Choice of tactics for feeding premature babies with functional immaturity of movements of the articulatory apparatus (part 1)

Abstract

Impaired sucking and swallowing function is characteristic of premature babies with various perinatal pathologies. Successful feeding depends on the child's ability to coordinate muscles of the oral cavity, upper half of the trunk and respiratory system. Therefore, the study of the state of articulation motility and the search for ways to stimulate the sucent reflex and the coordinated functioning of the muscles of the face, tongue and soft palate is especially relevant in such patients. A speech examination showed the dependence of the nature of feeding on the state of tone of the muscles of the articulation organs. Increased muscle tone causes impulsive sucking, rapidly depleting sucking movements; reduced muscle tone - immature, sluggish sucking, draining movements with tongue and lips; mixed tone - non-rhythmic sucking, coordinated movements of the tongue and lips. Thus, the state of tone of facial muscles determines the tactics of speech treatment for the development of articulatory capabilities in preterm infants when sucking and swallowing processes are disturbed. Thus, the state of the tone of the facial muscles determines the tactics of feeding. It is also an indication for the beginning of speech therapy influence on the development of articulatory capabilities in premature babies in violation of the processes of sucking and swallowing. The methods and volume of speech therapy assistance in the comprehensive rehabilitation program are selected according to the results of the child's speech therapy examination in order to normalize the tone of the muscles of the facial muscles and ensure the possibility of self-sucking.

Keywords:premature babies, sucking reflex, speech therapy examination, early speech therapy care, rehabilitation

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

For citation: Basargina M.A., Dyaykina V.V., Mitish M.D., Lazurenko S.B., Maslennikova V.A., Kharitonova N.A. Choice of tactics for feeding premature babies with functional immaturity of movements of the articulatory apparatus (part 1). Neonatologiya: novosti, mneniya, obuchenie [Neonatology: News, Opinions, Training]. 2021; 9 (3): 16-22. DOI: https://doi.org/10.33029/2308-2402-2021-9-3-16-22 (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Degtyarev Dmitriy Nikolaevich
Doctor of Medical Sciences, Professor, Deputy Director for Scientific Research of the V.I. Kulakov Obstetrics, Gynecology and Perinatology National Medical Research Center of Ministry of Healthсаre of the Russian Federation, Head of the Chair of Neonatology at the Clinical Institute of Children's Health named after N.F. Filatov, I.M. Sechenov First Moscow State Medical University, Chairman of the Ethics Committee of the Russian Society of Neonatologists, Moscow, Russian Federation

ORCID iD 0000-0001-8975-2425

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