Re: dec 2nd apraxia meeting notes.

December 7, 2009

Part 2 disc 2

I wanted to also say that this dvd is for parents in a presentation by sara

rosenfeld-. Sorry if I didn't make that clear in the other notes, and

that the ages for the 1st dvd are for ages 4-5 year olds. The second dvd

deals with infants and younger school age kids. Jaw exercises why? 1.

Temporomandibular joint stimulation.2. Teach the motor plan for safe feeding

of cubed solids. 2. Imporve jaw strenght stability and grading liven 1 no,

2,3 high,, medium 4,5 low 6,7 8 no. how will oral motor (muscle based)

therapy help my child to speak more clearly? 2. Jaw exercises a. gloved

finger, b. infadent. c. Ark's probe, d.ark's z-vibe, e. chewy tubes ( red-

yellow) f. ark's grabbers ( purple-green). Infants, no teeth, gloved finger

exercise, infi-dent exercise.. Goals. 1. To teach the motor plan for safe

chewing . 2. To satisfy to need to temporo- mandibuler joing stimulation.

Gloved finger exercise. No teeth, latex or non-plavored glove, snug fit,

parents wear gloves non-dominant hand. Resistance therapy. Rub and press

gently then release with elevation, may need to assist in jaw elevation

initially. Infa-dent exerise, no teeth, smooth surface first, then bristled

surface, non-dominant hand- resistance therapy.

Rub and press gently then release with elevation, may need to assist in jaw

elevation initially. Toddlers, preschool, school age, adults, geriatric

population. Goals. 1 to teach the motor plan for safe chewing 2. To

reduce/eliminate choking and gagging, 3. To satisfy the need for

temporo-mandibular joint stimulation. 4. To normalize jaw skills as a

pre-requisite for speech clarity emergence or speech sound training. Ark's

probe exercise. Erupting teeth, either surface of the tool non-dominant

hand. Resistance therapy - press gently then release with elevation. Ark's

z-vibe vibrates. Diagnosis and treatment of jaw skills. Bite turbes- used

for clients who cannot follow the direction - bite hold. Red chewy tube,

yellow chewy tube, purple grabber, green grabber. Lip and tongue exercise.

Tongue depresser. Adding pennies on both sides with tape for balance. Straw

hierarchy, #1, #2, #3,#4,#5,#6, #7,#

dec 2nd apraxia meeting notes.

> Apraxia network dec 2nd 2009 meeting notes Part 1 (1st disc)

> Hi all. I am sorry for the delay but I have 9 pages of notes for this one

> disc. In order to understand them better you should view the dvd. The

> meeting started at 7pm and ended at 8:30pm. The Talk tools dvd has 2 discs

> each one is 1 1//2 hrs each.

> Parents are welcome to borrow the dvd and view it at home. Please contact

> Jeanne

> at her email jbmistletoe@... or call her. Please return it when

> your done at a meeting, or mail it to Apraxia Network of Bergen County, Po

> Box 1142, Paramus, NJ 07653-1142. The next meeting ,Feb 24th.

> As a parent- what can I do to improve the child's feeding skills and

> speech clarity- by Sara Rosenfeld- m.s. ccc-slp. Goals of Oral-

> motor/feeding/ speech Therapy.

> * increase sensory awareness and normalize tactile sensitivity* teach more

> normal movement patterns* achieve differentiation of oral movement

> *enhance feeding skills for better nutritional intake* improve speech

> sound production to maximize intelligibility.

> Talk tools therapy " discover the feeding and speech, 3420 N. Didge Blvd,

> suite 148

> Tucson, AZ 85716, 888-529-2879, www.talktoolstherapy.com

> Please leave your comments at this email tmrosenfeld@... regarding

> the dvd.

> 1. To increase the awareness of the oral mechanism. A) Sensory deficits.

> 2. To normalize oral tactile sensitivity .3.To teach more normal movement

> patterns.4. To increase differentiation of oral movements. ( normal) a.

> dissociation; the separation of movement, based on stability and strength

> in one or more muscle groups. B0 grading. The controlled segmentation of

> movement through space based upon dissociation. C. fixing the abnormal

> posture used to compensate for reduced stability which inhibits mobility

> (abnormal)

> 5. To improve feeding skills and nutritional intake. 6. To improve speech

> sound production to maximize intelligibility. 1. The muscles that are used

> in feeding are the same muscles that are used in speech. 2. How strong do

> the muscles in the mouth have to be to support speech? 3. Who do you say

> my child's jaw is weak when his bite is very strong? 4. Who does my child

> grind his teeth, suck his thumb etc? How can we eliminate these behaviors?

> 5. Why is feeding so important to an oral motor ( muscle based) therapy

> program? . Nutritional concerns. . The muscles that are used in feeding

> are the same muscles that are used in speech. 6. How will oral- motor (

> muscle based) therapy help my child to speak more clearly?

> Normal speech clarity. A. muscles weakness and motor planning problems

> impact on speech clarity. She showed a picture of a house. 1. Muscle

> function intact (yes) strength/ stability/ endurance/dissociation/grading.

> 2. Motor planning intact! yes. The feel of speech

> b. traditional speech therapy presents information through visual and

> auditory stimulation. However many individuals have difficulty learning

> through their eyes and ears. Oral motor therapy adds the " feel " of

> speech. C. How does the blowing and horn help my child to speak so that

> others can understand what he/she is saying? Grading in the following

> muscle groups will determine speech clarity potentials. - abdomen, velum,

> , jaw, lips, tongue. Stability/mobility establish a supported feeding

> posture. Stability in the body will allow for maximum mobility in the

> mouth. 6. Evaluate to sensory system a talk tools vibrator ;with

> toothettes. The tactile sensory system 1. Tactile hypersensitivity an over

> reaction to tactile imput. 2. Tactile hyposensitivity an under reafirm to

> tactile imput. 3.Mixed sensitivity any combination of hyper or normal

> sensitivity. 4. Fluctuating tactile sensitivity responses that change

> overtime. Tactile defensiveness. A learned tendency to respond negatively

> or emotionally to tactile imput. Work very very slowly form acceptance of

> touch on the body to acceptance of touch on, and then within the mouth.

> Use non food items to increase acceptance of touch within the mouth and to

> teach the movement necessary for chewing. This motor plan for chewing will

> assist in increasing bolus control. Confidence and feeding safety thereby

> minimizing choking and gagging.

> Bolus ( food in mouth)

> Myths of down syndrome

> Open mouth, interdentally tongue posture, large tongue, ear infections,

> upper respiratory problems ,mouth breathing, high and narrow palatal

> vault, conductive hearing loss.

> Overview of optimal feeding positions and tech moves

> 1. Purees spoon feeding. Placement of the spoon frontal side, pointed tip

> at lip midline. Wit for your child to close his/her lips before you remove

> the spoon. 2. Liquids a/ cup drinking. Sippy cups are they right for my

> child? What are the alternatives. B. straw drinking why is the straw

> hierarchy so important? 3. Solids. A. cube or julienne stick shape? Why is

> it so important that my child learn to chew on his/her back molars.

> 4 articulation, 3 resonation,2 phonation, 1, respiration, tongue, lips,

> jaw, How will oral-motor ( muscle based) therapy help my child to speak

> more clearly.. Abdominal exercises,

> Talk tools bubble blowing hierarchy, talk tools horn blowing hierarchy.

> She also went thru the different horns with their sounds. This is only

> part 1 1st disc. I will also view the 2nd one and send the notes.

December 8, 2009

Hi Jeanne -

Will Sara Rosenfeld actually be speaking at the meeting on Feb

24th???

-- [ ] Re: dec 2nd apraxia meeting notes.