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[Dysphagia] Pocketing/oral aversion
Depending on how well she can form a bolus and organize her swallowing.
Normally I would use a favorite crunchy, dissolvable food to help give
additional sensory input that might be needed to help with organization and
binding but in her case you say she is not accepting anything over puree. It
would be important to know if she can maintain a lateral munch using her
tongue and cheek resistance...if not, the food probably scatters around her
mouth making it difficult to organize. Will she accept oral stimulation
via nuk brush or z-vibe? You could use the vibration, chewy tube or other
oral input to help encourage and see if she can model sweeping her tongue to
help collect the food in the center of her tongue. I would work on
mastering the lateral munching if she has difficulty with that.
Kristina S.
On Thu, Mar 10, 2011 at 1:15 PM, Brittney Westlake <
brittney.westlake at gmail.com> wrote:
> I have a kiddo that has had a significant amount of feeding therapy, but
> with no real progress ( per family) they stopped a while and have now
> started up again.
>
> She is 8 yes old and up until about 1 month ago, she was getting 6 bottles
> a day and pur?e foods. We have quit the bottles and she days gerber stage 2
> foods usually.
>
>
> She is a hard worker and will attempt most things you try, but anything
> over pur?e, though she will accept it, she pockets on right side.
>
> She has no aspiration or reflux and can move tongue from r to l with ease.
>
> I'm at a loss on what to do on the pocketing... All suggestions are greatly
> appreciated!!
>
> Thank you
>
> Brittney Westlake
> MS, CCC-SLP
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