Children with Cerebral Palsy may have difficulties eating and drinking. Problems with muscle strength, movement, coordination or sensation may affect the muscles of the mouth, face and throat. This can cause difficulties with biting, chewing, controlling and swallowing certain foods. Modifying the texture of certain foods may assist your child to eat more easily, efficiently and safely. A speech pathologist can assist you with finding the most suitable food texture for your child.
Smooth pureed foods
- Include foods that are smooth and have no lumps.
- Are moist and cohesive enough to hold their shape on a spoon.
What are some examples of smooth pureed foods?
||Foods to Encourage
||Foods to Avoid
|Bread and Cereals
||Smooth lump-free breakfast cereals, e.g. semolina, pureed porridge, smooth Weet-Bix
Pureed pasta, noodles or rice.
|Cereals with course lumps or fibrous particles, for example all dry cereals, porridge.
|Pureed vegetables, smooth whipped potato.
Pureed legumes, for example baked beans (ensuring no husks in final puree).
Thick vegetable soups that have been blended or strained to remove lumps.
Pureed fruits, including vitamised fresh fruits and well mashed banana.
|Coarsely mashed vegetables.
Particles of vegetable fibre or hard skin.
Pureed fruit with visible lumps.
Soup with lumps.
||Yoghurt (lump-free), e.g. plain/vanilla.
Smooth cheese pastes/spreads.
Cheese and milk-based sauces.
|All solid and semi-solid cheese including cottage cheese.
|Meat and meat alternatives
||Pureed meat/fish/scrambled eggs (pureed with sauce/gravy to achieve a thick moist texture).
|Minced or partially pureed meats.
Lumpy scrambled eggs.
Sticky or very cohesive foods, e.g. peanut butter.
||Smooth puddings, dairy desserts, mousses, custards, yoghurt and ice-cream, soft meringue, cream, syrup dessert toppings.
Smooth jams, condiments and sauces.
|Desserts with fruit pieces, seeds, nuts, crumble, pastry or non-pureed garnishes
Jams and condiments with seeds, pulps or lumps.
Dietitians Association of Australia and The Speech Pathology Association of Australia Limited, (2007). Texture-modified foods and thickened fluids as used for individuals with dysphagia: Australian standardised labels and definitions. Nutrition & Dietetics, 64, (Suppl. 2): S53–S76
Queensland Paediatric Rehabilitation Service
Queensland Children’s Hospital
Level 6, 501 Stanley Street, South Brisbane 4101
t: 07 3068 2950
t: 07 3068 1111 (general enquiries)
f: 07 3068 3909
In an emergency, always call 000.
If it’s not an emergency but you have any concerns, contact 13 Health (13 43 2584). Qualified staff will give you advice on who to talk to and how quickly you should do it. You can phone 24 hours a day, seven days a week.