The association between infant non-nutritive suck and oral motor development
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Updated: Jun 12, 2025

Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development
Published on: April 19, 2024
Ross Westemeyer1, Morgan Hines2, Alaina Martens2
1Department of Communication Sciences and Disorders, University of Northern Iowa, Cedar Falls, IA, USA.
Insights
Non-nutritive suck (NNS) patterns in infants at 3 months are linked to later oral motor and motor skill development. Specific NNS characteristics, like burst duration and cycles per minute, correlate with lower proficiency scores.
Area of Science:
- Pediatric Development
- Infant Motor Skills
- Oral Motor Function
Background:
- Non-nutritive suck (NNS) is a crucial early infant behavior.
- Understanding NNS patterns may predict later developmental trajectories.
- Limited research exists on the association between early NNS and subsequent neuromotor skills.
Purpose of the Study:
- To investigate the relationship between non-nutritive suck (NNS) characteristics at 3 months of age and oral motor and motor skills at 12 months.
- To determine if specific NNS parameters predict later neuromotor development in full-term infants.
Main Methods:
- A cohort of 69 full-term infants and their caregivers participated.
- Caregiver-reported scores on the Child Oral and Motor Proficiency Scale (ChOMPS) were collected at 12 months.
- NNS patterns, including burst duration, bursts, cycles per burst, and cycles per minute, were assessed at 3 months.
Main Results:
- Longer NNS burst durations were associated with lower oral motor coordination and total ChOMPS scores.
- Higher NNS cycles per minute correlated with reduced complex motor movement scores.
- Increased NNS bursts, cycles per burst, and cycles per minute were related to lower overall ChOMPS scores.
Conclusions:
- Early non-nutritive suck (NNS) patterns provide valuable insights into future neuromotor development.
- Specific NNS characteristics at 3 months may serve as early indicators for potential oral motor and motor skill challenges.
- Further research is warranted to explore the predictive value of NNS in infant development.
Abstract:
This study investigated if non-nutritive suck (NNS) at 3 months is related to subsequent oral motor and motor skills using caregiver-reported scores on the Child Oral and Motor Proficiency Scale (ChOMPS) at 12 months in a cohort of 69 full-term infants and their caregivers. Longer NNS burst durations were associated with lower oral motor coordination and total ChOMPS scores. More NNS cycles per minute was associated with lower complex motor movement scores. More NNS bursts, cycles per burst, and cycles per minute were related with lower total ChOMPS scores. Early NNS outcomes can provide valuable insight in future neuromotor development.
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