Specialized knowledge and skills in feeding, eating, and swallowing for occupational therapy practice.

  title={Specialized knowledge and skills in feeding, eating, and swallowing for occupational therapy practice.},
  author={Gloria Frolek Clark and Wendy Avery-Smith and Linda S. Wold and Paige Anthony and Suzanne Elizabeth Holm},
  journal={The American journal of occupational therapy : official publication of the American Occupational Therapy Association},
  volume={61 6},
  • G. ClarkW. Avery-Smith S. Holm
  • Published 1 November 2007
  • Psychology, Medicine
  • The American journal of occupational therapy : official publication of the American Occupational Therapy Association
Occupational therapy’s long-standing expertise in activities of daily living includes involvement in the feeding, eating, and swallowing performance of individuals across the life span (AOTA, 2002). Both occupational therapists and occupational therapy assistants1 provide essential services in the comprehensive management of feeding, eating, and swallowing problems. These problems can be wide ranging and may include physical difficulty (e.g., bringing food to the mouth), processing food in the… 

Feeding and Swallowing

This review is intended to provide you with numerous resources, tools, and research reviews to assist you in your daily practice on feeding, eating, and swallowing.

A study on Comprehensive clinical evaluation of children with feeding disorders

Eating food for a children is not only a matter of eating it, it is also an activity essential for physical, emotional, and mental development. The problems that may arise in these activities include

Pediatric Feeding Disorder in Early Intervention: Expanding Access, Improving Outcomes, and Prioritizing Responsive Feeding

Use of PFD as an automatically qualifying diagnosis for EI programs and use of approved stand-alone feeding-specific assessment tools could establish more consistent and specific eligibility standards for this population, likely expanding early access to support and improving outcomes.

Pediatric Oral Motor Feeding Assessments: A Systematic Review

Overall, psychometric evidence was inconsistent and inadequate for the evaluative tools for pediatric oral motor feeding assessments.

A comparison of the swallowing function and quality of life by oral intake level in stroke patients with dysphagia

Oral intake was positively associated with the swallowing function and quality of life in stroke patients with dysphagia by oral intake level and safe intervention using oral intake treatments during dysphagian rehabilitation may have a positive effect on the patients’ swallow function and QOL.

Physical performance and maximum tongue pressure associated with oral intake independence: a retrospective study on hospitalized patients with heart failure

The MTP was independently associated with improvements in FOIS in patients with heart failure, and the FOIS score at discharge was significantly associated with the MTP.

Psychometric Characteristics of Non-instrumental Swallowing and Feeding Assessments in Pediatrics: A Systematic Review Using COSMIN

Preliminary conclusions could be drawn; the most robust assessment based on current data is the dysphagia disorder survey (DDS), however, further research is needed to provide additional information on all psychometric properties for all assessments.

Critical Review: Who Has a Role in Swallowing?

Overall, the literature suggests that while other healthcare professionals can be trained to screen for dysphagia, SLPs have the most in-depth knowledge, training, rigors standards and guidelines, and should continue to be the primary service providers for swallowing services both independently and in a multidisciplinary team.

Dysphagia Hinders Hospitalized Patients with Heart Failure from Being Discharged to Home.

Evaluating dysphagia and its severity on admission is useful for predicting discharge disposition in patients hospitalized with HF, and it is concluded that dysphAGia hinders patients hospitalizedWith HF from being discharged to home.

The Occupational Performance Measure of Food Activities: Item Pool Development and Measurement Properties

The first item pool that measures community-living older adults' occupational performance of food activities showed promising validity and reliability and good utility, and occupational therapists are cautioned against modifying existing measurement tools without thorough testing of the resulting new measure of occupational performance.



Feeding Disorders in Children With Developmental Disabilities

Children with cognitive and adaptive disabilities are at increased risk for developing feeding difficulties and secondary nutritional deficiencies. Problems such as poor oral-motor coordination,

Feeding method and health outcomes of children with cerebral palsy.

  • B. Rogers
  • Medicine, Psychology
    The Journal of pediatrics
  • 2004

A global perspective on feeding assessment in the neonatal intensive care unit.

  • R. GlassL. Wolf
  • Medicine, Psychology
    The American journal of occupational therapy : official publication of the American Occupational Therapy Association
  • 1994
An overview of a comprehensive assessment that occupational therapists may use when providing service to infants in the neonatal intensive care unit (NICU) is provided.

Swallowing therapy of neurologic patients: Correlation of outcome with pretreatment variables and therapeutic methods

Swallowing therapy is associated with successful outcome, as defined by exclusively oral feeding, among patients with neurogenic dysphagia, regardless of pretreatment variables including time since disease onset.

Dysphagia—Ingestion or Deglutition?: A Proposed Paradigm

This work offers a more inclusive strategy for investigating dysphagia based on a five-stage process of ingestion: pre-oral (anticipatory), preparatory, lingual, pharyngeal, and esophageal; and the neurophysiologic and clinical justifications for embracing a pre- oral stage, and thus for the paradigm shift from deglutition to ingestion.

Feeding Behaviors and Other Motor Development in Healthy Children (2–24 Months)

Monitoring infant’s gross, fine and oral motor development patterns related to feeding occurred within expected age ranges associated with normal development, however, mothers reported that individual children exhibited a wide age range for achieving these behaviors.

Swallowing therapy with neurologic patients: Results of direct and indirect therapy methods in 66 patients suffering from neurological disorders

The findings suggest that swallowing therapy is effective for patients with neurological disorders.

Dysphagia among nursing home residents: an assessment and management protocol.

This article reviews the nursing literature on dysphagia management and then describes a comprehensive protocol to assess and manage patients with swallowing problems in long term care.

Behavioral treatment for adults with oropharyngeal dysphagia.

The videoendoscopic swallowing study: An alternative and partner to the videofluoroscopic swallowing study

This technique is often useful during the initial consultation with new patients complaining of dysphagia, as a “stand alone” method of diagnosis and management and in follow-up circumstances, VESS is generally more useful than the VFSS.