Response to Preemie Nipple Use with Older Infants? The unintended consequences of the extended use of preemie flow rate bottle nipples to support breastfeeding Catherine S. Shaker, MS/CCC-SLP, BCS-S, C/NDT Neonatal/Pediatric Speech-Language Pathologist Board Certified Specialist – Swallowing and Swallowing Keep Reading >>
Incorporating Beckman Oral Motor Assessment and Protocol in Feeding Intervention.
Written by Michele Cole Clark MEd CCC/SLP Last October, I had the pleasure of meeting Krisi Brackett. I served as a moderator for her continuing education course, “Pediatric Feeding & Swallowing: A Medical, Behavioral, Oral Motor Model.” I, of course, had an instant interest in her work as I fancied myself one of the few SLPs with an oral motor behavioral approach to feeding. She and I Keep Reading >>
Visualizing Infant Feeding with nfant Feeding Solution
Visualizing infant feeding with nfant Feeding Solution: by Amanda A. Peeler MCD, CCC-SLP; Account Manager East for Nfant Labs, LLC. Blog Note: I saw this system demonstrated at a feeding conference and asked Amanda if she would write a post explaining it and what it can do. Thank you Amanda! As a speech language pathologist in the neonatal ICU, I have personally experienced the Keep Reading >>
Using Gross Motor for Oral Motor – How Trunk Turning Exercises Can Improve Tongue Lateralization by Debbie Lowsky, MS, CCC-SLP, owner & inventor www.ARKTherapeutic.com
The author, Debbie Lowsky, MS CCC-SLP gave permission for this article to reposted here. Looking at gross motor skills in relation to oral motor skills is an important concept. Developmentally, a child achieves trunk rotation before lateralization in the mouth. Therefore, It make sense that using exercises that develop rotation can help with the progression toward chewing. I also use rotation Keep Reading >>
Solid food dysphagia in pediatrics- what does it mean?
Some children will be referred for a feeding and swallowing evaluation because of solid food dysphagia or difficulty swallowing solids. Caregivers might describe coughing, choking or gagging on solid food during mealtime. What does this mean and how should it be evaluated? Solid food dysphagia can be related to several different etiologies. GI Issues: In adult patients, solid food Keep Reading >>
Aversive Feeding Behavior: Getting full mouth opening for the spoon and why it’s worth the trouble
Many children with feeding difficulty have aversive feeding behaviors or learned refusal patterns around the act of eating or feeding. I often tell my students that if a child doesn't want to eat, you can't make them. By the time children come to our feeding team, many caregivers have tried multiple ways to get there kids to eat. Usually they have tried force feeding and/or letting the child get Keep Reading >>
Oral Dysphagia (oral motor delay): Making recommendations for appropriate diet textures for the child with feeding difficulty
I'll give you the answer first: a child's diet texture should be appropriate for their oral skill level. Sounds so obvious right? I've seen this scenario many times... a child is referred for a feeding evaluation because of poor eating (not eating enough), choking with meals, pocketing or expelling foods, or having prolonged meal time. Parents are at their wits end, they don't know Keep Reading >>
Hypersensitive Gag Reflex and Pediatric Feeding Delays By Donna Scarborough Ph.D., CCC-SLP, BCS-S Miami University, Oxford, OH scarbod@muohio.edu
Introduction Historically, two clinical areas in speech pathology have tested the gag reflex response as part of a standard oral mechanism examination including: a) assessment of maximum velopharyngeal excursion (Mason & Simon, 1977; Pannbacker, 1985) b) bedside evaluations of swallowing (Daniels, McAdam & Brailey, 1997). However, due to the complexity of velar Keep Reading >>