Re: Oral motor issue with tongue

February 25, 2011

Hi Casey:

Â

My baby girl didn't know how to drink from a cup and we practiced with an small

cup, like the measuring cup that comes on cold medicines, and she liked the idea

and since her tongue was on the way to drink, because the cup was really small

she figured out how to do it after several, severalÂ tries, my husband also

tried small empty yogurt bottles (the ones for kids) and same result, we haven't

tried regular cups yet.

Â

It's so cool to read that your son can blow horn and out candles =) good

forÂ him! =)Â Â we can't makeÂ my little girl toÂ blow out candles, I just got

an small pinwheel this week, she doesn't want to try it and when we try the

bubbles wand she wants to eat it! we will keep trying because is fun and her

face just lights up when she sees bubbles and a friend of mine recommended to

try the birthday candles that don't blow out and see if that'll work.

Â

Thank you

From: Casey <reed.cassandra@...>

Subject: [ ] Oral motor issue with tongue

Date: Friday, February 25, 2011, 10:09 AM

Â

My son (26 months) has trouble drinking from a cup without a straw. I know a lot

of kids have trouble with the straw- but his is the opposite. He has been

drinking from a straw for a long time. He can also blow on horns and out

candles, rotate his tongue in his mouth, etc. But he can't drink from a cup- he

tries to stick his tongue in it and lick it up and he spills it everywhere.

Anyone else experience this? Is there anything I can do to help him in this

area? We practice, obviously. I try to tell him to bite down on the cup so his

tongue won't go in it but he is having trouble.

He has verbal apraxia.

Thanks,

Casey

February 26, 2011

My son is having the same problem. Our SLP has shown us a way that he gets

excited about blowing. We blow the bubble, then catch one on the wand... He then

has to blow it & pop it. We make a big deal when it pops. Now he can try to

blow a candle. He still can't blow a bubble from the wand.

>

> From: Casey <reed.cassandra@...>

> Subject: [ ] Oral motor issue with tongue

>

> Date: Friday, February 25, 2011, 10:09 AM

>

> Â

>

> My son (26 months) has trouble drinking from a cup without a straw. I know a

lot of kids have trouble with the straw- but his is the opposite. He has been

drinking from a straw for a long time. He can also blow on horns and out

candles, rotate his tongue in his mouth, etc. But he can't drink from a cup- he

tries to stick his tongue in it and lick it up and he spills it everywhere.

>

> Anyone else experience this? Is there anything I can do to help him in this

area? We practice, obviously. I try to tell him to bite down on the cup so his

tongue won't go in it but he is having trouble.

>

> He has verbal apraxia.

>

> Thanks,

>

> Casey

>

February 26, 2011

Hi all,

As an SLP who specializes in apraxia, oral motor, & eating challenges, I would

caution against the use of nonfunctional oral motor ex. Ex, any ex where the

tongue is outside the mouth is not an ex that is functional for speech. We don't

talk with our tongue outside our mouth so why would we need to practice that? We

don't.

Instead I would refer each of you & your SLPs to the work of Sara --Talk

Tools, which uses structured oral placement ex (OPE), to improve the stability,

coordination, control, & dissociation of the jaw, lips, & tongue and therefore

improve speech clarity. Also you can refer to www.Oralmotorinstitute.org for

more info on the how's and why's of OPE. www.talktools.net is another great

site.

Remember that whatever the OPE, it needs to be tied to speech function. Ex, it

doesn't matter if a child can blow bubbles or not but DOES matter if they can

lip round, retract their tongue (stability), open the jaw at midheight

(stability) to produce related sounds.

Warmest wishes,

Barbara A , M.S.,CCC-SLP

CEO,

Help Me Speak, LLC

www.helpmespeak.com

2500 Wallington Way

Suite 103

Marriottsville, MD 21104

410-442-9791

Ask me about NutriiVeda!

On Feb 26, 2011, at 7:51 AM, " mosense " <mosense@...> wrote:

> Some ideas for tongue practice my 9yo's EI SLP used to tell me about. Put

peanut butter (as long as they're without allergies,kids younger than 1yo should

not have peanut butter!!) but anything sticky around their mouth and than make

it a fun game to get them to get their tongue outside their mouth to lick it

off. Side/Side was a big issue for my daughter at that age.

>

> Another game if they try to eat bubbles is cotton balls across the table. put

a cotton ball on the table and sit across from them. make it a game to get them

to blow back to you. work on back and forth, usually after you get them to stop

laughing!!

> Maureen

>

> >

> > From: Casey <reed.cassandra@...>

> > Subject: [ ] Oral motor issue with tongue

> >

> > Date: Friday, February 25, 2011, 10:09 AM

> >

> > Ã‚

> >

> > My son (26 months) has trouble drinking from a cup without a straw. I know a

lot of kids have trouble with the straw- but his is the opposite. He has been

drinking from a straw for a long time. He can also blow on horns and out

candles, rotate his tongue in his mouth, etc. But he can't drink from a cup- he

tries to stick his tongue in it and lick it up and he spills it everywhere.

> >

> > Anyone else experience this? Is there anything I can do to help him in this

area? We practice, obviously. I try to tell him to bite down on the cup so his

tongue won't go in it but he is having trouble.

> >

> > He has verbal apraxia.

> >

> > Thanks,

> >

> > Casey

> >

February 27, 2011

I think Sara is amazing. My son sees her personally every 6 months for

a, 2 hours appointment each time, for that last 1.5 years and he is making huge

progress since starting the program.

From: helpmespeak@...

Date: Sat, 26 Feb 2011 14:31:31 -0500

Subject: Re: [ ] Re: Oral motor issue with tongue

Hi all,

As an SLP who specializes in apraxia, oral motor, & eating challenges, I would

caution against the use of nonfunctional oral motor ex. Ex, any ex where the

tongue is outside the mouth is not an ex that is functional for speech. We don't

talk with our tongue outside our mouth so why would we need to practice that? We

don't.

Instead I would refer each of you & your SLPs to the work of Sara --Talk

Tools, which uses structured oral placement ex (OPE), to improve the stability,

coordination, control, & dissociation of the jaw, lips, & tongue and therefore

improve speech clarity. Also you can refer to www.Oralmotorinstitute.org for

more info on the how's and why's of OPE. www.talktools.net is another great

site.

Remember that whatever the OPE, it needs to be tied to speech function. Ex, it

doesn't matter if a child can blow bubbles or not but DOES matter if they can

lip round, retract their tongue (stability), open the jaw at midheight

(stability) to produce related sounds.

Warmest wishes,

Barbara A , M.S.,CCC-SLP

CEO,

Help Me Speak, LLC

www.helpmespeak.com

2500 Wallington Way

Suite 103

Marriottsville, MD 21104

410-442-9791

Ask me about NutriiVeda!

On Feb 26, 2011, at 7:51 AM, " mosense " <mosense@...> wrote:

> Some ideas for tongue practice my 9yo's EI SLP used to tell me about. Put

peanut butter (as long as they're without allergies,kids younger than 1yo should

not have peanut butter!!) but anything sticky around their mouth and than make

it a fun game to get them to get their tongue outside their mouth to lick it

off. Side/Side was a big issue for my daughter at that age.

>

> Another game if they try to eat bubbles is cotton balls across the table. put

a cotton ball on the table and sit across from them. make it a game to get them

to blow back to you. work on back and forth, usually after you get them to stop

laughing!!

> Maureen

>

> >

> > From: Casey <reed.cassandra@...>

> > Subject: [ ] Oral motor issue with tongue

> >

> > Date: Friday, February 25, 2011, 10:09 AM

> >

> > Â

> >

> > My son (26 months) has trouble drinking from a cup without a straw. I know a

lot of kids have trouble with the straw- but his is the opposite. He has been

drinking from a straw for a long time. He can also blow on horns and out

candles, rotate his tongue in his mouth, etc. But he can't drink from a cup- he

tries to stick his tongue in it and lick it up and he spills it everywhere.

> >

> > Anyone else experience this? Is there anything I can do to help him in this

area? We practice, obviously. I try to tell him to bite down on the cup so his

tongue won't go in it but he is having trouble.

> >

> > He has verbal apraxia.

> >

> > Thanks,

> >

> > Casey

> >

February 27, 2011

I'm not sure I totally agree. My son is 2 3/4 and is non verbal. His new

speech therapist who had just started working with him was trying to gauge where

he 'is'. She commented that during a session he would not follow her lead in

sticking out his tongue and something else she was trying to measure and she

expressed concern. So, at the next session I attended I demonstrated 2 games we

play; one song about a frog who sticks his tongue out and another how we brush

our teeth, including sticking our tongue our like a snake. One could say

neither may be exercises to help him speak but it provides important information

to her that he can follow the instruction and that he now has enough tone (he

has severe hypotonia) to do such a thing. I take oral motor movement and

copying and language wherever I can get it! Just another perspective!

> > >

> > > From: Casey <reed.cassandra@>

> > > Subject: [ ] Oral motor issue with tongue

> > >

> > > Date: Friday, February 25, 2011, 10:09 AM

> > >

> > > Ã‚

> > >

> > > My son (26 months) has trouble drinking from a cup without a straw. I know

a lot of kids have trouble with the straw- but his is the opposite. He has been

drinking from a straw for a long time. He can also blow on horns and out

candles, rotate his tongue in his mouth, etc. But he can't drink from a cup- he

tries to stick his tongue in it and lick it up and he spills it everywhere.

> > >

> > > Anyone else experience this? Is there anything I can do to help him in

this area? We practice, obviously. I try to tell him to bite down on the cup so

his tongue won't go in it but he is having trouble.

> > >

> > > He has verbal apraxia.

> > >

> > > Thanks,

> > >

> > > Casey

> > >

February 27, 2011

Its hard to tell where your son will be since he's still so young. Yes, EI

therapists did Oral motor exercises when my 9yo was that age. But Apraxia is a

Neurological condition so not all kids with Hypotonia have Apraxia, so Oral

motor will work. Once they gave my daughter an apraxia dx at 4yo, they cut back

on the oral motor since I tell people, that apraxia is more about teaching her

brain to speak not her mouth. It was not wasted time doing oral motor in EI,and

prek for that matter, but if we'd started things more geared toward her

APraxia, like Kaufman and Prompt, she may have had her first words before 5yo??

> > > >

> > > > From: Casey <reed.cassandra@>

> > > > Subject: [ ] Oral motor issue with tongue

> > > >

> > > > Date: Friday, February 25, 2011, 10:09 AM

> > > >

> > > > Ã‚

> > > >

> > > > My son (26 months) has trouble drinking from a cup without a straw. I

know a lot of kids have trouble with the straw- but his is the opposite. He has

been drinking from a straw for a long time. He can also blow on horns and out

candles, rotate his tongue in his mouth, etc. But he can't drink from a cup- he

tries to stick his tongue in it and lick it up and he spills it everywhere.

> > > >

> > > > Anyone else experience this? Is there anything I can do to help him in

this area? We practice, obviously. I try to tell him to bite down on the cup so

his tongue won't go in it but he is having trouble.

> > > >

> > > > He has verbal apraxia.

> > > >

> > > > Thanks,

> > > >

> > > > Casey

> > > >

February 27, 2011

Ok. Perhaps my message wasn't clear. There are 2 types of oral motor--1.

Structured oral motor--Talk Tools (OPE) & 2. Tongue outside the mouth

UNstructured & nonfunctional o-m. The first type, OPE (oral placement ex) do

make improvements in apraxia with or w/o hypotonia, & in dysarthria. The second

type does not tend to make functional changes. As I mentioned before, we don't

talk w/our tongue outside the mouth so why would we work on that skill. OPE will

improve the ability to move oral structures on command or with volitional

control.

Let me know if there are any further questions.

Warmest wishes,

Barbara A , M.S.,CCC-SLP

CEO,

Help Me Speak, LLC

www.helpmespeak.com

2500 Wallington Way

Suite 103

Marriottsville, MD 21104

410-442-9791

Ask me about NutriiVeda!

February 27, 2011

So there is no function or purpose to any sort of Oral Motor therapy in which

the tongue is outside their mouth??? that doesnt make sense either??

Oral Motor Exercises for Children 3+: Solving Eating Problems & Speech

Production

Oral motor exercises are occasionally necessary to improve weak articulators or

muscles in the mouth and face for speech production. These muscles sometimes

need strengthening, or need to have better coordination or range of motion.

Improving these muscles can help a child make speech sounds better as well as

help with the eating/feeding/swallowing problems some children have difficulty

with. The activities below are for children ages 3 and up, to help improve their

oral motor skills.

Exercizes to Improve Oral Motor Skills

1.Blowing bubbles. This works the muscles that make our lips round like for the

/w/ sound. It also improves breath control.

2.Licking peanut butter or marshmallow crème with the tongue only (no fingers)

after a glob of it has been placed on the roof of the mouth or behind the top

front teeth. This works on tongue elevation/lifting, and if you put it over in

one cheek it works to help lateralize the tongue (move it sideways).

3.Put cheerios or apple jacks on the table and have the child " spear " one with

his tongue. No hands or lips can be used. The child has to learn to aim and

protrude the tongue past the lips.

4.Roll little round lollipops around the mouth, back and forth from in one cheek

to inside the other using only the tongue. The sucker should be visible pushing

against the cheek if they do it successfully. Also works on lateralization and

coordination of tongue movements.

5.Rub syrup, frosting, or peanut butter on outside of lips (red/pink part) so

child must lick lips with tongue to clean them off. No hands for this either.

6.Lick ice cream as it drips down the side of the cone on a hot day. Can't use

lips- tongue only.

7.Pretend to make faces at one another while you look in the mirror. Make the

silliest ones you want.

fuIf your child has been tested and could benefit from oral motor therapy, these

are a lot of fun and a way to get the family involved too. If your child has

feeding/swallowing /eating difficulties do not try this unless approved by your

therapist.

>

> Ok. Perhaps my message wasn't clear. There are 2 types of oral motor--1.

Structured oral motor--Talk Tools (OPE) & 2. Tongue outside the mouth

UNstructured & nonfunctional o-m. The first type, OPE (oral placement ex) do

make improvements in apraxia with or w/o hypotonia, & in dysarthria. The second

type does not tend to make functional changes. As I mentioned before, we don't

talk w/our tongue outside the mouth so why would we work on that skill. OPE will

improve the ability to move oral structures on command or with volitional

control.

>

> Let me know if there are any further questions.

>

> Warmest wishes,

> Barbara A , M.S.,CCC-SLP

> CEO,

> Help Me Speak, LLC

> www.helpmespeak.com

> 2500 Wallington Way

> Suite 103

> Marriottsville, MD 21104

> 410-442-9791

>

> Ask me about NutriiVeda!

>

February 27, 2011

And to add to what Barbara just said -I have an archive below that is HUGE to

show there are a tremendous amount of oral motor issues and therapies for each.

I agree with Barbara that you need to know what you are dealing with, or should

I say make sure the SLP working with the child knows what they are doing. Not

all SLPs have knowledge about oral motor therapy, and in fact there are some

that don't even believe it's needed and there is some speech therapy political

drama surrounding it. The bottom line is as parents we know what helps and oral

motor therapy helps big time if you have a child that presents with oral motor

issues. The " experts " typically will catch up to reality sooner or later. But

the point being the SLP may or may not have knowledge or belief in oral motor

therapy -if you have a child with oral motor issues, I'd find one that has both.

My son Tanner had severe oral apraxia and oral motor weakness as well as sensory

dysfunction which affected his oral motor as well. In spite of all of that

Tanner did not drool, and had little to any facial expressions. If you have a

child that has oral motor issues (and I have a page on this here

http://www.cherab.org/information/speechlanguage/oralapraxia.html but we also

have info in The Late Talker book- and here's a page that I wrote for an article

that was in Contemporary Pediatrics which is titled 'Things to do at Home " which

was part of a larger article titles Silence isn't Always Golden.

http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard//\

contpeds/492004/136315/article.pdf

And to Casey who asked the original question -apparently that may not be unusual

for a 24 month old -Sometimes questions come up here that are normal in all

children- not necessarily particular to one with a speech impairment and this

'may' be one of them -especially since I don't recall it ever coming up here

before. Actually it may not be super common anywhere unless I searched for it

the wrong way?

I did find the same question posed to a mamapedia message board for a child

around your child's age -no mention of speech or other impairment.

http://www.mamapedia.com/article/using-cup-with-no-lid

The answers back- number one was teach your child to drink from a cup while in

the tub (and the rest in no particular order) -use just water -this is normal as

they are exploring, and give your child another year of developmental time and

just keep using the lid (or in your case straw)

From: " kiddietalk " <kiddietalk@...>

Date: Tue Feb 10, 2004 6:05 pm

Subject: Re: Inability to Blow and Imitate / from Sara CCC

SLP

, The reason for the confusion as to who is best suited to work

on these oral-motor activities (i.e., " lick lips, stick his tongue

out, blow, suck through a straw, etc. " ) is really based on the fact

that both professions are interested in developing these skills.

The skills of blowing and sucking impact on feeding and speech

development. The same muscles that are used in feeding are used in

speech. Both professions therefore feel it is in their job

description to work on the activities. Both are right. In our

clinics we share the goals but use different techniques. The O.T.'s

are generally interested in gaining function for independence while

we SLP's want not only function we want normal movement. Speech is

superimposed on normal movement so when we talk about straw drinking

we talk about it in a hierarchy of muscle development as in the

TalkTools Straw Hierarchy. When we talk about blowing we create our

programs to develop adequate airflow for extended speech

statements. You need more air for a 5 word phrase than you do for a

2 word utterance. Therefore, instead of just picking up any horn or

blowing cotton balls we again work in a hierarchy of abdominal

grading activities (Horn Blowing Hierarchy or Bubble Blowing

Hierarchy.) I am just thrilled that both professions are claiming

the goals as their own. It was not so long ago that SLP's did not

see the benefit of working on non-speech movements for the

development of speech clarity. Sara Rosenfeld-

http://www.talktools.net

http://www.cherab.org/information/speechlanguage/advisoryjohnson.html

> Hi and all,

>

> Wow this is a popular topic today -and one that was almost never

> talked about when my son Tanner was diagnosed just 4 years ago!

But

> I do see there is still much confusion about oral motor disorders.

>

> I sent an email to another advisor of CHERAB and Speechville about

> this, Sara Rosenthal CCC SLP

>

http://www.cherab.org/information/speechlanguage/advisoryjohnson.html

> Sara is the creator of Talk Tools, which you recommended, among

> many other techniques to help our kids.

>

> , even though in a few cases this would be possible, I

> wouldn't assume that a child that doesn't blow bubbles or imitate

> doesn't " get it " . There could be numerous reasons for this. In

> your child's case for example it sounds like there may be motor

> planning issues of the body. At 5 your son may have more in his

motor memory

> now and thus is able to do more. Or perhaps he didn't understand

prior -I

> wouldn't know. Most kids with appropriate therapy don't take this

long.

>

> But back to the not being able to imitate funny faces or blow

> bubbles or lick food off their lips...on command (key word) -

those

> are all signs of oral apraxia, but they could be from a weakness

> problem too or instead. My parent friendly rule of thumb is if

you

> see a child do it when not thinking about it, it's probably

> apraxia. If you never see your child do it ever -it's probably

> weakness. And again -it can be a combination of the two. It's

not

> that confusing when you have a few years to study it up close and

> work through it with therapy (not as a therapist -as a mom!)

>

> On top of motor planning and weakness issues (and receptive

ability

> in those cases) you can also throw eating and feeding as well as

> sensory problems into the mix too. And yes a child can have one

> aspect and no other -but typically or almost always as far as

anyone

> knows -a child that has oral apraxia will have verbal apraxia -but

> an adult who acquires oral apraxia can have that without verbal

> apraxia.

>

> Most late talkers (again) have average to above average ability,

> it's just that we don't understand them -and that's the only way

for

> them to express their ability to understand sometimes -us. They

> need us more than the professionals who today can still be

ignorant,

> to try to find ways to help them make themselves understood. A

way

> to communicate.

>

> Just like anything -children with impairments of communication do

> not just outgrow these issues on their own, they need appropriate

> interventions. is a perfect example of a child that grew up

> and now can talk and write...but a child who obviously was

deprived

> of what was appropriate therapy for him. I'm sure from speaking

to

> that everyone believed they did " all they could " to help him

> back then. You only know what you know. Thank goodness he's

getting the help he needs today.

>

> I'll post Sara's response as soon as she sends it, but in the

> meantime -speaking of only knowing what you know, again -this

topic

> if fully talked about from a professional and parent point of view

> in The Late Talker. (libraries/bookstores carry it -or you can

ask for them to

> order it for you) http://www.speech-express.com/late.talker.html

>

> There is a page on oral motor issues here which Sara helped to

write

> which have warning clues of various oral motor disorders.

> " Oral Apraxia is a disorder where the child, who typically is

> a " late talker " is unable to coordinate and/or initiate movement

of

> their jaw, lips and tongue (articulators) on command.

> An Oral Motor Disorder, which could be a different oral motor

> problem than apraxia (could be from weakness/dysarthria for

example)

> is the second type, in which the child is unable to coordinate

> and/or initiate movement of normal eating movements (vegetative

> activities.) "

> http://www.cherab.org/information/speechlanguage/oralapraxia.html

>

> This is Sara's homepage

> http://www.talktools.net

>

> =====

>

February 27, 2011

No there is no functional SPEECH purpose to the tongue outside the mouth.

Oral motor for eating skills is somewhat different than for speech.

Bottom-line? Make sure your SLP is well trained in OPE & o-m for eating, if

needed for your child.

Warmest wishes,

Barbara A , M.S.,CCC-SLP

CEO,

Help Me Speak, LLC

www.helpmespeak.com

2500 Wallington Way

Suite 103

Marriottsville, MD 21104

410-442-9791

Ask me about NutriiVeda!

On Feb 27, 2011, at 9:15 PM, " mosense " <mosense@...> wrote:

> So there is no function or purpose to any sort of Oral Motor therapy in which

the tongue is outside their mouth??? that doesnt make sense either??

>

> Oral Motor Exercises for Children 3+: Solving Eating Problems & Speech

Production

>

> Oral motor exercises are occasionally necessary to improve weak articulators

or muscles in the mouth and face for speech production. These muscles sometimes

need strengthening, or need to have better coordination or range of motion.

>

> Improving these muscles can help a child make speech sounds better as well as

help with the eating/feeding/swallowing problems some children have difficulty

with. The activities below are for children ages 3 and up, to help improve their

oral motor skills.

>

> Exercizes to Improve Oral Motor Skills

>

> 1.Blowing bubbles. This works the muscles that make our lips round like for

the /w/ sound. It also improves breath control.

>

> 2.Licking peanut butter or marshmallow crÃ¨me with the tongue only (no

fingers) after a glob of it has been placed on the roof of the mouth or behind

the top front teeth. This works on tongue elevation/lifting, and if you put it

over in one cheek it works to help lateralize the tongue (move it sideways).

>

> 3.Put cheerios or apple jacks on the table and have the child " spear " one with

his tongue. No hands or lips can be used. The child has to learn to aim and

protrude the tongue past the lips.

>

> 4.Roll little round lollipops around the mouth, back and forth from in one

cheek to inside the other using only the tongue. The sucker should be visible

pushing against the cheek if they do it successfully. Also works on

lateralization and coordination of tongue movements.

>

> 5.Rub syrup, frosting, or peanut butter on outside of lips (red/pink part) so

child must lick lips with tongue to clean them off. No hands for this either.

>

> 6.Lick ice cream as it drips down the side of the cone on a hot day. Can't use

lips- tongue only.

>

> 7.Pretend to make faces at one another while you look in the mirror. Make the

silliest ones you want.

>

> fuIf your child has been tested and could benefit from oral motor therapy,

these are a lot of fun and a way to get the family involved too. If your child

has feeding/swallowing /eating difficulties do not try this unless approved by

your therapist.

>

> >

> > Ok. Perhaps my message wasn't clear. There are 2 types of oral motor--1.

Structured oral motor--Talk Tools (OPE) & 2. Tongue outside the mouth

UNstructured & nonfunctional o-m. The first type, OPE (oral placement ex) do

make improvements in apraxia with or w/o hypotonia, & in dysarthria. The second

type does not tend to make functional changes. As I mentioned before, we don't

talk w/our tongue outside the mouth so why would we work on that skill. OPE will

improve the ability to move oral structures on command or with volitional

control.

> >

> > Let me know if there are any further questions.

> >

> > Warmest wishes,

> > Barbara A , M.S.,CCC-SLP

> > CEO,

> > Help Me Speak, LLC

> > www.helpmespeak.com

> > 2500 Wallington Way

> > Suite 103

> > Marriottsville, MD 21104

> > 410-442-9791

> >

> > Ask me about NutriiVeda!

> >

>

February 28, 2011

Oral Motor therapy

I have the following questions: is Talk Tools therapy to be called " OPE " , and

not " OM " is oral motor work outside the mouth?

This book i am reading again, (children's speech sound disorders, Bowen) calls

Talk Tools (and the likes) OME, NS-OME to be exact..i think they were quite

harsh to term it that..non speech oral motor exercises.

I would like to understand the correct terminology...and i have to say..reading

sooo many books and talking with soo many SLPS..it all gets confusing on this

subject of how to " fix " oral motor issues. Also it gets confusimg because the

terminology changes from website to website..book to book.

..we did the whole Talk Tools hiarchy and had an eval with Lori Overland for my

son, some time back.

On Feb 27, 2011, at 10:36 PM, Barbara <helpmespeak@...> wrote:

> No there is no functional SPEECH purpose to the tongue outside the mouth.

>

> Oral motor for eating skills is somewhat different than for speech.

>

> Bottom-line? Make sure your SLP is well trained in OPE & o-m for eating, if

needed for your child.

>

> Warmest wishes,

> Barbara A , M.S.,CCC-SLP

> CEO,

> Help Me Speak, LLC

> www.helpmespeak.com

> 2500 Wallington Way

> Suite 103

> Marriottsville, MD 21104

> 410-442-9791

>

> Ask me about NutriiVeda!

>

> On Feb 27, 2011, at 9:15 PM, " mosense " <mosense@...> wrote:

>

> > So there is no function or purpose to any sort of Oral Motor therapy in

which the tongue is outside their mouth??? that doesnt make sense either?

> >

> > Oral Motor Exercises for Children 3+: Solving Eating Problems & Speech

Production

> >

> > Oral motor exercises are occasionally necessary to improve weak articulators

or muscles in the mouth and face for speech production. These muscles sometimes

need strengthening, or need to have better coordination or range of motion.

> >

> > Improving these muscles can help a child make speech sounds better as well

as help with the eating/feeding/swallowing problems some children have

difficulty with. The activities below are for children ages 3 and up, to help

improve their oral motor skills.

> >

> > Exercizes to Improve Oral Motor Skills

> >

> > 1.Blowing bubbles. This works the muscles that make our lips round like for

the /w/ sound. It also improves breath control.

> >

> > 2.Licking peanut butter or marshmallow crÃ¨me with the tongue only (no

fingers) after a glob of it has been placed on the roof of the mouth or behind

the top front teeth. This works on tongue elevation/lifting, and if you put it

over in one cheek it works to help lateralize the tongue (move it sideways).

> >

> > 3.Put cheerios or apple jacks on the table and have the child " spear " one

with his tongue. No hands or lips can be used. The child has to learn to aim and

protrude the tongue past the lips.

> >

> > 4.Roll little round lollipops around the mouth, back and forth from in one

cheek to inside the other using only the tongue. The sucker should be visible

pushing against the cheek if they do it successfully. Also works on

lateralization and coordination of tongue movements.

> >

> > 5.Rub syrup, frosting, or peanut butter on outside of lips (red/pink part)

so child must lick lips with tongue to clean them off. No hands for this either.

> >

> > 6.Lick ice cream as it drips down the side of the cone on a hot day. Can't

use lips- tongue only.

> >

> > 7.Pretend to make faces at one another while you look in the mirror. Make

the silliest ones you want.

> >

> > fuIf your child has been tested and could benefit from oral motor therapy,

these are a lot of fun and a way to get the family involved too. If your child

has feeding/swallowing /eating difficulties do not try this unless approved by

your therapist.

> >

> > >

> > > Ok. Perhaps my message wasn't clear. There are 2 types of oral motor--1.

Structured oral motor--Talk Tools (OPE) & 2. Tongue outside the mouth

UNstructured & nonfunctional o-m. The first type, OPE (oral placement ex) do

make improvements in apraxia with or w/o hypotonia, & in dysarthria. The second

type does not tend to make functional changes. As I mentioned before, we don't

talk w/our tongue outside the mouth so why would we work on that skill. OPE will

improve the ability to move oral structures on command or with volitional

control.

> > >

> > > Let me know if there are any further questions.

> > >

> > > Warmest wishes,

> > > Barbara A , M.S.,CCC-SLP

> > > CEO,

> > > Help Me Speak, LLC

> > > www.helpmespeak.com

> > > 2500 Wallington Way

> > > Suite 103

> > > Marriottsville, MD 21104

> > > 410-442-9791

> > >

> > > Ask me about NutriiVeda!

> > >

> >

>

February 28, 2011

Barbara, That is exactly what my son's private therapist always said, she used

to be at the Kauffman center.Â His other therapist has done these oral motor

excercises for 10 months with little to no improvement with her.

February 28, 2011

Ivy,

Yes! All the terminology CAN be confusing! OPE= Oral Placement

Exercises---which are oral motor (OM) exercises (OME). Talk Tools uses the term

OPE to delineate that the ex are to target correct placement of the articulators

inside the mouth for speech production and clarity. The structured OPE that TT

uses target the stability, control, coordination, and dissociation of the jaw,

lips, and tongue.

To be clear, I should have said NS-OME for non speech oral motor ex to indicate

any nonfunctional oral motor ex outside the mouth. Caroline Bowen is not a

proponent of any oral motor ex.

A lot of the controversy stems from a paper written by Greg Lof, SLP, PhD, who

coined the term NS-OME but did NOT differentiate nonfunctional om outside the

mouth or inside w/o a purpose (ie. Tongue wagging) from om inside the

mouthâ€”with a purpose (i.e. TT/ OPE).

Lori Overland, SLP, is wonderful! She is connected with Talk Tools.

Warmest wishes,

Barbara

Barbara A. , M.S., CCC-SLP

CEO/ Help Me Speak, LLC

<http://www.helpmespeak.com/> http://www.helpmespeak.com

(o) 410-442-9791 (f) 410-442-9783

2500 Wallington Way; Suite 103

Marriottsville, MD 21104

From:

[mailto: ] On Behalf Of Ivy

Sent: Monday, February 28, 2011 1:55 PM

Subject: Re: [ ] Re: Oral motor issue with tongue

Oral Motor therapy

I have the following questions: is Talk Tools therapy to be called " OPE " , and

not " OM " is oral motor work outside the mouth?

This book i am reading again, (children's speech sound disorders, Bowen) calls

Talk Tools (and the likes) OME, NS-OME to be exact..i think they were quite

harsh to term it that..non speech oral motor exercises.

I would like to understand the correct terminology...and i have to say..reading

sooo many books and talking with soo many SLPS..it all gets confusing on this

subject of how to " fix " oral motor issues. Also it gets confusimg because the

terminology changes from website to website..book to book.

..we did the whole Talk Tools hiarchy and had an eval with Lori Overland for my

son, some time back.

On Feb 27, 2011, at 10:36 PM, Barbara <helpmespeak@...

<mailto:helpmespeak%40verizon.net> > wrote:

> No there is no functional SPEECH purpose to the tongue outside the mouth.

>

> Oral motor for eating skills is somewhat different than for speech.

>

> Bottom-line? Make sure your SLP is well trained in OPE & o-m for eating, if

needed for your child.

>

> Warmest wishes,

> Barbara A , M.S.,CCC-SLP

> CEO,

> Help Me Speak, LLC

> www.helpmespeak.com

> 2500 Wallington Way

> Suite 103

> Marriottsville, MD 21104

> 410-442-9791

>

> Ask me about NutriiVeda!

>

> On Feb 27, 2011, at 9:15 PM, " mosense " <mosense@...

<mailto:mosense%40> > wrote:

>

> > So there is no function or purpose to any sort of Oral Motor therapy in

which the tongue is outside their mouth??? that doesnt make sense either?

> >

> > Oral Motor Exercises for Children 3+: Solving Eating Problems & Speech

Production

> >

> > Oral motor exercises are occasionally necessary to improve weak articulators

or muscles in the mouth and face for speech production. These muscles sometimes

need strengthening, or need to have better coordination or range of motion.

> >

> > Improving these muscles can help a child make speech sounds better as well

as help with the eating/feeding/swallowing problems some children have

difficulty with. The activities below are for children ages 3 and up, to help

improve their oral motor skills.

> >

> > Exercizes to Improve Oral Motor Skills

> >

> > 1.Blowing bubbles. This works the muscles that make our lips round like for

the /w/ sound. It also improves breath control.

> >

> > 2.Licking peanut butter or marshmallow crÃ¨me with the tongue only (no

fingers) after a glob of it has been placed on the roof of the mouth or behind

the top front teeth. This works on tongue elevation/lifting, and if you put it

over in one cheek it works to help lateralize the tongue (move it sideways).

> >

> > 3.Put cheerios or apple jacks on the table and have the child " spear " one

with his tongue. No hands or lips can be used. The child has to learn to aim and

protrude the tongue past the lips.

> >

> > 4.Roll little round lollipops around the mouth, back and forth from in one

cheek to inside the other using only the tongue. The sucker should be visible

pushing against the cheek if they do it successfully. Also works on

lateralization and coordination of tongue movements.

> >

> > 5.Rub syrup, frosting, or peanut butter on outside of lips (red/pink part)

so child must lick lips with tongue to clean them off. No hands for this either.

> >

> > 6.Lick ice cream as it drips down the side of the cone on a hot day. Can't

use lips- tongue only.

> >

> > 7.Pretend to make faces at one another while you look in the mirror. Make

the silliest ones you want.

> >

> > fuIf your child has been tested and could benefit from oral motor therapy,

these are a lot of fun and a way to get the family involved too. If your child

has feeding/swallowing /eating difficulties do not try this unless approved by

your therapist.

> >

> > >

> > > Ok. Perhaps my message wasn't clear. There are 2 types of oral motor--1.

Structured oral motor--Talk Tools (OPE) & 2. Tongue outside the mouth

UNstructured & nonfunctional o-m. The first type, OPE (oral placement ex) do

make improvements in apraxia with or w/o hypotonia, & in dysarthria. The second

type does not tend to make functional changes. As I mentioned before, we don't

talk w/our tongue outside the mouth so why would we work on that skill. OPE will

improve the ability to move oral structures on command or with volitional

control.

> > >

> > > Let me know if there are any further questions.

> > >

> > > Warmest wishes,

> > > Barbara A , M.S.,CCC-SLP

> > > CEO,

> > > Help Me Speak, LLC

> > > www.helpmespeak.com

> > > 2500 Wallington Way

> > > Suite 103

> > > Marriottsville, MD 21104

> > > 410-442-9791

> > >

March 1, 2011

Barbara-that explains it clearly!

Terrible when others write about oral Motor exercises and they group them ALL as

the same...this will discourage many SLPs coming out of school that all

exercises are BAD...which I have been coming across in the last few years and

have to address now with the school district I just met with..who already rolled

his eyes when I spoke of oral motor needed for my child...wish me luck.

Is there one, maybe good papers written to back that oral motor is needed and

beneficial when child does have verbal apraxia AND oral motor issues? I would

like to show the school one..yet also i worry and think i should drop the whole

issue because IF they are non-believers and werent trained..I dont want someone

working on the WRONG exercises with my child..kwim? (I would continue to seek

this privately.)

Also, if an SLP doesnt believe in OM, any, even Talk Tools, how would they

address Oral Motor apraxia dx? Do tjey just address it as a verbal apraxia (i

was reading the OMdx cannot come without a verbal apraxia dx)

Thanks for the info!!

Ivy

On Feb 28, 2011, at 3:21 PM, " Barbara " <helpmespeak@...> wrote:

> Ivy,

>

> Yes! All the terminology CAN be confusing! OPE= Oral Placement

Exercises---which are oral motor (OM) exercises (OME). Talk Tools uses the term

OPE to delineate that the ex are to target correct placement of the articulators

inside the mouth for speech production and clarity. The structured OPE that TT

uses target the stability, control, coordination, and dissociation of the jaw,

lips, and tongue.

>

> To be clear, I should have said NS-OME for non speech oral motor ex to

indicate any nonfunctional oral motor ex outside the mouth. Caroline Bowen is

not a proponent of any oral motor ex.

>

> A lot of the controversy stems from a paper written by Greg Lof, SLP, PhD, who

coined the term NS-OME but did NOT differentiate nonfunctional om outside the

mouth or inside w/o a purpose (ie. Tongue wagging) from om inside the

mouthâ€”with a purpose (i.e. TT/ OPE).

>

> Lori Overland, SLP, is wonderful! She is connected with Talk Tools.

>

> Warmest wishes,

>

> Barbara

>

> Barbara A. , M.S., CCC-SLP

>

> CEO/ Help Me Speak, LLC

>

> <http://www.helpmespeak.com/> http://www.helpmespeak.com

>

> (o) 410-442-9791 (f) 410-442-9783

>

> 2500 Wallington Way; Suite 103

>

> Marriottsville, MD 21104

>

> From:

[mailto: ] On Behalf Of Ivy

> Sent: Monday, February 28, 2011 1:55 PM

>

> Subject: Re: [ ] Re: Oral motor issue with tongue

>

> Oral Motor therapy

>

> I have the following questions: is Talk Tools therapy to be called " OPE " , and

not " OM " is oral motor work outside the mouth?

> This book i am reading again, (children's speech sound disorders, Bowen) calls

Talk Tools (and the likes) OME, NS-OME to be exact..i think they were quite

harsh to term it that..non speech oral motor exercises.

>

> I would like to understand the correct terminology...and i have to

say..reading sooo many books and talking with soo many SLPS..it all gets

confusing on this subject of how to " fix " oral motor issues. Also it gets

confusimg because the terminology changes from website to website..book to book.

>

> .we did the whole Talk Tools hiarchy and had an eval with Lori Overland for my

son, some time back.

>

> On Feb 27, 2011, at 10:36 PM, Barbara <helpmespeak@...

<mailto:helpmespeak%40verizon.net> > wrote:

>

> > No there is no functional SPEECH purpose to the tongue outside the mouth.

> >

> > Oral motor for eating skills is somewhat different than for speech.

> >

> > Bottom-line? Make sure your SLP is well trained in OPE & o-m for eating, if

needed for your child.

> >

> > Warmest wishes,

> > Barbara A , M.S.,CCC-SLP

> > CEO,

> > Help Me Speak, LLC

> > www.helpmespeak.com

> > 2500 Wallington Way

> > Suite 103

> > Marriottsville, MD 21104

> > 410-442-9791

> >

> > Ask me about NutriiVeda!

> >

> > On Feb 27, 2011, at 9:15 PM, " mosense " <mosense@...

<mailto:mosense%40> > wrote:

> >

> > > So there is no function or purpose to any sort of Oral Motor therapy in

which the tongue is outside their mouth??? that doesnt make sense either?

> > >

> > > Oral Motor Exercises for Children 3+: Solving Eating Problems & Speech

Production

> > >

> > > Oral motor exercises are occasionally necessary to improve weak

articulators or muscles in the mouth and face for speech production. These

muscles sometimes need strengthening, or need to have better coordination or

range of motion.

> > >

> > > Improving these muscles can help a child make speech sounds better as well

as help with the eating/feeding/swallowing problems some children have

difficulty with. The activities below are for children ages 3 and up, to help

improve their oral motor skills.

> > >

> > > Exercizes to Improve Oral Motor Skills

> > >

> > > 1.Blowing bubbles. This works the muscles that make our lips round like

for the /w/ sound. It also improves breath control.

> > >

> > > 2.Licking peanut butter or marshmallow crÃ¨me with the tongue only (no

fingers) after a glob of it has been placed on the roof of the mouth or behind

the top front teeth. This works on tongue elevation/lifting, and if you put it

over in one cheek it works to help lateralize the tongue (move it sideways).

> > >

> > > 3.Put cheerios or apple jacks on the table and have the child " spear " one

with his tongue. No hands or lips can be used. The child has to learn to aim and

protrude the tongue past the lips.

> > >

> > > 4.Roll little round lollipops around the mouth, back and forth from in one

cheek to inside the other using only the tongue. The sucker should be visible

pushing against the cheek if they do it successfully. Also works on

lateralization and coordination of tongue movements.

> > >

> > > 5.Rub syrup, frosting, or peanut butter on outside of lips (red/pink part)

so child must lick lips with tongue to clean them off. No hands for this either.

> > >

> > > 6.Lick ice cream as it drips down the side of the cone on a hot day. Can't

use lips- tongue only.

> > >

> > > 7.Pretend to make faces at one another while you look in the mirror. Make

the silliest ones you want.

> > >

> > > fuIf your child has been tested and could benefit from oral motor therapy,

these are a lot of fun and a way to get the family involved too. If your child

has feeding/swallowing /eating difficulties do not try this unless approved by

your therapist.

> > >

> > > >

> > > > Ok. Perhaps my message wasn't clear. There are 2 types of oral motor--1.

Structured oral motor--Talk Tools (OPE) & 2. Tongue outside the mouth

UNstructured & nonfunctional o-m. The first type, OPE (oral placement ex) do

make improvements in apraxia with or w/o hypotonia, & in dysarthria. The second

type does not tend to make functional changes. As I mentioned before, we don't

talk w/our tongue outside the mouth so why would we work on that skill. OPE will

improve the ability to move oral structures on command or with volitional

control.

> > > >

> > > > Let me know if there are any further questions.

> > > >

> > > > Warmest wishes,

> > > > Barbara A , M.S.,CCC-SLP

> > > > CEO,

> > > > Help Me Speak, LLC

> > > > www.helpmespeak.com

> > > > 2500 Wallington Way

> > > > Suite 103

> > > > Marriottsville, MD 21104

> > > > 410-442-9791

> > > >

>

March 1, 2011

Here is a great site w/several papers:

www.oralmotorinstitute.com This is a professional site by many of the oral

motor experts. Pam Marshalla, Char Boshart, Debra Beckman, Diane Bahr, Sara

â€¦.etc.

As for the schools, IF they are NOT trained properly, no, I wouldnâ€™t want them

working with my child in their version of o-m.

Usually, oral apraxia and verbal apraxia go togetherâ€¦but every child is

different so I wouldnâ€™t presume to say that is ALWAYS the case.

In answer to your last question about how oral apraxia is addressed by

non-believing SLPsâ€¦.I donâ€™t know.

Warmest wishes,

Barbara

Barbara A. , M.S., CCC-SLP

CEO/ Help Me Speak, LLC

<http://www.helpmespeak.com/> http://www.helpmespeak.com

(o) 410-442-9791 (f) 410-442-9783

2500 Wallington Way; Suite 103

Marriottsville, MD 21104

follow us on FaceBook:

http://www.facebook.com/ffcentralmaryland#!/pages/Help-Me-Speak-LLC/104628852032

Call me with any questions about NutriiVeda!

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From:

[mailto: ] On Behalf Of Ivy

Sent: Tuesday, March 01, 2011 6:27 AM