Advances in Swallowing Neurophysiology across Pediatric Development: Current Evidence and Insights.

IF 1 Q4 REHABILITATION

Current Physical Medicine and Rehabilitation Reports Pub Date : 2021-12-01 Epub Date: 2021-11-18 DOI:10.1007/s40141-021-00334-3

Georgia A Malandraki, Rachel Hahn Arkenberg

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引用次数: 3

Abstract

Purpose of review: This review article analyzes current evidence on the neurophysiology of swallowing during development and offers expert opinion on clinical implications and future research directions.

Recent findings: In the past five years, basic and clinical research has offered advances in our understanding of pediatric swallowing neurophysiology. Animal models have elucidated the role of brainstem circuits and the peripheral and central nervous system in neonatal swallowing. Recent human studies have further showcased that fetal and infant swallowing require cerebral inputs in order to develop functionally. Finally, neurophysiological and neuroimaging studies are starting to better define these cerebral inputs, as well as neuroplastic adaptations that may be needed for optimal feeding development.

Summary: The neural development of swallowing is a complex and dynamic process. Continued research is needed to better understand influences on swallowing neural development, which can be essential for improving prevention, diagnosis, and interventions for pediatric dysphagia.

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吞咽神经生理学在儿科发育中的进展:当前的证据和见解。

综述目的:本文综述了目前关于吞咽发育过程神经生理学的研究证据，并对临床意义和未来的研究方向提出了专家意见。最近发现:在过去的五年中，基础和临床研究为我们对儿童吞咽神经生理学的理解提供了进展。动物模型已经阐明了脑干回路和外周和中枢神经系统在新生儿吞咽中的作用。最近的人类研究进一步表明，胎儿和婴儿的吞咽需要大脑的输入才能发育功能。最后，神经生理学和神经影像学研究开始更好地定义这些大脑输入，以及可能需要最佳喂养发育的神经可塑性适应。吞咽的神经发育是一个复杂的动态过程。需要继续研究以更好地了解吞咽神经发育的影响，这对于改善儿童吞咽困难的预防、诊断和干预至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Physical Medicine and Rehabilitation Reports Medicine-Rehabilitation

CiteScore

1.70

自引率

0.00%

发文量

期刊介绍： This journal aims to offer expert review articles on the most significant recent developments in physical medicine and rehabilitation. By providing clear, insightful, balanced contributions, the journal serves those for whom an understanding of emerging knowledge in the rehabilitation sciences is essential to optimizing health, function, and participation in individuals with physical disabilities. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas across the field. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An Editorial Board of more than 20 internationally diverse members reviews the annual table of contents, ensures that topics include emerging research, and suggests topics of special importance to their country/region. Topics covered may include amputee rehabilitation; interventional pain management; musculoskeletal rehabilitation; pediatric rehabilitation; spinal cord injury rehabilitation; stroke rehabilitation; swallowing disorders; and traumatic brain injury rehabilitation.