Research Article  |   November 2010
Evidence-Based Systematic Review: Effects of Oral Motor Interventions on Feeding and Swallowing in Preterm Infants
 
Author Affiliations & Notes
  • Joan Arvedson
    Children’s Hospital of Wisconsin and Medical College of Wisconsin, Milwaukee
  • Heather Clark
    Appalachian State University, Boone, NC
  • Cathy Lazarus
    NYU Langone Medical Center, New York, NY
  • Tobi Frymark
    American Speech-Language-Hearing Association, Rockville, MD
  • Disclosure Statement
    Disclosure Statement×
    This systematic review was conducted under the auspices of the American Speech-Language-Hearing Association; however, this is not an official position statement of the Association.
    This systematic review was conducted under the auspices of the American Speech-Language-Hearing Association; however, this is not an official position statement of the Association.×
  • Contact author: Tracy Schooling, National Center for Evidence-Based Practice in Communication Disorders, American Speech-Language-Hearing Association, 2200 Research Boulevard #245, Rockville, MD 20850-3289. E-mail: tschooling@asha.org.
  • © 2010 American Speech-Language-Hearing AssociationAmerican Speech-Language-Hearing Association
Article Information
Swallowing, Dysphagia & Feeding Disorders / Research Issues, Methods & Evidence-Based Practice / Research Article
Research Article   |   November 2010
Evidence-Based Systematic Review: Effects of Oral Motor Interventions on Feeding and Swallowing in Preterm Infants
American Journal of Speech-Language Pathology, November 2010, Vol. 19, 321-340. doi:10.1044/1058-0360(2010/09-0067)
History: Received July 27, 2009 , Revised January 13, 2010 , Accepted July 6, 2010
 
American Journal of Speech-Language Pathology, November 2010, Vol. 19, 321-340. doi:10.1044/1058-0360(2010/09-0067)
History: Received July 27, 2009; Revised January 13, 2010; Accepted July 6, 2010
Web of Science® Times Cited: 17

Purpose: To conduct an evidence-based systematic review and provide an estimate of the effects of oral motor interventions (OMIs) on feeding/swallowing outcomes (both physiological and functional) and pulmonary health in preterm infants.

Method: A systematic search of the literature published from 1960 to 2007 was conducted. Articles meeting the selection criteria were appraised by 2 reviewers and vetted by a 3rd for methodological quality.

Results: Twelve studies were included and focused on 3 OMIs—nonnutritive sucking (NNS), oral/perioral stimulation, and NNS plus oral/perioral stimulation. Six studies addressed the effects of OMI on the feeding/swallowing physiology outcomes of feeding efficiency or sucking pressures. Ten studies addressed the functional feeding/swallowing outcomes of oral feeding or weight gain/growth. No studies reported data on pulmonary health. Methodological quality varied greatly. NNS alone and with oral/perioral stimulation showed strong positive findings for improvement in some feeding/swallowing physiology variables and for reducing transition time to oral feeding. Prefeeding stimulation showed equivocal results across the targeted outcomes. None of the OMIs provided consistent positive results on weight gain/growth.

Conclusions: Although some OMIs show promise for enhancing feeding/swallowing in preterm infants, methodological limitations and variations in results across studies warrant careful consideration of their clinical use.

Acknowledgments
This evidence-based review was supported by the American Speech-Language-Hearing Association’s National Center for Evidence-Based Practice in Communication Disorders (N-CEP). We thank the following individuals who participated in the evidence panel to review the state of the evidence on oral motor interventions: Dr. Rebecca McCauley, Dr. Edythe Strand, and Dr. Gregory Lof. We also thank the following individuals who contributed to the preparation of this document: Beverly Wang, N-CEP Information Manager; Hillary Leech, N-CEP Research Assistant; and Rob Mullen, N-CEP Director.
Order a Subscription
Pay Per View
Entire American Journal of Speech-Language Pathology content & archive
24-hour access
This Article
24-hour access