Oromotor Impairments

Oromotor impairments are associated with more severe CP. A weak suck, poor coordination of the swallowing mechanism, tongue thrusting, and a tonic bite reflex may all lead to feeding difficulties and increased risk for aspiration. Speech disorders range from mild artic­ulation disorders to anarthria, and are most commonly seen in children with spastic quadriparesis or atheto­sis. Oromotor dysfunction may also lead to difficulty controlling oral secretions and drooling, which may negatively affect social interactions. Oromotor impair­ments are associated with dental malocclusion and difficulty with oral hygiene, leading to an increased risk of periodontal disease.