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preLekára.sk / Journals / Clinical speech therapy (Listy klinické logopedie) / 2017 - 2

Multimodal approach to therapy of functional dysphagia in children

Česká verzia

Authors: Mgr. Červenková Barbora
Authors place of work: Centrum Kociánka, Kociánka 2, 612 47 Brno
Published in the journal: Listy klinické logopedie 2017; 1(2): 3-17
Category: Main topic

Summary

Picky eating and food refusal is usually classified as part of a spectrum of feeding difficulties usually called functional dysphagia. It is characterised by an unwillingness to eat familiar foods or to try new foods, as well as strong food preference to the total refusal of all food. There is no single widely accepted definition of picky eating/food refusal and therefore there is little consensus on an appropriate assessment measure and treatment. Functional dysphagia in children has historically been treated using a cognitive behavioral approach, which was not succesfull in all cases. From our therapeutic point of view it is beneficial if we use a multimodal approach in therapy. Components of the interventions included (1) physiological, nutritional and environmental changes to regularize hunger-satiety cycles and promote good eating habits and routines; (2) skill aquisition techniques (3) sensory based approach.

Keywords:

Functional dysphagia, picky eaters, food refusal, cognitive behavioral approach, nutritional rules, skill aquisition techniques, sensory based approach

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Clinical speech therapy (Listy klinické logopedie)

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