Posted by: Indonesian Children | April 23, 2009

Normal Oral-Motor and Swallowing Development

BIRTH TO 36 MONTHS

 

 

0 – 3 Months

* Primitive Reflexes

Examples:

— Rooting reflex

— Mouth-opening reflex

— Phasic bite reflex

* Tongue flat and cupped

* Swallow triggered by the suck

* Jaw, tongue and lips do not move independent

4 – 6 Months

* Infantile reflexes become integrated

* Difficulty transferring semisolids to pharyngeal cavity

* A developing suck-swallow pattern

* Loss of semisolid food

* Jaw, tongue and lips do not move independently

* Easy tongue protrusion occurs when swallowing

7 – 9 Months

* Lips show lateral closure, closing tightly at the corners

* Jaw movements separate from tongue and lip activity

* Lower lip pulls in to remove food

* Upper lip cleans spoon

* Unstable jaw movements with cup

* Begins to show coordinated suck-swallow-breathe pattern

* Transfers bolus from side to center of the tongue and from center to the side

10 – 12 Months

* Decrease in up-and-down jaw movements when drinking from a cup

* Upper incisors used to clean lower lip

* Lip closure while swallowing liquids and solids is common

* Uses a well-controlled and graded bite

13 – 15 Months

* Suck-swallow-breathe pattern coordinated during long drinking sequences

* Cleaning movements integrated with chewing

* Refining swallowing skills present at 10-12 months

* Can learn to suck through a straw

16 – 18 Months

* Movements smoother than at 15 months but otherwise much the same

* Minimal loss of food during chewing

* Uses external jaw stabilization with the rim of a cup

19 – 24 Months

* Tongue cleans lips

* Transfers bolus across midline of the tongue

* Excellent coordination of swallowing with breathing pattern

* Drinks from a straw regardless of experience

* Loss of liquid when drinking from a cup is rare

25 –36 Months

* Uses tongue to clean the area between gums and cheeks

 

 

 

Supported by

PICKY EATERS CLINIC

KLINIK KHUSUS KESULITAN MAKAN PADA ANAK

JL TAMAN BENDUNGAN ASAHAN 5 JAKARTA PUSAT, JAKARTA INDONESIA 10210

PHONE :62 (021) 70081995 – 5703646

Email : judarwanto@gmail.com

https://mypickyeaters.wordpress.com/

 

Clinical and Editor in Chief :

DR WIDODO JUDARWANTO

email : judarwanto@gmail.com,

 

Copyright © 2009, Picky Eaters Clinic Information Education Network. All rights reserved.


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