The Oral Motor Institute

Oral Motor and Orofacial Myology are specialized treatment modalities within the scope of practice of specific professionals such as speech pathologists and occupational therapists. These therapy modalities focus on the function and coordination of the muscles in the respiration, phonation, feeding, swallowing and articulatory systems. These therapies are crucial for addressing a variety of speech and feeding disorders. Education plays a pivotal role in ensuring the effectiveness of therapy, both for treating therapist and for the parents of the children receiving therapy.

 

Education for Licensed Professionals

For Speech Language Pathologists and Occupational Therapists, education in the anatomy and physiology of the orofacial complex and related functions is essential to provide effective assessment treatment and achieve optimal outcomes for their clients. This education encompasses both theoretical knowledge and practical skills.

Understanding the Underlying Mechanisms

Education provides a comprehensive understanding of the anatomy and physiology of the oral and pharyngeal structures. This foundational knowledge is critical for diagnosing and treating oral motor and orofacial myofunctional disorders. By understanding how these structures work together to produce speech and facilitate feeding, SLPs can develop targeted interventions that address specific dysfunctions. Topic areas may include:

  • Anatomy and physiology of the respiratory system
  • Anatomy and physiology of the phonatory system
  • Anatomy and physiology of the swallowing system
  • Anatomy and physiology of the speech system
  • Anatomy and physiology of the voice system

Complex Diagnoses

Differential diagnosis helps a clinician select the best treatment modalities for the patient. The OMI advocates for assessment of the orofacial complex and ruling out oral motor challenges for the following diagnoses:

  • Apraxia
  • ARFID
  • Dysarthria
  • Dysphagia
  • Obstructive Sleep Apnea
  • Oral Anomalies
  • Orofacial Myofunctional Disorder
  • Pediatric Feeding Disorder
  • Picky Eating
  • Sleep Disordered Breathing
  • Speech Sound Disorders
  • Stroke
  • Temporomandibular Joint Disorder
  • Tethered Oral Tissues (ex. Ankyloglossia)
  • Traumatic Brain Injury
  • Tongue thrust
  • Voice Disorders

 

Evidence-Based Practice

Continuing education ensures that SLPs stay up to date with the latest research and evidence-based practices in oral motor science. New research is constantly evolving, with new studies and techniques emerging regularly. By engaging in ongoing professional development, professionals can incorporate the most effective and scientifically supported methods into their practice, improving treatment outcomes for their clients.

Clinical Skills and Techniques

Hands-on training and workshops, as well as virtual instruction are crucial components of education for oral motor techniques. These practical experiences allow SLPs to develop and refine their clinical skills, such as assessing oral motor function, identifying deficits, and implementing therapeutic techniques. Through supervised practice and feedback, clinicians gain the confidence and competence needed to deliver high-quality therapy.

Interdisciplinary Collaboration and Education

The OMI supports interprofessional workshops and interdisciplinary collaboration. Oral Motor /Myofunctional Therapy often involves cooperation and alliance with other healthcare professionals, such as orthodontists, nutritionists, physical therapists, dentists, and pediatricians. Education equips clinicians with the knowledge and communication skills necessary to work effectively within a multidisciplinary team. Understanding the roles and contributions of other professionals ensures a holistic approach to treatment and maximizes the benefits for the client.

Education for Parents, Caregivers and Partners

Educating parents/caregivers and partners, is equally important in the context of Oral Motor Therapy. Parents play a critical role in the therapeutic process, and their involvement can significantly impact the success of the treatment.

Empowering Parents

By educating parents about oral motor disorders and the goals of therapy, they are taking in an active role in a loved one’s treatment. When parents understand the rationale behind specific exercises and interventions, they are more likely to be engaged and committed to the therapy process. This empowerment fosters a collaborative partnership between the SLP and the family, enhancing the overall effectiveness of the therapy.

Home Practice and Carryover

Consistent practice outside of therapy sessions is essential for achieving lasting progress in Oral Motor/Myofunctional Therapy. Educating caregivers on how to implement therapeutic activities at home ensures that the patient receives regular practice and reinforcement of skills. SLPs can provide parents with tailored exercises, demonstrations, and written instructions to facilitate effective home practice. This carryover of skills into the patient’s daily routine accelerates progress and promotes generalization of skills.

Understanding Progress and Setting Realistic Expectations

Education helps caregivers understand the typical progression of oral motor skills and the timeline for achieving therapeutic goals. Clinicians should explain the factors that influence progress, such as the severity of the disorder, age, severity, and individual differences in response to therapy. By setting realistic expectations, caregivers can maintain a positive outlook and remain patient and supportive throughout the therapy process.

Recognizing and Responding to Challenges

Informed caregivers are better equipped to recognize potential challenges and setbacks in their loved one’s progress. Education provides them with strategies to address these challenges and make informed decisions about ongoing care. For example, parents can learn how to adapt activities to suit patient needs, identify signs of frustration or fatigue, and seek additional support when necessary.

Links to Research Compendiums

TOTs and Orofacial Myofunctional Therapy Reference List (Current)

Orofacial Myofunctional Disorders (2018)

UPCOMING CONVENTIONS AND WORKSHOPS

For on-going workshops on the topics of oral-motor, orofacial myofucntional, pre-feeding and Oral Placement Therapy, please visit:

http://www.talktools.com
http://www.beckmanoralmotor.com/
https://satpac.com/stephen-sacks
http://www.iaom.com/
https://www.feedingmatters.org/people/suzanne-evans-morris-phd
http://www.ndta.org
http://www.sosapproach-conferences.com/
http://www.pediatricfeedinginstitute.com/
http://www.agesandstages.net/courses.php
http://www.pammarshalla.com/
The Speech Link: A Speech Therapy Podcast | SpeechTherapyPD.com
https://www.thebreatheinstitute.com
https://www.aapmd.org
https://www.donofrioslp.com/institute
https://www.chrysalisorofacial.com/training
https://pammarshalla.com/continuing-education/self-study-courses
https://carlinspeech.com/home/seminars
https://www.kristiegatto.com/
https://www.lactationot.com/oralmotor
https://halliebulkin.com/myofunctional-therapy/
https://www.function-focus.com/about

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The Oral Motor Institute