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Feeding and swallowing dysfunction in genetic syndromes.
Linda Cooper-Brown1, Sara Copeland, Scott Dailey
1Division of Pediatric Psychology, The University of Iowa Children's Hospital, Iowa City, IA 52242-1001, USA. linda_cooper@uiowa.edu
Developmental Disabilities Research Reviews
|July 23, 2008
Summary
Children with genetic syndromes often face feeding and swallowing issues due to complex factors. Early identification and tailored, interdisciplinary feeding plans are crucial for managing these challenges and ensuring optimal growth.
Area of Science:
- Pediatric Medicine
- Genetics
- Developmental Pediatrics
Background:
- Children with genetic syndromes commonly experience feeding problems and swallowing dysfunction.
- These issues stem from anatomical, medical, physiological, and behavioral factors, leading to pain, negative feeding experiences, and developmental delays in oral-motor skills.
- Conditions like Pierre Robin sequence and Down syndrome exemplify how genetic disorders impact feeding due to specific physical and neuromotor challenges.
Purpose of the Study:
- To provide an overview of feeding difficulties in common genetic disorders.
- To discuss the identification, intervention, and management strategies for these complex feeding issues.
- To highlight the importance of a safe, growth-supporting, and realistic feeding plan.
Main Methods:
- Review of feeding difficulties associated with common genetic disorders.
- Discussion of anatomical, medical, physiological, and behavioral factors contributing to feeding dysfunction.
- Exploration of behavioral approaches and interdisciplinary team management.
Main Results:
- Feeding problems in genetic syndromes are multifactorial, affecting oral motor skill development and leading to challenging feeding behaviors.
- Behavioral interventions, such as manipulating food presentation and consequences, show utility in treating feeding disorders.
- Successful management requires an interdisciplinary approach involving specialists like psychologists, gastroenterologists, and speech pathologists.
Conclusions:
- Effective management of feeding difficulties in children with genetic syndromes necessitates a comprehensive, individualized feeding plan.
- The plan must prioritize safety, support optimal growth, and be realistic for the child and family.
- An interdisciplinary team approach is essential for addressing the diverse causes and manifestations of these feeding disorders.
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