Development of Oral Feeding Skills in the Preterm Infant

Lau, Chantal

doi:10.1007/978-1-4419-1795-9_29

Cited by 25 publications

(33 citation statements)

References 44 publications

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“…However, there are many instances in which no evidence is available for specific intervention procedures. In those instances, clinicians should use their knowledge and clinical judgment in areas of anatomy, embryology, physiology, neurodevelopment, maturation of oral feeding skills in preterm infants (e.g., Amaizu et al, 2008;Delaney & Arvedson, 2008;Lau, 2007), relationship of respiratory control and oral feeding (J. J. Miller & Kiatchoosakun, 2004;Thoyre & Carlson, 2003), and physical indicators related to preterm infants' bottle feeding performance (Howe et al, 2007) to assist with clinical decision making.…”

Section: Resultsmentioning

confidence: 99%

Evidence-Based Systematic Review: Effects of Oral Motor Interventions on Feeding and Swallowing in Preterm Infants

Arvedson

Clark

Lazarus

et al. 2010

Am J Speech Lang Pathol

139

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Section: Resultsmentioning

confidence: 99%

Evidence-Based Systematic Review: Effects of Oral Motor Interventions on Feeding and Swallowing in Preterm Infants

Arvedson

Clark

Lazarus

et al. 2010

Am J Speech Lang Pathol

139

View full text Add to dashboard Cite

show abstract

“…Feeding competency is a frequent and serious challenge both to the neonatal intensive care unit (NICU) survivors and to the physician–provider–parent teams [1–3,4••,5]. Since 1980, the rate of prematurity has increased from 9.5 to 12.8% of all live births in the United States [6].…”

Section: Introductionmentioning

confidence: 99%

“…Lau [2,3] defines mature nutritive sucking to include the rhythmic alternation of suction (negative intraoral pressure that draws milk into the oral cavity) and expression, which is characterized by the compression and stripping force applied by the tongue against the nipple to eject milk into the mouth.…”

Section: Introductionmentioning

confidence: 99%

Oral and respiratory control for preterm feeding

Barlow

2009

Current Opinion in Otolaryngology & Head and Neck Surgery

119

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Purpose of review-Feeding competency is a frequent and serious challenge to the neonatal intensive care unit survivors and to the physician-provider-parent teams. The urgency of effective assessment and intervention techniques is obviated to promote safe swallow, as attainment of oral feeding for the preterm infant/newborn is one of the prerequisites for hospital discharge. If left unresolved, feeding problems may persist into early childhood and may require management by pediatric gastroenterologists and feeding therapists. This review highlights studies aimed at understanding the motor control and development of nonnutritive and nutritive suck, swallow, and coordination with respiration in preterm populations.Recent findings-Functional linkages between suck-swallow and swallow-respiration manifest transitional forms during late gestation and can be delayed or modified by sensory experience and/ or disease processes. Moreover, brainstem central pattern generator (CPG) networks and their neuromuscular targets attain functional status at different rates, which ultimately influences crosssystem interactions among individual CPGs. Entrainment of trigeminal primary afferents to activate the suck CPG is one example of a clinical intervention to prime cross-system interactions among ororhythmic pattern generating networks in the preterm and term infants.Summary-The genesis of within-system CPG control for rate and amplitude scaling matures differentially for suck, mastication, swallow, and respiration. Cross-system interactions among these CPGs represent targets of opportunity for new interventions that optimize experience-dependent mechanisms to promote robust ororhythmic patterning and safe swallows among preterm infants.

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“…Nutritive suckling also includes an expression phase that typically lags the suction phase by 100 milliseconds or more. This involves a stripping ‘peristaltic’ motion of the tongue tip along the length of the nipple or teat and requires activation of the intrinsic tongue muscles via the hypoglossal nerve [20,21]. Clearly, many motoneurons are active during all of the oromotor patterns, but it is unclear if the sucking CPG evolves to eventually control mastication, or if the mastication CPG emerges separately during the weaning period.…”

Section: Introductionmentioning

confidence: 99%

Central pattern generation involved in oral and respiratory control for feeding in the term infant

Barlow

2009

Current Opinion in Otolaryngology & Head and Neck Surgery

117

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Purpose of review-Drinking and eating are essential skills for survival and benefit from the coordination of several pattern generating networks and their musculoskeletal effectors to achieve safe swallows. Oral-pharyngo-esophageal motility develops during infancy and early childhood, and is influenced by various factors, including neuromuscular maturation, dietary and postural habits, arousal state, ongoing illnesses, congenital anomalies, and the effects of medical or surgical interventions. Gastroesophageal reflux is frequent in neonates and infants, and its role in neonatal morbidity including dysphagia, chronic lung disease, or apparent life-threatening events is not well understood. This review highlights recent studies aimed at understanding the development of oral feeding skills, and cross-system interactions among the brainstem, spinal, and cerebral networks involved in feeding.Recent Findings-Functional linkages between suck-swallow and swallow-respiration manifest transitional forms during late gestation through the first year of life which can be delayed or modified by sensory experience and/or disease processes. Relevant central pattern generator (CPG) networks and their neuromuscular targets attain functional status at different rates, which ultimately influences cross-system CPG interactions. Entrainment of trigeminal primary afferents accelerates pattern genesis for the suck CPG and transition-to-oral feed in the RDS preterm infant.Summary-The genesis of within-system CPG control for rate and amplitude scaling matures differentially for suck, mastication, swallow, and respiration. Cross-system interactions among these CPGs represent targets of opportunity for new interventions which optimize experience-dependent mechanisms to promote safe swallows among newborn and pediatric patients.

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Development of Oral Feeding Skills in the Preterm Infant

Cited by 25 publications

References 44 publications

Evidence-Based Systematic Review: Effects of Oral Motor Interventions on Feeding and Swallowing in Preterm Infants

Evidence-Based Systematic Review: Effects of Oral Motor Interventions on Feeding and Swallowing in Preterm Infants

Oral and respiratory control for preterm feeding

Central pattern generation involved in oral and respiratory control for feeding in the term infant

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