Feeding difficulties in disabled children

Feeding difficulties are common in children with neurological impairments and impact on growth and nutrition, general health, developmental outcomes and quality of life. Factors such as gross motor skills, seating and positioning for feeding, oral motor dysfunction, effectiveness of swallowing, co-morbidities and feeding related behaviours all influence a child's ability for safe and effective feeding. Identification of feeding problems relies on careful assessment involving a number of professionals. Management strategies are best delivered by a multi-professional team skilled in the care of children with neurological impairment and feeding impairments. The wider effects of feeding difficulty on the psychological health of both child and carer must be considered.