Document Detail


Oral-motor dysfunction and feeding problems in infants with myelodysplasia.
MedLine Citation:
PMID:  9689246     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Oral motor function and feeding problems have received little attention in infants with myelomeningocele (MMC). We compared objective video assessments of oral motor skills, diet and feeding function of 20 infants (aged 6 months) with MMC, with data from 20, age, gender, and socioeconomically matched healthy infants using the Feeding Assessment Schedule (FAS), Feeding Environment Check (FEC), Tester's Ratings of Infant Behaviour (TRIB), an Infant Feeding Questionnaire (IFQ), and a 24 hour dietary analysis (DQA). MMC infants had significant feeding difficulty, related to sensory motor integration problems such as hypotonicity, positioning, and hand function. Despite these problems, there was minimal behavioural disruption in infants with MMC and their mothers experienced no marked food aversion or negative feeding experiences. MMC infants consumed feedings which were significantly lower in energy than controls, with possible imbalance of other nutrients. These studies indicate that compared with healthy infants MMC infants have significantly altered oral motor function which we speculate could be early features of the Chiari II malformation. The dietary changes may reflect altered energy requirement. Early identification and management of feeding problems associated with this condition is emphasized.
Authors:
B A Mathisen; K Shepherd
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Pediatric rehabilitation     Volume:  1     ISSN:  1363-8491     ISO Abbreviation:  Pediatr Rehabil     Publication Date:    1997 Apr-Jun
Date Detail:
Created Date:  1998-08-14     Completed Date:  1998-08-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9709256     Medline TA:  Pediatr Rehabil     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  117-22     Citation Subset:  IM    
Affiliation:
Department of Rehabilitation Medicine, Royal Children's Hospital, Herston, Queensland, Australia.
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MeSH Terms
Descriptor/Qualifier:
Arnold-Chiari Malformation / physiopathology
Case-Control Studies
Diet
Eating / physiology*
Energy Intake
Energy Metabolism
Environment
Feeding Behavior
Female
Hand / physiology
Humans
Infant
Infant Behavior / physiology*
Infant Food
Male
Meningomyelocele / physiopathology*
Mother-Child Relations
Motor Skills / physiology*
Mouth / physiology*
Muscle Hypotonia / physiopathology
Posture / physiology
Psychomotor Performance / physiology
Questionnaires
Socioeconomic Factors
Videotape Recording

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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