Category Archives: Feeding Therapy

Understand feeding therapy tools and approaches that support oral motor skill development, promote safe swallowing, and build positive mealtime experiences for all ages.

Increasing Awareness of Pediatric Feeding Disorder

Feeding Therapy,

Pediatric Feeding Disorder (PFD) presents significant challenges for children and their
families; raising awareness about PFD is crucial for early diagnosis and intervention, ensuring that children receive the appropriate care and support. This disorder can affect a child’s ability to eat and drink, impacting their nutrition, growth, and overall development. It is defined as “impaired oral intake that is not age-appropriate, associated with medical, nutritional, feeding skill, and/or psychosocial dysfunction.” Studies show that in the United States, PFD affects more than 1 in 37 children under the age of 5. The American Occupational Therapy Association (AOTA) and Feeding Matters have been at the forefront of these efforts, working collaboratively to enhance understanding and recognition of PFD.

Understanding Pediatric Feeding Disorder

Pediatric feeding disorders encompass a broad range of difficulties related to eating and
drinking. These can include medical, nutritional, feeding skill-based, and psychosocial
aspects. Common symptoms may include difficulty with sucking, chewing, or
swallowing, aversion to certain textures or foods, and disruptive mealtime behaviors.
Early identification and intervention are essential to prevent long-term consequences,
such as malnutrition, growth delays, and social-emotional issues.

The Role of AOTA in Addressing Pediatric Feeding Disorder

The American Occupational Therapy Association (AOTA) plays a vital role in promoting
the role of occupational therapy in the assessment and treatment of Pediatric Feeding Disorder. Occupational therapists are uniquely equipped to address the complex interplay of physical, sensory, and psychosocial factors involved in feeding disorders. Through education, advocacy, and research, AOTA supports occupational therapists in providing evidence-based interventions to improve feeding outcomes for children.

Key Initiatives by AOTA:

  • Educational Resources: AOTA offers comprehensive resources and continuing education opportunities for occupational therapists to stay updated on the latest research and best practices in pediatric feeding.
  • Advocacy: AOTA advocates for policies and practices that support early identification and intervention for PFD, emphasizing the importance of interdisciplinary collaboration.
  • Research: AOTA promotes research in the field of pediatric feeding, encouraging the development of innovative assessment tools and intervention strategies.

Feeding Matters: A Leading Voice in Pediatric Feeding Disorder Advocacy

Feeding Matters is a nonprofit organization dedicated to advancing the understanding
and treatment of pediatric feeding disorders. Founded by parents of children with PFDs
Feeding Matters aims to provide support, education, and resources to families and
professionals alike. The organization works tirelessly to create a world where children
with feeding disorders thrive.

Key Contributions by Feeding Matters:

  • Educational Programs: Feeding Matters offers a range of educational programs for parents, caregivers, and healthcare professionals to increase awareness and understanding of PFD.
  • Support Networks: The organization provides support groups and resources for families, fostering a sense of community and shared experiences.
  • Research and Advocacy: Feeding Matters collaborates with researchers and advocates for policy changes to improve the diagnosis and treatment of PFD. For example, they have worked effectively to develop the Feeding Matters Infant and Child Feeding Questionnaire (ICFQ) – an age-specific tool designed to identify potential feeding concerns and facilitate discussion among the child’s healthcare team. It was designed by a group of internationally esteemed contributing authors including occupational therapists, speech-language pathologists, physicians, dietitians, and more.

Collaborative Efforts: AOTA and Feeding Matters

The collaboration between AOTA and Feeding Matters has been instrumental in raising
awareness and improving the diagnosis and treatment of PFD. By combining the
expertise and resources of both organizations, they have made significant strides in
addressing the challenges faced by children with feeding disorders.
Joint Initiatives:

  • Public Awareness Campaigns: AOTA and Feeding Matters have launched joint campaigns to educate the public and healthcare professionals about the signs and symptoms of PFD, emphasizing the importance of early intervention.
  • Interdisciplinary Conferences: Both organizations co-host conferences and workshops that bring together experts from various fields, including occupational therapy, speech-language pathology, nutrition, and psychology, to share knowledge and best practices.
  • Research Collaboration: AOTA and Feeding Matters support and fund research projects aimed at developing innovative approaches to the assessment and treatment of PFD.

The collaborative efforts of AOTA and Feeding Matters have significantly advanced the awareness, diagnosis, and treatment of pediatric feeding disorders. By promoting education, advocacy, and research, these organizations ensure that children with PFD receive the comprehensive care they need to thrive. Continued collaboration and support from the broader healthcare community are essential to furthering these efforts and improving outcomes for children and families affected by feeding disorders.

Check out these important feeding resources that Therapro offers for your personal
library.

Raising a Healthy, Happy Eater
Just Take a Bite
Nobody Told Me (or My Mother) That!
Pediatric Feeding Disorders

Gust Blogger: Filomena Connor, MSOT – Retired

ezpz Mini Feeding Set

Facilitation of Feeding Skill Development

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Feeding specialists must select appropriate tools when facilitating feeding skill development. There are a myriad of materials available that make it challenging for therapists to select the tools that match the needs of their pediatric clients. Therapro is always in quest of useful, practical, and therapeutic oral-motor and feeding tools that will promote feeding skill development. Innovative designs are widely available to therapists and families for utensils, cups, and oral tools that are conceived to help advance oral development and feeding skills. We’ve reviewed extensively what is available to therapists and families, and are able to offer these new items from ezpz with our stamp of approval. All materials used are safe and a breeze to clean.

ezpz Oral Development Tools used for Facilitating early Feeding Skill Development

Oral Development: Oral Development Tools are designed to provide oral sensorimotor input for babies and youngsters who are beginning to explore their mouths. The 3 tools (loop, smile, and stick) are easy to grasp and provide smooth and textured surfaces. They can be used without food to explore oral movement for pre-speech activities, provide oral sensation, and can also be dipped in liquids and graded food textures to facilitate oral motor skills of the lips, tongue, jaw, and cheeks. The Oral Development Tools are a great tool for facilitating early feeding skill development.

The ezpz Developmental Utensil Set

Utensils: The Developmental Utensil Set consists of utensils for infants age 4 months+ called Tiny Spoons; Mini Utensils (fork and spoon) for infants age 12 months; and Happy Utensils (fork, spoon, and knife) for children 2 years+. The entire set consists of 7 utensils that can be used as the child’s feeding skills develop.  The Happy Utensils are available as a separate set that encourage safe and successful self feeding. These utensils are a great tool for facilitating the development of scooping, piercing, spreading and cutting needed for successful self feeding.

Developmental Cup Set

Cups: The Developmental Cup Set is a developmental training system for teaching cup and straw drinking skills. It introduces open cup drinking for infants 4 months+ using a Tiny Cup (2 oz). The Mini Cup and Straw Training System is the next level with a 4 oz cup, screw on lid and flexible, durable straw for infants 9 months+. For the older toddler (2 years+), the Happy Cup and Straw System consists of an 8 oz cup with screw on lid and flexible, durable straw. The system promotes oral skills including lip closure, lip rounding, tongue cupping and elevation. All 3 of the cups are available individually as well as in the set.

These ezpz tools are a great resource for facilitating feeding skill development. You will be able to examine and try out these new products and many more when you visit Therapro’s exhibit at the ASHA Conference in Boston on November 16-18. We’ll see you then!

Guest Blogger: Filomena Connor, MSOTR, Retired

Oral Motor Treatment Strategies: Part 1

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On Tuesday night, Therapro was pleased to host a highly attended webinar presented by Dr. Kate Barlow, focusing on Oral Motor Treatment and Feeding strategies. This blog is part of a multi-post series that explores key points from Dr. Barlow’s webinar. In this entry, we specifically highlight treatment strategies related to feeding.

Dr. Barlow is an Assistant Professor at American International College. She is also the current ambassador for the CDC’s Learn the Signs Act Early program for the state of Massachusetts. She has over 20 years of clinical experience, including public school practice, early intervention, and a pediatric hospital-based outpatient clinic, as well as management. Dr. Barlow’s passion is in global outreach; she founded the International Interprofessional Mentorship Program that currently provides mentorship to over 100 therapists in developing countries in Africa and South America.

Dr. Barlow’s extensive knowledge in this area was evident as she seamlessly broke down this complex topic into manageable bits of information. Dr. Barlow set out with the main objectives of providing viewers with specific intervention strategies for oral motor deficits and relaying the importance of screening all children for feeding difficulties. As one viewer stated:

“This was one of the best courses I’ve taken in a long time. The instructor was knowledgeable with practical assessment and treatment strategies that I can even use in collaboration with SLPs. So many OTs are intimidated to address feeding, especially in the school setting, but I think it is so important!” -LB

Viewers left with some great take-aways that we will recap in this post:

1. Guidelines for making food recommendations. 

2. The importance of enjoying food.

3. All children should be screened for feeding disorders.

Guidelines for Making Food Recommendations. Match food choice with skill level. When Dr. Barlow discussed guidelines for recommending appropriate food choices, she stated simply  “look at the child in front of you and where they are developmentally.” This bit of advice was a great reminder for new and experienced therapists alike; a child’s skill level isn’t necessarily defined by their age. Dr. Barlow highlighted this further by showing that the development of circular rotary chew could occur on a widely varied timeline, anywhere between 18 to 36 months! 

The Importance of Enjoying Food.  Another important takeaway from Dr. Barlow’s webinar was the importance of enjoying food. She spoke passionately about the importance of understanding underlying medical problems when addressing feeding difficulties. Dr. Barlow explained that behavioral problems around eating can often be addressed when the feeding difficulty is appropriately treated. Another point she raised is the importance of a child being included at the family table. She stressed the importance of this inclusion, in whatever capacity the child is capable (even if it meant that they were just sucking on a lollipop), because the mealtime experience is an important cultural ritual.    

All Children Should Be Screened for Feeding Disorders.  A third take away from Dr. Barlow’s webinar was the importance of screening all children for feeding difficulties regardless of why that child is on your caseload.  She highlighted the prevalence of feeding difficulties as a key factor in this; I was struck by how prevalent feeding difficulties are even in typically developing children.  Dr. Barlow cited research indicating feeding difficulties are present in one in four typically developing children. In children with developmental disabilities and cerebral palsy, the prevalence is significantly greater.  With this information, I found myself reflecting on all that I knew about the role of nutrition in supporting optimal behavior for participation.  The concept of screening all children for feeding difficulties truly makes sense when considering the prevalence of feeding difficulties and the role that nutrition plays in a child’s ability to attend and participate in all of their daily activities.  

Pediatric Feeding Disorders: Evaluation and Treatment

A great resource for information on oral motor and feeding treatment is a book published by Therapro: Pediatric Feeding Disorders Evaluation and Treatment.  It covers topics ranging from the progression of feeding development, to the role of the gastrointestinal system in feeding difficulties, to the evaluation of feeding difficulties, along with a broad range of other feeding topics!  Stay tuned for future blog posts where we continue our review of Dr. Barlow’s webinar, exploring her tips and suggestions for screening pediatric feeding difficulties as well as some of her great treatment strategies!