->  from {<!-- [et_pb_line_break_holder] -->    transform: rotateY( 180deg);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  to {<!-- [et_pb_line_break_holder] -->    transform: rotateY( 0deg);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->@keyframes giro {<!-- [et_pb_line_break_holder] -->  from {<!-- [et_pb_line_break_holder] -->    transform: rotateY( 180deg);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  to {<!-- [et_pb_line_break_holder] -->    transform: rotateY( 0deg);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->@media screen and (max-width: 768px) {<!-- [et_pb_line_break_holder] -->  .cardBox {<!-- [et_pb_line_break_holder] -->    margin-left: 2.8%;<!-- [et_pb_line_break_holder] -->    margin-top: 3%;<!-- [et_pb_line_break_holder] -->    width: 46%;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .card {<!-- [et_pb_line_break_holder] -->    height: 320px;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->   .card p {<!-- [et_pb_line_break_holder] -->    font-weight: bold;<!-- [et_pb_line_break_holder] -->    margin-top: 46%;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .cardBox:last-child {<!-- [et_pb_line_break_holder] -->    margin-bottom: 3%;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --> @media screen and (max-width: 1024px) and (max-width: 1366px) {<!-- [et_pb_line_break_holder] -->  .cardBox {<!-- [et_pb_line_break_holder] -->    margin-left: 2.8%;<!-- [et_pb_line_break_holder] -->    margin-top: 3%;<!-- [et_pb_line_break_holder] -->    width: 46%;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .card {<!-- [et_pb_line_break_holder] -->    height: 440px;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->   .card p {<!-- [et_pb_line_break_holder] -->    font-weight: bold;<!-- [et_pb_line_break_holder] -->    margin-top: 46%;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .cardBox:last-child {<!-- [et_pb_line_break_holder] -->    margin-bottom: 3%;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->} <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->@media screen and (max-width: 600px) {<!-- [et_pb_line_break_holder] -->  .cardBox {<!-- [et_pb_line_break_holder] -->    width: 94.5%;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .card {<!-- [et_pb_line_break_holder] -->    height: 320px;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .card p {<!-- [et_pb_line_break_holder] -->    font-weight: bold;<!-- [et_pb_line_break_holder] -->    margin-top: 46%;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><\/style><!-- [et_pb_line_break_holder] --><div class=\"boxesContainer\"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  <div class=\"cardBox\"><!-- [et_pb_line_break_holder] -->    <div class=\"card\"><!-- [et_pb_line_break_holder] -->      <div class=\"front\"><!-- [et_pb_line_break_holder] -->       <pee>Que la comida sea un momento agradable<\/pee><!-- [et_pb_line_break_holder] -->        <strong style=\"color: #51338b\">\u21bb<\/strong><!-- [et_pb_line_break_holder] -->      <\/div><!-- [et_pb_line_break_holder] -->      <div class=\"back\"><!-- [et_pb_line_break_holder] -->        <ul><!-- [et_pb_line_break_holder] -->        <li>Las comidas no deber\u00edan durar m\u00e1s de 30 minutos.<\/li><!-- [et_pb_line_break_holder] -->        <li>No le fuerces a comer.<\/li><!-- [et_pb_line_break_holder] -->        <li>No utilices la comida como recompensa o castigo.<\/li><!-- [et_pb_line_break_holder] -->        <\/ul><!-- [et_pb_line_break_holder] -->       <!-- [et_pb_line_break_holder] -->      <\/div><!-- [et_pb_line_break_holder] -->    <\/div><!-- [et_pb_line_break_holder] -->  <\/div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  <div class=\"cardBox\"><!-- [et_pb_line_break_holder] -->    <div class=\"card\"><!-- [et_pb_line_break_holder] -->      <div class=\"front\"><!-- [et_pb_line_break_holder] -->       <pee>Adapta la comida a las necesidades de tu hijo<\/pee><!-- [et_pb_line_break_holder] -->         <strong style=\"color: #51338b\">\u21bb<\/strong><!-- [et_pb_line_break_holder] -->      <\/div><!-- [et_pb_line_break_holder] -->      <div class=\"back\"><!-- [et_pb_line_break_holder] -->        <ul><!-- [et_pb_line_break_holder] -->        <li>Pon raciones peque\u00f1as y empieza ofreciendo alimentos s\u00f3lidos.<\/li><!-- [et_pb_line_break_holder] -->        <li>Puedes utilizar espesantes para espesar los l\u00edquidos.<\/li><!-- [et_pb_line_break_holder] -->        <li>Puedes adaptar las texturas de las comidas.<\/li><!-- [et_pb_line_break_holder] -->        <li>Utiliza cubiertos, vasos, tazas etc. adaptados que ayuden a tu hijo o hija a comer.<\/li><!-- [et_pb_line_break_holder] -->        <\/ul><!-- [et_pb_line_break_holder] -->       <!-- [et_pb_line_break_holder] -->      <\/div><!-- [et_pb_line_break_holder] -->    <\/div><!-- [et_pb_line_break_holder] -->  <\/div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  <div class=\"cardBox\"><!-- [et_pb_line_break_holder] -->    <div class=\"card\"><!-- [et_pb_line_break_holder] -->      <div class=\"front\"><!-- [et_pb_line_break_holder] -->       <pee>Crea un entorno c\u00f3modo y tranquilo<\/pee><!-- [et_pb_line_break_holder] -->         <strong style=\"color: #51338b\">\u21bb<\/strong><!-- [et_pb_line_break_holder] -->      <\/div><!-- [et_pb_line_break_holder] -->      <div class=\"back\"><!-- [et_pb_line_break_holder] -->        <ul><!-- [et_pb_line_break_holder] -->          <li>Buena iluminaci\u00f3n.<\/li><!-- [et_pb_line_break_holder] -->        <li>Temperatura agradable.<\/li><!-- [et_pb_line_break_holder] -->        <li>Sin ruidos y olores fuertes.<\/li><!-- [et_pb_line_break_holder] -->        <\/ul><!-- [et_pb_line_break_holder] -->       <!-- [et_pb_line_break_holder] -->      <\/div><!-- [et_pb_line_break_holder] -->    <\/div><!-- [et_pb_line_break_holder] -->  <\/div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  <div class=\"cardBox\"><!-- [et_pb_line_break_holder] -->    <div class=\"card\"><!-- [et_pb_line_break_holder] -->      <div class=\"front\"><!-- [et_pb_line_break_holder] -->       <pee>Con una buena postura<\/pee><!-- [et_pb_line_break_holder] -->         <strong style=\"color: #51338b\">\u21bb<\/strong><!-- [et_pb_line_break_holder] -->      <\/div><!-- [et_pb_line_break_holder] -->      <div class=\"back\"><!-- [et_pb_line_break_holder] -->        <ul><!-- [et_pb_line_break_holder] -->          <li>Sentado con los pies apoyados y la rodillas en \u00e1ngulo de 90\u00b0.<\/li><!-- [et_pb_line_break_holder] -->        <li>Con la cabeza recta, evitando que est\u00e9 muy hacia atr\u00e1s.<\/li><!-- [et_pb_line_break_holder] -->      <!-- [et_pb_line_break_holder] -->        <\/ul><!-- [et_pb_line_break_holder] -->       <!-- [et_pb_line_break_holder] -->      <\/div><!-- [et_pb_line_break_holder] -->    <\/div><!-- [et_pb_line_break_holder] -->  <\/div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<p style=\"font-size: 12px;\"><b>Referencias<\/b><\/p>\n\n<ol start=\"1\" style=\"font-size: 12px; line-height: 16px;\">\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mart\u00ednez Costa C, Crehu\u00e1 Gaudiza E, Arcos Machancoses JV, editores. Manual de Nutrici\u00f3n en el ni\u00f1o con enfermedad neurol\u00f3gica. Madrid: Sociedad Espa\u00f1ola de Gastroenterolog\u00eda, Hepatolog\u00eda y Nutrici\u00f3n Pedi\u00e1trica (SEGHNP); 2022. Disponible en: <a href=\"https:\/\/www.seghnp.org\/sites\/default\/files\/2023-05\/Manual_Nutricion_enfermedad_neurologica.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.seghnp.org\/sites\/default\/files\/2023-05\/Manual_Nutricion_enfermedad_neurologica.pdf<\/a> [www.seghnp.org].<\/span><\/li>\n\t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confederaci\u00f3n ASPACE. Alimentaci\u00f3n texturizada en par\u00e1lisis cerebral: recomendaciones y buenas pr\u00e1cticas. Madrid: Confederaci\u00f3n ASPACE; 2019. Disponible en: <a href=\"https:\/\/aspace.org\/assets\/uploads\/publicaciones\/62542-texturizados_jun_19.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/aspace.org\/assets\/uploads\/publicaciones\/62542-texturizados_jun_19.pdf<\/a>.<\/span><\/li>\n<\/ol>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"<p>La disfagia es la dificultad para tragar alimentos o l\u00edquidos, y es el problema de alimentaci\u00f3n m\u00e1s com\u00fan en ni\u00f1os con PCI. A veces se debe a alteraciones mec\u00e1nicas, es decir, a problemas en los m\u00fasculos o en la boca, pero lo m\u00e1s habitual en ni\u00f1os con par\u00e1lisis cerebral es que la disfagia est\u00e9 relacionada [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-164","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/nutricia.es\/paralisis-cerebral\/paralisisCereb-api\/wp\/v2\/pages\/164","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nutricia.es\/paralisis-cerebral\/paralisisCereb-api\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nutricia.es\/paralisis-cerebral\/paralisisCereb-api\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nutricia.es\/paralisis-cerebral\/paralisisCereb-api\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nutricia.es\/paralisis-cerebral\/paralisisCereb-api\/wp\/v2\/comments?post=164"}],"version-history":[{"count":28,"href":"https:\/\/nutricia.es\/paralisis-cerebral\/paralisisCereb-api\/wp\/v2\/pages\/164\/revisions"}],"predecessor-version":[{"id":718,"href":"https:\/\/nutricia.es\/paralisis-cerebral\/paralisisCereb-api\/wp\/v2\/pages\/164\/revisions\/718"}],"wp:attachment":[{"href":"https:\/\/nutricia.es\/paralisis-cerebral\/paralisisCereb-api\/wp\/v2\/media?parent=164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}