Which technique should be used to inhibit the tonic bite reflex in a toddler with spastic quadriplegic cerebral palsy?

Using a firm press on the center of the tongue with a spoon is an effective technique for inhibiting the tonic bite reflex in a toddler with spastic quadriplegic cerebral palsy. This reflex can lead to excessive rigidity and an uncoordinated bite, which poses challenges during eating and feeding. By applying firm pressure at the center of the tongue, it helps to provide a sensory input that overrides the hyperactive response associated with the tonic bite reflex. This technique effectively encourages a more controlled and relaxed oral response, facilitating safer eating habits and reducing the likelihood of biting or clenching.

In contrast, other options such as massaging the jaw gently or stimulating the sides of the tongue may provide comfort or general oral stimulation but are less likely to specifically target the inhibition of the tonic bite reflex. Encouraging chewing with soft food may serve to promote oral-motor skills but may not directly address the reflexive response that occurs during feeding, which could lead to unsafe eating practices in a child experiencing this reflex.

Overall, the choice that involves pressing a spoon on the center of the tongue is targeted and strategic for managing the tonic bite reflex effectively.