Document Detail

Reducing tube feeds and tongue thrust: combining an oral-motor and behavioral approach to feeding.
MedLine Citation:
PMID:  17685170     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: A treatment package combining oral-motor and behavioral interventions was implemented for a 6-year-old girl with Down syndrome referred to an intensive day treatment feeding program for gastrostomy tube dependence and food refusal. The participant exhibited a tongue thrust, resulting in the expulsion of all foods presented.
METHOD: An oral-motor procedure was used to reduce the tongue thrust and allow the food to be swallowed. This procedure was paired with positive reinforcement and escape prevention to increase oral consumption of liquids and solids. A multiple-probe design was used to evaluate treatment effectiveness.
RESULTS: By the end of treatment, tube feedings were eliminated and tongue thrust was significantly reduced.
CONCLUSION: This intervention demonstrated the successful combination of oral-motor and behavioral components in the treatment of a severe feeding problem. It could serve as a model for the development of future interventions.
Bridget G Gibbons; Keith E Williams; Katherine E Riegel
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of occupational therapy : official publication of the American Occupational Therapy Association     Volume:  61     ISSN:  0272-9490     ISO Abbreviation:  Am J Occup Ther     Publication Date:    2007 Jul-Aug
Date Detail:
Created Date:  2007-08-09     Completed Date:  2007-08-21     Revised Date:  2012-08-27    
Medline Journal Info:
Nlm Unique ID:  7705978     Medline TA:  Am J Occup Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  384-91     Citation Subset:  IM    
Kennedy Krieger Institute, Baltimore, MD, USA.
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MeSH Terms
Down Syndrome / complications
Enteral Nutrition
Feeding and Eating Disorders of Childhood / etiology,  rehabilitation*
Occupational Therapy / methods*
Tongue Habits / adverse effects*

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