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Feeding Difficulties Among Children With Special Needs: A Cross-Sectional Study From India
Bhuvaneswari Manikandan1, Keren Gloria J1, Reema Samuel1
1Christian Medical College, Vellore, Tamil Nadu, India.
Insights
Children with special needs often have feeding difficulties due to oromotor deficits. These deficits correlate with feeding behavior problems, impacting their occupational performance and participation in mealtimes.
Area of Science:
- Pediatric feeding disorders
- Occupational therapy
- Child development
Background:
- Feeding deficits impact occupational performance in children with special needs.
- Understanding the interplay of oromotor skills, behavior, and caregiver perception is crucial.
Purpose of the Study:
- To assess the relationship between oromotor deficits, feeding-related behavior problems, and caregiver perception in children with special needs.
- To identify specific feeding challenges faced by children with neurodevelopmental disorders.
Main Methods:
- Correlational study design.
- Inclusion of 79 children with neurodevelopmental disorders (ages 2-12) and their caregivers.
- Utilized the Behavioral Pediatric Feeding Assessment Scale (BPFAS) and Schedule for Oromotor Assessment (SOMA).
Main Results:
- Over half the sample exhibited skill deficits and behavioral problems related to feeding.
- Significant correlation found between oromotor deficits and feeding behavior problems across various food consistencies.
- Children with special needs demonstrate impaired participation in feeding activities.
Conclusions:
- Oromotor deficits are linked to feeding behavior problems in children with special needs.
- Addressing body system deficits alongside parental and cultural factors is essential for optimizing feeding performance.
- Interventions should consider a holistic approach to improve feeding participation and occupational performance.
Abstract:
Deficits in feeding can lead to impairments in occupational performance for children with special needs. This correlational study assessed the relationship between oromotor deficits, behavior problems related to feeding, and caregiver perception of the behavior in children with special needs. We included children with neurodevelopmental disorders (n=79), between 2 and 12 years of chronological age, and their caregivers. Those fulfilling the selection criteria were administered the Behavioral Pediatric Feeding Assessment Scale (BPFAS) and Schedule for Oromotor Assessment (SOMA). More than half the sample had skill deficits and behavioral problems related to feeding. There was a statistically significant correlation of oromotor deficits with specific food consistencies and feeding-related behavior problems. Children with special needs have impaired participation in feeding. Deficits at the body system level are associated with parental and cultural factors, which would have to be mitigated to optimize performance.
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