Archives

Outcomes for Feeding Tube-Dependent Children With Oral Aversion in an Intensive Interdisciplinary Treatment Program (2020)

January 16, 2022 by Megan Berg.
Design/Methods/Participants: Subjects for this study were attending the intensive feeding program at Helen DeVos Children’s Hospital. Inclusion criteria established for this study required that subjects receive more than 90% of daily caloric intake via an NG-tube (nasogastric) or a G-tube (gastronomy) with limited oral intake (less than 60 g). After eliminating ineligible candidates for the […]
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Clinical Feeding Examination With Cervical Auscultation for Detecting Oropharyngeal Aspiration: A Systematic Review of the Evidence (2019)

January 16, 2022 by Megan Berg.
Search Methods: An online search was conducted using a variety of electronic databases. The authors set inclusion criteria to studies 1) with children, 2) comparing dysphagia exams using cervical auscultation to VFSS/FEES, 3) with a variety of feeding disorders, and 4) all studies types in English. With regards to data analysis, the primary outcome “for […]
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Pediatric Dysphagia: Physiology, Assessment, and Management (2015)

January 16, 2022 by Megan Berg.
Normal Swallowing – Children with normal swallow physiology have typical phases of the swallow including the oral phase, swallow reflex, pharyngeal phase, and esophageal phase. These phases are “reflexive and voluntary,” but as infants grow, the oral phase becomes more voluntary. Typically developing children have adequate mastication which has 1) “appropriate sensory registration of the […]
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Atypical Swallowing, a Review (2014)

January 16, 2022 by Megan Berg.
An online search was conducted on Pubmed Medline electronic database, resulting in 82 articles total. The authors encountered issues during their search, as “atypical swallowing” appeared to be too broad of a term; they decided it would have been more helpful to use the term “tongue thrust.” The goal of the review is to see […]
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Impact of Ontogeny, Genetics, and Early Experiences (2016)

January 16, 2022 by Megan Berg.
Throughout the article, the authors share and discuss several facts about taste development during childhood, and how taste preferences ultimately determine food preferences. Salt and sweet tastes are the most desired during childhood, with bitter taste having the most variance among individuals and usually rejected by infants and children. The authors give the example of […]
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Patient or Proxy-Reported Validated Instruments for Assessing Pediatric Dysphagia (2016)

January 16, 2022 by Megan Berg.
Description of Search Methods: This systematic review was initiated through extensive online searches using a variety of electronic databases. The articles were required to have studied assessments of dysphagia symptoms, subjects under 18, been written in English, and have at least 2 or more subjects. After rigorous review of online search results, the authors chose […]
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Psychometric Characteristics of Non-Instrumental Swallowing and Feeding Assessments in Pediatrics (2017)

January 16, 2022 by Megan Berg.
Description of Search Methods: An online search was conducted on Medline and Embase to retrieve articles discussing the psychometric characteristics of the 22 specific assessments reviewed by Heckathorn. The articles must have had to analyze one or more of the characteristics. Inclusion criteria were assessments had to have 50% or more items about swallowing/feeding, ages […]
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Neonatal Noninvasive Respiratory Support and Feeding (2017)

January 16, 2022 by Megan Berg.
Description of Search Method: The authors conducted an online search on PubMed on 3/1/17. The articles searched must have been RCTs or quasi-randomized trials, case- controlled trials, or treatment crossover trials, and published since 1990. Short-term outcomes included instrumental evaluation/imaging (e.g., MBS, FEES) and PO-related respiratory illness; long-term outcomes included duration of respiratory support, age, […]
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Oral Sensory Motor Intervention for Children with Secondary Dysphagia (2016)

January 16, 2022 by Megan Berg.
Description of Method: The authors of this study established the following inclusion criteria in their comprehensive search on this topic: articles must have been published between 2000-2016 and in peer-reviewed journals, ages should be 3-adulthood, subjects must have official diagnosis of congenital/developmental disability, and subjects must have a secondary issue of dysphagia, drooling, or oral […]
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A Sensory-Motor Approach to Feeding (2011)

January 16, 2022 by Megan Berg.
Case History: This subject of this study was a 2-year old female with the diagnosis of Down syndrome. The author describes the child’s medical history with complications including premature birth, bronchiopulmonary dysplasia, and neutropenia. From birth, she was fed via IV, then OG feeds, then NG feeds, and finally a G-tube. It was reported that […]
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