Abstract
Each child with cerebral palsy is unique, as the characteristics of their impairment, which applies to the oro-motor function as well. This chapter describes the challenges that the child, the caregiver, and the rehabilitation therapist can encounter with regard to feeding, underlining the importance of referring to the physiological phases of development and appropriate facilitations to promote the child’s oro-motor skills. The brief description of physiological swallowing is followed by an overview of dysphagia in CP, together with indications on what to observe in both the term and preterm infant and a selection of practical suggestions for therapeutic intervention. When addressing the problems of feeding, the rehabilitation therapist needs to pay attention to the positioning of both the child and the caregiver and to the sensory characteristics of the environment. Facilitation techniques and tools to promote the infant’s oro-motor functions are discussed, together with their use during daily life activities such as eating, drinking, and oral hygiene.
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References
Arvedson J (2008) Assessment of pediatric dysphagia and feeding disorders: clinical and instrumental approaches. Dev Disabil Res Rev 14(2):118–127. https://doi.org/10.1002/ddrr.17
Arvedson JA, Brodsky L, Lefton-Grief MA (2020) Pediatric swallowing and feeding. In: Assessment and management, 3rd edn. Plural Publ.
Ayres AJ (2005) Sensory integration and the child. Western Psychological Services Publ.
Baley J, Committee on Fetus and Newborn (2015) Skin-to-skin care for term and preterm infants in the neonatal ICU. Pediatrics 136(3):596–599. https://doi.org/10.1542/peds.2015-2335
Bobath B, Bobath K (1975) Motor development in the different types of cerebral palsy. The Whitefriars Press Ltd, London
Brazelton TB, Nugent JK (2011) Neonatal behavioral assessment scale. In: Clinics in developmental medicine, No. 190, 4th edn. Mac Keith Press, London
da Costa SP, van der Schans CP (2008) The reliability of the Neonatal Oral-Motor Assessment Scale. Acta Paediatr 97(1):21–26. https://doi.org/10.1111/j.1651-2227.2007.00577.x
Dougherty NJ (2009) A review of cerebral palsy for the oral health professional. Dent Clin N Am 53(2):329–338. https://doi.org/10.1016/j.cden.2008.12.001
Ericson J, Palmér L (2019) Mothers of preterm infants’ experiences of breastfeeding support in the first 12 months after birth: a qualitative study. Birth 46(1):129–136. https://doi.org/10.1111/birt.12383
Frakking TT, Chang AB, O’Grady KF, David M, Walker-Smith K, Weir KA (2016) The use of cervical auscultation to predict oropharyngeal aspiration in children: a randomized controlled trial. Dysphagia 31(6):738–748. https://doi.org/10.1007/s00455-016-9727-5
Fujinaga CI, de Moraes SA, Zamberlan-Amorim NE, Castral TC, de Almeida e Silva A, Scochi CG (2013) Clinical validation of the preterm oral feeding readiness assessment scale. Rev Lat Am Enfermagem 21 Spec No:140-5. English, Portuguese. https://doi.org/10.1590/s0104-11692013000700018
Galván GM, Mendoza SAG (2020) Video fluoroscopic alterations in the mechanics of swallowing in patients with cerebral palsy. Rev Mex Med Fis Rehabil 32(1–2):6–10. https://doi.org/10.35366/98513
Ghomi H, Yadegari F, Soleimani F, Lessen Knoll B, Mhdi Noroozi M, Mazouri A (2019) The effects of premature infant oral motor intervention (PIOMI) on oral feeding of preterm infants: a randomized clinical trial. Int J Pediatr Otorhinolaryngol 120:202–209. https://doi.org/10.1016/j.ijporl.2019.02.005
Grosso E, Cerchiari A, Panella M (2011) Chapter 12: Il percorso diagnostico-terapeutico nella pedofagia. In: Schindler O, Ruoppolo G, Schindler A (eds) Deglutologia, 2nd edn. Omega Publ.
Grzić R, Bakarcić D, Prpić I, Jokić NI, Sasso A, Kovac Z, Lajnert V (2011) Dental health and dental care in children with cerebral palsy. Coll Antropol 35(3):761–764
Hilditch C, Howes A, Dempster N, Keir A (2019) What evidence-based strategies have been shown to improve breastfeeding rates in preterm infants? J Paediatr Child Health 55(8):907–914. https://doi.org/10.1111/jpc.14551
Hwang YS, Lin CH, Coster WJ, Bigsby R, Vergara E (2010) Effectiveness of cheek and jaw support to improve feeding performance of preterm infants. Am J Occup Ther 64:886–894. https://doi.org/10.5014/ajot.2010.09031
Jensen D, Wallace S, Kelsay P (1994) LATCH: a breastfeeding charting system and documentation tool. J Obstet Gynecol Neonatal Nurs 23(1):27–32. https://doi.org/10.1111/j.1552-6909.1994.tb01847.x
Joffe N, Webster F, Shenker N (2019) Support for breastfeeding is an environmental imperative. BMJ 367:l5646. https://doi.org/10.1136/bmj.l5646
Leal-Martínez F, Franco D, Peña-Ruiz A, Castro-Silva F, Escudero-Espinosa AA, Rolón-Lacarrier OG, López-Alarcón M, De León X, Linares-Eslava M, Ibarra A (2020) Effect of a nutritional support system (diet and supplements) for improving gross motor function in cerebral palsy: an exploratory randomized controlled clinical trial. Foods 9(10):1449. https://doi.org/10.3390/foods9101449
Lessen Knoll BS (2012) Premature Infant Oral Motor Intervention (PIOMI) translating interventional research into interdisciplinary practice. In: 15th National Academy of Neonatal Nurses: Mother Baby Conference, Chicago, USA
Lipchock SV, Reed DR, Mennella JA (2011) The gustatory and olfactory systems during infancy: implications for development of feeding behaviors in the high-risk neonate. Clin Perinatol 38(4):627–641. https://doi.org/10.1016/j.clp.2011.08.008
Maastrup R, Rom AL, Walloee S, Sandfeld HB, Kronborg H (2021) Improved exclusive breastfeeding rates in preterm infants after a neonatal nurse training program focusing on six breastfeeding-supportive clinical practices. PLoS One 16(2):e0245273. https://doi.org/10.1371/journal.pone.0245273
Maiya A, Shetty YR, Rai K, Padmanabhan V, Hegde AM (2015) Use of different oral hygiene strategies in children with cerebral palsy: a comparative study. J Int Soc Prev Community Dent 5(5):389–393. https://doi.org/10.4103/2231-0762.165925
Majoli M, Artuso I, Serveli S, Panella M, Calevo MG, Ramenghi A (2021a) A key developmental step for preterm babies: achievement of full oral feeding. J Matern Fetal Neonatal Med. 2021 Feb.;34(4):519-525, https://doi.org/10.1080/14767058.2019.1610733
Majoli M, De Angelis LC, Panella M et al. (2021b) Parent-Administered Oral Stimulation in Pre-term Infants: a Randomized, Controlled, Open-Label Pilot Study. Am. J of Perinatology 2021 Jun., https://doi.org/10.1055/s-0041-1731452
McClure V (2017) Infant Massage: a handbook for loving parents, 4th edn. Bantam Pub.
McFadden A, Gavine A, Renfrew MJ, Wade A, Buchanan P, Taylor JL, Veitch E, Rennie AM, Crowther SA, Neiman S, MacGillivray S (2017) Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database Syst Rev 2(2):CD001141. https://doi.org/10.1002/14651858.CD001141
Molinaro A, Fedrizzi E, Calza S, Pagliano E, Jessica G, Fazzi E, GIPCI Study Group (2017) Family-centred care for children and young people with cerebral palsy: results from an Italian multicenter observational study. Child Care Health Dev 2017(43):463–625. https://doi.org/10.1111/cch.12449
Morris SE, Klein MD (1987) Pre-feeding skills. Therapy Skills Builders
Nyqvist KH, Rubertsson C, Ewald U, Sjödén PO (1996) Development of the Preterm Infant Breastfeeding Behavior Scale (PIBBS): a study of nurse-mother agreement. J Hum Lact 12(3):207–219. https://doi.org/10.1177/089033449601200318
Parkes J, Hill N, Platt MJ, Donnelly C (2010) Oromotor dysfunction and communication impairments in children with cerebral palsy: a register study. Dev Med Child Neurol 52:1113–1119. https://doi.org/10.1111/j.1469-8749.2010.03765.x
Ramella B, Panella M (2011) Pedofagia: quale il ruolo del caregiver? In: Raimondo S, Accornero A, RossettoT (eds) Logopedia e Disfagia. Carrocci Faber ed.
Rempel G (2015) The importance of good nutrition in children with cerebral palsy. Phys Med Rehabil Clin N Am 26(1):39–56. https://doi.org/10.1016/j.pmr.2014.09.001
Ross ES, Philbin MK (2011) Supporting oral feeding in fragile infants: an evidence-based method for quality bottle-feedings of preterm, ill, and fragile infants. J Perinat Neonatal Nurs 25(4):349–57; quiz 358–359. https://doi.org/10.1097/JPN.0b013e318234ac7a
Schindler O, Ruoppolo G, Schindler A (2011) Deglutologia, 2nd edn. Omega Publ., Torino
Sellers D, Mandy A, Pennington L, Hankins M, Morris C (2014) Development and reliability of a system to classify the eating and drinking ability of people with cerebral palsy. Dev Med Child Neurol 56:245–251. https://doi.org/10.1111/dmcn.12352
Sellers D, Pennington L, Bryant L, Benfer K, Weir K, Morris C (2019) Mini-EDACS: Eating and Drinking Ability Classification System for young children with cerebral palsy. In: Ann. Meeting Europ. Acad. of Childhood Disability (EACD), 31st EACD Conf., 23–25 May 2019, Paris
Setaro AM, Fedrizzi E (2016) Paralisi Cerebrale Infantile- Cosa i genitori vogliono sapere. Fondazione Mariani, Milano, p 80
Sitton M, Arvedson J, Visotcky A, Braun N, Kerschner J, Tarima S, Brown D (2011) Fiberoptic endoscopic evaluation of swallowing in children: feeding outcomes related to diagnostic groups and endoscopic findings. Int J Pediatr Otorhinolaryngol. 2011 Aug;75(8):1024-31, https://doi.org/10.1016/j.ijporl.2011.05.010
Van Hulst K (2019) Oral Motor Performance in children with neurodevelopmental disabilities—about dysphagia and drooling. ISBN: 978-90-9032176-9, ProefschriftMaken.nl
WHO (World Health Organization (2007) The International Classification of Functioning, Disability and Health; children and youth version (ICF CY), Geneva, World Health Organization
Winstock A (2019) Eating and drinking difficulties in children. Routledge Publ., USA
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Panella, M. (2022). Feeding and Dysphagia in Children with Cerebral Palsy. In: Giannoni, P., Zerbino, L. (eds) Cerebral Palsy. Springer, Cham. https://doi.org/10.1007/978-3-030-85619-9_10
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