Oral motor interventions used to support the development of oral feeding skills in preterm infants: An integrative review.

Autor: Ibrahim C; College of Health Sciences, Rush University, Chicago, IL, United States of America., Chavez P; Library of Rush University Medical Center, Chicago, IL, United States of America., Smith D; Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America., Craig J; School of Psychology, Infant and Early Childhood Development, Fielding Graduate University, Santa Barbara, CA, United States of America., Pineda R; Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America. Electronic address: bobbi.pineda@chan.usc.edu.
Jazyk: angličtina
Zdroj: Early human development [Early Hum Dev] 2024 Nov; Vol. 198, pp. 106125. Date of Electronic Publication: 2024 Sep 24.
DOI: 10.1016/j.earlhumdev.2024.106125
Abstrakt: Background: One criterion for infant NICU discharge is the ability to meet all nutritional needs by mouth, therefore, it is important to understand interventions that can improve the trajectory to full oral feeding. While many oral motor and feeding interventions are used in clinical practice, it remains unclear which are supported by the literature.
Aim: The aim of this integrative review was to identify and understand what oral motor interventions are defined in the literature to support positive outcomes for preterm infants and their parents.
Methods: An integrative review of studies published from 2002 to 2022 focusing on applied oral motor interventions and their impact on feeding-related outcomes was completed. The systematic search used databases including PubMed, Cochrane, CINAHL, Scopus, and Google Scholar. Studies were included if they used a study population of preterm infants born Results: Forty articles met inclusion criteria with four different interventions (or a combination of them) identified: nonnutritive sucking, oral motor stimulation [Fucile's protocol, Premature Infant Oral Motor Intervention (PIOMI)], NTrainer, and swallowing exercises.
Discussion: All interventions were associated with positive outcomes and began between 29- and 30-weeks PMA. Detailed information on adverse events (both physiologic and behavioral) in future research could allow for better risk-benefit analysis. The methodology and quality of the studies differed too much to allow for quantitative analysis; however, there does not appear to be compelling evidence that more stimulatory interventions are superior to less stimulatory interventions - a key consideration when working with preterm infants.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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