Abstract
The oral phase of swallowing is characterized by sucking in the newborn. Over the first years of life the anatomy alters from one adapted perfectly to sucking, to one more similar to adult anatomy, allowing mastication skills to emerge. Changes in anatomic structural relationships confound attempts to precisely quantify this developmental process such that our understanding of the exact developmental timing for mastery of various feeding skills is incomplete. Previous research has focused upon the development of sucking and chewing where some normative data is available. This chapter reviews the available knowledge about the normal emergence and mastery of the oral skills required for feeding. The implication of variation from these expected developmental patterns is also briefly discussed.
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References
Arvedson JC, Delaney AL. Development of oromotor functions for feeding, in Oromotor disorders in childhood, M.R.-Q.L. Pennington, editor, Viguera Editores, S.L.: Barcelona; 2011.
Delaney AL, Arvedson JC. Development of swallowing and feeding: prenatal through first year of life. Dev Disabil Res Rev. 2008;14(2):105–17.
Moore K, Persaud R. The developing human: clinically oriented embryology. 7th ed. Amsterdam: Elsevier—Health Sciences Division; 2003.
Cajal C. Description of human fetal laryngeal function: phonation. In: Early human development. 1996;45(1-2):63–2.
Humphrey T. Reflex activity in the oral and facial area of the human fetus. In: Bosma JF, editor Second Symposium on oral sensation and perception. 1967, Charles C. Thomas: Springfield.
Miller JL, Sonies BC, Macedonia C. Emergence of oropharyngeal, laryngeal and swallowing activity in the developing fetal upper aerodigestive tract: an ultrasound evaluation. Early Hum Dev. 2003;71(1):61–87.
Miller JL, Macedonia C, Sonies BC. Sex Differences in prenatal oral motor function and development. Dev Med Child Neurol. 2006;48:465–70.
Bosma JF. Development of feeding. Clin Nutr. 1986;5(5):210–8.
Hack M, Estabrook MM, Robertson SS. Development of sucking rhythm in preterm infants. Early Hum Dev. 1985;11(2):133–40.
Ianniruberto A, Tajani E. Ultrasonographic study of fetal movements. Semin Perinatol. 1981;5(2):175–81.
Vorperian H, et al. Anatomic development of the oral and pharyngeal portions of the vocal tracts: An imaging study. J Acoust Soc Am. 2009;1(3):1666–78.
Voerperian H, et al. Development of vocal tract length during early childhood: a magnetic resonance imaging study. J Acoust Soc Am. 2005;117(1):338–50.
Lieberman DE, et al. Ontogeny of postnatal hyoid and larynx descent in humans. Arch Oral Biol. 2001;46(2):117–28.
da Costa SP, van den Engel-Hoek L, Bos AF. Sucking and swallowing in infants and diagnostic tools. J Perinatol. 2008;28(4):247–57.
Lau C, Schanler RJ. Oral motor function in the neonate. Clin Perinatol. 1996;23(2):161–78.
Barlow SM. Central pattern generation involved in oral and respiratory control for feeding in the term infant. Curr Opin Otolaryngol Head Neck Surg. 2009;17(3):187–93.
Casey CE, et al. Nutrient intake by breast-fed infants during the first five days after birth. Am J Dis Child. 1986;140(9):933–6.
Dollberg S, Lahav S, Mimouni FB. A comparison of intakes of breast-fed and bottle-fed infants during the first two days of life. J Am Coll Nutr. 2001;20(3):209–11.
Lucas A, Lucas PJ, Baum JD. Differences in the pattern of milk intake between breast and bottle fed infants. Early Hum Dev. 1981;5(2):195–9.
Hammerman C, Kaplan M. Oxygen saturation during and after feeding in healthy term infants. Biol Neonate. 1995;67(2):94–9.
Qureshi MA, et al. Changes in rhythmic suckle feeding patterns in term infants in the first month of life. Dev Med Child Neurol. 2002;44(1):34–9.
Taki M, et al. Maturational changes in the feeding behaviour of infants—a comparison between breast-feeding and bottle-feeding. Acta Paediatr. 2010;99(1):61–7.
Geddes DT, et al. Ultrasound imaging of infant swallowing during breast-feeding. Dysphagia. 2010;25(3):183–91.
Newman LA, et al. Videofluoroscopic analysis of the infant swallow. Invest Radiol. 1991;26(10):870–3.
Weckmueller J, Easterling C, Arvedson J. Preliminary temporal measurement analysis of normal oropharyngeal swallowing in infants and young children. Dysphagia. 2011;26(2):135–43.
Lang WC, et al. Quantification of intraoral pressures during nutritive sucking: methods with normal infants. Dysphagia. 2011;26(3):277–86.
Medoff-Cooper B. Nutritive sucking research: from clinical questions to research answers. J Perinat Neonatal Nurs. 2005;19(3):265–72.
Medoff-Cooper B, Bilker W, Kaplan JM. Sucking patterns and behavioral state in 1- and 2-day-old full-term infants. J Obstet Gynecol Neonatal Nurs. 2010;39(5):519–24.
Gomes CF, Thomson Z, Cardoso JR. Utilization of surface electromyography during the feeding of term and preterm infants: a literature review. Dev Med Child Neurol. 2009;51(12):936–42.
Rocha AD, et al. Development of a technique for evaluating temporal parameters of sucking in breastfeeding preterm newborns. Early Hum Dev. 2011;87(8):545–8.
Wolff PH. The serial organization of sucking in the young infant. Pediatrics. 1968;42(6):943–56.
Moral A, et al. Mechanics of sucking: comparison between bottle feeding and breastfeeding. BMC Pediatr. 2010;10(6):1–8.
Pickler RH, Chiaranai C, Reyna BA. Relationship of the first suck burst to feeding outcomes in preterm infants. J Perinat Neonatal Nurs. 2006;20(2):157–62.
Mathew OP, Belan M, Thoppil CK. Sucking patterns of neonates during bottle feeding: comparison of different nipple units. Am J Perinatol. 1992;9(4):265–9.
Stevenson RD, Allaire JH. The development of normal feeding and swallowing. Pediatr Clin North Am. 1991;38(6):1439–53.
Casas MJ, McPherson KA, Kenny DJ. Durational aspects of oral swallow in neurologically normal children and children with cerebral palsy: an ultrasound investigation. Dysphagia. 1995;10(3):155–9.
Delzell PB, et al. Laryngeal penetration: a predictor of aspiration in infants? Pediatr Radiol. 1999;29(10):762–5.
Kelly BN, et al. The first year of human life: coordinating respiration and nutritive swallowing. Dysphagia. 2007;22(1):37–43.
Hiiemae KM, Palmer JB. Tongue movements in feeding and speech. Crit Rev Oral Biol Med. 2003;14(6):413–29.
Kahrilas PJ, et al. Deglutitive tongue action: volume accommodation and bolus propulsion. Gastroenterology. 1993;104(1):152–62.
Lawless HT, et al. Gender, age, vessel size, cup vs. straw sipping, and sequence effects on sip volume. Dysphagia. 2003;18(3):196–202.
Saylor JH. Volume of a swallow: role of orifice size and viscosity. Vet Hum Toxicol. 1987;29(1):79–83.
Steele CM, Van Lieshout PH. Influence of bolus consistency on lingual behaviors in sequential swallowing. Dysphagia. 2004;19(3):192–206.
Ruark J, Mills C, Muenchen R. Effects of bolus volume and consistency on multiple swallow behavior in children and adults. J Med Speech Lang Pathol. 2003;11(4):79–83.
Vaiman M, Segal S, Eviatar E. Surface electromyographic studies of swallowing in normal children, age 4–12 years. Int J Pediatr Otorhinolaryngol. 2004;68(1):65–73.
Watson WA, Bradford DC, Veltri JC. The volume of a swallow: correlation of deglutition with patient and container parameters. Am J Emerg Med. 1983;1(3):278–81.
Bennett JW, et al. Sip-sizing behaviors in natural drinking conditions compared to instructed experimental conditions. Dysphagia. 2009;24(2):152–8.
Delaney A. Oral-motor movement patterns in feeding development. Madison, WI: University of Wisconsin; 2010.
Morris SE. Pre-speech assessment scale. Clifton: J.A. Preston Corporation; 1982.
Gisel EG. Chewing cycles in 2- to 8-year-old normal children: a developmental profile. Am J Occup Ther. 1988;42(1):40–6.
Gisel EG. Effect of food texture on the development of chewing of children between six months and two years of age. Dev Med Child Neurol. 1991;33(1):69–79.
Chigira A, et al. Lip closing pressure in disabled children: a comparison with normal children. Dysphagia. 1994;9(3):193–8.
Potter NL, Short R. Maximal tongue strength in typically developing children and adolescents. Dysphagia. 2009;24(4):391–7.
Green JR, et al. Development of chewing in children from 12 to 48 months: longitudinal study of EMG patterns. J Neurophysiol. 1997;77(5):2704–16.
Wilson EM. Kinematic description of chewing development. Madison, WI: University of Wisconsin; 2005.
Wilson EM, Green JR. The development of jaw motion for mastication. Early Hum Dev. 2009;85(5):303–11.
Steeve RW, et al. Babbling, chewing, and sucking: oromandibular coordination at 9 months. J Speech Lang Hear Res. 2008;51(6):1390–404.
Schwaab LW, Niman CW, Gisel EG. Comparison of chewing cycles in 2-, 3-, 4-, and 5-year-old normal children. Am J Occup Ther. 1986;40(1):40–3.
Carruth BR, Skinner JD. Feeding behaviors and other motor development in healthy children (2–24 months). J Am Coll Nutr. 2002;21(2):88–96.
Stolovitz P, Gisel EG. Circumoral movements in response to three different food textures in children 6 months to 2 years of age. Dysphagia. 1991;6(1):17–25.
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Delaney, A.L., Rudolph, C. (2013). Nascent Oral Phase. In: Shaker, R., Belafsky, P., Postma, G., Easterling, C. (eds) Principles of Deglutition. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3794-9_11
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