It is fair to start patients when I will be leaving in 3-6 months.

I would be starting some patients when I know I’ll be leaving these patients within 3-6 months.  Do you think it’s fair to start?  I am feeling compromised,

As far as taking on a patient when you will be moving, I even mention that in my classes and here is what I say:  “Because you know Phase One, most especially proficiency exam #1, you can build a decent foundation for a patient and then, even if they move or you move, they have the most important basic skills.  You’ve made it possible for even a non orofacial myology therapist to make progress with that solid foundation you’ve built.”  If you were using an old fashioned or simplistic program, perhaps you’d be best advised not to start what you can’t finish, but with our focus on maximizing muscle function from the get-go, we’re fine.


When apraxia rules all… it explains many of the OM symptoms we see

Hi Sandra, So glad that you were able to meet with my patient. I have been perplexed about him. His OM issues seem to be compounded by his difficulty with nasal breathing (polyps), poor motor planning, and weak sensation around his lips and tongue. For sure…at the very least! My basic results from exam: 1. […]


8-year old girl with a pretty severe tongue thrust and speech errors on all the sibilants plus /r/.

I recommended a lingual frenectomy, which was done last week. She is coming back to therapy Wednesday, and I was wondering if there are specific exercises that should be done post-frenectomy to avoid scar tissue from forming.


Little girl who got her tonsils out unable to say “H”

Posted by | Oct 30, 2014 | Tags: ,
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A nice “flow” of conversation will help to embed that “h” sound within words and phrases rather than just saying it at the beginning.


Starting a new private practice and looking for a good oral mechanism exam checklist

I am starting a new private practice and I’m looking for a good oral mechanism exam checklist. Do you have one or know of a place that would have one? Thanks, S Hi S, Congratulations on starting up a practice.  Being that I have focused on orofacial myology for so many years, my eval is […]


Metal rake type appliance being bent over by tongue

I’ve got her oral habits “fixed” for during the daytime. However, the nighttime is creating a pretty big problem and I’ve racked my brain…


Frenum Question- R: Techniques and Interventions to Correct /r/

Sometimes a frenum is not short but is still restrictive because of the attachment location on the tongue or onto the lower alveolar ridge.


Decreased Lingual Movement

He presents with decreased lingual movement but does not have an obvious anterior tongue tie. He is unable to stick out his tongue without it resting on his teeth and he cannot click his tongue without moving also moving his jaw. I am really at a loss for how to help him.


Would you use your digit sucking elimination program with a client to eliminate the noxious habit of lip licking?

He substitutes lingua alveolar sounds for these three (s/f, z/v, l/w). I worked with him for 45 minutes and during the entire session, he chronically licked his lips (predominantly his lower lip). His tongue was deeply scalloped when he was asked to protrude it and he had an abnormal rest posture (since all he was doing was licking his lips! ) He was not able to pucker/move the upper lip at all and the lower lip barely moved. He had a very long philtrum.


How many exercises?

Do you really see the patient two times a week, does once a week work? Is half hour enough time?

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