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Published in: European Journal of Pediatrics 5/2018

01-05-2018 | Review

Predictors and outcomes of the Neonatal Oral Motor Assessment Scale (NOMAS) performance: a systematic review

Authors: Laura Longoni, Livio Provenzi, Anna Cavallini, Daniela Sacchi, Giunia Scotto di Minico, Renato Borgatti

Published in: European Journal of Pediatrics | Issue 5/2018

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Abstract

The NOMAS is by far the most used tool to screen early oral-motor skills in newborns. Here we provide an updated review of scientific literature on the use of the Neonatal Oral Motor Assessment Scale (NOMAS) to screen early oral-motor skills in newborns. An integrative review has been carried out consistent with PRISMA guidelines and standardized qualitative appraisal. Data abstracting and synthesis were executed by two independent co-authors who solved disagreement in conference. Twenty records have been included and reviewed. The efficacy of the NOMAS in screening and identifying precocious oral-motor skills received inconsistent support. Moderate validity and low reliability emerged. Moreover, despite the NOMAS’ adequately screen efficient and inefficient feeders, limited evidence emerged for predictive value of NOMAS score on feeding and psychomotor developmental trajectories during the first 2 years of age.
Conclusion: The present review highlights benefits and limitations of the NOMAS. Future research is needed to develop observational and clinically-relevant tools to better identify newborns which are at lower- and higher-risk of developing less-than-optimal feeding behaviors and to guide with greater precision the diagnostic and therapeutic journey of these newborns.
What is Known:
The assessment of oral-motor skills in newborns and infants is critical for early intervention
• The NOMAS is the most adopted tool to assess oral-motor skills in newborns and infants
What is New:
The ability of the NOMAS to target newborn at risk for feeding disorders is confirmed
• Nonetheless, the capacity to predict long-term developmental outcomes is limited
Literature
3.
go back to reference Manikam R, Perman JA (2000) Pediatric feeding disorders. J Clin Gastroenerol 30:34–46CrossRef Manikam R, Perman JA (2000) Pediatric feeding disorders. J Clin Gastroenerol 30:34–46CrossRef
4.
go back to reference Newman LA, Keckley C, Petersen MC (2001) Swallowing function and medical diagnoses in infants suspected of dysphagia. Pediatrics 108:E106CrossRefPubMed Newman LA, Keckley C, Petersen MC (2001) Swallowing function and medical diagnoses in infants suspected of dysphagia. Pediatrics 108:E106CrossRefPubMed
7.
go back to reference Bickell M, Barton C, Dow K et al (2017) A systematic review of clinical and psychometric properties of infant oral motor feeding assessments. Dev Neurorehabil 8:1–11CrossRef Bickell M, Barton C, Dow K et al (2017) A systematic review of clinical and psychometric properties of infant oral motor feeding assessments. Dev Neurorehabil 8:1–11CrossRef
8.
go back to reference Braun MA, Palmer MM (1985) A pilot study of oral-motor dysfunction in “at risk” infants. Phys Occup Ther Pediatr 5:13–26CrossRef Braun MA, Palmer MM (1985) A pilot study of oral-motor dysfunction in “at risk” infants. Phys Occup Ther Pediatr 5:13–26CrossRef
11.
go back to reference Palmer MM, Crawley K, Blanco IA (1993) Neonatal oral-motor assessment scale: a reliability study. J Perinatol 13:28–35PubMed Palmer MM, Crawley K, Blanco IA (1993) Neonatal oral-motor assessment scale: a reliability study. J Perinatol 13:28–35PubMed
12.
go back to reference Liberati A, Altman DG, Tetzlaff J et al (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ Open 339:b2700 Liberati A, Altman DG, Tetzlaff J et al (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ Open 339:b2700
13.
go back to reference Case Smith J, Cooper P, Scala V (1989) Feeding efficiency of premature neonates. Am J Occup Ther 43:245–250CrossRefPubMed Case Smith J, Cooper P, Scala V (1989) Feeding efficiency of premature neonates. Am J Occup Ther 43:245–250CrossRefPubMed
14.
go back to reference Ferguson A, Blaymore Bier JA, Cucca J et al (1996) The quality of sucking in infants with colic. Infant Ment Health J 17:161–169CrossRef Ferguson A, Blaymore Bier JA, Cucca J et al (1996) The quality of sucking in infants with colic. Infant Ment Health J 17:161–169CrossRef
15.
go back to reference Palmer MM, Heyman MB (1999) Developmental outcome for neonates with dysfunctional and disorganized sucking patterns: preliminary findings. Infant-Toddler Interv 9:299–308 Palmer MM, Heyman MB (1999) Developmental outcome for neonates with dysfunctional and disorganized sucking patterns: preliminary findings. Infant-Toddler Interv 9:299–308
16.
go back to reference MacMullen NJ, Dulski LA (2000) Factors related to sucking ability in healthy newborns. JOGNN 29:390–396CrossRefPubMed MacMullen NJ, Dulski LA (2000) Factors related to sucking ability in healthy newborns. JOGNN 29:390–396CrossRefPubMed
17.
go back to reference Howe TH, Sheu CF, Hsieh YW et al (2007) Psychometric characteristics of the neonatal oral–motor assessment scale in healthy preterm infants. Dev Med Chi Neurol 2:915–919CrossRef Howe TH, Sheu CF, Hsieh YW et al (2007) Psychometric characteristics of the neonatal oral–motor assessment scale in healthy preterm infants. Dev Med Chi Neurol 2:915–919CrossRef
22.
go back to reference da Costa SP, van der Schans CP, Boelema SR, van der Meij E, Boerman MA, Bos AF (2010) Sucking patterns in fullterm infants between birth and 10 weeks of age. Inf Behav Dev 33:61–67CrossRef da Costa SP, van der Schans CP, Boelema SR, van der Meij E, Boerman MA, Bos AF (2010) Sucking patterns in fullterm infants between birth and 10 weeks of age. Inf Behav Dev 33:61–67CrossRef
23.
go back to reference Tsai SW, Chen CH, Lin MC (2010) Prediction for developmental delay on neonatal oral motor assessment scale in preterm infants without brain lesion. Pediatr Int 52:65–68CrossRefPubMed Tsai SW, Chen CH, Lin MC (2010) Prediction for developmental delay on neonatal oral motor assessment scale in preterm infants without brain lesion. Pediatr Int 52:65–68CrossRefPubMed
25.
go back to reference Nieuwenhuis T, da Costa SP, Bilderbeek E et al (2008) Uncoordinated sucking patterns in preterm infants are associated with abnormal general movements. J Pediatr 161:792–798CrossRef Nieuwenhuis T, da Costa SP, Bilderbeek E et al (2008) Uncoordinated sucking patterns in preterm infants are associated with abnormal general movements. J Pediatr 161:792–798CrossRef
27.
go back to reference Wolthuis-Stigter MI, Luinge MR, Da Costa SP et al (2015) The association between sucking behavior in preterm infants and neurodevelopmental outcomes at 2 years of age. J Pediatr 166:26–30CrossRefPubMed Wolthuis-Stigter MI, Luinge MR, Da Costa SP et al (2015) The association between sucking behavior in preterm infants and neurodevelopmental outcomes at 2 years of age. J Pediatr 166:26–30CrossRefPubMed
Metadata
Title
Predictors and outcomes of the Neonatal Oral Motor Assessment Scale (NOMAS) performance: a systematic review
Authors
Laura Longoni
Livio Provenzi
Anna Cavallini
Daniela Sacchi
Giunia Scotto di Minico
Renato Borgatti
Publication date
01-05-2018
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Pediatrics / Issue 5/2018
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-018-3130-1

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