Department of Speech-Language-Hearing Sciences, Lehman College, Bronx, NY, USA.
Pediatr Nurs. 2004 Mar-Apr;30(2):97-100.
Children with cerebral palsy and other neurodisabilities often have decreased postural control that exacerbates their feeding/swallowing disorders. Correct postural alignment is important in the normal feeding/swallowing process. In the child with cerebral palsy, the alignment and stability of the oral structures for feeding/swallowing may be compromised by abnormal muscle tone and movement patterns. Effective oral functioning for feeding begins with attaining better head stability to improve jaw control. Head control is influenced by trunk alignment, which depends upon the stability of the pelvic area. Techniques such as therapeutic seating and oral control can enhance postural alignment and improve oral functioning for the safe intake of food.