05/11/2024
May is Pediatric Feeding Disorder Awareness Month! Let's talk neuroplasticity and motor-learning in relation to feeding therapy for this month's Speechie Saturday! When providing feeding therapy, is it SO important to take into consideration neuroplasticity and motor-learning principals.
First, we need to think about the WHY. Why is a child having trouble transitioning to solids, why are they refusing the bottle, why are they not consuming a variety of foods, etc.?
Then we can start thinking of ways to target skill building, if appropriate. That's where neuroplasticity and motor-learning come in. When building a skill, we should be using task specific activities to target it.
Here are some examples I may use during therapy:
The child is having difficulty drinking from a straw due to decreased labial strength.
-Instead of using nonspeech oral motor exercises, which are not task specific, I might try modifying the straw cup to compensate. I would also work on building labial strength for drinking from a straw by actually practicing straw drinking with that modified straw cup. Drinking from a straw to increase labial strength for the task straw drinking uses the principles of motor-learning and neuroplasticity-even if the straw has to be modified. Using nonspeech oral motor exercises, such as blowing bubbles, may increase labial strength for the task of blowing bubbles but not for the sensory-oral task of drinking from a straw.
The child has difficulty chewing solids due to decreased strength, coordination, and endurance.
-Instead of using a chewy tube, which is not task specific, I am going to target chewing using modified solids. Using modified solids to work on building strength, coordination, and endurance incorporates motor-learning principles and neuroplasticity into therapy. Using a chewy tube to practice chewing food is not task specific. It may be great for some kids for sensory input and oral exploration, but the ability to chew a chewy tube does not correlate to the sensory and oral motor components of chewing real food.
Using task specific activities during therapy to build skills incorporates neuroplasticity and motor-learning principals into therapy by working on the actual skill that we are wanting to build! Happy Pediatric Feeding Disorder Awareness Month!