Oral and non‐oral sensorimotor interventions enhance oral feeding performance in preterm infants
Open Access
- 27 June 2011
- journal article
- research article
- Published by Wiley in Developmental Medicine and Child Neurology
- Vol. 53 (9), 829-835
- https://doi.org/10.1111/j.1469-8749.2011.04023.x
Abstract
Aim The aim of this study was to determine whether oral, tactile/kinaesthetic (T/K), or combined (oral+T/K) interventions enhance oral feeding performance and whether combined interventions have an additive/synergistic effect. Method Seventy‐five preterm infants (mean gestational age 29wk; standard error of the mean [SEM] 0.3wk; mean birthweight 1340.3g; SEM 52.5g; 49 males and 26 females) were randomly assigned to one of three intervention groups or a control group. The oral group received sensorimotor input to the oral structures, the T/K group received sensorimotor input to the trunk and limbs, and the combined group received both. The outcomes were time from introduction of nipple feeding to independent oral feeding (d), proficiency (intake in the first 5min, %), volume transfer (%), rate of transfer (mL/min), volume loss (%), and length of hospital stay (d). Results Infants in the three intervention groups achieved independent oral feeding 9–10 days earlier than those in the control group (pp≤0.002; effect size 0.7–1.4) at the time of one to two and three to five oral feedings per day, volume transfer (p≤0.001; effect size 0.8–1.1) at one to two, three to five, and six to eight oral feedings per day, and overall rate of transfer (p≤0.018; effect size 0.8–1.1) were greater, and overall volume losses were less (p≤0.007; effect size 0.9–1.1), than in the control group (p≤0.042). The combined group attained independent oral feeding at a significantly younger postmenstrual age than controls (p=0.020) and had clinically greater proficiency than the T/K group (p=0.020; effect size 0.7) and oral group (p=0.109; effect size 0.5). Length of hospital stay was not significantly different between groups (p=0.792; effect size 0.02–0.3). Interpretation Oral and T/K interventions accelerated the transition from introduction to independent oral feeding and enhanced oral feeding skills. T/K has beneficial effects beyond the specific targeted system. The combined sensorimotor intervention led to an additive/synergistic effect for proficiency, further benefiting this population.This publication has 28 references indexed in Scilit:
- Oral and respiratory control for preterm feedingCurrent Opinion in Otolaryngology & Head and Neck Surgery, 2009
- Stimulation of sucking and swallowing to promote oral feeding in premature infantsActa Paediatrica, 2007
- Effect of an oral stimulation program on sucking skill maturation of preterm infantsDevelopmental Medicine and Child Neurology, 2007
- Clinical Implications of Cross-System InteractionsSeminars in Speech and Language, 2006
- A systematic review of the effects of early intervention on motor developmentDevelopmental Medicine and Child Neurology, 2005
- The Complexity of Feeding Problems in 700 Infants and Young Children Presenting to a Tertiary Care InstitutionJournal of Pediatric Gastroenterology and Nutrition, 2003
- Effect of auditory, tactile, visual, and vestibular intervention on length of stay, alertness, and feeding progression in preterm infantsDevelopmental Medicine and Child Neurology, 2002
- Supplemental Stimulation of Premature Infats: A Treatment ModelJournal of Pediatric Psychology, 1997
- Nursery Neurobiologic Risk Score: Important factors in predicting outcome in very low birth weight infantsThe Journal of Pediatrics, 1991
- Effects of Tactile and Kinesthetic Stimulation on Premature InfantsJOGN Nursing, 1981