ORAL/MOTOR KINETICS IN NEONATES

本研究是对口腔运动动力学的评估，以评估以下假设：（1）牛奶摄入效率越高，所做的工作越少;（2）母乳喂养并不比奶瓶喂养更费力。 (NRSU protocol）。 在过去的5年里，取得了以下成果：1）开发了一种奶嘴/奶瓶装置，可以监测婴儿的吮吸行为。 正如在新申请中所讨论的，这种方法正在进行调整，以便它可以用作临床工具。 2)母乳喂养系统的发展，以监测吸吮还没有发展得那么快，为奶瓶喂养。 这将在本申请中继续。 3)随着奶嘴/奶瓶系统的发展，我们的特点是使用早产儿吸吮，因为他们成熟，并介绍了口服喂养。 对吸吮、吞咽和呼吸的协调也有了更好的理解。 我们正在评估这些发育特征是否可以帮助我们识别喂养障碍婴儿表现出的特定吸吮功能障碍。 这将具有临床重要性，特别是对从事这类婴儿工作的职业治疗师。 如本申请中所述，将继续在该领域中进行研究。 本申请的更新是原研究的逻辑延续。 在过去5年中，有3次重大修订：9/19/94：使用Mikro-tip传感器传感器监测抽吸的抽吸分量。 1997年2月19日：开发用于评估非营养性吸吮的指压装置。 1997年10月13日：允许在临床环境中使用此工具，无需父母同意。

This study is an assessment of oral-motor kinetics to evaluate the hypotheses that (1) the greater the efficiency of milk ingestion, the less work will be performed and (2) breastfeeding is not more work than bottle feeding. (NRSU protocol). Over the last 5 years, the following results were achieved:1)Development of a nipple/bottle apparatus which allows the monitoring of the sucking behavior in infants. As discussed in the new application, this methodology is being adaped so that it can be used as a clinical tool. 2)The development of a breastfeeding system to monitor sucking has not evolved as quickly as that for bottle feeding. This will continue in the present application. 3)With nipple/bottle system, we have characterized the development of sucking using premature infants as they mature and were introduced to oral feeding. A better understanding of the coordination of suck, swallow and respiration has also been achieved. We are in the process of evaluating whether these developmental characteristics can help us identify specific sucking dysfunctions exhibited by infants with feeding disorders. This will have clinical importance, particularly for occupational therapists working with this population of infants. Studies will continue in this area as described in the present application. The renewal of this application is a logical continuation of the original study. Over the last 5 years, there were 3 major amendments: 9/19/94: the use of a Mikro-tip sensor transducer for the monitoring of the suction component of sucking. 2/19/97: the development of a finger pressure device for the assessment of non-nutritive sucking. 10/13/97: the permission to use this tool in the clinical setting without the need of parental consent.