Effects of oral stimulation for oral feeding in preterm infants

Greene, Zelda; Walshe, Margaret; O’Donnell, Colm Pf

doi:10.1002/14651858.cd009720

Cited by 9 publications

(3 citation statements)

References 77 publications

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“…Finally, in clinical settings, although MFT has been done with the surgery in ankyloglossia, there are therapeutic plots where this has been done without the support of surgery and with satisfactory effects: in preterm infants where myofunctional and orofacial therapy resulted in improvements in weight gain [42,43] or in obstructive sleep apnea [44] where decreases in apnea-hypopnea index by approximately 50% in adults and 62% in children with lowest oxygen saturations, snoring, and sleepiness outcomes improve in adults were found. Conversely, there has not been scientific evidence supporting the use of MFT in combination with orthodontic treatment to achieve better results in the correction of dentofacial disorders in orthodontic patients [45].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Myofunctional Therapy in Ankyloglossia: A Systematic Review

Garrido

García-Muñoz

Rodríguez-Huguet

et al. 2022

IJERPH

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Ankyloglossia is a pathology of the tongue in which the frenulum appears anchored to the floor of the mouth. The treatment of choice for this pathology is frenectomy, but myofunctional therapy is emerging in recent years as a complement to surgical intervention. This systematic review aims to synthesize the scientific evidence and assess its quality regarding the use of myofunctional therapy in ankyloglossia. The Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database, Pubmed, Web of Science and Scopus were searched. Study quality was determined using the PEDro scale, STROBE statement and single-case experimental design scale. Eleven studies were selected. Based on the studies included in this review, surgery is more effective than myofunctional therapy, although better results are achieved if both are combined. Improvements have been found in maternal pain, weight gain of babies, duration of breastfeeding, tongue mobility, strength and endurance, sleep apnea, mouth breathing and snoring, quality of life, clenching teeth, myofascial tension, pain after surgery and speech sound production. These findings must be taken with caution because of the small number of articles and their quality. Future clinical trials using larger sample sizes and with higher methodological quality are needed.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Myofunctional Therapy in Ankyloglossia: A Systematic Review

Garrido

García-Muñoz

Rodríguez-Huguet

et al. 2022

IJERPH

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“…Infant feeding is a complex process, requiring the precise coordination of Suck-Swallow-Breathe. 2 Premature infant patterns differ from those of full-term infants. 3 There is evidence that opportunity for nutritive sucking during early infancy, facilitates the oral feeding ability which further leads to perform the task effortlessly.…”

Section: Introductionmentioning

confidence: 99%

Comparative study on the effect of oral motor intervention protocols on oral motor skills of preterm infants from tertiary care hospital in metropolitan city: pilot study

Jaywant¹,

Kale

2020

Int J Contemp Pediatr

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Background: Premature infants often have feeding difficulties leading to morbidity or developmental co-morbidities. Premature infant oral motor intervention (PIOMI), has shown the positive effects on feeding progression of the premature infants. PIOMI with the massage technique, may help in improving oral motor activity, weight gain in preterm infants along with better neurobehavioral organization. The study was done to analyse effect of this combined protocol on achieving oral motor control and Neurobehavioral state regulation and evaluate its efficacy against PIOMI.Methods: A total 72 clinically stable infants admitted in premature care unit, fulfilling inclusion criterion were enrolled. They were allocated in control and experimental group. Infants from control group received PIOMI and experimental group received PIOMI with massage therapy (M technique), for 10 minutes each day. Data was collected for oral motor abilities, behavioural assessment, weight and day of achieving full feeds.Results: Gestational age at full feeds was 33.65 weeks and 32.89 weeks in control and experimental groups respectively with ‘p’ value 0.002. The number of days of full feed in experimental group was 3.7 days earlier (p=0.04). Infants from experimental group showed higher oral motor score and more weight gain with significant difference The behavioral regulation in infants of both the groups improved after 8 day.Conclusions: PIOMI with M technique was well tolerated by preterm infants. The modified protocol has resulted in achieving early oral feeds and reducing hospital stay. It has also shown the benefit of behavioural regulation along with better oral motor control.

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“…A protocol for this review is published (Greene et al, 2012) and a Cochrane systematic review is underway. In conducting this review we have encountered two key challenges:…”

Section: Introductionmentioning

confidence: 99%

Oral stimulation techniques in preterm infants – International research challenges

Greene

O’Donnell

Walshe

2013

Journal of Neonatal Nursing

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There has been a significant increase in the survival of preterm infants in recent years. These infants often face difficulty acquiring the complex set of skills required for exclusive oral feeding due to a multiplicity of factors. This paper discusses the theory underlying the use of oral stimulation interventions with the preterm infant, and their role in facilitating the transition from tube (gavage) feeds to exclusive oral feeding and ultimately discharge from the Neonatal Intensive Care Unit. Oral stimulation interventions are defined and the range of interventions described in the current literature is examined. The challenges that exist in deciphering the research evidence supporting their use is explored and directions for future research are provided.

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Effects of oral stimulation for oral feeding in preterm infants

Cited by 9 publications

References 77 publications

Effectiveness of Myofunctional Therapy in Ankyloglossia: A Systematic Review

Effectiveness of Myofunctional Therapy in Ankyloglossia: A Systematic Review

Comparative study on the effect of oral motor intervention protocols on oral motor skills of preterm infants from tertiary care hospital in metropolitan city: pilot study

Oral stimulation techniques in preterm infants – International research challenges

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