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Published on: March 1, 2015
[Facial, lingual and pharyngeal electromyography in children: a method to study sucking and swallowing disorders and
1Laboratoire de neurophysiologie clinique de l'enfant, hôpital Armand-Trousseau, Paris, France.
Insights
This study introduces a novel electromyographic (EMG) protocol to assess infant sucking-swallowing function. The protocol aids in diagnosing and understanding feeding difficulties and related neurological disturbances in newborns and infants.
Area of Science:
- Neuroscience
- Pediatrics
- Biomedical Engineering
Context:
- Sucking and swallowing are critical functions for infant nutrition and development.
- Disturbances in these functions can lead to serious health issues like aspiration pneumopathies and feeding difficulties.
- Existing diagnostic methods may not fully capture the complex pathophysiology of these disorders.
Purpose:
- To develop and describe a comprehensive electromyographic (EMG) protocol for evaluating the sucking-swallowing function in newborns and infants.
- To integrate traditional and novel EMG techniques for a detailed assessment.
- To establish normative data for infants aged 0-3 years.
Summary:
- The protocol combines traditional EMG (facial muscles, nerves, blink reflex) with original techniques (tongue, hypoglossal nerve, velum palatinum EMG).
- A dynamic assessment using a baby bottle for liquid meals is included.
- Normal procedural data and results for infants from birth to 3 years are provided, alongside observations in pathological conditions.
Impact:
- This EMG protocol offers a valuable tool for assessing the sucking-swallowing reflex and identifying anatomo-functional disturbances in the brainstem.
- It aids in understanding the pathophysiology of aspiration pneumopathies, feeding difficulties, and bucco-facial malformations.
- The findings can inform clinical diagnosis and management strategies for affected infants.
Abstract:
The authors describe an electromyogaphic protocol developed with the aim of evaluating the sucking-swallowing function and of studying the pathophysiology of its disturbances in the newborn and in infants. This protocol consists of associating several techniques. Some of them are traditional: EMG of the facial muscles and nerves and blink reflex, while others are original: EMG of the tongue and hypoglossal nerve, EMG of the velum palatinum, and a dynamic study using a baby bottle, of the sucking and swallowing reflex for a liquid meal. For each technique, practical procedures are described together with normal results observed between birth and 3 years of age. The authors report on abnormalities observed in pathological conditions and discuss their significance in major nosological contexts. They emphasize the value of this EMG protocol in assessing the sucking-swallowing reflex, in revealing anatomo-functional disturbances in the brainstem and in tackling the pathophysiological aspects of aspiration pneumopathies, feeding difficulties and bucco-facial malformations.
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