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Clinical Pediatrics, Vol. 33, No. 1, 8-13 (1994)
DOI: 10.1177/000992289403300102

Effect of Position and Support on Oral-Motor Skills of a Child with Bronchopulmonary Dysplasia

MaryLouise E. Kerwin

Department of Pediatrics, University of Pennsylvania School of Medicine, and The Children's Seashore House, Philadelphia, Pennsylvania

Mary Osborne

Department of Pediatrics, University of Pennsylvania School of Medicine, and The Children's Seashore House, Philadelphia, Pennsylvania

Peggy S. Eicher

Department of Pediatrics, University of Pennsylvania School of Medicine, and The Children's Seashore House, Philadelphia, Pennsylvania

The effects of position (upright vs reclining) and support (held vs chair) on the development and maintenance of feeding behavior were examined in a child with bronchopulmonary dysplasia and gastroesophageal reflux. A reclining position initially facilitated acceptance and swallowing with relatively rapid generalization to an upright position. Oral-motor skills did not differ across levels of support. Practice of emerging motor skills preceded increases in vomiting, as well as episodes of respiratory distress. This study illustrates a methodology that can be employed to elucidate complex interrelationships among oral-motor skills, gross motor skills and functioning, and symptoms of gastroesophageal reflux.


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