Pediatric Feeding Therapy: It’s all fun and games until it ...

1 Delivering Next Generation CareTricia Armstrong, MA, CLC, CCC-SLPIowa Conference on Communicative DisordersApril 9, 2015 Pediatric Feeding Therapy: It s all fun and games until it s time to eat1 Delivering Next Generation Care2 Delivering Next Generation CarePrimitive : Any of a group of reflexes seen during gestation and infancy that typically become integrated by an early age (most by 6 months) by the to identify if function is going to be intact, strength of responses and potential for Feeding difficultiesOral Reflexes3 Delivering Next Generation : typically present at 32 weeks gestation but can be seen as early as 26-27 weeks be a transient response so should be checked regularly on children who may have neurological ONLY one of the responses that remains into : should be present at 37 weeks baby will turn head toward food source when touched on that side of face, lips, or cheek. can distinguish if source is on left or right. elicited when hungry or held in Feeding attempt to suckle with head turn4 Delivering Next Generation Tongue: present at 26 weeks gestation response present in all babies regardless of neurological by providing pressure touch on lateral side of tongue (tongue will point to stimulus) reflex is NOT used to establish functional bottling bite: should be present at 37 weeks gestation and is elicited when pressure is put on the : non-nutritive should be present at 37 weeks gestati

GER, food intolerances, allergies, etc) D. Begins at 3-5 months 8 Delivering Next Generation Care Oral Motor Assessment Oral Structures and Function A. Cheeks/lips 1. Observation a. Open Mouth Posture At Rest (OMPAR) c. Any movement (quiver, fasciculation, etc.)Try it b. Mouth breathing c. Drooling d. Retracted e. Cleft (type, repaired vs ...

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  Food, Allergies, Intolerance, Food intolerances

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