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Semin Speech Lang 2017; 38(02): 116-125
DOI: 10.1055/s-0037-1599109
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pediatric Feeding Disorders and Severe Developmental Disabilities

Jane ORegan Kleinert
1   Department of Rehabilitation Sciences, University of Kentucky, Lexington, Kentucky
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Publication History

Publication Date:
21 March 2017 (online)

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Abstract

Children with severe developmental disabilities face numerous challenges to function and participate in activities of daily life. One of the most significant challenges to accomplishing this goal is that of oral feeding disorders. Indeed, it is estimated that among children with developmental disabilities, up to 80 to 90% present with some level of feeding disorders. In addition, it has been shown that as the level of severity of intellectual disability increases, so does the severity of the oral feeding disorders. Due to the broad range of etiologies that result in developmental disabilities, types of feeding disorders in the population vary greatly. This article is designed to provide information regarding assessment and intervention approaches currently used in this area and to provide an overview of the evidence available to support these approaches. Suggestions for much needed future clinically relevant and immediately transferable research are included.

Keywords

Pediatric feeding disorders - developmental disabilities - dysphagia
 

  • References

  • 1 Record C Public Law 106–402. Vol. 146 Oct. 30, 2000:114 STAT 1683
    PubMed
  • 2 Ptomey LT, Wittenbrook W. Position of the Academy of Nutrition and Dietetics: nutrition services for individuals with intellectual and developmental disabilities and special health care needs. J Acad Nutr Diet 2015; 115 (4) 593-608
    CrossrefPubMedGoogle Scholar
  • 3 Rezaei M, Rashedi V, Gharib M, Lofti G. Prevalance of feeding problems in children with intellectual disability. Iran Rehabil J 2011; 9: 56-59
    PubMedGoogle Scholar
  • 4 Reilly S, Skuse D, Poblete X. Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: a community survey. J Pediatr 1996; 129 (6) 877-882
    Google Scholar
  • 5 Lefton-Greif MA, Arvedson JC. Pediatric feeding and swallowing disorders: state of health, population trends, and application of the international classification of functioning, disability, and health. Semin Speech Lang 2007; 28 (3) 161-165
    Google Scholar
  • 6 Manikam R, Perman JA. Pediatric feeding disorders. J Clin Gastroenterol 2000; 30 (1) 34-46
    CrossrefPubMedGoogle Scholar
  • 7 Arvedson JC, Lefton-Greif MA. Ethical and legal challenges in feeding and swallowing intervention for infants and children. Semin Speech Lang 2007; 28 (3) 232-238
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Kerzner B, Milano K, MacLean Jr WC, Berall G, Stuart S, Chatoor I. A practical approach to classifying and managing feeding difficulties. Pediatrics 2015; 135 (2) 344-353
    CrossrefPubMedGoogle Scholar
  • 9 Burklow KA, Phelps AN, Schultz JR, McConnell K, Rudolph C. Classifying complex pediatric feeding disorders. J Pediatr Gastroenterol Nutr 1998; 27 (2) 143-147
    CrossrefPubMedGoogle Scholar
  • 10 Arvedson JC, Brodsky L. Pediatric Swallowing and Feeding Assessment and Management. Clifton Park, NY: Delmar Cengage Learning; 2002
    Google Scholar
  • 11 VanDahm K. Pediatric Feeding Disorders. Framingham, MA: Therapro; 2012
    Google Scholar
  • 12 Brackett K, Arverdson J, Manno CJ. Pediatric feeding swallowing disorders: general assessment and intervention. Perspectives on Swallowing and Swallowing Disorders 2006; 15: 10-15
    PubMedGoogle Scholar
  • 13 Clawson B, Selden M, Lacks M, Deaton AV, Hall B, Bach R. Complex pediatric feeding disorders: using teleconferencing technology to improve access to a treatment program. Pediatr Nurs 2008; 34 (3) 213-216
    PubMedGoogle Scholar
  • 14 Morgan AT, Dodrill P, Ward EC. Interventions for oropharyngeal dysphagia in children with neurological impairment. Cochrane Database Syst Rev 2012; 10: CD009456
    PubMedGoogle Scholar
  • 15 Sharp WG, Jaquess DL, Morton JF, Herzinger CV. Pediatric feeding disorders: a quantitative synthesis of treatment outcomes. Clin Child Fam Psychol Rev 2010; 13 (4) 348-365
    CrossrefPubMedGoogle Scholar
  • 16 Ferluga ED, Archer KR, Sathe NA , et al. Interventions for Feeding and Nutrition in Cerebral Palsy: Comparative Effectiveness Review No. 94. Rockville, MD: Agency for Healthcare Research and Quality; 2013
    Google Scholar
  • 17 Arvedson JC. Assessment of pediatric dysphagia and feeding disorders: clinical and instrumental approaches. Dev Disabil Res Rev 2008; 14 (2) 118-127
    Google Scholar
  • 18 Gisel EG. Effect of oral sensorimotor treatment on measures of growth and efficiency of eating in the moderately eating-impaired child with cerebral palsy. Dysphagia 1996; 11 (1) 48-58
    CrossrefPubMedGoogle Scholar
  • 19 Fucile S, Gisel EG, McFarland DH, Lau C. Oral and non-oral sensorimotor interventions enhance oral feeding performance in preterm infants. Dev Med Child Neurol 2011; 53 (9) 829-835
    CrossrefPubMedGoogle Scholar
  • 20 Lukens CT, Silverman AH. Systematic review of psychological interventions for pediatric feeding problems. J Pediatr Psychol 2014; 39 (8) 903-917
    CrossrefPubMedGoogle Scholar
  • 21 Milnes SM, Piazza CC, Carroll T. Assessment and treatment of pediatric feeding disorders. Child Nutrition Encyclopedia on Early Childhood Develop 2013- 2016; 23-26
    PubMedGoogle Scholar
  • 22 Piazza CC, Roane H. Assessing Childhood Psychopathology and Developmental Disabilities. New York, NY: Springer Science and Business Media; 2009
    Google Scholar
  • 23 Arvedson J, Lefton-Greif M. Instrumental assessment of pediatric dysphagia. Semin Speech Lang 2017; 38 (2) 135-146
    Article in Thieme ConnectPubMedGoogle Scholar
  • 24 Heckathorn DE, Speyer R, Taylor J, Cordier R. Systemic review: non-instrumental swallowing and feeding assessments in pediatrics. Dysphagia 2016; 31 (1) 1-23
    CrossrefPubMedGoogle Scholar
  • 25 Benfer KA, Weir KA, Boyd RN. Clinimetrics of measures of oropharyngeal dysphagia for preschool children with cerebral palsy and neurodevelopmental disabilities: a systematic review. Dev Med Child Neurol 2012; 54 (9) 784-795
    Google Scholar
  • 26 Skuse D, Stevenson J, Reilly S, Mathisen B. Schedule for oral-motor assessment (SOMA): methods of validation. Dysphagia 1995; 10 (3) 192-202
    CrossrefPubMedGoogle Scholar
  • 27 Gisel EG, Alphonce E, Ramsay M. Assessment of ingestive and oral praxis skills: children with cerebral palsy vs. controls. Dysphagia 2000; 15 (4) 236-244
    CrossrefPubMedGoogle Scholar
  • 28 Kenny DJ, Koheil RM, Greenberg J , et al. Development of a multidisciplinary feeding profile for children who are dependent feeders. Dysphagia 1989; 4 (1) 16-28
    CrossrefPubMedGoogle Scholar
  • 29 Sheppard JJ, Hochman R, Baer C. The dysphagia disorder survey: validation of an assessment for swallowing and feeding function in developmental disability. Res Dev Disabil 2014; 35 (5) 929-942
    CrossrefPubMedGoogle Scholar
  • 30 American Speech-Language-Hearing Association. Pediatric dysphagia practice portal. Available at: http://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934965&section=Assessment . Accessed October 1, 2016
    PubMedGoogle Scholar
  • 31 American Speech-Language-Hearing Association. Pediatric dysphagia: overview. Pediatric dysphagia practice portal. Available at: http://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934965&section=Treatment . Accessed October 4, 2016
    PubMedGoogle Scholar
  • 32 American Speech-Language-Hearing Association. Pediatric feeding history and clinical assessment form. Available at: http://www.asha.org/uploadedFiles/Pediatric-Feeding-History-and-Clinical-Assessment-Form.pdf . Accessed October 1, 2016
    PubMedGoogle Scholar
  • 33 Morris SE, Dunn Klein M. Pre-Feeding Skills: A Comprehensive Resource for Mealtime Development. 2nd ed. Austin, TX: Pro ed; 2000
    Google Scholar
  • 34 Davis-McFarland E. Family and cultural issues in a school swallowing and feeding program. Lang Speech Hear Serv Sch 2008; 39 (2) 199-213
    CrossrefPubMedGoogle Scholar
  • 35 Arverdson J, Delaney AL. Expect the unexpected in pediatric swallowing evaluations. Paper presented at: 2013 American Speech-Language-Hearing Association Annual Convention; 2013; Orlando, FL
    PubMedGoogle Scholar
  • 36 Swigert NB. The Source for Pediatric Dysphagia. Austin, TX: LinguiSystems; 1998
    Google Scholar
  • 37 Hurley DS. Positioning for feeding success. In: VanDahm K, , ed. Pediatric Feeding Disorders: Evaluation and Treatment. Framingham, MA: Therapro; 2012
    Google Scholar
  • 38 Alexander R. Transitioning to cup drinking. In: Damh KV, , ed. Pediatric Feeding Disorders: Evaluation and Treatment. Framington, MA: Therapro; 2012
    Google Scholar
  • 39 Edwards S, Davis AM, Ernst L , et al. Interdisciplinary strategies for treating oral aversions in children. JPEN J Parenter Enteral Nutr 2015; 39 (8) 899-909
    CrossrefPubMedGoogle Scholar
  • 40 Toomey KA, Ross ES. SOS approach to feeding. Perspectives on Swallowing and Swallowing Disorders 2011; 20: 82-87
    PubMedGoogle Scholar
  • 41 Fishbein M, Cox S, Swenny C, Mogren C, Walbert L, Fraker C. Food chaining: a systematic approach for the treatment of children with feeding aversion. Nutr Clin Pract 2006; 21 (2) 182-184
    CrossrefPubMedGoogle Scholar
  • 42 Fraker C, Walbert L. Treatment of selective eating and dysphagia using pre-chaining and food chaining therapy programs. Perspectives on Swallowing and Swallowing Disorders. 2011; 20: 75-81
    PubMedGoogle Scholar
  • 43 Patel MR, Piazza CC, Layer SA, Coleman R, Swartzwelder DM. A systematic evaluation of food textures to decrease packing and increase oral intake in children with pediatric feeding disorders. J Appl Behav Anal 2005; 38 (1) 89-100
    CrossrefPubMedGoogle Scholar
  • 44 Laud RB, Girolami PA, Boscoe JH, Gulotta CS. Treatment outcomes for severe feeding problems in children with autism spectrum disorder. Behav Modif 2009; 33 (5) 520-536
    CrossrefPubMedGoogle Scholar
  • 45 Fischer E, Silverman A. Behavioral conceptualization, assessment, and treatment of pediatric feeding disorders. Semin Speech Lang 2007; 28 (3) 223-231
    Article in Thieme ConnectPubMedGoogle Scholar