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KMID : 1145820190020010047
Swallowing Rehabilitation
2019 Volume.2 No. 1 p.47 ~ p.55
Sensory Processing Assessment & Intervention for Feeding Disorders of Children with Oral Defensiveness : A Literature Review
Ryu Sung-Un

Abstract
children, and are sensitive to the texture, taste, and smell of food, making it difficult to eat new foods. In particular, if an oral activity or a avoidance response to a specific texture of food is evident, it is referred to as oral defensiveness. Feeding disordered children with oral defensiveness should be given preference to the sensory processing intervention over any other intervention approach. The purpose of this study was to review the literature regarding the difficulties and characteristics, sensory processing evaluation and intervention for feeding disorders in children with oral defensiveness was to investigate the effective interventions at the present time. In the case of children with feeding disorders with oral defensiveness, try not to suck the milk powder, reject certain food texture, or avoid food or objects from entering the mouth or around the mouth. They also show problem behaviors such as nausea, vomiting, pocketing food, spitting food, throwing bowls. This makes it difficult to transition from baby formula to high formula, from feeding and breastfeeding. To determine if a child is difficult to eat due to oral defensiveness, use a test that has been proven to be reliable and valid, such as infant/toddler sensory profile, sensory profile, or short sensory profile. Also, use sensory history together to identify more specific and subjective sensory responses in daily life. In the case of a child with an feeding disorder due to oral defensiveness, it may be helpful to select and apply the most appropriate intervention method among the oral desensitization, Wilbarger¡¯s oral program, and M.O.R.E. program to solve the difficulty of feeding appropriate to the individual child. Therefore, pediatric occupational therapists who are experts in sensory processing and dysphagia rehabilitation can understand the difficulties and characteristics of sensory processing experienced by children with feeding disorder with oral defensiveness, and a variety of efforts and attempts should be made to improve symptoms through appropriate sensory assessment and intervention. It is expected that this will contribute to improve the quality of life of children and families with feeding disorders due to oral defensiveness.
KEYWORD
Pediatric feeding disorder, Sensory processing, Oral defensiveness, Sensory processing intervention
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