[Facial, lingual and pharyngeal electromyography in children: a method to study sucking and swallowing disorders and

F Renault1, J Raimbault

  • 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.