KUKU

KU ScholarWorks

  • myKU
  • Email
  • Enroll & Pay
  • KU Directory
    • Login
    View Item 
    •   KU ScholarWorks
    • Speech-Language-Hearing: Sciences and Disorders
    • Speech-Language-Hearing Scholarly Works
    • View Item
    •   KU ScholarWorks
    • Speech-Language-Hearing: Sciences and Disorders
    • Speech-Language-Hearing Scholarly Works
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Oral and respiratory control for preterm feeding

    Thumbnail
    View/Open
    BarlowS_2009.pdf (511.0Kb)
    Issue Date
    2009-06
    Author
    Barlow, Steven M.
    Publisher
    Lippincott, Williams & Wilkins
    Type
    Article
    Article Version
    Scholarly/refereed, author accepted manuscript
    Metadata
    Show full item record
    Abstract
    PURPOSE OF REVIEW: Feeding competency is a frequent and serious challenge to the neonatal intensive care unit survivors and to the physician–provider–parent teams. The urgency of effective assessment and intervention techniques is obviated to promote safe swallow, as attainment of oral feeding for the preterm infant/newborn is one of the prerequisites for hospital discharge. If left unresolved, feeding problems may persist into early childhood and may require management by pediatric gastroenterologists and feeding therapists. This review highlights studies aimed at understanding the motor control and development of nonnutritive and nutritive suck, swallow, and coordination with respiration in preterm populations. RECENT FINDINGS: Functional linkages between suck–swallow and swallow–respiration manifest transitional forms during late gestation and can be delayed or modified by sensory experience and/or disease processes. Moreover, brainstem central pattern generator (CPG) networks and their neuromuscular targets attain functional status at different rates, which ultimately influences cross-system interactions among individual CPGs. Entrainment of trigeminal primary afferents to activate the suck CPG is one example of a clinical intervention to prime cross-system interactions among ororhythmic pattern generating networks in the preterm and term infants. SUMMARY: The genesis of within-system CPG control for rate and amplitude scaling matures differentially for suck, mastication, swallow, and respiration. Cross-system interactions among these CPGs represent targets of opportunity for new interventions that optimize experience-dependent mechanisms to promote robust ororhythmic patterning and safe swallows among preterm infants.
    Description
    This not the published version.
    URI
    http://hdl.handle.net/1808/24445
    DOI
    https://doi.org/10.1097/MOO.0b013e32832b36fe
    Collections
    • Speech-Language-Hearing Scholarly Works [83]
    Citation
    Barlow, S. M. (2009). Oral and respiratory control for preterm feeding. Current Opinion in Otolaryngology & Head and Neck Surgery, 17(3), 179–186. http://doi.org/10.1097/MOO.0b013e32832b36fe

    Items in KU ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.


    We want to hear from you! Please share your stories about how Open Access to this item benefits YOU.


    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    Browse

    All of KU ScholarWorksCommunities & CollectionsThis Collection

    My Account

    Login

    Statistics

    View Usage Statistics

    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    The University of Kansas
      Contact KU ScholarWorks
    Lawrence, KS | Maps
     
    • Academics
    • Admission
    • Alumni
    • Athletics
    • Campuses
    • Giving
    • Jobs

    The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in the University’s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Director of the Office of Institutional Opportunity and Access, IOA@ku.edu, 1246 W. Campus Road, Room 153A, Lawrence, KS, 66045, (785)864-6414, 711 TTY.

     Contact KU
    Lawrence, KS | Maps