Kleinert Jane ORegan
Department of Rehabilitation Sciences, University of Kentucky, Lexington, Kentucky.
Semin Speech Lang. 2017 Apr;38(2):116-125. doi: 10.1055/s-0037-1599109. Epub 2017 Mar 21.
Children with severe developmental disabilities face numerous challenges to function and participate in activities of daily life. One of the most significant challenges to accomplishing this goal is that of oral feeding disorders. Indeed, it is estimated that among children with developmental disabilities, up to 80 to 90% present with some level of feeding disorders. In addition, it has been shown that as the level of severity of intellectual disability increases, so does the severity of the oral feeding disorders. Due to the broad range of etiologies that result in developmental disabilities, types of feeding disorders in the population vary greatly. This article is designed to provide information regarding assessment and intervention approaches currently used in this area and to provide an overview of the evidence available to support these approaches. Suggestions for much needed future clinically relevant and immediately transferable research are included.
患有严重发育障碍的儿童在日常生活功能和参与活动方面面临诸多挑战。实现这一目标最重大的挑战之一是口腔喂养障碍。事实上,据估计,在发育障碍儿童中,高达80%至90%存在某种程度的喂养障碍。此外,研究表明,随着智力残疾严重程度的增加,口腔喂养障碍的严重程度也会增加。由于导致发育障碍的病因范围广泛,该人群中喂养障碍的类型差异很大。本文旨在提供有关该领域目前使用的评估和干预方法的信息,并概述支持这些方法的现有证据。文中还包括了对未来急需的具有临床相关性且可立即应用的研究的建议。