Oral Motor Evaluation

Feeding and swallowing problems are common in the child with CP, depending on the type of muscle tone, the presence of primitive reflexes, movement patterns, and the integrity of the sensory system. Clinical indicators of feeding and swallowing dysfunction are shown in Table 5. Problems often include poor intake, inefficient and lengthy mealtimes, abnormal oral motor patterns, inappropriate progression of feeding skills, and/or physiological compromise with feeding. Sensory, cognitive, and language deficits may also complicate the feeding process. An interdisciplinary team evaluation is

Table 4 General factors affecting feeding performance

Neuromotor performance Perceptual deficits

Cognition and communication skills Vision and hearing

Behavior/interaction Growth

Dietary adequacy GER and other gastrointestinal-related

Constipation

Amount of physical and verbal assistance required Physiological support

Oral motor skills and swallowing status Medications

Dental and gum disease Multiple orthopedic procedures Family/psychosocial stressors issues

Table S Fluid needs based on body weighta

Body weight (kg)

Fluid need (cm3 kg 1)

<10

Constipation Prescription

Constipation Prescription

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