(Guest Post by Melanie Potock)
Here on Science of Mom, we’ve been discussed starting solid foods over the last few posts. It’s a topic that I spent a lot of time researching for my book, and I ended up devoting two chapters to feeding solids. It’s also highly relevant to me right now, because 5-month-old BabyM is just starting to dabble in solid foods, and I want to be sure that we get off to a good start with his lifelong relationship with food. I was thrilled when Melanie Potock, a pediatric feeding therapist, joined the discussion about starting solids on my Facebook page. She helped me understand the importance of trunk stability for eating solid foods, and I asked her if she could write a guest post about the nuts and bolts of setting children up for comfortable and successful eating at the table. I’m so glad she agreed. After reading her post, you’ll understand why I’m working on improving our high chair with duct tape today!
Melanie also has a book coming out this fall: Raising a Healthy, Happy Eater: A Parent’s Handbook. She’s a wonderful resource, so please feel free to ask your questions in the comments.
S.I.T.! Feeding Your Child Using Stability and Independence at the Table
By Melanie Potock, MA, CCC-SLP
As a pediatric feeding therapist, I visit homes, daycares and preschools to help hesitant eaters become adventurous, healthy, happy eaters. The very first thing I assess is how the child is positioned in their feeding chair. As mentioned in Alice’s recent post on readiness for solid foods here on Science of Mom, babies must be able to sit upright before safely introducing solid foods. Why? Because fine motor development is always dependent on gross motor stability. But, did you know that toddlers and preschoolers also require optimal stability when learning to try new foods? Follow the S.I.T. Model to ensure that your child is seated comfortably and with appropriate support: S.I.T. stands for Stability & Independence at the Table.
Most feeding chairs are designed to hold up to 50 lbs. with the assumption that a small six-month-old or a heavier toddler would be able to sit in the exact same chair. Here’s the problem with that: There is a huge difference in the size of a six-month-old baby just starting to eat solid food and an eighteen-month-old toddler. Every child needs stability while seated as I noted in this article:
“Gross motor stability (in this case trunk stability) provides the support for fine motor skills. It’s very hard to learn to eat purees off a spoon or do any sort of self-feeding of soft solids if the trunk is not supported. Try it yourself by letting your trunk relax and fall into the back of your dining chair, slightly slumped. Now stay that way and try to bite, chew and swallow. Imagine if you were just learning to eat this way!”
To achieve stability in the trunk, begin by sitting your child upright in her chair. Be sure that the pelvis is tilted forward just slightly, as shown in this diagram.
First, put a rolled-up kitchen towel behind the arch of her back to ensure that the hip angle tilts forward or is slightly less than ninety degrees. Continue reading