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Evidence-based systematic review: effects of oral motor interventions on feeding and swallowing in preterm infants.
MedLine Citation:
PMID:  20622046     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
PURPOSE: To conduct an evidence-based systematic review and provide an estimate of the effects of oral motor interventions (OMIs) on feeding/swallowing outcomes (both physiological and functional) and pulmonary health in preterm infants.
METHOD: A systematic search of the literature published from 1960 to 2007 was conducted. Articles meeting the selection criteria were appraised by 2 reviewers and vetted by a 3rd for methodological quality.
RESULTS: Twelve studies were included and focused on 3 OMIs-nonnutritive sucking (NNS), oral/perioral stimulation, and NNS plus oral/perioral stimulation. Six studies addressed the effects of OMI on the feeding/swallowing physiology outcomes of feeding efficiency or sucking pressures. Ten studies addressed the functional feeding/swallowing outcomes of oral feeding or weight gain/growth. No studies reported data on pulmonary health. Methodological quality varied greatly. NNS alone and with oral/perioral stimulation showed strong positive findings for improvement in some feeding/swallowing physiology variables and for reducing transition time to oral feeding. Prefeeding stimulation showed equivocal results across the targeted outcomes. None of the OMIs provided consistent positive results on weight gain/growth.
CONCLUSIONS: Although some OMIs show promise for enhancing feeding/swallowing in preterm infants, methodological limitations and variations in results across studies warrant careful consideration of their clinical use.
Authors:
Joan Arvedson; Heather Clark; Cathy Lazarus; Tracy Schooling; Tobi Frymark
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-07-09
Journal Detail:
Title:  American journal of speech-language pathology / American Speech-Language-Hearing Association     Volume:  19     ISSN:  1558-9110     ISO Abbreviation:  Am J Speech Lang Pathol     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114726     Medline TA:  Am J Speech Lang Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  321-40     Citation Subset:  IM    
Affiliation:
Children’s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, USA.
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