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

Arvedson, Joan C.; Clark, Heather M.; Lazarus, Cathy L.; Schooling, Tracy; Frymark, Tobi

doi:10.1044/1058-0360(2010/09-0067)

Cited by 139 publications

(94 citation statements)

References 82 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This time might be associated to intercurrences which these preterm born infants suffer with the long period of hospital stay, which might be an inherent factor to the difficulty presented in feeding, so as the presence of neurologic immaturity, the inadequate muscular tonus, the weakness in the oral reflexes and the difficulty of keeping the alert state are factors that might be directly linked in the loss of oral skills in preterm newborns 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Such intercurrences favour a prolonged permanence in the Neonatal Intensive Care Unit (NICU), thus inhibiting the success of feeding via the oral route in the appropriate moment 1,2 . In order to benefit the nutritional necessities of the preterm newborn infant, feeding is provided, initially, trough feeding tubes, yet after being released to begin feeding through the oral route, the prolonged use of tubes can interfere with the baby's oral skills 3 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Readiness for oral feeding and oral motor function in preterm infants

et al. 2017

View full text Add to dashboard Cite

Objective: this study aimed at investigating the Schedule Oral Motor Assessment (SOMA) tool to be used with preterm infants and to compare its results with the Preterm Oral Feeding Readiness Assessment Scale (POFRAS) to start oral feeding. Methods: a cross-sectional and quantitative study, consisting in a sample of 45 healthy and clinically stable preterm infants, assessed at their first oral feeding with two tools: the Schedule Oral Motor Assessment and Preterm Oral Feeding Readiness Assessment Scale. Stata 10.0 software was used for data analysis. Results: 10 preterm infants with readiness for oral feeding showed normal oral motor function, and 16, presented with oral motor dysfunction, did not show readiness for feeding (p <0.05). The time of transition for full oral feeding was 13.5 (± 8.1) days for preterm infants with better results in both assessment tools, and 17.7 (± 10.9) days for those who did not show readiness for oral feeding and had oral motor dysfunction to initiate oral feeding, resulting in a given clinical relevance, even showing no significance (p> 0.05). Conclusion: these results suggest that the Schedule Oral Motor Assessment can be an adjunctive method for evaluation of the oral motor function at the first oral feeding in preterm infants. Keywords: Infant, Premature; Sucking Behavior; Aptitude; Feeding Behavior RESUMO Objetivo: investigar o Schedule Oral Motor Assessment (SOMA) para utilização com recém-nascidos pré--termo, e comparar seus resultados com o Preterm Oral Feeding Readiness Scale (POFRAS) na liberação da alimentação por via oral. Métodos: trabalho de caráter transversal e quantitativo. Estudo composto por uma amostra de 45 recém--nascidos pré-termo, saudáveis e clinicamente estáveis, avaliados no momento da liberação da alimentação por via oral. Neste momento foi realizada a avaliação do POFRAS e do SOMA. Para a análise dos dados foi utilizado o software Stata 10.0. Resultados: todos 10 recém-nascidos pré-termo que apresentaram prontidão para alimentação por via oral tinham função motora oral normal, e, os 16 que apresentaram disfunção motora oral, esses não apresentavam prontidão para a mamada (p<0,05). O tempo de transição de alimentação por via oral foi de 13,5 (±8,1) dias nos recém-nascidos pré-termo, com melhores resultados nas duas avaliações, e de 17,7 (±10,9) dias aos que não apresentaram prontidão para a alimentação oral e tiveram disfunção motora oral no momento da liberação da via oral, resultando em um dado com relevância clínica mesmo não apresentando significância (p>0,05). Conclusão: estes resultados sugerem que o SOMA pode ser um método complementar para avaliação da função oral-motora no momento da liberação da via oral de recém-nascido pré-termo.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Readiness for oral feeding and oral motor function in preterm infants

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Non-nutritive oral opportunities are thought to facilitate oral feeding skills, for example, sucking opportunities for preterm infants, most often via pacifier. [17][18][19] Older children who are not safe to take nutrition orally can be given opportunities to mouth toys or to put their fingers into food and suck on their fingers with a miniscule amount of food on them, and to accept two to three drops of water via a spoon. It is rare that a child cannot take anything orally (nil by mouth).…”

Section: Feeding/swallowing Interventions: Evidence Of Effectiveness mentioning

confidence: 99%

Feeding children with cerebral palsy and swallowing difficulties

2013

View full text Add to dashboard Cite

Children with cerebral palsy (CP) are at risk for aspiration with oral feeding with potential pulmonary consequences, and commonly have reduced nutrition/hydration status and prolonged stressful meal times. There is considerable variability in the nature and severity of swallowing problems in these children whose needs change over time. Children with generalized severe motor impairment (for example, spastic quadriplegia) are likely to experience greater swallowing deficits than those with diplegia, but oropharyngeal dysphagia is prevalent even in children with mild CP. This review is focused on dysphagia in children with CP: types of deficits, clinical and instrumental evaluation, management decision making and evidence of effectiveness of interventions.European Journal of Clinical Nutrition (2013) 67, S9-S12; doi:10.1038/ejcn.2013.224Keywords: cerebral palsy; dysphagia; pediatrics; feeding; swallowing INTRODUCTIONChildren with cerebral palsy (CP) commonly have feeding disorders and swallowing problems (dysphagia) that in many instances place them at risk for aspiration with oral feeding, with potential pulmonary consequences. They also commonly have reduced nutrition/hydration status and prolonged stressful meal times. The specific nature and severity of the swallowing problems may differ, at least to some degree, in relation to sensorimotor impairment, gross and fine motor limitations, and cognitive/ communication deficits. Children with generalized severe motor impairment (for example, spastic quadriplegia) are likely to experience greater swallowing deficits 1,2 than those with diplegia, but oropharyngeal dysphagia is prevalent even in children with mild CP. 3 Concerns are multifactorial and include issues of reduced volume of food and liquid consumed orally, nutrition deficits, inadequate hydration and limited range of textures with slow advance of oral skills.Children with moderate-to-severe dysphagia usually are managed most effectively with an interdisciplinary team that allows for multiple factors to be addressed in a coordinated way. These factors include, but are not limited to, gastrointestinal issues, pulmonary status, nutrition/hydration, oral sensorimotor skills, behavioral issues and family interactions. The importance of a structured approach is stressed to handle these multiple problems. 4 It is critical that all decisions for the management of feeding and swallowing problems are made in consideration of the primary needs of the child that is, a stable airway with adequate nutrition and hydration. In addition, any feeding/ swallowing intervention should be pleasurable and non-stressful for patients and care givers. In some instances, tube feeding may be needed either temporarily or long term. [5][6][7][8] It is expected, with rare exceptions, that these children can cope with at least minimal tastes for pleasure, a practice that may have a positive impact on management of saliva/secretions while maintaining oral function and swallowing.This review paper is focused on dysphagia: types of deficit...

show abstract

“…Pinelli and Symington (2005) report that non nutritive sucking (NNS) was found to decrease significantly the length of hospital stay for preterm infants and had a positive influence on transition from tube to bottle feeds with better bottle feeding performance. Another systematic review has explored direct oral stimulation techniques (Arvedson et al, 2010). This concluded that although oral motor interventions show promise for enhancing feeding and swallowing in preterm infants, there remains no clear direction for clinical practice.…”

Section: Introductionmentioning

confidence: 99%

“…Oral feeding is a complex skill requiring the integration of breathing, sucking and swallowing in the context of overall motor stability and incoming sensory stimuli (Arvedson et al, 2010;da Costa et al, 2010a). It depends upon brainstem central pattern generators whose activity is increasingly influenced by chemosensory and oral tactile input (Amaizu et al, 2008;Bingham, 2009).…”

Section: Introductionmentioning

confidence: 99%

Oral stimulation techniques in preterm infants – International research challenges

Greene

O’Donnell

Walshe

2013

Journal of Neonatal Nursing

View full text Add to dashboard Cite

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.

show abstract

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

Abstract: Although some OMIs show promise for enhancing feeding/swallowing in preterm infants, methodological limitations and variations in results across studies warrant careful consideration of their clinical use.

Cited by 139 publications

References 82 publications

Readiness for oral feeding and oral motor function in preterm infants

Readiness for oral feeding and oral motor function in preterm infants

Feeding children with cerebral palsy and swallowing difficulties

Oral stimulation techniques in preterm infants – International research challenges

Contact Info

Product

Resources

About