Assessment and treatment of sensory- versus motor-based feeding problems in very young children

Palmer, Marjorie Meyer; Heyman, Melvin B.

doi:10.1097/00001163-199310000-00010

Cited by 42 publications

(21 citation statements)

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“…Meyer Palmer and Heyman [25] hypothesized that long-term use of the nasogastric tube leads to altered sensory perception, with sensory perception of the pharyngeal area becoming suppressed in order to withstand the trauma inflicted on the mucosa of the mouth or pharynx. They described how children with a nasogastric tube will often hold food in their mouths and suggested that this was done purposefully to avoid swallowing and to protect the pharynx from stimulation.…”

Section: Aversive Stimuli Associated With Feedingmentioning

confidence: 99%

Tube Feeding in Infancy: Implications for the Developmentof Normal Eating and Drinking Skills

2005

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Tube feeding is commonly used as a method of giving children nutrition while they are being treated for disease. While this is an effective way of ensuring a child thrives and grows, research studies and clinical experience have shown that long-term oral feeding difficulties often arise when the child no longer requires tube feeding. This article gives a critical review of the literature on tube feeding and its effect on normal eating and drinking skills. While few studies have followed a rigorous research design, there is enough literature to identify a number of factors which may be implicated in later feeding difficulties and which therefore need further exploration in research studies. These factors include age at which oral feeding commences, medical complications, exposure to taste and textures during sensitive periods, aversive experiences, and different methods of delivering tube feeds.

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Section: Aversive Stimuli Associated With Feedingmentioning

confidence: 99%

Tube Feeding in Infancy: Implications for the Developmentof Normal Eating and Drinking Skills

2005

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“…Moreover, she had to use a nasogastric tube for four months and could not be fed throughout this time. In accordance with the literature, the treatment for the GERD condition and the nutritional counseling on the allergy to the cow's milk protein should be a priority and closely monitored by the multidisciplinary team in order to mitigate possible discomfort or symptoms before, during and/or after the meals 10,14 . The nutritional counseling also contributed for the family to feel confident to change the menu and remove the soup that used to be offered along with semi-solid food items.…”

Section: Resultsmentioning

confidence: 94%

“…This way, after treatment and counseling, the gastrointestinal symptoms were eliminated, significantly contributing to the increase of comfort and confidence as well as to the reduction of the duration of the patient's meals, the fundamental aspects described in the literature 10,14,15 as essential to make mealtimes feasible and pleasant.…”

Section: Resultsmentioning

confidence: 99%

“…Literature in the area 11,[13][14][15] point to the importance of prioritizing the sensory aspect to provide the patient with comfort and competence during chewing.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, according to these authors 11,[13][14][15] , the foods that spread easily onto the oral region or grater volumes that fill in the internal oral space tend to facilitate the occurrence of nausea and vomiting, causing the patient to refuse or spit them. This type of occurrence creates memories of discomfort and leads to refusal by the child who may also present specific behavior to avoid such situations (spitting, ruminating, etc.)…”

Section: Discussionmentioning

confidence: 99%

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O papel do fonoaudiólogo no diagnóstico e tratamento multiprofissional da criança com dificuldade alimentar: uma nova visão

et al. 2015

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O presente artigo relata o caso clínico de paciente de dois anos e seis meses atendida por equipe multidisciplinar. A paciente apresentou dificuldades alimentares caracterizadas por recusa alimentar, tempo prolongado das refeições, defesa sensório-oral, reflexo de vômito anteriorizado e dificuldade mastigatória. Não se alimentava sozinha, nem participava das refeições em família. Apresentava refluxo gastroesofágico, alergia a proteína do leite de vaca e tosse seguida por vômito. Não apresentou comprometimento pondero-estatural. Foi utilizado o Programa de Refeição Compartilhada. Após acompanhamento médico, a conduta de trabalho foi definida e iniciada pelo trabalho sensório-oral, seguido do trabalho com a mastigação, associados ao trabalho de orientação familiar. A paciente passou a realizar as refeições com a família e participar das rotinas sociais de alimentação. O tempo de refeição foi reduzido e a recusa alimentar eliminada. Os aspectos sensório-motores-orais melhoraram significantemente. Após a alta e reavaliação em três meses, apresentou melhora no refluxo gastro-esofágico e a medicação foi suprimida. A nutricionista iniciou a introdução de derivados do leite, com boa aceitação por parte da paciente. O programa utilizado mostrou-se eficaz para o diagnóstico e tratamento da dificuldade alimentar apresentada pela paciente. A equipe multidisciplinar foi capaz de ter uma visão ampliada da dificuldade alimentar apresentada pela paciente, compreendendo as questões motoras, orais, orgânicas e nutricionais da alimentação da criança inseridas no seu contexto familiar.

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Assessment of pediatric dysphagia and feeding disorders: Clinical and instrumental approaches

Arvedson

2008

Dev Disabil Res Revs

338

225

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Assessment of infants and children with dysphagia (swallowing problems) and feeding disorders involves significantly more considerations than a clinical observation of a feeding. In addition to the status of feeding in the child, considerations include health status, broad environment, parent-child interactions, and parental concerns. Interdisciplinary team approaches allow for coordinated global assessment and management decisions. Underlying etiologies or diagnoses must be delineated to every extent possible because treatment will vary according to history and current status in light of all factors that are often interrelated in complex ways. A holistic approach to evaluation is stressed with a primary goal for every child to receive adequate nutrition and hydration without health complications and with no stress to child or to caregiver. Instrumental swallow examinations that aid in defining physiological swallowing status are needed for some children. Successful oral feeding must be measured in quality of meal time experiences with best possible oral sensorimotor skills and safe swallowing while not jeopardizing a child's functional health status or the parent-child relationship.

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Assessment and treatment of sensory- versus motor-based feeding problems in very young children

Cited by 42 publications

References 0 publications

Tube Feeding in Infancy: Implications for the Developmentof Normal Eating and Drinking Skills

Tube Feeding in Infancy: Implications for the Developmentof Normal Eating and Drinking Skills

O papel do fonoaudiólogo no diagnóstico e tratamento multiprofissional da criança com dificuldade alimentar: uma nova visão

Assessment of pediatric dysphagia and feeding disorders: Clinical and instrumental approaches

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