Tongue thrust swallowing in severely physically disabled children |
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| Affiliation: | 1. Department of Rehabilitation, Ohzora-no-iye Hospital, Inasa, Shizuoka, Japan;2. Department of Pediatric Neurology, Seirei-Mikatabara General Hospital, Hamamatsu, Shizuoka, Japan;1. Division of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Brazil;2. Neurology Service, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil;3. Universidade de Fortaleza, Fortaleza, Ceará, Brazil;4. Center of Health Sciences, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil;5. Hospital Infantl Albert Sabin, Fortaleza, Ceará, Brazil;6. Unichristus University, Fortaleza, Ceará, Brazil;1. Department of Pediatrics, University of California, San Francisco, CA, USA;2. Department of Neurology, Columbia University, New York, NY, USA;3. Department of Neurology, University of California, San Francisco, CA, USA;1. Fellow, Department of Orthodontics, The Institute of Cranial-Facial Deformity, College of Dentistry, Yonsei University, Seoul, Korea;2. Private practice, Seongnam, Korea;3. Associate professor, Department of Orthodontics, The Institute of Cranial-Facial Deformity, College of Dentistry, Yonsei University, Seoul, Korea;4. Professor, Department of Orthodontics, The Institute of Cranial-Facial Deformity, College of Dentistry, Yonsei University, Seoul, Korea;1. Associate professor, Australian Research Centre for Population Oral Health, School of Dentistry, University of Adelaide, Adelaide, South Australia, Australia;2. Professor, Australian Research Centre for Population Oral Health, School of Dentistry, University of Adelaide, Adelaide, South Australia, Australia;3. Professor, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand;4. Senior lecturer, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand;5. Adjunct professor, Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil;6. Associate professor, Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil;1. Assistant Professor, Department of Restorative Sciences, Dental College of Georgia at Augusta University, Augusta, Ga;2. Instructor, Department of General Dentistry, Dental College of Georgia at Augusta University, Augusta, Ga;3. Assistant Professor, Department of General Dentistry, Dental College of Georgia at Augusta University, Augusta, Ga;4. Assistant Professor, Department of Restorative Sciences, Dental College of Georgia at Augusta University, Augusta, Ga |
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| Abstract: | In five patients with severe physical and mental disabilities, a feeding pattern with tongue thrust was assessed videofluoroscopically. Forward and backward movements of the tongue associated with movements of the mandible propelled the bolus, and the insufficiently formed bolus spilled out anteriorly and laterally in part. The swallowing reflex was accompanied by tongue thrust. After the reflex, a part of the bolus frequently remained on the vallecula and pyriform sinuses. The suckle pattern shown by infants is suggested to remain and develop into this feeding pattern with tongue thrust. |
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