Treatment of Communication and Feeding Disorders in a Complex Pediatric Patient with a Neurogenic Disorder
Medically complex pediatric cases require clinicians to develop specialized person-centered intervention plans that involve family and caregivers. This case describes a pediatric patient with a neurogenic syndrome resulting in both feeding and communication deficits. The treatment approach used in this case highlights the pedagogy of neurogenic communication etiologies, dynamic assessment, and best practices in treatment.
LG was a 15-month-old male child born following a full-term, uncomplicated pregnancy. No anoxic events during birth were reported. LG weighed 7.8 lb with normal APGAR (appearance, pulse, grimace, activity, and respiration) scores. LG demonstrated feeding difficulties characterized by dyscoordination of systems within the first 2 postpartum months. At 3 months of age, motor delays and ocular delays were noted. No accidents, illnesses, or hospitalizations were reported. Following genetic testing, LG was diagnosed with Mowatt–Wilson’s syndrome affecting motor movement and language development. Beyond physical impairments of gross and fine motor control, LG presented with limited verbal repertoire characterized by isolated open vowels with minimal nonverbal communication.