SIGN IN YOUR ACCOUNT TO HAVE ACCESS TO DIFFERENT FEATURES

FORGOT YOUR PASSWORD?

FORGOT YOUR DETAILS?

AAH, WAIT, I REMEMBER NOW!

Orofacial Myology

Helping Speech Pathologists and Dental Professionals with training, services and products that offer solutions to your orofacial myology concerns.

954-461-1114
Email: info@orofacialmyology.info

Neo-Health Services, Inc.
Morrisville NC 27560

CALL US: 954 461 1114
  • LOGIN
  • HOME
  • MYO INFO
  • MYO TRAINING
  • MYO PRODUCTS
  • MYO THERAPISTS
  • MYO MEDIA
  • QUALIFICATION (QOM)
  • MYO TEAM
    • Sandra R. Holtzman
    • Becky Ellsworth
    • Karen Wuertz
    • Zohara Nguyen
    • Jamesa Treadwell
    • Carma Stump
    • Karen Masters
    • Mackenzi Coker
    • Greta Vigil
  • MY CART
    No products in cart.

Incorrect swallow evaluation creates false positive

by Administrator / Monday, 17 September 2012 / Published in Dental Hygienist, Dentists, occupational therapists, Orofacial Myologist, Orthodontist, physical therapists, SLP-A, speech languge pathologist, Teacher, Therapists, Uncategorized

Question: Would the use of lip retractors, or pulling down the bottom lip, or any other similar manipulation of the lips/face in order to get a good view of a potential tongue thrust during swallowing actually “ignite” a thrust?  (influence one to occur that otherwise might not?  give a false positive per se…..) J

Response by Dr. Robert Mason: Good question. The answer: Heavens yes!! When you artificially hold open the lips, the need for an anterior seal for a swallow is then passed on to the remaining structure capable of achieving an anterior seal – the tongue. What you then see is an artificially-induced tongue thrust as the tongue provides the anterior seal. When one holds the lower lip down or uses lip retractors, the subject, in such artificially contrived circumstances, is encouraged to concentrate on their swallow, and a tongue forward initial movement is the typical result. Of historical importance: the reason that palatography (the best example of which is the old Payne light used and touted by Garliner) was not a valid evaluation technique is because it involved painting the palatal area. The subject then had to start a swallow sequence from an unnatural rest (open mouth) position; hence, the swallow was distorted due to the need to not touch the palate with the tongue prior to a swallow.

Additional comments by Sandra R. Holtzman: That is why I stopped using the Payne black light method quite a few years ago. Are you looking for a way to break the lip seal during a saliva swallow?  Truthfully, you can see what you need by having them chew and swallow something of a texture like a pop tart and break the lip seal during the swallow.  How they swallow food and saliva will be the same, but it will be easier to see with the food swallow.  Remember, that the actual swallow is not as significant as we used to think; therefore, even if you failed to get that part of an eval done, you still have all the symptoms to work with in order to correct the orofacial myology disorder. You can demo that symptom at a later session, if you wish. You probably already know, but to break the lip seal: “Lightly” place one hand on larynx as patient bites, chews, and suctions; as she/he swallows and the larynx elevates, take that moment to break the lip seal and see if the tongue is coming between the teeth.  You would place your thumbs at the commissures and lift one thumb upward and the other downward on the lips, and might even hear the seal “break” (pop).   Bear in mind that this method is good for those in the past who did not have the more involved eval procedures that we have and use today.  It was good to “show” parents or patients how the tongue came between the teeth during the swallow and was only useful for the few who had obvious interdental swallows.   Other than for convincing them/selling them on the need for treatment, I don’t see why it is important at all to use that demonstration.  With all the wonderful tools and methods available to us, there is a lot more to emphasize and demonstrate during the evaluation process, in my opinion…..    

Tagged under: artificially-induced tongue thrust, lip retractors, palatography, Payne black light method, tongue thrust during swallowing, way to break the lip seal during a saliva swallow

What you can read next

Repaired bilateral cleft lip has hypernasal speech
Cannot seal liquid or suction
CVA with noted aphasia

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Search

Archives

  • September 2020
  • August 2020
  • July 2020
  • June 2020
  • May 2020
  • March 2020
  • February 2020
  • January 2020
  • December 2019
  • November 2019
  • October 2019
  • September 2019
  • August 2019
  • July 2019
  • June 2019
  • May 2019
  • April 2019
  • March 2019
  • December 2018
  • November 2018
  • October 2018
  • September 2018
  • August 2018
  • July 2018
  • June 2018
  • May 2018
  • April 2018
  • March 2018
  • February 2018
  • January 2018
  • December 2017
  • November 2017
  • October 2017
  • September 2017
  • August 2017
  • July 2017
  • June 2017
  • May 2017
  • March 2017
  • February 2017
  • December 2016
  • November 2016
  • October 2016
  • September 2016
  • May 2016
  • April 2016
  • March 2016
  • February 2016
  • December 2015
  • November 2015
  • October 2015
  • September 2015
  • August 2015
  • July 2015
  • June 2015
  • May 2015
  • April 2015
  • March 2015
  • February 2015
  • January 2015
  • December 2014
  • November 2014
  • October 2014
  • September 2014
  • August 2014
  • July 2014
  • June 2014
  • May 2014
  • April 2014
  • March 2014
  • February 2014
  • January 2014
  • December 2013
  • November 2013
  • October 2013
  • September 2013
  • May 2013
  • March 2013
  • February 2013
  • January 2013
  • December 2012
  • November 2012
  • October 2012
  • September 2012
  • August 2012
  • July 2012
  • June 2012
  • May 2012
  • April 2012
  • March 2012
  • February 2012
  • January 2012
  • December 2011
  • November 2011
  • October 2011
  • September 2011
  • August 2011
  • July 2011
  • June 2011
  • May 2011
  • April 2011
  • March 2011
  • February 2011
  • January 2011
  • December 2010
  • November 2010
  • October 2010
  • September 2010
  • August 2010
  • July 2010
  • June 2010
  • May 2010
  • April 2010
  • March 2010
  • February 2010
  • January 2010

Recent Posts

  • stop-sucking-the-thumb-program-therapists

    How to implement Unplugging the Thumb

    Q: Hi!  I am a therapist. I went through traini...
  • orofacial-myology-frontal-lisp

    Adult with complex issues

    J: I’m writing with a question regarding a 22-y...
  • orofacial-myology-therapy-before-or-after-frenectomy

    Speech therapy before or after frenectomy

    Hi   I have a client (new to me) who just came ...
  • HOME
  • MYO INFO
  • MYO TRAINING
  • MYO PRODUCTS
  • MYO THERAPISTS
  • MYO MEDIA
  • QUALIFICATION (QOM)
  • MYO TEAM
    • Sandra R. Holtzman
    • Becky Ellsworth
    • Karen Wuertz
    • Zohara Nguyen
    • Jamesa Treadwell
    • Carma Stump
    • Karen Masters
    • Mackenzi Coker
    • Greta Vigil
  • GET SOCIAL
Orofacial Myology

© 2017. Tecnify. All Rights reserved.

TOP