feeding and swallowing therapy
If you ask any parent of young kids whether they’re game for a product that is affordable, reduces spills and messes, and is super convenient, of course you’re going to hear: Yes, Please! Unfortunately, convenience for parents isn’t always what’s best for children. Case-in-point: The sippy cup. Speech therapists who study feeding and swallowing development and speech-language development will tell you: You really should ditch the sippy.
It’s really made more for parents than for kids. Someone got tired of their toddler spilling all Tang on the carpet and the rest is history. Sippy cups are marketed to parents as a necessity. But our Fort Myers speech therapists will beg to differ.
Some things to consider:
- Overuse of the hard sippy cup spout impedes swallowing development. During the baby’s first year, he or she will primarily use a front-to-back tongue movement to pass liquids and soft solids to the back of their mouth so they can swallow them. Speech therapists call this pattern suckle-swallow. But by the time they get to be about 12 months, their swallow pattern will mature. The tip of the tongue will rise to the bumpy, gum line ridge (where you make the /d/ sound) and begin using wave-like motions. This is what allows them to swallow a greater variety of textured foods. If your child is drinking solely from a sippy cup or bottle, this development milestone can be delayed.
- “Paci-mouth.” Yes, this refers to the damage that can be caused by overuse of a pacifier, but something similar can occur with sippy cups. If the tongue isn’t able to go up during swallowing, it will generally come to rest in a forward position in the mouth. This can potentially impede speech-language development. If your child only uses a sippy cup very occasionally, this likely won’t be a problem. But for lots of kids, sippy cups are constant companions. Speech-language skills can be stunted for kids who don’t get past that suckle-swallow pattern by the time they’re 1.
- Facial development delays. There is a muscle in the face called the genioglossus. Heavy use of a sippy cup can impede its development, which can lead to mouth-breathing. Mouth-breathing is associated with slowed facial development.
When does picky eating become a disability? Fort Myers OT (occupational therapy) services for children may be necessary for picky eaters when severe aversions to certain foods morph into “problem feeding,” a significant hindrance to healthy growth and development.
Parents of picky eaters can easily feel consumed by mealtime battles. They aren’t alone.
An 11-year longitudinal study of 120 kids published in the journal Eating Behaviors revealed that at any given time, between 13 and 22 percent of kids were reported by parents to be “picky eaters.” (Other researchers have put the figure as high as 50 percent.) About 40 percent of picky eaters kept it up for 2 years or more. This was different from those who simply went through short-burst phases of strong dislike for one food or another.
Instead, as our Fort Myers OT providers have seen, truly picky “problem” eaters consume an extremely limited variety of foods, even requiring it to be prepared in certain ways. They tend to show much stronger dislike for most foods and throw major tantrums. Some simply refuse to eat.
“What we see is their pickiness is extremely restrictive,” said Fort Myers OT Krystle Hofstetter. “They’ll eat just two or three items – and that’s it.”
The good news is: We can help!