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Accompanying Conditions  Article
Role of the Speech-Language Pathologist in Paediatric Feeding and Swallowing Helen Bernstein, M.Cl.Sc., SLP Bonnie Pomeroy Arenes, M.Cl.Sc., SLP The Speech-Language Pathologist (SLP) will examine the child's ability to safely manage liquids and foods during feeding, assess the strength and movement of the muscles involved in feeding, and provide suggestions or strategies to improve the child's ability to suck, chew, or swallow. Sensory difficulties related to feeding may include reduced or increased sensitivity to texture, taste, and temperature. Examples of diagnoses that may be seen with sensory feeding difficulties include, Autism Spectrum Disorder, Down Syndrome, and those with Developmental Apraxia of Speech. Children who have had negative experiences associated with the oral cavity such as children fed by tube, those who have had head or neck surgery, and those with Gastroesophageal Reflux may also demonstrate feeding sensitivities. Suggestions may be given to introduce or expand upon the child's oral experiences, and increase their ability to tolerate touch and sensation in and around the mouth. Initial suggestions would involve non-food related activities with a gradual progression to activities related to food and eating. The SLP may assist children who have difficulty coordinating the oral muscles during the feeding process (e.g., sucking, swallowing, breathing, chewing). When there is any impairment in this process, a child may be at risk for aspiration (i.e., food or liquid entering the lungs). Chronic or long-term aspiration may be seen in children with frequent colds, bronchitis, pneumonia, and upper respiratory infections. Children suspected of aspirating should also be referred for a videofluoroscopic evaluation to further assess the child's ability to swallow safely. The SLP often works in conjunction with other professionals involved in the child's care to provide a comprehensive feeding assessment. These professionals may include a Physician, Registered Dietitian, Occupational Therapist, Physiotherapist, and an Early Interventionist. |
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Speechville Express is a resource for families, educators, and medical professionals, offering information about language development in children, helping those who care for toddlers and young children who are late talkers, and connecting you with others who have been down this road. Language disorders and communication impairments included are apraxia, stuttering, pervasive developmental disorder, dysarthria, and aphasia, among others.
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Last updated: Tuesday, Aug 26th 2008
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