Feeding abilities in 20 individuals with Rett syndrome aged 1 1/2 to 3
3 sears were investigated by history and clinical assessment during a
meal, followed by videofluoroscopy of feeding. All were shown to have
reduced movements of the mid and posterior tongue, with premature spil
lover of food and liquid from the mouth into the pharynx. They also sh
owed delayed pharyngeal swallow, but otherwise pharyngeal problems wer
e minimal. These findings were noted to be similar to those in Parkins
on's disease, Those individuals with the most general neurological imp
airment tended to have the worst feeding problems and were smaller and
malnourished.