Archive for August, 2014

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.

ankyloglossia ASHA certified orofacial myologists decision to quit diastema Dr. Robert Mason drooling freeway space frenectomy habituation hyoid bone IAOM incisive papilla lack of expressive language lingual frenum lip licking habit lip strength lisp lower alveolar ridge malignant sleep apnea myofunctional therapy Myo Manual narrow palate open bite oral motor orofacial myofunctional disorders orofacial myology orofacial myology treatment palatal expander post frenectomy quick tongue tie assessment restricted lingual frenum sleep apnea speech language pathologist sucking habits suctioning thumb thumb sucking TMJ tongue exercises tongue protrusion tongue thrust tongue tie tongue to spot unplugging the thumb