Back Tilt: also seen in children who are unable to suck, have difficulty moving the bolus to the pharynx.

Abnormal Swallow: using gravity to carry food into the esophagus.

Impaired Visual Field: keeps head tilted in same way.

Forward Tilt: child’s head is always down, improving head position will improve intake.

To One Side Tilt: may also see abnormal voice quality.