Videofluoroscopy in the assessment of feeding disorders of children with neurological problems.
A multidisciplinary assessment, including videofluoroscopy, was carried out on 14 children with feeding difficulties associated with neurological problems. Recommendations were made on all aspects of feeding and the trunk position was changed for half of the patients. A later interview with the parents confirmed that the recommendations had been helpful. The optimum trunk position for feeding was determined during videofluoroscopy by positioning the patient in the erect or reclined position, and also by analysis of relative difficulties during the oral and pharyngeal phases of swallowing. Those with difficulties mainly in the oral phase fed best in the reclined position; those with difficulties mainly in the pharyngeal phase fed best in the erect position, particularly if they had upper-oesophageal sphincter spasm in association with a tonic labyrinthine reflex.
Centre for Child Development, Derbyshire Royal Infirmary, Derby.
R E
RE
Morton
R
R
Bonas
B
B
Fourie
J
J
Minford
D000293:Adolescent; D001466:Barium Sulfate; D002648:Child; D002675:Child, Preschool; D003680:Deglutition Disorders / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000534:rehabilitation; D004435:Eating / Q000502:physiology*; D005260:Female; D005471:Fluoroscopy / Q000379:methods*; D006801:Humans; D001239:Inhalation; D008297:Male; D009422:Nervous System Diseases / Q000503:physiopathology* / Q000534:rehabilitation; D011187:Posture; D014743:Videotape Recording
D001466:Barium Sulfate