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A presence of mild-moderate hypotonicity (low tone) of the face was also noted. Is there excessive tooth decay? Do you see an unusual absence of teeth? Is there an unusual bite (open, cross, etc.), unusual voice or a cough, in the absence of a documented illness? Here’s an example from a write up on a 2-8-year-old male toddler, below:įacial observations revealed dysmorphic features: microcephaly (small head circumference), anteriorly rotated ears (wide set), and medially deviated, inward set eyes. During these examinations it is important to document anything out of the ordinary noted in the child’s facial features or oral cavity.įacial dysmorphia, signs of asymmetry indicative of paresis, unusual spots, nodules, openings, growths, etc, all need to be documented. Now, let’s discuss the importance of examining the child’s facial features and oral structures. One-handed cup holding and open cup drinking with no spilling
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Increasing attention and persistence in play activities
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Improving equilibrium with refinement of upper extremity coordination. Self-feeding: grasps spoon with whole hand Vertical munching of easily dissolvable solidsĪssisting with spoon some become independentįinger feeding for easily dissolvable solids Self-oral stimulation (mouthing hands and toys) Maintains semiflexed posture during feeding Hand on bottle during feeding (2–4 months) Neck and trunk with balanced flexor and extensor tone Source: Adapted from Arvedson and Brodsky (pp. For this, I really like to use a resource from Dr. Joan Arvedson entitled : Developmental milestones and feeding skills birth to 36 months from her article Swallowing and feeding in infants and young children which was published online in 2006. Rather, I am offering suggestions for routine orofacial and feeding assessments of young children with normal swallowing but slightly immature feeding abilities.įirst, let take a look at what the typical feeding development looks like in children 0-3 years of age. Just to be clear, in my post, I am not offering tips on the assessment of medically fragile or neurologically impaired children with complex swallowing and feeding disorders such as severe food selectivity. Today I’d like to talk about the assessment of feeding abilities of children under 3 years of age.