Kerwin M E, Osborne M, Eicher P S
Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia.
Clin Pediatr (Phila). 1994 Jan;33(1):8-13. doi: 10.1177/000992289403300102.
The effects of position (upright vs reclining) and support (held vs chair) on the development and maintenance of feeding behavior were examined in a child with bronchopulmonary dysplasia and gastroesophageal reflux. A reclining position initially facilitated acceptance and swallowing with relatively rapid generalization to an upright position. Oral-motor skills did not differ across levels of support. Practice of emerging motor skills preceded increases in vomiting, as well as episodes of respiratory distress. This study illustrates a methodology that can be employed to elucidate complex interrelationships among oral-motor skills, gross motor skills and functioning, and symptoms of gastroesophageal reflux.
在一名患有支气管肺发育不良和胃食管反流的儿童中，研究了体位（直立与斜躺）和支撑方式（抱持与坐在椅子上）对进食行为发展和维持的影响。起初，斜躺体位有助于食物接受和吞咽，且能较快地推广至直立体位。不同支撑方式下的口腔运动技能并无差异。新出现的运动技能的练习先于呕吐次数及呼吸窘迫发作次数的增加。本研究阐明了一种可用于阐明口腔运动技能、大运动技能及功能与胃食管反流症状之间复杂相互关系的方法。
