Diagnosis of oral-motor impairment: Although there are some valid and reliable tools for assessing severe oral-motor dysfunction (2,3), these are not sensitive to milder impairments. Many nonmedically complex children in our study displayed mild/moderate oral-motor impairments and restricted their diets based on texture. During the intervention phase of our study (published in a subsequent article (4)), we found that these children benefited from specific instructions for effective chewing.