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Related Experiment Videos

Neonatal Oral-Motor Assessment scale: a reliability study

M M Palmer1, K Crawley, I A Blanco

  • 1Department of Pediatrics, University of California-San Francisco School of Medicine.

Journal of Perinatology : Official Journal of the California Perinatal Association
|January 1, 1993
PubMed
Summary

Feeding difficulties are common in neonatal intensive care units. A new Neonatal Oral-Motor Assessment Scale helps categorize disorganized and dysfunctional sucking patterns in infants.

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Area of Science:

  • Neonatology
  • Pediatric feeding disorders
  • Infant oral-motor function

Background:

  • Feeding problems are prevalent in neonatal intensive care units (NICUs) due to increased survival rates of medically fragile infants.
  • Existing descriptions of neonatal oral-motor feeding patterns are insufficient.
  • Understanding these patterns is crucial for improving infant nutrition and development.

Purpose of the Study:

  • To develop and validate a clinical assessment tool for categorizing oral-motor patterns in neonatal feeding.
  • To describe disorganized and dysfunctional sucking patterns in neonates.
  • To establish interrater reliability for the assessment scale.

Main Methods:

  • A clinical assessment tool, the Neonatal Oral-Motor Assessment Scale, was devised.

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  • The scale assesses 13 jaw and 13 tongue movement characteristics.
  • The scale was administered to 40 infants to test reliability and refine the tool.

    • Main Results:

    • The Neonatal Oral-Motor Assessment Scale categorizes jaw and tongue movements as normal, disorganized, or dysfunctional.
    • Interrater reliability was established and the scale was revised.
    • The study provided further qualification and description of disorganized and dysfunctional sucking patterns.

    Conclusions:

    • The Neonatal Oral-Motor Assessment Scale offers a standardized method for evaluating neonatal oral-motor feeding skills.
    • This tool aids in identifying and understanding specific feeding challenges in neonates.
    • Further research can utilize this scale to improve interventions for infant feeding problems.