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Published on: February 5, 2019
Suck, swallow and breathing coordination in infants with infantile colic
Insights
Infantile colic is significantly associated with impaired suck, swallow, and breathing coordination. This study highlights potential new roles for speech-language therapists in managing infant colic.
Area of Science:
- Pediatrics
- Speech-Language Pathology
- Infant Health
Background:
- Parental and popular literature often link infantile colic to feeding difficulties, but scientific evidence is limited.
- Key feeding components like suck, swallow, and breathing coordination are crucial but underexplored in colicky infants.
Purpose of the Study:
- To investigate the coordination of suck, swallow, and breathing in infants diagnosed with infantile colic.
- To compare this coordination with that of infants not experiencing colic.
Main Methods:
- A standardized assessment protocol for suck, swallow, and breathing coordination was utilized.
- The study included 50 infants with infantile colic and 28 control infants from rural South Africa.
- A static comparison group design was employed with strict participant selection criteria.
Main Results:
- Significant differences in feeding components and colic presence were observed across four infant age categories.
- A correlation between postural control and infantile colic was identified in infants aged 2–19 weeks.
Conclusions:
- Suck, swallow, and breathing coordination demonstrated a significant association with infantile colic.
- Further research is warranted, suggesting a potential expanded role for speech-language therapists in addressing infantile colic.
Background:
There appears to be a perception amongst parents and in popular literature that infantile colic is caused by feeding difficulties. Limited support for this perception is found in scientific literature. Whilst there is scientific evidence that suck, swallow and breathing are key components of successful feeding, these components and the coordination thereof in infants with colic have not been extensively researched.
Objective:
The objective of the study was to explore the suck, swallow and breathing coordination in infants with infantile colic and compare it with infants without the condition.
Method:
An assessment protocol for suck, swallow and breathing coordination was compiled from literature. This protocol was performed on a research group of 50 infants, independently diagnosed with infantile colic, and a control group of 28 infants without the condition. All participants were from two rural towns in the North–West province, South Africa, selected with a snowball selection method and strict selection criteria. The study followed a static comparison group design.
Results:
A significant difference in the key components of feeding and the presence of colic in participants of four age categories were found. The correlation between postural control and the presence of infantile colic were sustained in participants from 2–19 weeks old.
Conclusion:
Suck, swallow and breathing were found to be significantly associated with infantile colic. The findings should be investigated further. It appears that speech-language therapists may play an expanding role in infantile colic.
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