DOI QR코드

DOI QR Code

The effect of Early Feeding Therapy by Oral Motor Facilitation Technique(OMFT) on Feeding development of Prader-Willi Syndrome baby - Based on the Development : Case study

구강운동촉진기술(OMFT)을 적용한 조기 연하재활치료가 프래더 윌리 아동의 섭식 발달에 미치는 영향 - 발달에 근거하여 : 사례 보고

  • Min, Kyoung-Chul (Department of Rehabilitation, Seoul Metropolitan Children's Hospital) ;
  • Kim, Bo-Kyeong (Department of Rehabilitation, Seoul Metropolitan Children's Hospital)
  • 민경철 (서울특별시 어린이병원 재활의학과 작업치료실) ;
  • 김보경 (서울특별시 어린이병원 재활의학과 작업치료실)
  • Received : 2021.11.20
  • Accepted : 2022.01.20
  • Published : 2022.01.28

Abstract

Goal of this study is to identify effect of Oral Motor Facilitation Technique(OMFT) on feeding development, tube weaning of PWS baby. Subject was 8months old PWS girl. 2 times of OT, 1 times of OMFT per weeks were provided from July, 2020 to June, 2021. Feeding development and skills was increased and could eat food by mouth after OMFT treatment. Especially, she could eat food by her mouth after 3mts of OMFT and age-appropriated food intake, chewing function, drinking by straw was increased. Through this case study, early detecting and treatment for feeding development of PWS is very important. OMFT is good treatment protocol for increasing feeding development and oral motor skills of PWS.

본 연구는 섭식장애가 있는 프래더 윌리(PWS) 아동을 대상으로 구강운동촉진기술(OMFT) 적용 후 섭식발달의 변화를 확인하고 전반적인 발달과 비교·분석하여 OMFT가 섭식발달에 미치는 효과를 알아보고자 하였다. 대상 아동은 경관 식이로 섭식 중인 교정 연령 8개월 PWS 여자 1명으로 2020년 7월부터 2021년 6월까지 OMFT를 주 1회, 1년 동안 제공하였다. OMFT 적용 후 구강 섭식 전환 및 연령에 맞는 음식 섭취, 씹기 기능 증진, 빨대 사용, SSB 조절 향상 등의 섭식발달 단계 변화가 관찰되었다. 본 연구를 통해 OMFT가 PWS 아동의 섭식 발달 및 구강 섭취 전환에 효과적인 것으로 확인되었다. PWS 아동의 섭식 및 연하장애에 대한 조기 평가 및 치료 접근이 중요하며 근긴장도 및 근력 저하의 구강운동기능 문제 해결을 위한 OMFT 적용을 통한 섭식 발달 향상을 위한 접근이 필요할 것이다.

Keywords

Acknowledgement

This article is supported by the research grant of Korean Academy of Dysphagia Rehabilitation of 2022

References

  1. D. K. Jin. (2011). Systematic review of the clinical and genetic aspects of Prader-Willi syndrome. Korean journal of pediatrics, 54(2), 55-63. DOI : 10.3345/kjp.2011.54.2.55
  2. C. Fridman, F. Kok & C. P. Koiffmann. (2000). Hypotonic infants and the Prader-Willi syndrome. Jornal de Pediatria (Rio J), 76(3), 246-250. DOI : 10.2223/jped.66
  3. M. Gunay-Aygun, S. Schwartz, S. Heeger, M. A. O'Riordan & S. B. Cassidy. (2001). The changing purpose of Prader-Willi syndrome clinical diagnostic criteria and proposed revised criteria. Pediatrics, 108(5), e92. DOI : 10.1542/peds.108.5.e92
  4. P. Salehi et al.(2017). Silent aspiration in infants with Prader-Willi syndrome identified by videofluoroscopic swallow study. Medicine, 96(50), e9256. DOI : 10.1097/MD.0000000000009256
  5. C. J. McAllister, J. E. Whittington & A. J. Holland. (2011). Development of the eating behaviour in Prader-Willi Syndrome: advances in our understanding. International Journal of Obesity, 35(2), 188-197. DOI : 10.1038/ijo.2010.139
  6. R. Saeves, P. Asten. K. Storhaug & M. Bagesund. (2011). Orofacial dysfunction in individuals with Prader-Willi syndrome assessed with NOT-S. Acta Odontologica Scandinavica, 69(5), 310-315. DOI : 10.3109/00016357.2011.568961
  7. B. A. Lewis. (2006). Speech and language disorders associated with Prader-Willi syndrome. In Management of Prader-Willi Syndrome. In Butler M.G., Lee P.D.K., Whitman B.y.(Eds.), Management of Prader-Willi Syndrome(pp. 272-283). Springer, New York, NY.
  8. P. Wang, W. Zhou, W. Yuan, L. Huang, N. Zhao & X. Chen. (2016). Prader-Willi syndrome in neonates: twenty cases and review of the literature in Southern China. BMC pediatrics, 16(1), 1-6. DOI : 10.1186/s12887-016-0662-2
  9. M. G. Butler, J. L. Miller & J. L. Forster. (2019). Prader-Willi syndrome-clinical genetics, diagnosis and treatment approaches: an update. Current pediatric reviews, 15(4), 207-244. DOI : 10.2174/1573396315666190716120925
  10. F. M. Cizmecioglu et al. (2018). Neonatal features of the Prader-Willi syndrome; the case for making the diagnosis during the first week of life. Journal of clinical research in pediatric endocrinology, 10(3), 264-273. DOI : 10.4274/jcrpe.0029
  11. S. E. Morris & M. D. Klein. (2000). Pre-feeding skills: A comprehensive resource for mealtime development. San Antonio, TX: Therapy Skill Builders.
  12. J. Case-Smith & J. C. O'Brien. (2015). Occupational therapy for children and adolescents 7th edition. St. Louis : Elsevier.
  13. K. C. Min, S. M. Seo & H. S. Woo. (2021). Oral-Motor Facilitation Technique (OMFT): Part I-Theoretical Base and Basic Concept. Therapeutic Science for Rehabilitation, 10(1), 37-52. DOI : 10.22683/tsnr.2021.10.1.037
  14. K. C. Min, S. M. Seo & H. S. Woo. (2021). Oral-Motor Facilitation Technique (OMFT): Part II-Conceptual Hierarchy and Key Point Technique. Therapeutic Science for Rehabilitation, 10(1), 53-61. DOI : 10.22683/tsnr.2021.10.1.053
  15. L. Cooper-Brown et al. (2008). Feeding and swallowing dysfunction in genetic syndromes. Developmental disabilities research reviews, 14(2), 147-157. DOI : 10.1002/ddrr.19
  16. C. J. Manno, C. Fox, P. S. Eicher & M. E. Kerwin. (2005). Early oral-motor interventions for pediatric feeding problems: What, when and how. Journal of Early and Intensive Behavior Intervention, 2(3), 145-159. DOI : 10.1037/h0100310
  17. L. Voniati, A. Papaleontiou, R. Georgiou & D. Tafiadis. (2021). The Effectiveness of Oral Sensorimotor Intervention in Children with Feeding Disorders. Current Developmental Disorders Reports, 1-11. DOI : 10.1007/s40474-021-00236-y
  18. K. Sharma, S. Tengsupakul, O. Sanchez, R. Phaltas & P.Maertens. (2019). Guillain-Barre syndrome with unilateral peripheral facial and bulbar palsy in a child: a case report. SAGE Open Medical Case Reports, 7, 1-5. DOI : 10.1177/2050313X19838750
  19. I. J. Yoon. (2020). The effect of swallowing therapy on child of Noonan syndrome-A case report. Swallowing Rehabilitation, 3(1), 1-9. DOI : 10.31115/sr.2020.3.1.1
  20. I. J. Yoon & J. H. Shin. (2018). The swallowing therapy for child with VACTERL syndrome-A case report. Swallowing Rehabilitation. 1(2), 41-51. DOI : 10.31115/sr.2018.1.2.41
  21. H. S. Shin, B. S. Kwon & S. O. Lim. (2005). Validity of Korean version of Denver II in screening children with developmental risk. Child Health Nursing Research, 11(3), 316-321.
  22. A. Carswell, M. A. McColl, S. Baptiste, M. Law, H. Polatajko & N. Pollock. (2004). The Canadian Occupational Performance Measure: a research and clinical literature review. Canadian journal of occupational therapy, 71(4), 210-222. DOI : 10.1177/000841740407100406
  23. S. Fucile, E. G. Gisel & C. Lau. (2005). Effect of an oral stimulation program on sucking skill maturation of preterm infants. Developmental medicine and child neurology, 47(3), 158-162. DOI : 10.1017/S0012162205000290
  24. R. M. Sampallo-Pedroza, L. F. Cardona-Lopez & K. E. Ramirez-Gomez. (2014). Description of oral-motor development from birth to six years of age. Revista de la Facultad de Medicina, 62(4), 593-604. DOI : 10.15446/revfacmed.v62n4.45211