The Japanese Journal of Dysphagia Rehabilitation
Online ISSN : 2434-2254
Print ISSN : 1343-8441
Clinical Report
Training for ingestion in a special preschool for disabled children
Masako SHINOZAKIYuriko YAMANASHIAyako MOTOMURAKouji YARIMIZUYoko KAWASAKITakeshi UCHIDA
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JOURNAL FREE ACCESS

2004 Volume 8 Issue 1 Pages 46-54

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Abstract

We examined three ways to help disabled children ingest,as follows:

1) Providing appropriate foods with good texture,softness and of the right size to be fed for their development of ingestion

2) Using bottles for a long period of time

3) Providing a period of encouraging to eat without assistance

The following results were obtained.

a)Some children eat foods that are more difficult to ingest.After changing the foods to ones that are easier to ingest and suggesting ways of assistance and appropriate eating posture,the way of eating was improved.

b) Using bottles for a long period of time impeded their development of ingestion due to remaining tongue thrust,infantile swallowing and failure to close the mouth.After becoming able to capture foods by closing the mouth, it is very important to use a spoon to take in milk or other liquid,and not to suck from the bottle,for the development of ingestion.

c) Some children may develop oral movement for chewing.If we allow them to eat without assistance too early,they tend to lose the ability of managing food with hand and mouth coordination and fail to chew properly.

Cooperation among parents,teachers and training staff is very important in order to improve disabled children's eating ability.A multi-disciplinary approach is a synergistic approach to help disabled children with dysphagia, and the approach should be continued through their school years.

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© 2004 The Japanese Society of Dysphagia Rehabilitation
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