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CSD 625
Respiration Activity
Breathe at the top of lung volume Watch for physiological reactions Without taking a breath, engage in instructed task Please try not to talk. Focus instead, on observing
Respiration Activity
What did you observe?
Respiration
Lungs are proportionately larger in infants Obligate nose breathers Belly breathing Normal respiratory patterns in feeding
Apneic moment Swallow on exhalation (most of the time) Trigger point for pharyngeal swallow
Respiration
Birth to 5 mos: 57-80 BPM 6-12+ mos: 41 BPM
Respiration
Belly breathing: abdominal expansion w/minimal thoracic movement. *abnormal in infants 6 mos< Gulp breathing: short, rapid inhalations; may be associated w/extension of the mandible and rhythmic backward movement of head *looks like gulping air
Respiration
Reverse breathing: product of vertebral instability which causes belly breathing; rib cage flaring and sternal depression *tugging or retraction Irregular/shallow breathing Apnea: aperiodic cessation of breathing
Allergies
Obligate nose breathers Increased expenditure of energy
Asthma
incoordination
Primitive Reflexes
Primitive Reflexes
Video Example
Esparo et. al. (2004) Parental psychopathology feeding problems More life events were associated with feeding issues AND Children with feeding issues were more likely to be hyperactive, had vocal tics, anxiety, adjustment problems, elimination problems, attachment and somatic complaints
Pridham et. al. (2001) AS the childs weight became less deviant, a Mothers feeding affect and behavior BECAME more positive There were NO significant associations with Mothers symptoms of depression in either group or across ages on the Mothers feeding affect or behavior
Wright & Birks (2000) the role of deprivation and neglect has been overstated p. 5
Wright & Burk (2000) contd Environmental variables held constant, children with significant weight difficulties have:
More infancy feeding problems; Delayed introduction to baby/finger foods; Parental report of child as a variable eaters, less hungry, less demanding
Kasese-Hara et. Al. (2002) Up until 3 years, typical children eat until they are full; Case children do not naturally adjust intake up & down.
Young children with feeding issues are different from their peers
Clinical questions: What are they doing? What should they be doing? Why?
The End