Prior History of Feeding–Swallowing Difficulties in Children With Language Impairment Purpose This study updated and extended our previous investigation (Malas et al., 2015) of feeding–swallowing difficulties and concerns (FSCs) in children with language impairments (LI) by using more stringent inclusion criteria and targeting children earlier in the care delivery pathway. Method Retrospective analyses were performed on the clinical ... Research Note
Research Note  |   February 01, 2017
Prior History of Feeding–Swallowing Difficulties in Children With Language Impairment
 
Author Affiliations & Notes
  • Kathy Malas
    Centre Hospitalier Universitaire Sainte-Justine, Montréal, Québec, Canada
  • Natacha Trudeau
    Centre Hospitalier Universitaire Sainte-Justine, Montréal, Québec, Canada
    Centre de Recherche Interdisciplinaire en Réadaptation-Institut Raymond-Dewar, Montréal, Québec, Canada
    Université de Montréal, Québec, Canada
  • Marie-Claude Giroux
    Université de Montréal, Québec, Canada
  • Lisanne Gauthier
    Université de Montréal, Québec, Canada
  • Simone Poulin
    Université de Montréal, Québec, Canada
  • David H. McFarland
    Université de Montréal, Québec, Canada
    McGill University, Montréal, Québec, Canada
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to David H. McFarland: david.mcfarland@umontreal.ca
  • Editor: Krista Wilkinson
    Editor: Krista Wilkinson×
  • Associate Editor: Carol Miller
    Associate Editor: Carol Miller×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Language Disorders / Research Notes
Research Note   |   February 01, 2017
Prior History of Feeding–Swallowing Difficulties in Children With Language Impairment
American Journal of Speech-Language Pathology, February 2017, Vol. 26, 138-145. doi:10.1044/2016_AJSLP-15-0171
History: Received November 4, 2015 , Revised May 5, 2016 , Accepted July 13, 2016
 
American Journal of Speech-Language Pathology, February 2017, Vol. 26, 138-145. doi:10.1044/2016_AJSLP-15-0171
History: Received November 4, 2015; Revised May 5, 2016; Accepted July 13, 2016

Purpose This study updated and extended our previous investigation (Malas et al., 2015) of feeding–swallowing difficulties and concerns (FSCs) in children with language impairments (LI) by using more stringent inclusion criteria and targeting children earlier in the care delivery pathway.

Method Retrospective analyses were performed on the clinical files of 29 children (average age: 60 months, SD = 9.0) diagnosed as having LI using standardized testing, nonstandardized testing and final speech-language pathologist judgment. The files of children born prematurely or with a history of anatomical, structural, neurodevelopmental, cognitive, sensory, motor, or speech disorders were excluded. Literature-based indicators were used to determine the prevalence of difficulties in sucking, food transition, food selectivity, and salivary control. Values were compared with the general population estimate of Lindberg et al. (1992) .

Results A significantly higher percentage of histories of FSCs (48%) were found in the files of children with LI when compared with the population estimate (χ2 = 13.741, df = 1, p < .001). Difficulties in food transition (31%) and food selectivity (14%) were the most frequent. Data confirm and extend our previous findings and suggest that a previous history of FSCs may characterize children with LI early in their care delivery pathway.

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