Is there a minimum age to start therapy for orofacial myology disorders?

A:  Is there a minimum age to start therapy for orofacial myology disorders?  The pictures and examples in the Myo Manual all show children who are about 7 years or older. Of course every client is unique and it all depends on motivation, the ability to understand the exercises, family support etc. but do you also work with 5 or 6 year old children?

Q: Most definitely children over 4 years can be seen for treatment.  Modifications might be in order, but the overall sequence and systematic approach should be maintained.   The important first step is to do a thorough orofacial myology exam so you can then plan according to the individual’s needs.  Children under the age of 4 years might be seen to assess and to give parents suggestions on how to prevent or reduce future myo problems.  For example, if the young child has airway issues, they should be addressed immediately.  If there is ankyloglossia, that should be addressed right away.  Other than helping to prevent issues in the future, a child under the age of 4 is not a candidate for OM treatment.  In fact, a  3 year old should not be expected to elevate tongue tip to spot; very few can perform that naturally when asked to do so.  As for 5 and 6 year olds, they can definitely be seen and enrolled in a program of orofacial myology treatment.