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Published on: February 5, 2019
Assessment of infant oral sensorimotor and swallowing function
1Child Development and Rehabilitation Center, Oregon Health & Science University, Portland, Oregon 97207, USA. rogersbr@ohsu.edu
Insights
Infant feeding and swallowing develop through complex interactions. Advances in understanding neurobiology and using instrumental analysis aid in assessing infant dysphagia, though clinical measures need improvement.
Area of Science:
- Neuroscience
- Developmental Biology
- Pediatrics
Background:
- Feeding and swallowing development involve intricate interactions between the nervous system, physiology, and environment.
- Recent years have seen significant progress in understanding the physiology and neurological control of infant feeding and swallowing.
- This understanding is crucial for addressing feeding and swallowing disorders, known as dysphagia, in infants.
Purpose of the Study:
- To review the neurobiology, development, and assessment of feeding and swallowing in early infancy.
- To highlight recent advancements in understanding the physiological and neurological underpinnings of infant feeding.
- To discuss the implications of these advancements for diagnosing and managing infant dysphagia.
Main Methods:
- Review of current literature on infant neurobiology, feeding physiology, and swallowing mechanisms.
- Analysis of progress in developing standardized measures for oral sensorimotor and swallowing function.
- Examination of advancements in instrumental analysis techniques for feeding and swallowing disorders.
Main Results:
- Progress in standardized clinical measures for infant oral sensorimotor and swallowing function has been gradual.
- Significant advancements have been made in instrumental analyses, including manometry, respiration monitoring, videofluoroscopic swallow evaluations, ultrasonography, and flexible endoscopic examination.
- These instrumental methods offer valuable insights into the pathophysiology of infant dysphagia.
Conclusions:
- Continued research is needed to develop robust clinical evaluative measures for infant dysphagia.
- Instrumental analyses provide powerful tools for assessing infant feeding and swallowing disorders.
- Integrating neurobiological insights with advanced assessment techniques is key to improving infant dysphagia management.
Abstract:
The development of feeding and swallowing is the result of a complex interface between the developing nervous system, various physiological systems, and the environment. The purpose of this article is to review the neurobiology, development, and assessment of feeding and swallowing during early infancy. In recent years, there have been exciting advances in our understanding of the physiology and neurological control of feeding and swallowing. These advances may prove useful in furthering our understanding of the pathophysiology of dysphagia in infancy. Progress in developing standardized, reliable, and valid measures of oral sensorimotor and swallowing function in infancy has been slow. However, there have been significant advances in the instrumental analysis of feeding and swallowing disorders in infancy, including manometric analyses of sucking and swallowing, measures of respiration during feeding, videofluoroscopic swallow evaluations, ultrasonography, and flexible endoscopic examination of swallowing. Further efforts are needed to develop clinical evaluative measures of dysphagia in infancy.
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