Impaired development of oral-motor functions required for normal oral feeding as a consequence of tube feeding during

R S Kamen1

  • 1Callier Center for Communication Disorders, University of Texas, Dallas.

Insights

Children receiving tube feedings in their first two years are at risk for impaired oral-motor development. Early oral stimulation and training are crucial for a successful transition to oral feeding.

Area of Science:

  • Pediatric feeding therapy
  • Developmental pediatrics
  • Speech-language pathology

Background:

  • Tube feeding in early childhood can impede the development of normal oral-motor skills.
  • Impaired oral-motor patterns can affect the bite-chew-suck-swallow sequence.
  • A lack of oral-motor development can hinder a child's ability to transition to oral feeding.

Purpose of the Study:

  • To highlight the risks associated with tube feeding in early development.
  • To emphasize the importance of oral sensitization for tube-fed children.
  • To advocate for early intervention in oral-motor development for tube-fed infants and toddlers.

Main Methods:

  • Review of existing literature on pediatric feeding disorders.
  • Analysis of developmental milestones in oral-motor function.
  • Case study considerations for children undergoing tube feeding.

Main Results:

  • Children reliant on tube feeding may exhibit delayed or atypical oral-motor development.
  • Oral sensitization is a foundational element for building trust in the oral mechanism.
  • Coordinated oral movements for feeding are essential for development.

Conclusions:

  • An ongoing program of oral stimulation, training, and development is vital for tube-fed children.
  • Early and consistent intervention can facilitate a smoother transition to oral feeding.
  • Addressing oral-motor deficits is a key component in the comprehensive management of tube-fed children.

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