Exploring swallowing, feeding and communication characteristics of toddlers with severe acute malnutrition

South African Journal of Communication Disorders

Field Value
Title Exploring swallowing, feeding and communication characteristics of toddlers with severe acute malnutrition
Creator Eslick, Casey J. Krüger, Esedra Kritzinger, Alta
Subject Health Sciences; Public Health; Speech therapy; Speech pathology; Speech-Language Pathology communication difficulties; early identification; oral-sensorimotor dysfunction; oropharyngeal dysphagia; severe acute malnutrition; speech-language therapist; swallowing and feeding characteristics; toddler
Description Background: Severe acute malnutrition (SAM) is associated with cognitive and motor deficits. Little is known about the swallowing, feeding and communication characteristics of hospitalised toddlers with SAM, limiting the abilities of speech-language therapists to provide effective early intervention.Objective: To explore the background, swallowing, feeding and communication characteristics of toddlers with SAM during in-patient nutritional rehabilitation.Method: An exploratory, prospective, collective case-study was conducted with three hospitalised toddlers who were 12–18 months old and independently diagnosed with SAM, at least 1 week after transitioning to oral feeding. Detailed case histories were compiled through medical file perusal and parent interviews. Cross-sectional clinical bedside assessments were completed with the Rossetti Infant-Toddler Language Scale and Schedule for Oral-Motor Assessment.Results: All three participants had a history of feeding difficulties before admission. Despite intact pharyngeal swallows, heterogeneous oral-sensorimotor dysfunction and disruptive feeding behaviours were identified. Risk for oropharyngeal dysphagia indicates the need to modify dietary consistencies to prevent prolonging recovery or SAM relapse. Participants had mild-to-moderate language delays, particularly in interaction-attachment, play and language comprehension, with an atypical moderate receptive and mild expressive language delay profile. None of the participants were referred for speech-language therapy.Conclusion: This exploratory research showed the oral-sensorimotor skills, swallowing and communication characteristics of children with SAM. Speech-language therapists could address oral-sensorimotor functioning, feeding difficulties and communication interaction delays before discharge to community-based management for SAM. Further investigation with a larger sample size is recommended.Contribution: Novel description of the oral-sensorimotor skills for feeding and the communication development of three severely malnourished toddlers with HIV and tuberculosis co-infection was presented. The complexity of the three cases is highlighted.
Publisher AOSIS
Contributor University of Pretoria - Doctoral Research Bursary
Date 2022-10-31
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Collective case study; exploratory; clinical assessment
Format text/html application/epub+zip text/xml application/pdf application/pdf
Identifier 10.4102/sajcd.v69i1.874
Source South African Journal of Communication Disorders; Vol 69, No 1 (2022); 10 pages 2225-4765 0379-8046
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajcd.org.za/index.php/sajcd/article/view/874/1892 https://sajcd.org.za/index.php/sajcd/article/view/874/1893 https://sajcd.org.za/index.php/sajcd/article/view/874/1894 https://sajcd.org.za/index.php/sajcd/article/view/874/1896 https://sajcd.org.za/index.php/sajcd/article/view/874/1895
Coverage Sub-Saharan Africa; South Africa; Tshwane District — Toddlers; 14 to 18 months; mean age 16 months; Female; Black South African
Rights Copyright (c) 2022 Casey J. Eslick, Esedra Krüger, Alta Kritzinger https://creativecommons.org/licenses/by/4.0