Dysphagia in infants and children with oral-motor deficits: assessment and management

B S Alper1, C J Manno

  • 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.

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