Feeding and swallowing disorders have significant implications for nutrition, growth, respiratory health, and parent-child interactions. Children with cerebral palsy (CP) evidence greater need for interdisciplinary approach to care. This workshop will highlight our model of an interdisciplinary approach to the assessment and treatment of oral motor dysfunction in children with CP that incorporates postural, sensory, motor, behavioral, and social-emotional aspects of mealtime. Discussions will include strategies to improve nutrition outcomes, such as growth, oral motor skill development to facilitate safe and efficient eating, and the resources available to those serving this population. The value of an interdisciplinary approach, value of family centered care, importance of establishing a baseline using a standardized tool and a review of current literature will be shared.
Patricia Miller, MS, RD, CSO, LDN, FAND
Patricia is the Nutrition Director at the Kennedy Krieger Institute and a KKI member since 1990. She holds a bachelor's and master's degree in Nutrition from West Virginia University. She is a board certified specialist in Pediatric nutrition and a Fellow of the Academy of Nutrition and Dietetics. Her clinical and research expertise is in the area of growth and nutritional needs of children with Cerebral Palsy. She also specializes in working with children with Feeding Disorders, Brain Injury, Spinal Cord Injury, Rett Syndrome and Barth Syndrome. She and Kristin Stubbs, MS, OTR/L developed the Oral Motor Clinic at KKI in 2012 which is committed to providing therapeutic services that advance oral motor skill development, and facilitate the skills necessary for safe and efficient eating.
Kristin Brockmeyer-Stubbs, MS, OTR/L
Kristin is the Senior Director of Occupational Therapy at the Kennedy Krieger Institute and a KKI team member since 1989. She holds a bachelor's degree in occupational therapy from the University of New Hampshire and an advanced master's degree in OT with a pediatric specialty from Towson University. Her therapy experience includes teaching, assessment and treatment, research and program development. Oral motor/feeding and swallowing and seating/positioning have been areas of focus for many years and she leads the KKI Seating Clinic and Oral Motor Clinic. She is an OCHO board member (Organization for Community Health Outreach) and recently returned from her sixth trip to Honduras as part of a medical brigade where she provided OT services to children, adults and their families. Providing education and services in the area of eating, feeding and swallowing is a major initiative in this community outreach program.
1. The participant will be able to identify how feeding and swallowing disorders have significant implications for development, growth and nutrition, respiratory health, gastrointestinal function, parent-child interaction and overall family life in children with cerebral palsy (CP).
2. The participant will demonstrate the ability to identify the important components of a comprehensive OT/Nutrition pediatric eating/feeding evaluation.
3. The participant will demonstrate the ability to begin to develop a comprehensive treatment program to address postural, sensory, motor, behavioral, and social-emotional aspects of mealtime for children diagnosed with CP.
4. The participant will demonstrate knowledge about the literature and resources available to assess and treat oral motor (OM) and Nutritional issues in children with diagnosis of CP.
5. The participant will identify the rationale for establishing an interdisciplinary method to assess and treat nutritional, growth, OM and swallowing challenges in children with CP and positive outcomes that result from this collaborative approach.