scholarly journals Feeding difficulties in children with Down syndrome

Author(s):  
Manuela Leitão de Vasconcelo ◽  
Julyane Feitoza Coêlho ◽  
Camila Fonsêca Guedes Pereira Máximo ◽  
Isabelle Isabelle Cahino Delgado ◽  
Giorvan Ânderson dos Santos Alves

Feeding is a complex act that requires integration between the central and peripheral nervous systems, gastrointestinal and cardiopulmonary process, velopharyngeal mechanism, craniofacial and musculoskeletal structures. To become a pleasurable act for the child, it will depend on the sensory experiences lived or learned in the first months of life and the interaction with the environment and its caregivers. therefore, exclusive breastfeeding in the first six months and supplementation until the baby’s two years is extremely important to the child can go through periods of dietary changes without trauma and stress. Any interference in this process can generate impairment in the introduction and development of feeding, creating feeding difficulty. This is defined as any problem that can negatively influence how parents and caregivers provide food for the child, and its probable consequences are changes in the overall development, oral motor and psychosocial development, depending on the severity of the case. The speech therapist can intervene through broad and integrative approaches, aiming a safer and more effective diet, through the stimulation of the oral motor sensory system, improving chewing and promoting greater coordination between the suction, breathing and swallowing functions. Children with Down Syndrome, for having a specific genetic condition, have some clinical characteristics such as tongue protrusion, swallowing disorders, decreased muscle tone, gastroesophageal reflux, food intolerance, intestinal malabsorption, ogival palate, impaired motor coordination and other factors that can cause a delay in the development of the stomatognathic system, facilitating the appearance of feeding difficulties. Knowing that nutrition is an important factor for the healthy development of the child, the aim of this study is to present the data available in the literature about feeding difficulties in children with Down Syndrome.

2006 ◽  
Vol 176 (3-4) ◽  
pp. 395-410 ◽  
Author(s):  
Maria Hernandez‐Reif ◽  
Tiffany Field ◽  
Shay Largie ◽  
Dana Mora ◽  
Joan Bornstein ◽  
...  

1994 ◽  
Vol 78 (1) ◽  
pp. 307-313 ◽  
Author(s):  
Libby Kumin

Data collected from 937 parent questionnaires regarding intelligibility of speech in children with Down syndrome were analyzed. Intelligibility was a widespread problem. Parents reported evidence of difficulties classified as oral motor skills, motor programming skills, and specific speech skills. Children experienced greater difficulty with sentences and in conversation than with single words. Intelligibility problems were more frequent when the child was conversing with unfamiliar adults. The implications of these findings for clinical assessment and remediation are discussed.


2021 ◽  
Vol 11 (3) ◽  
pp. 312
Author(s):  
Kari-Anne B. Næss ◽  
Johanne Ostad ◽  
Egil Nygaard

The purpose of this study was to examine potential differences in the predictors of expressive vocabulary development between children with Down syndrome and typically developing children to support preparation for intervention development. An age cohort of 43 children with Down syndrome and 57 typically developing children with similar nonverbal mental age levels were assessed at three time points. Linear mixed models were used to investigate the predictors of expressive vocabulary over time. Both groups achieved progress in expressive vocabulary. The typically developing children had steeper growth than the children with Down syndrome (1.38 SD vs. 0.8 SD, p < 0.001). In both groups, receptive vocabulary, auditory memory, and the home literacy environment were significant predictors of development. In the children with Down syndrome, the phonological awareness and oral motor skills were also significant. Group comparisons showed that receptive vocabulary, auditory memory and oral motor skills were stronger predictors in the children with Down syndrome than in the typically developing children. These results indicate that children with Down syndrome are more vulnerable when it comes to risk factors that are known to influence expressive vocabulary than typically developing children. Children with Down syndrome therefore require early broad-based expressive vocabulary interventions.


2019 ◽  
Vol 42 (2) ◽  
pp. 81-92
Author(s):  
Donna Jackson-Maldonado

Hippotherapy uses the horse’s movement to enhance motor coordination, sensory integration, communication, and emotional stability in people with different disabilities. There is a need for evidence that proves increased efficiency in language use. In this study, we analyze the effect of hippotherapy on the communicative abilities of children with Down syndrome. Nine children between 4 and 7 years of age participated in two types of therapies: traditional language therapy and hippotherapy. Results showed effects of hippotherapy on language production and utterance length. Comprehension was enhanced by all therapy techniques. This preliminary study based on systematic evidence illustrates the effects of hippotherapy on communicative abilities.


2016 ◽  
Vol 29 (2) ◽  
pp. 335-342 ◽  
Author(s):  
Desirée F. Scapinelli ◽  
Érica Martinho Salvador Laraia ◽  
Albert Schiaveto de Souza

Abstract Introduction: Down Syndrome (DS) is a chromosomal abnormality characterized by mental retardation of varying degrees and is one of the most commonly found chromosomal aberrations, presenting motor delay such as muscular hypotonic, balance disorders, motor coordination and gait changes. Objective: To evaluate the functional capabilities in children with Down syndrome through the Pediatric Evaluation of Disability Inventory (PEDI). Methods: 20 children of both sexes, 10 with normal motor development (Control group) and 10 with Down syndrome. The functional capabilities were evaluated by PEDI (part I: functional capabilities, part II and III: caregiver assistance and change in environment) through interviews with caregivers. Results: Significant differences were observed in Part I, regarding functional capabilities in self-care (p = 0.0007), mobility (p = 0.0007) and social function (p = 0.0002), and in Part II, regarding caregiver assistance, the domains of self-care and mobility had p <0.0001 and p = 0.001. In Part III, changes in environment were more frequent when related to Down group. Conclusion: The Down syndrome group has lower functional performance in both functional capabilities and caregiver assistance, when compared to control group. However, it is clear that this questionnaire provides subsidies to make an early stimulation treatment in order to perform daily skills with the least possible help from their caregivers.


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