» Articles » PMID: 20622046

Evidence-based Systematic Review: Effects of Oral Motor Interventions on Feeding and Swallowing in Preterm Infants

Overview
Date 2010 Jul 13
PMID 20622046
Citations 34
Authors
Affiliations
Soon will be listed here.
Abstract

Purpose: To conduct an evidence-based systematic review and provide an estimate of the effects of oral motor interventions (OMIs) on feeding/swallowing outcomes (both physiological and functional) and pulmonary health in preterm infants.

Method: A systematic search of the literature published from 1960 to 2007 was conducted. Articles meeting the selection criteria were appraised by 2 reviewers and vetted by a 3rd for methodological quality.

Results: Twelve studies were included and focused on 3 OMIs-nonnutritive sucking (NNS), oral/perioral stimulation, and NNS plus oral/perioral stimulation. Six studies addressed the effects of OMI on the feeding/swallowing physiology outcomes of feeding efficiency or sucking pressures. Ten studies addressed the functional feeding/swallowing outcomes of oral feeding or weight gain/growth. No studies reported data on pulmonary health. Methodological quality varied greatly. NNS alone and with oral/perioral stimulation showed strong positive findings for improvement in some feeding/swallowing physiology variables and for reducing transition time to oral feeding. Prefeeding stimulation showed equivocal results across the targeted outcomes. None of the OMIs provided consistent positive results on weight gain/growth.

Conclusions: Although some OMIs show promise for enhancing feeding/swallowing in preterm infants, methodological limitations and variations in results across studies warrant careful consideration of their clinical use.

Citing Articles

Swallowing function in patients with spinal muscular atrophy before and after the introduction of new gene-based therapies: what has changed?.

Ruggiero M, Giannotta G, Pirani G, Saponaro F, Oliva M, Ferrante C Neurol Sci. 2024; 46(3):1137-1149.

PMID: 39630343 PMC: 11828825. DOI: 10.1007/s10072-024-07883-0.


The effectiveness of oral motor interventions on the weight gain, independent oral feeding, and length of hospital stay in hospitalized preterm infants: A systematic review and meta-analysis.

Mahmoodabadi G, Bavali-Gazik A, Mouhebati F, Arab-Zozani M, Boghrati M Health Sci Rep. 2024; 7(9):e70015.

PMID: 39210994 PMC: 11349818. DOI: 10.1002/hsr2.70015.


Effectiveness of Oral-Motor Stimulation on Oral Feeding in Premature Infants: A Protocol for Systematic Review and Meta-Analysis of Controlled Randomized Trials.

Asadollahpour F, Baghban K, Sakhai F, Asadi M Iran J Child Neurol. 2024; 18(3):43-55.

PMID: 38988847 PMC: 11231674. DOI: 10.22037/ijcn.v18i3.42755.


The effect of oral motor intervention with different initiation times to improve feeding outcomes in preterm infants: protocol for a single-blind, randomized controlled trial.

Li Y, Hu Y, Li Y, Li X, Huang X, Shi Z Trials. 2024; 25(1):306.

PMID: 38715042 PMC: 11075240. DOI: 10.1186/s13063-024-08131-8.


Effects of Complete Oral Motor Intervention and Nonnutritive Sucking Alone on the Feeding Performance of Premature Infants: A Systematic Review and Meta-Analysis.

Tsai Y, Hsieh P, Chen T, Lin Y Children (Basel). 2024; 11(1).

PMID: 38275425 PMC: 10814782. DOI: 10.3390/children11010004.