Development of a multidisciplinary feeding profile for children who are dependent feeders

Kenny, David J.; Koheil, Ruth; Greenberg, Janice; Reid, Denise; Milner, Marc; Moran, Rod; Judd, Peter

doi:10.1007/bf02407398

Cited by 49 publications

(30 citation statements)

References 23 publications

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“…Many of the evaluation tools reviewed above are questionnaires and may have satisfactory psychometric properties [73,77,78], while others have only limited psychometric properties [13,85] and need further development. Questionnaires offer the advantage of describing the child's usual abilities.…”

Section: Discussionmentioning

confidence: 99%

“…The Multidisciplinary Feeding Profile (MFP) was developed by Kenny and collaborators [85] with a group of 18 children, 6 to 18 years of age, who had neurological disabilities and were 'dependent feeders.' The evaluation is divided into six sections covering: I) Physical/Neurological factors such as posture, tone and reflex activity, 2) Oral-Facial Structure, consisting of 'an evaluation of the face and mouth at rest to identify variations from normal, using surface anatomy exclusively', 3) Oral-Facial Sensory Inputs: a subjective evaluation of sensory and reflex motor activity produced by stimulation of selected cranial nerves, 4) Oral-Facial Motor Function: a series of voluntary oral facial postures such as puckering the lips or deviating the jaw to the right or left, 5) Ventilation/Phonation: 'a subjective evaluation of breathing and sound production' and 6) Functional Feeding Assessment: an 'evaluation of oral-motor skills during specific feeding tasks' examining spoon feeding, biting, chewing, cup-and straw drinking and swallowing.…”

Section: Direct Observationsmentioning

confidence: 99%

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Feeding Issues Associated with the Autism Spectrum Disorders

Nadon¹,

Feldman²,

Gisel³

2013

Recent Advances in Autism Spectrum Disorders - Volume I

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Section: Discussionmentioning

confidence: 99%

Section: Direct Observationsmentioning

confidence: 99%

Feeding Issues Associated with the Autism Spectrum Disorders

Nadon¹,

Feldman²,

Gisel³

2013

Recent Advances in Autism Spectrum Disorders - Volume I

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“…Feeding competence was objectively assessed using a modified version of the Multidisciplinary Feeding Profile (Kenny et al 1989, Gisel 1994. Oromotor skills were evaluated during specific feeding tasks.…”

Section: Methodsmentioning

confidence: 99%

Relation between objectively measured feeding competence and nutrition in children with cerebral palsy

Troughton¹,

Hill²

2001

Develop Med Child Neuro

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This study aimed to investigate the prevalence of undernutrition in children with cerebral palsy (CP) and to determine the relation with feeding ability. Ninety children with CP from special needs schools were examined. Undernutrition was diagnosed on one or more of the following criteria: weight < 2nd centile, triceps or subscapular skinfold measurement < 3rd centile, mid-arm circumference <5th centile. Feeding competence was scored with respect to seven specific oromotor tasks using the Multidisciplinary Feeding Profile. Thirty-six participants (40%) had diplegia, 29 (33%) quadriplegia, 13 (14%) hemiplegia, and 12 participants (13%) had dyskinetic CP. Age ranged from 2.6 to 18.7 years (mean 10.8 years). Forty-six percent (41 of 90) were undernourished. In all aspects of feeding, those undernourished had lower feeding competence scores compared to adequately nourished children (p<0.002). Each modality of feeding competence correlated significantly to the centiles of weight, triceps or subscapular skinfold measurement and mid-arm circumference (p<0.02). A positive association of weight, triceps skinfold measurement, and mid-arm circumference with chewing ability was present independent of other feeding modalities (p<0.05). Undernutrition was common in this group and was associated with poorer feeding ability.

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“…In addition, current clinical assessment methods were outlined, the SCope and rationale for the MFP developed, and the concept of content validity described. Finally, the complete MFP test form was provided [1].A multidisciplinary team of 9 persons generated 198 test items or questions in 6 different categories based upon their combined knowledge (content) of assessment and treatment of children with feeding disorders. The 198 item test was applied by three raters to 8 children in a pilot study and each test item was analysed for interrater reliability and clinical value and then maintained, clarified, or discarded.…”

mentioning

confidence: 99%