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Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
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A Unique Clinical Tool for the Evaluation of Oral Feeding Skills in Infants

Sandra Fucile, Kimberly Dow

    Canadian Journal of Occupational Therapy. Revue Canadienne D'Ergotherapie
    |October 31, 2022
    PubMed

    Background. Occupational therapy practice for oral feeding assessment is based on clinical observation of infants' sucking, swallowing, and breathing ability, which is influenced by clinical experience and provides poor evidence on explanatory factors. Purpose. To test the clinical utility and safety of a nipple monitoring device for the quantitative evaluation of oral feeding skills. Method. Sixteen infants, with no severe medical complications, participated in a pre-experimental pilot study. Oral feeding performances (duration, intake volume, and rate of transfer), and occurrence of adverse events (apnea, bradycardia, and oxygen desaturations) were recorded to ensure the tool does not interfere with infant's feeding ability or does not create any adverse effects. Findings. There was no significant difference in duration, intake volume, rate of transfer between the two monitored sessions, and no occurrence in adverse events. Implications. The findings suggest that the nipple monitoring device may be used for quantitative assessment and intervention planning of oral feeding difficulties in infants.

    Keywords:
    Feasibility studiesIntensive careNeonatalQuantitave assessmentnéonatalitésoins intensifsÉtudes de faisabilitéévaluation quantitative

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