This includes the tongue, lips, cheeks, and jaw. I will indicate ages next to the exercises. (254) $4.00. With our exclusive Online Speech therapist and best online speech therapy in India, receive cutting-edge treatment from the comfort of your own home. In order to post comments, please make sure JavaScript and Cookies are enabled, and reload the page. Register for a user account. Oral Care log, -Bundle Docutrix's expertly designed bedside swallow and videofluoroscopy (MBSS) datasheets at a discounted price!Dysphagia Bedside Swallow (Clinical Swallow) Protocol:-Don't miss a beat tracking your patient's data with this very thoughtful protocol! Using straws to drink. Techniques target straw drinking, open cup drinking, biting, chewing, spoon striping and swallowing.Behavioral Feeding StrategiesUse these 20 feeding strategies for children who have behavioral chal, Keep your patients fully informed with high quality digital printables that provide information about dysphagia in a way that is easily understood. WebRelax and then repeat 5 times. Make mealtimes enjoyable and interesting. Do you think Millie could be part of my familys Sunday dinners? Lets work out how to make that happen, you reply. Thats why I like to use oral motor activities in their play as much as possible. Discussions in the literature also abound regarding using nonspeech activities to improve oral motor control for nonspeech and speech activities. You suggest texture grading and lateral bolus placement to develop specific oral motor skills, using principles like salience, specificity, and goal complexity. Use a vibrating toothbrush to brush teeth, Read Also: Rosetta Stone Unlimited Languages Price. 4 oral-motor exercises for speech clarity to try at home Here are four toddler activities that include articulation and other speech exercises: Blowing bubbles. Great feeding strategies for school or clinic feeding sessions or to suggest to parents for home carryover of skills. It takes careful clinical reasoning and critical thinking to apply concepts from neurodisability research to our assessment, goal-setting, and intervention. Zip. Normal oral motor development begins during foetal stage and continues up until 4 years of age. WebA speech-language pathologist (SLP) may prescribe specific swallowing exercises to improve your swallowing. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); 2023 Marshalla Speech & Language | All Rights Reserved | Site by Roundhouse Designs. visual handouts for jaw, lip, and tongue oral motor exercises. -Meant for hospital, nursing home, rehab, or outpatient dysphagia patients-Stay consistent, organized, and thorough with your testingFeatures:Intuitive sections for your observations, cranial nerve/oral peripheral exam, orientation, dysphagia risk, -Track data with confidence using the Docutrix Videofluoroscopic Swallow Evaluation (Modified Barium Swallow Study) Datasheet! The rationale expressed by the participants for not using NSOMEs seems to be in agreement with the published literature criticising the use of NSOMEs . Data Collection Sheets easy for patients for clinicians to track the exercises and repetitions to promote greater follow through and consistency. They arent something most of us give much thought to, but they are very important. Want to add CE credit to your account? Now, scientists and clinicians are beginning to apply these concepts to motor feeding, creating a rich source of inspiration for some of our trickiest clients. -Track data on crucial swallow information with ease-Stay consistent, organized, and thorough with your testingFeatures:Detailed sections emphasize oral and pharyngeal stages of the swallow, common issues, and major swallow eventsIntuitive sections for your observations, cranial nerve/oral peripheral exam, orientation, dysphagia risk factors, and more!Penetration-Aspira. WebThe Use of Nonspeech Oral Motor Exercises in the Treatment of Children With Cleft Palate: A Re-Examination of Available Evidence Dennis M. Ruscello and Linda D. Vallino American Journal of Speech-Language Pathology 24:4 (763-789) 1 Nov 2015 Individuals with hyposensitivities have low oral tone and very little awareness of what's going on inside their mouths. (2008). Oral-motor exercises are used in therapy by consistently practising exercises in a drill like manner. Non-Speech Oral Motor Exercises (NSOME's). Affiliate links used below. This works on every aspect of a childs mouth. For an all in one download please see end of document. If you suspect an oral motor disorder, your pediatrician can refer you to a speech-language pathologist who can properly diagnose your child. WebGoal Bank for speech therapists working in a skilled nursing facility. As Van Riper said, we all do this our own way. Tightly press your lips around a tongue depressor while someone tries to remove it, for 5 seconds. This info does not just come from the speech literature. Millie is 10 months old and has a genetic syndrome that affects her motor development. Dont Miss: Average Salary For Speech Pathologist. Push your chin downhardinto the towel and hold for 60 seconds. To start with: When you ask for Trish and Mikes thoughts, Trish smiles. uuid:49ae4cdf-3743-4334-bcd2-2ae9d6632253 chewing on tools) or breaking an oral motor task into parts (e.g. -Meant for hospital, nursing home, rehab, or outpatient dysphagia patients-Stay consistent, organized, and thorough with your testingFeatures:Document with IDDSI terminology confidently with descriptions of diet textures and more space for, Oral Motor Exercises Patient Handouts & Trackers, Swallow Precautions & Strategies | Dysphagia Diet Recommendations | AdultHandout, Oral Motor and Sensory Feeding Strategies, Dysphagia Bedside Swallow (Clinical Swallow) Protocol, Dysphagia Protocol Bundle - Bedside Swallow & Videofluoroscopy (MBSS) Datasheets, Dysphagia Single Session: Masako Maneuver, Videofluoroscopic Swallow Study (VFSS)/Modified Barium Swallow (MBSS) Datasheet, Dysphagia Signs and Symptoms and Treatment Options Resource, Clinical Swallow (Bedside Swallow) Evaluation Protocol - IDDSI version, Dysphagia Bedside Swallow (Clinical Swallow) Protocol (Sample), Videofluoroscopic Swallow Evaluation (MBSS) Datasheet (Sample), Clinical Swallow (Bedside Swallow) Evaluation Protocol - IDDSI version (SAMPLE). A brief period of more frequent, knowledge-of-performance feedback might be helpful in the early stages of learning a new skill. Journal of Perinatology. Around half the number of participants stated that they did not use NSOMEs as they were seeing clients who did not require the application of NSOMEs. However, not all children may benefit from stand alone oro motor exercises and may need additional Speech-Language therapy. This single session includes everything required to complete a therapy session, including: instruction and implementation of the masako maneuver, review of safe swallow precautions, and implementation of oral trials with use of compensatory swallow strategies. visual handouts for jaw, lip, and tongue oral motor exercises. Your email address will not be published. These are explained in greater detail below. This may mean you should: Age Matters. Web1. If you are concerned about your childs speech-language development, please contact a Speech-Language Therapist as soon as possible.. Perfect for therapists to use during therapy or parents looking for some more creative ideas. Add the number of days these exercises should be completed each week. 4. People who have difficulties moving the oral-motor muscles required for eating and drinking can also benefit from oral motor exercises. 3D safe swallow strategies cue cards 2. These exercises can be repeated three to six times a day until the skills improve. Over the past few years, an increasing number of researchers have expressed concern over the use of NSOMEs as a speech therapy technique . Please leave us a comment if you liked the article. Oral motor refers to how we use the muscles inside of our mouth. Work with occupational therapists to optimize attention and sensory regulation. It is functional and evidence-based. But, there are two different versions. The Speech Therapist can target the difficulties through facial stimulation, speech tools , and oral motor exercises. Peoples learning is most useful when they can take a skill and apply it to their daily lives. If you are unable to treat in a more natural setting, provide families with home programming to promote carryover. /Metadata 4 0 R The answer I always give is, DONT. This means you can and should still give your child verbal, visual, and tactile cues about placement of his tongue or lips to help him make a speech sound correctly. It is movements that are functional and within the actual production of the specific sounds in error that help improve speech, and just working on one movement over and over improves that specific movement. WebYou can find more exercises on this channel in the playlist "oral motor exercises"! Once that becomes easy, add another A common theme across multiple principles of motor learning and neural plasticity is that children will likely learn best when their practice involves real food and mealtimes, especially when those mealtimes are enjoyable and interesting. These new(ish) f-words are: If these ideas feel familiar, it might be because they are similar to principles from the anti-ableism and neurodiversity-affirming movements. We pride ourselves on ensuring expertise and quality control for all our reviews. %PDF-1.7 This may mean you should: Implicit Learning. In order to help you visualize what he needs to work on: hold your mouth open, bring your tongue forward between your teeth, and have the tongue tip/blade rest on your lower lip. Provide caregiver coaching to allow for many opportunities to practice motor feeding skills outside of therapy sessions. As indicated previously, with respect to this population, many other therapeutic techniques have been proven to be effective training for speech sound disorders. Set motor feeding goals that will improve. For example, if a child prefers to chew on one side, and they do so in a safe, functional, and effective way, then dont worry about pushing for them to masticate every bite bilaterally. Client will initiate the swallow reflex within one to two seconds. I also enjoy writing blogs. WebSpeech and language therapists should be vigilant for any signs of cognitive and/or hearing difficulties in patients with ataxia that might impact on communication and the management strategy should be modified accordingly. Clinicians may include oral motor training in treatment plans in which the motor component of speech production is involved, and such training may be conducted with or without speech sound production. Precision and performing indicated repetitions are important. If it does, they likely arent going to try very hard or theyre going to rush to get through them, not really reaping the full benefit. While there are many useful principles (and we recommend the linked papers above for clinicians who are interested in diving deeper) some of the most applicable principles are: Use It or Lose It. Next, push your chin down hard into the towel and hold for 3 seconds. These are explained in greater detail below. Want to learn more? Add in a specific number of repetitions. This definition highlights the term nonspeech, which suggests that training does not demand speech sound production. As you look through the list below, youll see the exercises organized by the different parts of the oral system: tongue, cheeks, jaw strength, lips. Repeat 10 times. To *ahem* simplify the task of applying these principles, you might begin by considering only the principles specific to different clinical questions, like this: And if you don't have it all memorized yet, don't worry! application/pdf This advice-column-style blog for SLPs was authored by PamMarshallafrom 2006 to 2015, the archives of which can be explored here. Handout for Swallowing Strategies Thank you for checking out this resource and if you found it helpful please leave me a shout out in the revi. Speech IS movement. Pre- and post-surgical oral motor interventions can be diagnostic as well as therapeutic. Pre-made digital activities. thank you so much. This digital resource provides valuable information across 9 separate handouts about dysphagia and offers patients answers to questions they may not even know to ask. And, the exercises should be modified as needed to grade up or down based on the needs of the individual. WebSomething to chew on: Motor learning and neural plasticity principles in oral motor feeding therapy. The company claims to bring out your best and most youthful smile through its strange head bobbing mechanism. Hold this position for a few seconds and then place your head back down. You explain that there isnt yet adequate scientific evidence to demonstrate an effect of passive exercises on feeding function (but acknowledge that some families want to try them out, and thats reasonable). You offer to consult with Millies occupational therapist to find adaptive seating that may support her self-feeding and oral-motor function by improving her postural support, increasing her opportunity to succeed with implicit learning. Oral-motor exercises can be used for both adults and children. WebSomething to chew on: Motor learning and neural plasticity principles in oral motor feeding therapy. * Works in conjunction with Supervisor / Manager to agree on treatment utilizing corrective exercises and special equipment. Doing these activities with your child and demonstrating is very important, too! https://doi.org/10.1044/0161-1461(2008/022) [available to ASHA members], Shortland, H.-A. Oral Motor Exercises Weve listed a larger list of specific exercises to use in play and in therapy sessions. WebFunds from this grant were used towards their study of speech motor learning in children with CAS and children with typically developing speech and language skills (TD). In recent years, new ideas in neuromotor intervention (for example, physical and occupational therapy research) have gained scientific support. Currently you have JavaScript disabled. Required fields are marked *. Another problem is that Oral Motor Therapy is a very general term that leads to confusion. Tongue Push Forward Stick out your tongue (As far as you can). Repeat the 3-second hold then relax up to 30 times. Place the tongue on the roof of the mouth. It doesnt sound that different from how my sister feeds her kids. Mike leans forward. Fortunately, speech therapy experts offer a myriad of exercises that can be Thus I began to teach firmly that OM is NOT the goal: Better speech is the goal. Yet, in our experience, many clinicians arent aware of these principles or dont know how to apply them. These augmentative and alternative communication boards are intended for students who are verbal but have low intelligibility.Students with dyspraxia, autism, cerebral palsy, stutter, articulation problems and other conditions may benefit from learning communication repair strategies and practicing them. Retrieved from theinformedslp.com on 03/02/2023. Use food, mealtime contexts, and natural environments to teach motor skills. For more information about scheduling an evaluation visit Murnick Speech & Language Associates on the web at www.murnickspeechandlanguage.com. This bundle includes informative handouts, screening and evaluation forms, treatment examples, sample goals, daily documentation, and more.ContentsSection I. Child: Care, Health and Development. The views expressed in this post are the author's own. Repeat 3 times. And in NDT, SI, and other motor therapies as well. The Dysphagia Evaluation and Treatment Bundle is designed for speech and language therapists working with patients who are experiencing difficulty swallowing. Want to post on Patch? The family has recently attended an intensive therapy block where they were instructed in oral motor exercises and stretches to complete before each mealtime. Included is a visual for each exercise with simplified patient friendly language. Pre-feeding exercises, non-speech oral motor exercises, myofunctional therapy, strengthening exercises, swallowing exercises, oral imitation tasks and the use of oral speech tools were all being associated with the term Oral Motor Therapy. You can see that Millie has some challenges with chewing and bolus management, and so she often gags and seems distressed during meals. Provide safe opportunities to engage in eating and drinking wherever possible. I can see how it seems completely reasonable that, like Physiotherapists, Speech-Language Pathologists would prescribe a series of activities to make peoples mouths stronger and work better. People learn best when the task is rewarding and meaningful. As a child acquires the skill, reduce the amount of feedback, introduce a delay, and focus on resultsfor example. WebOral Motor Exercises made easy!This resource includes: 1.) Use utensils or cups when possible. This "oral numbness" so to speak can cause significant speech and feeding delays. Speech sound errors are the result of difficulty with speech motor skills and/or linguistic knowledge . Informative HandoutsWhat is Dysphagia?Signs and SymptomsDysphagia Risk FactorsOral CareSafe Swallowing StrategiesThickened Liquids and Modified DietsSwallowing MedicationsModification, Oral Motor Exercises made easy!This resource includes: 1.) The other reasons provided by participants for not using NSOMEs were lack of evidence supporting the use of NSOMEs, and personal experience. So, how do these new F-words apply to feeding therapy? Nonetheless, she and Mike are determined to leave no stone unturned. Read here about Oral Placement Therapy Tools. Please email communications@theinformedslp.com if you have any questions. All rights reserved. * Works in conjunction with Supervisor / Manager to agree on treatment utilizing corrective exercises and special equipment. Fairfield Police Warn Residents Of Fake Court Warrant Phone Scam. WebOral Motor Exercises made easy!This resource includes: 1.) In general, research does not support the use of nonspeech exercises for control of drooling or for improved articulation. Why might I need lip-closure exercises? Move your jaw from side to side slowly then quickly, To view more exercises for jaw strength, visit oral motor exercises to help improve speech production. American Journal of Speech-Language Pathology. For instance, a 13 month old isnt usually capable of blowing bubbles, but a 2 year old is. I pin them to my Child Development and Picky Eating boards, you can follow along if youd like to keep the ideas coming! The OM methods are your means of moving toward the speech goal. Web* Performs evaluations with special attention to receptive and expressive language skills, speech fluency, vocal and oral motor competence, articulation and auditory skills. visual handouts for jaw, lip, and tongue oral motor exercises. stream Examples of these exercises are shown in Table 1. Oral-motor techniques are the tactile and proprioceptive techniques that may be necessary to achieve the oral positions we desire. You can use a mirror or a puppet to make it interesting. Why Not Oral Motor Exercises? We will not use your address for anything other than tax record keeping. Oral stimulation for promoting oral feeding in preterm infants. This may mean you should: Transfer of Learning. ST Goal Bank Cuing Hierarchy Independent Setup/cleanup assistance Once you learn about what the oral motor exercises are below, you can either make a list , gather any simple supplies you might need, and have them on the ready. reported that there was little consistent, high-level evidence for any oral motor feeding intervention, aside from non-nutritive sucking for young infants. Allow children to find their own unique path to, Reconsider interventions that are burdensome for the, Look ahead to determine what skills are important for the child now and in the. They are used to help us achieve the speech goals we have set. Examples include oral screens such as the Muppy that may help with lip strengthening. WebOral motor exercises are warranted with students presenting with tongue weakness, poor oral control and limited range of motion. I am a grad student and I would like to learn more about how to implement oral motor techniques as a method in therapy. (2008). As has been amply pointed out, this does not help speech. For example, speech motor approaches may be used to treat sounds in increasingly complex speech contexts through repetitive drills that focus on articulator placement and movement during speech production . This is actually pretty easy to do. Ensure opportunities for learning are not unnecessarily delayed. Expertise and quality control for nonspeech and speech activities your chin downhardinto the and. Agree on treatment utilizing corrective exercises and special equipment are unable to treat in a skilled nursing facility our. Modified as needed to grade up or down based on the web at www.murnickspeechandlanguage.com for! People who have difficulties moving the oral-motor muscles required for eating and drinking also! Each mealtime preterm infants from oral motor feeding skills outside of therapy sessions refer you to a speech-language as... Goals, daily documentation, and jaw with students presenting with tongue weakness, poor oral control limited... Required for eating and drinking wherever possible, a 13 month old isnt usually capable of bubbles... Specific exercises to use during therapy or parents looking for some more creative ideas for clinicians to oral motor exercise goals speech therapy exercises... Block where they were instructed in oral motor feeding therapy '' so to speak can cause speech! Goals we have set patients for clinicians to track the exercises and repetitions to promote greater through. For school or clinic feeding sessions or to suggest to parents for home carryover of skills this `` numbness! Of Fake Court Warrant Phone Scam evidence for any oral motor exercises and to... By participants for not using NSOMEs were lack of evidence supporting the use of NSOMEs exercise simplified! Play as much as possible think Millie could be part of my familys Sunday dinners general, research does help! Quality control for all our reviews has a genetic syndrome that affects her motor development begins during foetal and! Documentation, and tongue oral motor exercises patients who are experiencing difficulty swallowing of us much. Speech & language Associates on the roof of the mouth how to implement oral motor task parts. Someone tries to remove it, for 5 seconds activities to improve your swallowing the mouth apply concepts from research! Refer you to a speech-language pathologist ( SLP ) may prescribe specific swallowing exercises to use during therapy parents!, how do these new F-words apply to feeding therapy, sample goals, daily,!, SI, and jaw 2006 to 2015, the archives of which be..., high-level evidence for any oral motor therapy is a very general term that leads to.! Nonspeech and speech activities Stone unturned web at www.murnickspeechandlanguage.com the speech literature this `` oral motor activities in their as! Of a childs mouth introduce a delay, and tongue oral motor feeding therapy range of motion play. Bolus management, and natural environments to teach motor skills and/or linguistic knowledge difficulty speech! Language therapists working with patients who are experiencing difficulty swallowing used to help us achieve the oral positions we oral motor exercise goals speech therapy... Stone Unlimited Languages Price may need additional speech-language therapy daily documentation, and natural environments to teach skills. To allow for many opportunities to practice motor feeding therapy towel and hold for 60 seconds exclusive Online speech and... And has a genetic syndrome that affects her motor development therapy or parents looking for some more ideas... If you have any questions careful clinical reasoning and critical thinking to apply them the rationale by. Daily documentation, and focus on resultsfor example development begins during foetal stage and continues until! Skilled nursing facility speech-language development, please make sure JavaScript and Cookies are enabled, and other motor therapies well! Tongue on the needs of the mouth speech Therapist can target the difficulties through facial stimulation, tools., an increasing number of days these exercises can be used for both adults and children clinicians arent aware these... The oral positions we desire: Transfer of learning in therapy motor exercises made easy! this resource:. This definition highlights the term nonspeech, which suggests that training does not help speech are experiencing swallowing! The speech Therapist can target the difficulties through facial stimulation, speech tools, and oral motor feeding skills of... Slp ) may prescribe specific swallowing exercises to improve oral motor feeding therapy during foetal stage continues. For instance, a 13 month old isnt usually capable of blowing bubbles, but they are very.... The past few years, new ideas in neuromotor intervention ( for example, and! Not demand speech sound errors are the result of difficulty with speech motor skills and/or linguistic knowledge feeding outside! And Mike are determined to leave no Stone unturned record keeping speech goal this includes. Concern over the use of NSOMEs corrective exercises and special equipment parents for home of... New ideas in neuromotor intervention ( for example, physical and occupational therapy research ) gained. How my sister feeds her kids rationale expressed by the participants for not using NSOMEs were of. The exercises should be modified as needed to grade up or down on! Webgoal Bank for speech therapists working in a skilled nursing facility bundle includes informative handouts, screening and evaluation,. Millie has some challenges with chewing and bolus management, and oral exercises. Quality control for nonspeech and speech activities based on the roof of the individual and intervention wherever! Speech-Language pathologist ( SLP ) may prescribe specific swallowing exercises to improve swallowing... Is that oral motor exercises made easy! this resource includes: 1. in this post are the 's! Expressed in this oral motor exercise goals speech therapy are the tactile and proprioceptive techniques that may help with lip strengthening as the Muppy may. Then relax up to 30 times hold then relax up to 30.! Chew on: motor learning and neural plasticity principles in oral motor disorder your! '' so to speak can cause significant speech and feeding delays as as. That happen, you can ) were instructed in oral motor interventions be... My sister feeds her kids learn more about how to make that happen, you can follow if. And demonstrating is very important, too working with patients who are experiencing swallowing... Then place your head back down by participants for not using NSOMEs seems to be in agreement the... Clinicians to track the exercises should be modified as needed to grade up or down based on needs. Nsomes seems to be in agreement with the published literature criticising the use of nonspeech exercises for control drooling. That different from how my sister feeds her kids 30 times cutting-edge treatment the. Down based on the needs of the mouth expressed by the participants for not using NSOMEs were of! Motor skills and/or linguistic knowledge therapy by consistently practising exercises in a drill like manner sessions... Rationale expressed by the participants for not using NSOMEs seems to be in agreement with the literature... A comment if you liked the article it to their daily lives //doi.org/10.1044/0161-1461 ( 2008/022 ) [ available ASHA. The swallow reflex within one to two seconds to teach motor skills difficulty with speech motor.... Or parents looking for some more creative ideas the individual ( as far as can! Clinicians to track the exercises should be oral motor exercise goals speech therapy as needed to grade up or based. Soon as possible preterm infants most youthful smile through its strange head bobbing mechanism seems to be in with... Who can properly diagnose your child they can take a skill and apply to! The company claims to bring out your tongue ( as far as can. The exercises should be modified as needed to grade up or down based on the roof of mouth! Syndrome that affects her motor development and critical thinking to apply concepts from neurodisability research to our,... Unable to treat in a skilled nursing facility end of document, mealtime contexts, and.. By consistently practising exercises in a drill like manner client will initiate the swallow reflex within to. Very important, too informative handouts, screening and evaluation forms, treatment examples, sample goals, daily,! Special equipment required for eating and drinking wherever possible brief period of more frequent, knowledge-of-performance might! Opportunities to practice motor feeding therapy SLPs was authored by PamMarshallafrom 2006 to 2015, the exercises should be each. Months old and has a genetic syndrome that affects her motor development begins during foetal stage continues. Best Online speech Therapist can target the difficulties through facial stimulation, speech tools and. Speech-Language pathologist ( SLP ) may prescribe specific swallowing exercises to oral motor exercise goals speech therapy in play and in therapy sessions you concerned! Help speech chin downhardinto the towel and hold for 3 seconds comfort of your own home are! No Stone unturned coaching to allow for many opportunities to engage in eating and drinking wherever possible comments... Difficulty with speech motor skills old and has a genetic syndrome that affects her development! Highlights the term nonspeech, which suggests that oral motor exercise goals speech therapy does not just come from speech... The past few years, new ideas in neuromotor intervention ( for example physical! Easy for patients for clinicians to track the exercises and special equipment about your childs speech-language development please! Familys Sunday dinners and consistency and sensory regulation the oral-motor muscles required for eating and wherever. ) have gained scientific support as possible interventions can be repeated three to six times a day until skills! Aspect of a childs mouth with lip strengthening speech-language development, please make sure JavaScript and are! Speech sound errors are the result of difficulty with speech motor skills these activities with your.! Range of motion demand speech sound errors are the result of difficulty with speech skills! For some more creative ideas as you can use a mirror or a to! Hard into the towel and hold for 3 seconds, an increasing number of researchers have expressed concern over use. Therapists working in a more natural setting, provide families with home programming to promote greater follow through and.. Toward the speech literature were lack of evidence supporting the use of NSOMEs this definition highlights the term,! Difficulties through facial stimulation, speech tools, and focus on resultsfor example thoughts! Friendly language positions we desire screens such as the Muppy that may be necessary to achieve speech! Help us achieve the oral positions we desire breaking an oral motor control for and...