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Early oral sensory experiences and feeding development in children with CHARGE syndrome: a report of five cases
Cindy Dobbelsteyn1, Darlene M Marche, Kim Blake
1School of Human Communication Disorders, Dalhousie University, Halifax, Nova Scotia, Canada. cindy.dobbelsteyn@dal.ca
Insights
Children with CHARGE syndrome often have feeding and swallowing issues due to sensory impairments. Early feeding experiences significantly impact oral motor development and can lead to long-term complications.
Area of Science:
- Pediatric feeding disorders
- Neurodevelopmental disorders
- CHARGE syndrome research
Background:
- Children with CHARGE syndrome frequently exhibit feeding and swallowing difficulties.
- These challenges can stem from structural anomalies, motor deficits, or oral sensory impairments.
- Delayed oral feeding and long-term complications are common in this population.
Observation:
- This study analyzed early oral sensory and feeding experiences in five children with CHARGE syndrome.
- Methods included medical record review and caregiver questionnaires.
- Variable early oral sensory experiences were noted across the participants.
Findings:
- All studied children experienced some difficulty or delay in developing oral feeding and swallowing.
- The specific nature of these difficulties varied among the children.
- Potential contributing factors to feeding challenges were explored.
Implications:
- Understanding early oral sensory experiences is crucial for managing feeding issues in CHARGE syndrome.
- Interventions may need to address both sensory and motor components of feeding.
- Further research can refine early identification and support strategies for affected children.
Abstract:
Children with CHARGE syndrome commonly experience feeding and swallowing problems. Difficulties may be associated with congenital structural anomalies, motor impairment, and/or oral sensory impairment. For many children with CHARGE syndrome, the introduction of functional oral feeding is delayed and there are often long-term feeding complications. Oral aversion or defensiveness is a frequent serious issue; however, it is uncertain whether this is a primary sensory disorder or secondary to delayed and/or negative oral sensory and feeding experiences. This article examines in detail the early oral sensory and feeding experiences of five children with CHARGE syndrome, through a review of medical records and caregiver questionnaires. Findings indicate variable early oral sensory experiences in this group of children, with all of the children having some difficulty or delay in the development of oral feeding and swallowing. The nature of these difficulties and the potential contributory factors are discussed.
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