Sippy cup speech problems?
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From: tgastaldo on 3 Dec 2006 16:07 SIPPY CUP SPEECH PROBLEMS? Attn: Pauline Rogers, Surrey Primary Care Trust via DAWN HALL dawn.hall(a)shawpct.nhs.uk Pauline: Did you review the Surrey PCT Guidelines for Infant Feeding in Sept 2006? If so, do you still mention the sippy cup/speech problem association? See below (Members of the public are welcome to attend Board Meetings. Please submit any questions you would like answered at the meeting to Dawn Hall, Head of Communications on 01932 358651 or to dawn.hall(a)shawpct.nhs.uk) >From 2002 (Wall Street Journal)... http://www.mindfully.org/Plastic/Sippy-Cups-Slur-Speech12feb02.htm Sippy Cups Draw Fire for Speech Slurs, Cavities JONATHAN EIG / Wall Street Journal 12feb02 Beware the sippy cup. <SNIP>some speech pathologists say children are using sippy cups long after they should have made the transition to a traditional, lidless cup. They're still sucking and slurping when they ought to be swilling and gulping. The consequence: a lazy tongue that produces sloppy "th" and "st" sounds, at least temporarily. Nursery-school teachers were among the first to raise concerns. "What we've noticed in the past five or six years is that articulation for young children has totally disappeared," says Gail Smith, director of the Gingham Giraffe Preschool in Chatham, N.J. "And I directly attribute it to the use of sippy cups."<SNIP>Playtex Products Inc., the market leader in spill-proof cups, says the complaints are without merit. The Westport, Conn., company notes that there is no scientific evidence suggesting that sippy cups affect speech.<SNIP>Americans spent more than $30 million last year on spill-proof cups, which usually sell for less than $5 each, according to ACNielsen, <SNIP>. When children drink from a bottle or breast, they perform something speech therapists refer to as a suckle-swallow. The tongue lays flat and moves mostly in a back-and-forth pattern.<SNIP>with a sippy cup, according to its critics, the tongue doesn't get enough action. "It's wreaking havoc on that tongue position," says Charlotte A. Boshart, a speech pathologist in Temecula, Calif. "It's just like sucking your thumb all the way up until you're five or six years old," says Sara Rosenfeld-Johnson, a speech pathologist in Tucson, Ariz. In seminars that she conducts nationwide, she has become one of the most outspoken critics of the sippy cup. Most children who develop speech difficulties after drinking from sippy cups are easily cured, says Ms. Johnson. Their speech usually improves as soon as they begin drinking from other vessels. But for children with Down Syndrome or other illnesses that weaken the facial muscles, these problems can be longer lasting. In those cases, she prescribes a series of exercises in which children gradually switch from sippy cups to straws to regular cups. Yet while Ms. Johnson spreads the word, others in the field of speech maintain that the sippy-cup debate is a lot of crying over unspilled milk. "I can't imagine how they could be a problem," says Christopher A. Moore, professor of speech and hearing sciences at the University of Washington. "It's an anecdotal observation that's not supported by research." <SNIP> Ms. Adams, the television news reporter in Louisville, recently launched an investigation of her own into another hazard of the sippy cup. A toddler may pick up a sippy cup left for days in a toy box and start sucking, while the sealed lid makes it impossible for his parents to see or smell the condition of the drink inside. Ms. Adams collected sippy cups from various parents' homes as well as from her own car and had them tested in a lab. Her report, aired recently on WHAS, revealed that the cups were teeming with germs. THAT WAS 2002... In 2005 - at least one UK Primary Care Trust still mentions the sippy cup/speech problems association... But the Guidelines were up for review in Sept. 2006... Sept 2005... http://www.woking.nhs.uk/intranet/Woking-PCG/Polices---/HV4Infant-nutrition-policy-Sept-05.pdf SURREY, HEATH AND WOKING PRIMARY CARE TRUST... Guidelines for Infant Feeding (under 6 months old) NAME OF DOCUMENT: Guidelines for Infant Feeding (under 6 months old) KEYWORD DESCRIPTOR:Infant Feeding; Breast feeding; Milk; Bottle feeding REVIEWED: September 2005 IMPLEMENTATION DATE: Immediate NEXT REVIEW: September 2006 APPROVAL BODY: Clinical Governance Steering Group INITIATING OFFICER & Pauline Rogers DIRECTORATE:Associate Director of Operational Services The Breastfeeding Group for North Surrey Primary Care Trust and Surrey Heath and Woking Primary Care Trust produced these guidelines. The group's members included health visitors, Infant Feeding Advisors and Paediatric Dietician from St Peter's and Ashford NHS Trust, SurreyHealth Promotion and representatives of the local National Childbirth Trust.The Breastfeeding Group for North Surrey Primary Care Trust and Surrey Heath and Woking Primary Care Trust produced these guidelines. The group's members included health visitors, Infant Feeding Advisors and Paediatric Dietician from St Peter's and Ashford NHS Trust, SurreyHealth Promotion and representatives of the local National Childbirth Trust.The Breastfeeding Group for North Surrey Primary Care Trust and Surrey Heath and Woking Primary Care Trust produced these guidelines. The group's members included health visitors, Infant Feeding Advisors and Paediatric Dietician from St Peter's and Ashford NHS Trust, SurreyHealth Promotion and representatives of the local National Childbirth Trust.The Breastfeeding Group for North Surrey Primary Care Trust and Surrey Heath and Woking Primary Care Trust produced these guidelines. The group's members included health visitors, Infant Feeding Advisors and Paediatric Dietician from St Peter's and Ashford NHS Trust, SurreyHealth Promotion and representatives of the local National Childbirth Trust.The Breastfeeding Group for North Surrey Primary Care Trust and Surrey Heath and Woking Primary Care Trust produced these guidelines. The group's members included health visitors, Infant Feeding Advisors and Paediatric Dietician from St Peter's and Ashford NHS Trust, SurreyHealth Promotion and representatives of the local National Childbirth Trust.The Breastfeeding Group for North Surrey Primary Care Trust and Surrey Heath and Woking Primary Care Trust produced these guidelines. The group's members included health visitors, Infant Feeding Advisors and Paediatric Dietician from St Peter's and Ashford NHS Trust, SurreyHealth Promotion and representatives of the local National Childbirth Trust. Appendix 1: Introducing Cups Current advice: parents can start introducing a cup from six months of age and the use of a babybottle should be discontinued completely as soon as possible after the first birthday (COMA Weaning Report, 1994). Prolonged use of baby bottles, defined as beyond the age of twelve months, has been associated with: · Dental caries ("baby bottle" tooth decay or "nursing caries") · Reduced variety of foods eaten · Poor chewing techniques · Food refusal · Iron-deficiency-anaemia · Failure to thrive · Otitis media · SPEECH PROBLEMS (Thompson, 2001) <SNIP>Drinking from the rim of a cup encourages the development of control of the muscles and joints of the face and the tongue. These are necessary precursors to speech development. <SNIP>References and Bibliography<SNIP>Eig, J. (2002) What's next? Blankie? Sippy Cups Draw Fire for Speech Slurs, Cavities. Wall StreetJournal, February 12th2002. <SNIP>Thompson, J. (2001) Inappropriate use of feeding bottles. Community Practitioner, volume 74(8),pp310 <SNIP> >>>>END excerpt of Surrey PCT Guideline... NOTE: The Breastfeeding Group for North Surrey Primary Care Trust and Surrey Heath and Woking Primary Care Trust produced these guidelines. The group's members included health visitors, Infant Feeding Advisors and Paediatric Dietician from St Peter's and Ashford NHS Trust, SurreyHealth Promotion and representatives of the local National Childbirth Trust.The Breastfeeding Group for North Surrey Primary Care Trust and Surrey Heath and Woking Primary Care Trust produced these guidelines. The group's members included health visitors, Infant Feeding Advisors and Paediatric Dietician from St Peter's and Ashford NHS Trust, Surrey... http://www.woking.nhs.uk/intranet/Woking-PCG/Polices---/HV4Infant-nutrition-policy-Sept-05.pdf Again... Attn: Pauline Rogers, Surrey Primary Care Trust via DAWN HALL dawn.hall(a)shawpct.nhs.uk Pauline: Did you review the Surrey PCT Guidelines for Infant Feeding in Sept 2006? If so, do you still mention the sippy cup/speech problem association? Todd Dr. Gastaldo Hillsboro, Oregon USA todd(a)chiromotion.com This post wll be archived for global access in the Google usenet archive. 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