The NOMAS (Neonatal Oral-Motor Assesment Scale) was developed in 1983 by Marjorie Meyer Palmer MA, CCC-SLP and has since become a reliable tool for the evaluation
of neonatal sucking patterns in pre-term
and term infants. The NOMAS provides a comprehensive description of the infant's feeding patterns and enables the examiner to identify normal oral-motor patterns and
to differentiate disorganized from dysfunctional patterns. The NOMAS is used for pre and post-test measurements to determine treatment effectiveness; to record
developmental and changing patterns; and to confirm oral-motor dysfunction or disorganization in the poor feeder. It is important to accurately identify the infant's feeding pattern
so that appropriate treatment may be prescribed. Performance on the NOMAS is predictive of developmental outcome at 24 months of age.