We evaluated the effects of redistribution and swallow facilitation with a flipped spoon on packing in 2 children with a feeding disorder. For both participants, packing decreased when we implemented the flipped spoon treatment package. Mechanisms responsible for behavior change and areas of future research are discussed. (Contains 1 figure.)

Children with genetic syndromes frequently have feeding problems and swallowing dysfunction as a result of the complex interactions between anatomical, medical, physiological, and behavioral factors. Feeding problems associated with genetic disorders may also cause feeding to be unpleasant, negative, or even painful because of choking, coughing,…

Studies the research and other literature on "special care" children and its implications for practice. Concentrates on studies concerning the most severely handicapped children, but also makes use of work on children less severely handicapped, where there are clear possible ways of applying the work to the most severely handicapped. (Author/CT)