Problems Encountered When Feeding the Severly Disabled

A detailed Summary of Problems Encountered When Feeding the Severly Disabled

There are four problems that may occur in individuals with sever disabilities when feeding is taking place. These four problems, chin retraction, tongue retraction, chin thrust, and tongue thrust, all take place in the dental region of the face, and they all involve the muscles of that same region. Each one presents its own difficulties; however, sometimes the may occur simultaneously.

The basis for the inner feeding team is the jaw, or chin. It controls and regulates the movements of the other muscles, (including the lips and tongue). The jaw may have two significant problems that accompany it. The first is known as chin retraction. This condition is found mainly in individuals with neurological impairments. The reasons for this being that these individuals tend to show more neck extension and shoulder retraction. With this poor development, the jaw is pushed forward by the rest of the skeletal structure. The ja

The second type of tongue problem is referred to as tongue retraction. This problem is seen as a pulling or falling back of the tongue which makes breathing and sucking difficult. Tongue retraction occurs mainly in individuals with abnormal postural tone. When the neck is hyperextended, the chin tips upward and the tongue retracts. Most individuals compensate for it by pressing the tongue against the middle of the hard pallet. This "correction" then creates a problem in the airway. Sucking and swallowing are difficult due to the blocked airway and tongue up against pallet.

Another problem that may occur with the jaw, but is less common, is chin retraction. This movement is a pulling back of the lower jaw, making it difficult for the mouth to open fully. Strain is placed on the mouth and air passage forming a smaller tunnel of flow. This then creates a problem with swallowing. A child with this type of problem m

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Approximate Word count = 631
Approximate Pages = 3 (250 words per page double spaced)

Category: Miscellaneous

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