Evidence-Based Systematic Review (EBSR): The Effects of Oral Motor Interventions on Feeding and Swallowing in Preterm Infants
- ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
- Heather Clark Ph.D., Associate Professor (Creator)
- Institution
- Appalachian State University (ASU )
- Web Site: https://library.appstate.edu/
Abstract: Purpose: To conduct an evidence-based systematic
review and provide an estimate of the
effects of oral motor interventions (OMIs) on
feeding/swallowing outcomes (both physiological
and functional) and pulmonary health in preterm
infants.
Method: A systematic search of the literature
published from 1960 to 2007 was conducted.
Articles meeting the selection criteria were appraised
by 2 reviewers and vetted by a 3rd for
methodological quality.
Results: Twelve studies were included and
focused on 3 OMIs—nonnutritive sucking (NNS),
oral/perioral stimulation, and NNS plus oral/
perioral stimulation. Six studies addressed the
effects of OMI on the feeding/swallowing physiology
outcomes of feeding efficiency or sucking
pressures. Ten studies addressed the functional
feeding/swallowing outcomes of oral feeding or
weight gain/growth. No studies reported data
on pulmonary health. Methodological quality
varied greatly. NNS alone and with oral/perioral
stimulation showed strong positive findings for
improvement in some feeding/swallowing physiology
variables and for reducing transition time
to oral feeding. Prefeeding stimulation showed
equivocal results across the targeted outcomes.
None of the OMIs provided consistent positive
results on weight gain/growth.
Conclusions: Although some OMIs show promise
for enhancing feeding/swallowing in preterm
infants, methodological limitations and variations
in results across studies warrant careful consideration
of their clinical use.
Evidence-Based Systematic Review (EBSR): The Effects of Oral Motor Interventions on Feeding and Swallowing in Preterm Infants
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Created on 7/8/2011
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Additional Information
- Publication
- Arvdeson, J., Clark, H., Lararus, C., Schooling, T., Frymark, T. (2010). Evidence-based systematic review (EBSR): The effects of oral motor interventions on feeding and swallowing in preterm infants. American Journal of Speech-Language Pathology, (Nov 2010) 19(4), 321-340. Published by the American Speech-Language-Hearing Association (ISSN: 1058-0360).
- Language: English
- Date: 2010