Post on 21-Dec-2015
transcript
INTRODUCTION TO
FEEDING THERAPY
WHAT IS FEEDING THERAPY?WHAT IS FEEDING THERAPY?
• Feeding disorders include problems with accessing and/or appropriately responding to food and the ability to suck, chew, or swallow it. For example, a child who cannot completely close her lips to keep food from falling out of her mouth or who gags at the sight of food may have a feeding disorder.
SIGNS AND SYMPTOMSSIGNS AND SYMPTOMS
• Difficulty coordinating breathing with eating and drinking
• Refusing food or liquid
• Failure to accept different textures of food (e.g., only pureed foods or crunchy cereals)
• Difficulty chewing
• Coughing or gagging during meals
• Recurring pneumonia or respiratory infections
INTERVENTIONINTERVENTION
• Medical intervention (e.g., medicine for reflux)
• Direct feeding therapy designed to meet individual needs• SLP vs. OT vs. Registered Dietician• increasing acceptance of new foods
• Oral-motor skills vs. Oral-sensory• food temperature and texture changes• postural or positioning changes (e.g., different
seating)• behavior management techniques
Aha Moment!!!Aha Moment!!!
We DO NOT have two oral-motor systems
•Feeding and speech control systems are related.
•Feeding skills are not pre-requisites to speech-sound development; however, children with feeding disorders are at risk for delayed speech development and/or speech sound disorders.
Clinical experience and evidence from the work of Suzanne Evans Morris, Ph.D. supports the view that when a child experiences difficulty with oral control in feeding, there is a strong likelihood of that child having similar oral control problems in sound production and speech development.
Speech Sound DevelopmentSpeech Sound Development
Cooing, Babbling, Oral-exploratory play:
Allows the child to practice oral-motor movement associated with sensory input and sound to support later developing speech sounds and the flexibility in movement needed for more complex sound sequencing.
Feeding DevelopmentFeeding Development
• The infant transitions from breast or bottle feeding to spoon feeding with smooth pureed textures to finger feeding with higher textured foods (soft solids to something more crunchy but melt-able like a graham cracker.)
• As a toddler, the child begins to experiment with an increased variety of food types.
Feeding development also allows the child to develop a flexible oral-motor system critical for speech sound
production.
• A parallel in development occurs in the movements considered necessary for speech production and the movements that occur in the development of feeding skills.
• There are many similarities between the movements that an infant would experience during feeding and those movements that are combined with sound play at a slightly later time.
• Infants do not usually develop the movements in their sound play before those movements appear in feeding.
• The tongue, lips, cheeks and jaw are engaged in the process of sensorimotor differentiation that sets the stage for speech
EX: By 6-9 months, when babbling emerges and reaches its heights, lip movements have been used to eliminate the loss of liquid during bottle feeding and to remove food from the spoon.
Knowing a child’s feeding history is critical when you are providing
speech and language services to a child with a speech sound disorder.