| SENSORIMOTOR
PDF FILES |
| Handling and
Positioning Pointers |
Handing and
Positioning Pointers provides a series of
questions and observations that support better
movement control for the development of feeding
and oral-motor skills. |
| Changing the
Sensory Environment |
Changing the
Sensory Environment provides a practical list
of ideas for changing sensory input at mealtimes
to support comfortable feeding. |
| Sensory Input and
the Mouth: Partners at Mealtime |
Sensory
Information and Mouth: Partners at Mealtime
discusses the influence of sensory input on
feeding patterns. |
| Changing the
Physical Environment |
Changing the
Physical Environment provides a practical
list of ideas for changing the physical
positioning of the child, changing the
positioning of the feeder, and changing the
equipment used for feeding. |
| The Body and Mouth:
Partners at Mealtime |
The Body and
Mouth: Partners at Mealtime discusses the
influence of body postural tone and movement on
feeding patterns. |
| Support and Comfort
for the Adult Feeder |
The importance of
physical support and comfort for adults who feed
children is discussed. Equipment suggestions are
provided. |
| FEEDING
PDF FILES |
| Homemade Blended Formulas: A Nutritional Option for Tube-Fed Children |
Homemade Blended Formulas: A Nutritional Option for Tube-Fed Children discusses the option of providing nutritious meals for tube-fed children through the creation of homemade blended formulas. An historical overview of tube feeding is included along with a discussion of the importance of a team approach to supporting parents who which to explore this nutritional option for their children. The article is adapted from the newly published Homemade Blended Formula Handbook. |
| The Happiness Option at Mealtimes |
The Happiness Option at Mealtimes introduces the concept that our beliefs and attitudes play a central role in how children participate and learn at mealtimes. Happiness is the most important factor at mealtimes and in therapy programs to help children develop feeding skills. Unhappiness gets in the way of helping children move toward their most comfortable and skillful relationship with food and liquid. Based on the concepts of Barry Neil Kaufman in his book Happiness is a Choice, this paper presents Kaufman’s 6 “Shortcuts to Happiness” within the context of mealtimes. |
| Becoming a Mealtime Partner |
Becoming a Mealtime Partner emphasizes the concept that parents and professionals can develop or redevelop mealtime partnership skills with the infants and children in their lives. Becoming a more skilled Mealtime Partner involves conceptualizing the challenges of feeding and nourishing children in a different way. Work to improve swallowing, oral-motor skills, and sensory comfort is part of the journey in which children learn to enjoy and participate fully in the mealtimes they share with others. |
| Feeding Behaviors – The Tip of the Iceberg |
Feeding Behaviors – The Tip of the Iceberg explores the concept that feeding behaviors are strategies that children and adults select to take care of themselves. When a child is uncomfortable due to gastrointestinal, sensory, swallowing or other physical difficullties, the strategy of limiting food intake may be chosen. The importance of identifying and treating the underlying reasons that lie beneath the "tip of the iceberg" of feeding behaviors is emphasized. |
| Finding an Appropriate Feeding Program for Children with Feeding Difficulties |
Finding an Appropriate Feeding Program helps parents identify individual strengths and needs that can influence the type of feeding programs that are appropriate for both their child and family. The paper discusses ways of preparing for intervention services, documenting what you know about yourself and your child, identifying appropriate feeding resources, and preparing for the initial meetings with service providers. A series of questions is provided that will help parents identify and understand the resources and approaches used by individual therapists and feedng teams. From this information, parents are able to make a more informed decision about feeding programs that are available. |
| Food Progressions for Biting and Chewing |
Food Progressions for Biting and Chewing describes
how learning to bite and chew foods efficiently
is influenced by the sensory properties of the
food and its placement in the mouth. Selecting
food can be a challenging task for the parent or
therapist because each food has multiple sensory
features. Each food has at least 8 sensory
features that simultaneously determine the degree
of ease or difficulty for biting and chewing.
These include resistance, sensory input, size,
shape, texture scatter, consistency, placement,
and need for transfer during chewing. The
combination of these features determines the
overall sensorimotor skills required in biting
and chewing. These, in turn, interact with the
specific skills and needs of the individual child |
| Gastrointestinal
Health and the Child with Feeding Problems
Part 2: Therapy Alternatives |
Gastrointestinal Health and the Child with
Feeding Problems Part 2: Therapy Alternatives explores
strategies for improving gastrointestinal health
and function that can be incorporated into
feeding programs. The paper presents ideas for
increasing dietary diversity, building
gastrointestinal comfort, reducing food allergies
and sensitivities, and developing the child's
internal regulation of eating. |
| Gastrointestinal
Health and the Child with Feeding Problems
Part 1: The Issues |
Gastrointestinal Health and the Child with
Feeding Problems Part 1: The Issues discusses
the impact of gastrointestinal discomfort on the
development of feeding skills and the child's
desire to eat. The paper explores the role played
by tube feedings, gastroesophageal reflux, poor
digestion, lack of appetite and antibiotics. |
| Children with
Feeding Tubes: Part 3- Making the Transition to
Oral Feeding |
Children with Feeding Tubes: Part
3Making the Transition to Oral Feeding discusses
criteria and progressions for helping children
make the transition to partial or full oral
feeding. Specific readiness guidelines are
provided. |
| Children with
Feeding Tubes: Part 2- Treatment Programs |
Children with Feeding Tubes: Part
2Treatment Programs continues the
online discussion of children who receive tube
feedings by describing a comprehensive oral-motor
treatment program and its components. A focus is
placed on the foundation skills that children
need to begin oral feeding |
| Expanding
Children's Diets |
Expanding Children's Diets describes
an approach and series of practical ideas for
helping children with sensory-based feeding
problems increase the types of food and liquid
they are willing to eat. |
| Children
with Feeding Tubes: Part 1--The Issues |
Children with
Feeding Tubes: Part 1--The Issues describes
the group of children whose feeding skills do not
support full oral feeding. The role of feeding
tubes in the well-being of these children is
discussed. Strategies to support the child's
ability and desire to eat by mouth are discussed.
|
| Mouth
Stuffing |
Mouth Stuffing discusses
a common feeding characteristic of children with
mild and moderate sensorimotor difficulties.
Treatment strategies are suggested for children
with poor sensory awareness and poor chewing
movements. |
| Issues in
the Anatomy and Physiology of Swallowing |
Issues in the
Anatomy and Physiology of Swallowing: Impact on
Assessment and Treatment of Children with
Dysphagia discusses the interplay between the
anatomy and physiology of the swallowing
mechanism in infants and children. Changes in
structure during infancy influence the child's
ability to swallow and learn to eat safely. |
| When a
Child Aspirates |
When a Child
Aspirates provides a detailed overview of
swallowing difficulties in children, and
discusses the significance of aspiration in
assessment and treatment programs. Practical
suggestions are given to prepare a child for a
swallowing study and to introduce small amounts
of food and liquid safely. |
| Feeding
and Speech Relationships |
Feeding and
Speech Relationships looks at how feeding
skills support the development of oral motor
skills for speech. |
| Formula
Rotation for Children Who Receive Tube Feedings |
Formula Rotation
for Children Who Receive Tube Feedings
presents a rationale for using formula rotation
to increase dietary diversity and prevent the
development of food sensitivities and allergies
in children who typically receive the nutrients
in a single formula. Implications for the
transition to oral feeding are discussed. |
| Why
Evaluate and Treat Mild Feeding Delays and
Limitations? |
Why Evaluate and
Treat Mild Feeding Delays and Limitations?
discusses the impact of mild feeding problems on
the child¹s speech and social development.
Specific suggestions are given for selecting food
for snack time at home and in the classroom. |
| Feeding
and Pre-Speech Characteristics - Children with
Mild Sensorimotor Impairment |
Feeding and
Pre-Speech Characteristics - Children with Mild
Sensorimotor Impairment describes issues
which influence a child¹s development of
efficient feeding and early speech patterns. An
emphasis is placed on children with mild and
minimal sensorimotor involvement. |
| Refusal of
First Foods |
Refusal of First
Foods offers a perspective on infants with no
prior feeding difficulties who gag and refuse
smooth solid foods. |
| Choosing
Feeding Equipment |
Choosing Feeding
Equipment describes the characteristics of an
effective nipple, cup, and spoon. |
| Enhancing
Infant Readiness |
Guidelines for
Success: Enhancing Infant Readiness. . . introduces
the concept that infants let us know they are
ready to move on to soft solid foods through a
series of Readiness Cues. Practical suggestions
are provided to increase the ease and pleasure of
this learning period. |
| Mouth Toys
Open the Sensory Doorway |
Mouth toys provide
optimum experience for the development of oral
sensory awareness and discrimination and oral
movement for feeding and speech development. |
| LEARNING
PDF FILES |
| Opening the
Door with Metamusic |
Opening the Door with Metamusic describes
the use of Hemi-SyncÆ
Metamusic recordings with children with special
feeding and learning needs.Metamusic contains
sound frequencies blended with music that assist
learning through physical and emotional
relaxation and an increased focus of attention.
The paper provides examples of research and case
studies using this sound technology as well as
specific guidelines for selecting and using
Metamusic recordings. |
| Marvelous
Mouth Music |
Marvelous Mouth
Music describes a new recording that gives
children an opportunity to develop early
pre-speech abilities in the context of musical
fun. The paper describes the rationale for
working with building blocks for speech
production and the ways in which these components
are incorporated into the songs. |
| Child with
A Gift |
Child with a
Gift shares thoughts about the gifts offered
to adults by children with special needs. |
| Concepts
of Change: Communication and Learning |
Concepts of
Change: Communication and Learning introduces
a set of concepts that provide the foundation for
effective treatment programs. |
| Selection
of Music for the Development of Movement |
Selection of
Music for the Development of Movement focuses
on the use of music to enhance the development of
movement skills. Suggestions are given for
choosing recordings, and developing custom
selections for children. |
| Hemi-SyncÆand
the Facilitation of Sensory Integration |
Hemi-SyncÆand
the Facilitation of Sensory Integration
discusses the effectiveness of the Hemi-SyncÆbinaural
beat technology in the enhancement of sensory
processing and integration skills. |
| Introducting
Music Into a Learning Environment |
Introducing
Music Into a Learning Environment provides
practical suggestion on the selection of music
and equipment, and its use in therapy, classroom,
and home environments. |
| Expanding
Mealtime Communication |
Expanding
Mealtime Communication provides a series of
ideas and strategies for helping children and
their feeders create a shared dialogue at
mealtimes. |
| Communication
at Mealtimes |
Communication at
Mealtimes discusses the ways that non-verbal
infants and children use sound and movement to
communicate their needs and wants at mealtime. |
| Recapturing
the Intuitive |
Recapturing the
Intuitive describes the development of a
continuing education program to enhance clinical
intuition - the "art of therapy." The
role of Hemi-SyncÆ in optimizing the
learning process and participant feedback are
described. |