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KMID : 1145820200030020001
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Swallowing Rehabilitation
2020 Volume.3 No. 2 p.1 ~ p.11
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Characteristics and Interventions in Pediatric Feeding Disorder with Neuromuscular Diseases
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Min Kyung-Chul
Lee Jeong-Seon
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Abstract
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Neuromuscular disease is a progressive condition caused by a disorder in the lower motor neurons, peripheral nerves, neuromuscular junction and abnormalities in the muscles, and the prevalence rate is about one in three thousand. Spinal muscular dystrophy and duchenne muscular dystrophy are most common in this disease. Symptoms are decreased muscle strength, muscle tone, absent or diminished deep tendon reflex, sensory disorders, flaccid paralysis, and muscle atrophy. Feeding and swallowing problems are common. Oral function affected by oral facial muscles, such as oral muscles weakness, limited mouth opening, hypertrophy, sunken cheeks, and oral motor problems, such as the difficulty of bolus formation and mastication are symptoms. Also swallowing problems can be caused by the dysfunction of the pharyngeal and laryngeal muscles. Therapeutic approach includes the enhancement of oral motor skills and the malocclusion therapy to enhance chewing. Direct feeding training through diet modification and tube feeding are recommended to reduce risk of aspiration and to maintain adequate nutrition. Swallowing and feeding problems are considered through life. As survivability is increasing by medical technology advances and improvements in treatment, need for specialized academic information related to the disorders of swallowing and feeding is increasing as these problems become more frequent and worsen as the disease progresses.
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KEYWORD
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Neuromuscular disease, Feeding, Swallowing
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