Feeding Therapy Program
Equipment Adaptation Techniques
Adaptive feeding equipment or change in feeding utensils may be used to control bolus size or achieve the optimal flow rate of liquids.
For infants, the selection of the appropriate type of bottle or nipple may promote the coordination of sucking, swallowing, and respiration during feeding.
For older children, spoons of various shapes and sizes can help regulate bolus size and facilitate more effective feeding, particularly in children with oral phase deficits (Arvedson, 1998).
Varied nipples and containers should be tried to find optimal rate of flow. Infants may improve efficiency of nipple feedings with a self-pacing system and vacuum-free bottles; individual differences must always be considered, as exceptions to general principles may be needed.
What's Oral Massage Techniques and Who can benifit ?
Feeding Therapy Techniques
Food Refusal - Is it Oral Motor or Sensory Related ?
Different types of Oral Massage and Why use Oral Massage ?
How to teach Biting and Chewing Skills ?
Gum Massage " Oral Massage Techniques"
Referent : ARK therapeutic
How to teach Develop a Rotary Chewing Pattern ?
EVIDENCE HIGHLIGHT
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The use of cup feeding to supplement breastfeeding does not offer any benefit in maintaining breastfeeding after hospital discharge and may result in a longer hospital stay
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For children with cerebral palsy, "feeding devices many not be useful in enhancing feeding efficiency. However…adapted equipment may serve to enhance certain oral-motor behaviors and increase independence"
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For up to 6-weeks post-surgery for repaired cleft lip in infants, breastfeeding may yield greater weight gain when compared to spoon-feeding
Diet Modification Techniques
Diet modifications consist of altering the viscosity, texture, temperature, or taste of a food or liquid to facilitate safety and ease of swallowing.
Typical modifications may include thickening thin liquids (e.g., breast milk, formula) or softening, chopping, or pureeing solid foods.
Taste or temperature of a food may be altered to provide additional sensory input for swallowing.
Modifications incorporate preferences, to the extent feasible. Consult with families regarding safety of medical treatments, such as swallowing vitamin supplements or drinking thin liquids, which may be contraindicated by disorder. Diet modifications should consider the nutritional needs of the child, and a dietitian should be consulted when appropriate.
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