Pediatric Feeding Therapy Services
Feeding therapy for babies, toddlers, children, and adolescents
Our feeding team, comprised of Speech Language Pathologists and Occupational Therapists, apply principles from advanced training (Sequential-Oral-Sensory “SOS”, Beckman Oral Motor, etc) to evaluate and treat patients with feeding concerns. We work with toddlers, children, and adolescents who experience difficulty with acceptance of new foods/textures, commonly referred to as “Problem Feeders”, patients who have feeding disorders, known as dysphagia, as well as mother’s with difficulty breastfeeding.





Learn more about helping problem feeders, dysphagia, and our lactation counseling
Children who require professional feeding intervention demonstrate concerns beyond being picky. Many children prefer certain foods and can be stubborn when new foods are presented. Problem feeders present with signs/symptoms that are much more severe such as:
- Diet consisting of less than 20 foods
- May lose foods that were once accepted and do not reacquire them
- Refuse foods even when hungry
- Demonstrate behaviors (crying/tantrums/withdrawal) associated with eating or just being in the presence of food
- Unwilling to try new foods after many presentations
Dysphagia can occur at different phases including oral, pharyngeal and esophageal. Our therapists specialize in treating oral phase dysphagia which includes sucking, chewing, controlling food inside the oral cavity and moving food or liquid into the throat to successfully swallow.
Some signs/symptoms that may be exhibited due to oral phase dysphagia may include:
- Food or liquid leaking from the mouth
- Food or liquid scattering in the mouth
- Pocketing food inside the cheeks
- Reduced sensitivity- Difficulty feeling food and therefore cannot control it
- Difficulty chewing due to weaknesses in oral musculature
Breastfeeding provides a mother and baby with best possible nutrition and several other health benefits that begin from the moment of birth. When encountering difficulty, we are able to provide Certified Lactation Counseling services. Combined with training as feeding therapists, we are able to assess and treat a variety of concerns related to latch, milk production, oral motor skill, muscle tone, and positioning, all of which may be impacting the breastfeeding process.
Once your baby is here, we can help if you or your newborn are:
- Experiencing a painful latch
- Difficulty maintaining a latch
- Showing limited weight gain
- Fussy or discontent following a feed
What causes feeding and swallowing disorders?
The following are some causes of feeding and swallowing disorders in children:
- nervous system disorders (e.g., cerebral palsy, meningitis, encephalopathy)
- gastrointestinal conditions (e.g., reflux, “short gut” syndrome)
- prematurity and/or low birth weight (history of intubation or feeding tube)
- heart disease
- cleft lip and/or palate
- conditions affecting the airway
- autism
- head and neck abnormalities
- muscle weakness in the face and neck
- multiple medical problems
- respiratory difficulties
- medications that may cause lethargy or decreased appetite
- problems with parent-child interactions at meal times
- Sensory Processing Disorder
New client feeding evaluation forms
To assist you with getting the most out of your first feeding therapy visit, please print and complete the age appropriate evaluation form:
Our evaluation process
In order to obtain a clear picture of your child’s needs, our therapists will complete an evaluation. We will obtain medical history and a food diary, discuss symptoms, and gather information regarding overall development. The therapist will then conduct an assessment to look at the strength and movement of the muscles involved in the oral phase of feeding as well as observe feeding to see your child’ s posture, behavior, and oral movements during eating and drinking.
Our treatment approach
If feeding therapy is recommended, we will work closely with both the child and family to develop an individualized treatment plan. The following are examples of areas that may be the focus of intervention:
- making the muscles of the mouth stronger including the jaw, lips and tongue
- increasing tongue movement to better control food inside the oral cavity
- improving chewing for various types of textures including soft and crunchy
- strengthening the core muscles that promote optimal positioning for feeding
- increasing acceptance of different foods and liquids
- improving sucking and/or drinking ability
- providing sensory input to increase awareness or decrease sensitivity in and around the mouth
- improving self feeding skills
Explore Our Pediatric Therapy Services
At Cheshire Fitness Zone, we offer a full range of pediatric therapy services designed to help children reach their fullest potential — including Physical, Occupational, Speech, Aquatic, and Feeding Therapy programs.
What Clients Are Saying
My twelve year old daughter has been seeing Craig since she was four years old and she loves coming to the ‘gym.’ I love that she refers to it as the ‘gym’ instead of therapy. She sees her therapy as a place where she works her body to become stronger and has fun. She is disappointed if therapy is canceled. The staff is wonderful and works to find the right fit with each child and therapist. They work across modalities and communicate with the school and her doctors. I am thankful to have Cheshire Fitness Zone in my daughter’s life! Thank you!
I love it here. They make you feel like family; they work with your schedule. Everyone in the office is very friendly. I’m here with my son three times a week and I see the differences from when he first started and he’s been doing great. This place is just great with my son and with other kids I see around. I’m truly blessed to be around great people all the time.
Highly recommend. The warm, loving atmosphere sets the tone for these highly motivated therapists to do their thing. The office staff is top notch as well!!
My family has been blessed with this amazing crew at Cheshire Fitness Zone for almost five years. My daughter started PT at six months of age when we discovered unexpected delays. The staff from day one has gone above and beyond to help my daughter to be where she is today. They are not only extremely knowledgeable in their individual fields, but make everyone who walks through their door feel welcome and cared for. After the past five years, I consider these individuals like family. They have taught me so many ways to help my daughter and also to strive for the best and prepare for her future. I would highly recommend Cheshire Fitness Zone to anyone who needs services for their children. We appreciate it more than you’ll ever know.
Cheshire Fitness Zone has been wonderful. The office staff is very welcoming and informative and the OT that my son sees has a genuine interest in my son’s well-being. He always communicates well with me and makes sure to ease all of my concerns. My son loves coming to Cheshire Fitness Zone!
“The DMI intensive week was a game changer for my kiddo. I would 100% participate in it again as it gave my girlie a big jumpstart that she needed to engage her core and legs. The difference from Monday to Friday – I mean wow. She went from not being able to lift herself up to being able to sit independently for 2.5 minutes and use her core to stand up straight. She gets stronger everyday as we continue our “homework” and countdown the days until we get to do it again!”
I honestly can’t thank you enough for all the time you spent with us and the very valuable advice that you gave.
A five star rating would not be enough for Cheshire Fitness Zone! From the first time I called to schedule my son’s consult to now one year later, we are consistently greeted by the most caring and loving staff. My son goes to Cheshire Fitness Zone for oral motor/speech therapy and sees Miss Kim. When I say she is the best, she truly is! From day one she has put her heart and soul into my child’s therapy. The strides my son has made in one year is amazing. Not only is Kim the nicest person ever, she is extremely knowledgeable in her field and is constantly thinking of new ways to improve my son’s speech.
From the moment you check in at the front desk to your discussion with your therapist at the end of the session, you feel at home, respected, and in great hands. The improvements you will see in your child will say it all.
I am so happy we came to Cheshire Fitness Zone. My daughter injured her hip figure skating. Another physical therapist diagnosed and treated her incorrectly. Luckily when we came to Cheshire Fitness Zone and saw Craig he discovered her injury was something else and much more of a serious injury. In fact, we were referred to a Pedi orthopedist who concluded with Craig’s diagnosis. The orthopedist said it was a good find, very difficult to catch, and often missed. My daughter had surgery and is now recovering and seeing Craig for rehab. She is almost done and doing well. Highly recommended Cheshire Fitness Zone.