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Published on: March 1, 2015
Dysphagia in infants and children with oral-motor deficits: assessment and management
1Department of Rehabilitation Medicine, Thomas Jefferson University Hospital, Philadelphia, PA 19107-4302, USA.
Insights
Speech-language pathologists manage pediatric feeding difficulties, including dysphagia and oral-motor deficits, in infants and children. This involves evaluating and treating issues related to respiratory, neurologic, anatomic, and gastrointestinal disorders.
Area of Science:
- Pediatric Medicine
- Speech-Language Pathology
- Clinical Nutrition
Background:
- Infants and children often experience feeding difficulties.
- These challenges can stem from respiratory, neurologic, anatomic, or gastrointestinal disorders.
- Such issues are prevalent in Neonatal Intensive Care Units (NICU), hospital settings, and post-discharge.
Purpose of the Study:
- To outline the evaluation and management strategies for pediatric feeding disorders.
- To focus on clinical management techniques for infants and children with dysphagia and oral-motor deficits.
- To highlight the role of speech-language pathologists as feeding specialists.
Main Methods:
- Describing clinical evaluation and treatment techniques for feeding difficulties.
- Assessing behavioral state, positioning, and handling.
- Discussing utensil selection, bolus modification, and compensatory strategies.
- Addressing both oral and nonoral feeding methods.
Main Results:
- Comprehensive clinical management approaches are detailed.
- Key techniques include behavioral state assessment, positioning, handling, and utensil selection.
- Strategies for bolus modification and compensatory techniques are presented.
- Oral and nonoral feeding options are discussed.
Conclusions:
- Speech-language pathologists play a vital role in managing pediatric feeding disorders.
- Effective intervention requires a multidisciplinary approach, including family involvement.
- The described techniques support infants and children with complex feeding needs.
Abstract:
Speech-language pathologists who are feeding specialists take an active role in the evaluation and management of infants and children with dysphagia and oral-motor deficits. This article focuses on those infants and children who have feeding difficulties due to respiratory, neurologic, anatomic, and/or gastointestinal disorders in the NICU or hospital setting and after their discharge to home. Evaluation and treatment techniques emphasizing clinical management are described. Assessment of behavioral state, passive positioning and dynamic handling, utensil selection, bolus modification, compensatory techniques, and oral/nonoral feedings are discussed. Involvement of the family is considered a critical part of all team interventions.
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