Monica Purdy explains which speech sounds correspond to each jaw height in the TalkTools Bite Block Hierarchy: high (blocks 2–3), medium (blocks 4–5), and low (blocks 6–7) jaw positions.
Ask A Therapist: Tongue Placement
Hi, I am hoping you can offer a suggestion. I am an SLP and see a 2 YO child who began sucking on his tongue and had a forward tongue posture before I started seeing him. Once I started working with him I had the family switch to straws only and eliminated the sippy cup. […]
Ask A Therapist: Tongue Thrust Therapy versus Appliance Use
Hello, I am a speech language pathologist who has attended one of your presentations. I see an 8 year old girl who has a tongue thrust. She has had a habit breaker that she has been wearing for a few years (the device that she wears on her front teeth and it stops the tongue […]
Ask A Therapist: Straw Drinking Progression
I recently purchased the straw therapy kit for my 17 1/2 month old daughter with Down syndrome. She was breastfed for the first year and we began transitioning to a straw cup around 9-10 months old. I also have kept the tip of the straw short each time. She does not have tongue protrusion and only occasionally […]
Ask A Therapist: Biting through Chew Tools
My 5-year-old son has Down syndrome and chews on grabbers (purple and green Ps). He chews and bites so hard that he bites through the tubes. Any recommendations? He only eats pureed food, bananas, and Cheerios. He can chew chicken but doesn’t want to. Thanks,Susan It sounds like your son likes the sensory information he […]
Ask A Therapist: Nutritive Feeding for Charge Syndrome
I have a 4 year old student with CHARGE SYNDROME. He has minimal intake and could be looking at a feeding tube if this declines any more. Mom is totally fighting with him (holding one hand with her mouth, the other with her non-feeding hand and then spoon feeding with the other!). Feedings take at […]
Ask A Therapist: Feeding Therapy with Bite Straws
Hi Lori. Without seeing the student, can you tell me if this sounds like accurate application of the Feeding Therapies we learned in your workshop? When using the bite straws with a one year old girl with Down’s, she moves her head to the side to which the straw is presented to instantly suck the applesauce […]
Ask A Therapist: Bite Block Hierarchy Application
I bought the OPT Program, but am struggling with one part of it. I have a child who can hold the bite block #2 between her teeth on the L and R sides for 15 seconds with isometric pull. She can’t hold both of the bite blocks between her teeth at the same time with isometric pull (Exercise […]
Ask A Therapist: Complicated Premie with Feeding Issues
I am treating a beautiful, 4 month old baby born at 29 weeks gestation. Meyer was immediately intubated and sent to NICU where he experienced bouts of apnea. Meyer was given feeds on 2/3 for 5 days with good suck and intake, but subsequently required surgery for Necrotizing Enterocolitis (NEC – a gastrointestinal disease, that […]
Ask A Therapist: Oral Motor Strengthening
I was just assigned a 13 month old who was diagnosed at birth with bells palsy. He is much better now and the weakness on one side only shows up when he smiles (mom showed me how it droops in pictures). I want to do some oral motor strengthening. I have chosen a combination of […]