CLINICAL TOPICS

Pediatric Dysphagia

Overview

Incidence and Prevalence

Signs and Symptoms

Causes

Roles and Responsibilities

Assessment

Treatment

Resources

References

American Speech-Language-Hearing Association. (2004).Medicaid guidance for speech-language pathology services: Addressing the "under the direction of" rule [Position statement]. Available from www.asha.org/policy.

American Speech-Language-Hearing Association. (2007). Scope of practice in speech-language pathology [Scope of Practice]. Available from www.asha.org/policy.

American Speech-Language-Hearing Association. (2010). Code of ethics [Ethics]. Available from www.asha.org/policy.

Arvedson, J.C. (1998). Management of pediatric dysphagia. Dysphagia in Children, Adults, and Geriatrics, 31, 453-476.

Arvedson, J. C. (2008). Assessment of pediatric dysphagia and feeding disorders: Clinical and instrumental approaches. Developmental Disabilities Research Reviews, 14, 118-127.

Arvedson, J., Clark, H., Lazarus, C., Schooling, T., & Frymark, T. (2010). Evidence-based systematic review: Effects of oral motor interventions on feeding and swallowing in preterm infants. American Journal of Speech-Language Pathology, 19, 321-340.

Arvedson, J. C., & Lefton-Greif, M. A. (1998). Pediatric videofluoroscopic swallow studies: A professional manual with caregiver guidelines. San Antonio, TX: Communication Skill Builders.

Beckett, C. M., Bredenkamp, D., Castle, J., Groothues, C., O'Connor T. G., Rutter, M., et al (2002). Behavior patterns associated with institutional deprivation: A study of children adopted from Romania. Journal of Developmental and Behavioral Pediatrics, 23(5), 297-303.

Bernard-Bonnin, A. (2006). Feeding problems in infants and toddlers. Canadian Family Physician, 52, 1247-1251.

Bessell, A., Hooper, L., Shaw, W.C., Reilly, S., Reid, J., & Glenny, A.M. (2011). Feeding Interventions for Growth and Development in Infants with Cleft Lip, Cleft Palate or Cleft Lip and Palate. Cochrane Database Syst Rev, 2.

Brackett, K., Arvedson, J. C., & Manno, C. J. (2006). Pediatric feeding and swallowing disorders: General assessment and intervention.Perspectives on Swallowing and Swallowing Disorders (Dysphagia), 15(3), 10-14.

Burklow, K. A., Phelps, A. N., Schultz, J. R., McConnell, K., & Rudolph, K. (1998). Classifying complex pediatric feeding disorders.Journal of Pediatric Gastroenterology & Nutrition, 27(2), 143-147.

Collins, C. T., Makrides, M., Gillis, J., & McPhee, A. J. (2008). Avoidance of bottles during the establishment of breast feeds in preterm infants.Cochrane Database Syst Rev, 4.

Da Costa, S. P., van den Engel-hoek, L., & Bos, A. F. (2008). Sucking and swallowing in infants and diagnostic tools. Journal of Perinatology,28(4), 247-257.

Davis-McFarland, E. (2008). Family and cultural issues in a school swallowing and feeding program. Language, Speech, and Hearing Services in Schools, 39, 199-213.

Flint, A., New, K., & Davies, M. W. (2007). Cup feeding versus other forms of supplemental enteral feeding for newborn infants unable to fully breastfeed. Cochrane Database of Systematic Reviews, 2.

Gisel, E. G., Applegate-Ferrante, T., Benson, J., & Bosma, J. F. (1996). Positioning for infants and children for videofluoroscopic swallowing function studies. Infants and Young Children, 8, 58-64.

Gosa, M., Schooling, T., & Coleman, J. (2011). Thickened liquids as a treatment for children with dysphagia and associated adverse effects: a systematic review. ICAN: Infant, Child, & Adolescent Nutrition, 3(6), 344-350.

Huckabee, M. L., & Pelletier, C. A. (1999). Management of adult neurogenic dysphagia. San Diego, CA: Singular.

Homer, E., Beauxis, N., & Fish-Finnigan, A. (2003). Treatment of dysphagia in the schools: Three case studies.Perspectives on Swallowing and Swallowing Disorders (Dysphagia), 12(1), 20-26.

Hull, J., Aniapravan, R., Chan, E., Chatwin, M., Forton, J., Gallagher, J., et al. (2012). British thoracic society guideline for respiratory management of children with neuromuscular weakness. Thorax, 67, Supplement 1, i1-40.

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Leder, S. B., Baker, K. E., & Goodman, T. R. (2010). Dysphagia testing and aspiration status in medically stable infants requiring mechanical ventilation via tracheotomy*. Pediatric Critical Care Medicine, 11(4), 484-487.

Lefton-Greif, M. (2008). Pediatric dysphagia. Physical Medicine and Rehabilitation Clinics of North America, 19, 837-851.

Linscheid, T. R. (2006). Behavioral treatments for pediatric feeding disorders. Behavior Modification, 30(1), 6-23.

Logemann, J. A. (1998). Evaluation and treatment of swallowing disorders (2nd ed.). Austin, TX: Pro-Ed.

Logemann., J.A. (2000). Therapy for children with swallowing disorders in the educational setting.Language, Speech, and Hearing Services in Schools, 31, 50-55.

MAMI (Management of Acute Malnutrition in Infants. Funded by UNICEF-led IASC Nutrition Cluster. (n.d.). Project reports available from http://www.ennonline.net/research/mami

Mandich, M. B., Ritchie, S. K., & Mullett, M. (1996). Transition times to oral feeding in premature infants with and without apnea.Journal of Obstetric, Gynecologic, & Neonatal Nursing, 25, 771-776.

Mahant, S., Jovcevska, V., & Cohen, E. (2011). Decision-making around gastrostomy-feeding in children with neurologic disabilities. Pediatrics , 127(6), 1471-1481.

Manikam, R., & Perman, J. A. (2000). Pediatric feeding disorders. Journal of Clinical Gastroenterology, 30(1), 34-46.

McCain, G. C. (1997). Behavioral state activity during nipple feedings for preterm infants. Neonatal Network, 16, 43-47.

Medhurst, A. (2005). Feeding protocols to improve the transition from gavage feeding to oral feeding in healthy premature infants: a systematic review.Evidence in Health Care Reports, 3(1), 1-25.)

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New York State Department of Health, Early Intervention Program. (2006a). Clinical practice guideline: Report of the recommendations. Down syndrome, assessment and intervention for young children (age 0-3 years). Albany, NY: Author.

New York State Department of Health, Early Intervention Program. (2006b).Clinical practice guideline: Report of the recommendations. Motor disorders, assessment and intervention for young children (age 0-3 years). Albany, NY: Author.

New Zealand Guideline Group. (2006). Traumatic brain injury: Diagnosis, acute management, and rehabilitation. Wellington, New Zealand: Author.

Pinelli, J., & Symington, A. (2005). Non-nutritive sucking for promoting physiologic stability and nutrition in preterm infants.Cochrane Database Syst Rev, 4.

U.S. Department of Labor. (n.d.). Rehabilitation Act of 1973, Section 504. Retrieved from www.dol.gov/oasam/regs/statutes/sec504.htm.

Rudolph, C. D., & Link, D. T. (2002). Feeding disorders in infants and children. Pediatric Gastroenterology and Nutrition, 49(1), 97-112 .

Shaker, C. S. (2013a, February 01). Reading the Feeding. The ASHA Leader

Shaker, C. S. (2013b). Cue-based feeding in the NICU: Using the infant's communication as a guide. Neonatal Network, 32(6), 404-408.

Sharp, W. G., Jaquess, D. L., Morton, J. F., & Herzinger, C. V. (2010). Pediatric feeding disorders: a quantitative synthesis of treatment outcomes.Clinical Child & Family Psychology Review, 13(4), 348-365.

Snider, L., Majnemer, A., & Darsaklis (2011). Feeding interventions for children with cerebral palsy: a review of the evidence.Physical & Occupational Therapy in Pediatrics, 31(1), 58-77.

Taylor-Goh, S., ed. (2005). Royal College of Speech and Language Therapists clinical guidelines: 5.8 Disorders of feeding, eating, drinking & swallowing (dysphagia). Bicester, UK: Speechmark Publishing Ltd.

U.S. Food and Drug Administration. (2011). News & events. Retrieved from http://www.fda.gov/NewsEvents/newsroom/PressAnnouncements/ucm256253.htm.

U.S. Food and Drug Administration. (2013). FDA expands caution about simply thick. Retrieved from www.fda.gov/ForConsumers/ConsumerUpdates/ucm256250.htm.

Uzel, A., & Alparslan, Z. N. (2011). Long-Term effects of presurgical infant orthopedics in patients with cleft lip and palate: a systematic review. Cleft Palate-Craniofacial Journal, 48(5), 587-95.

Wilken, M. (2012). The impact of child tube feeding on maternal emotional state and identity: a qualitative meta-analysis. Journal of Pediatric Nursing, 27(3), 248-55.

Additional Resources

Miller, C.K. & Willging, J. P. (2012, April 24). Making every moment count. The ASHA Leader.

Swigert, N. B. (1998). The source for pediatric dysphagia. LinguiSystems.

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