Multi-Lingual Communication מדברים במדבר

 risk  factors  associated  with infant  feeding  potential  medical  components  related  to infant  feeding  key  elements  of  current  research evidence  related  to  best  practices  in assessment/treatment  of  infant feeding/swallowing Pharyngeal  swallow  one  of  first  motor  responses in  pharynx ▪ Observed  in  10th-11th week  of  fetal  life ▪ True  suckling  present  around  18th-24th week ▪ By 34th week  most  healthy  fetuses  can  suckle and  swallow  well  enough  to  sustain  nutritional needs Suckling ▪ Defined  backward  and  forward  movements  of tongue ▪ Liquid  drawn  into  mouth  through  rhythmic  licking action  of  tongue  and  opening/closing  of  jaw ▪ Lips  loosely  approximation ▪ Tongue  does  not  protrude  past  border  of  lips ▪ Normal  in  early  infancy  (>6  months) Sucking ▪ Develops  around  6  months ▪ Body  of  tongue  raises  and  lowers  with  strong activity  of  intrinsic  muscles  with  an  up-down tongue  movement pattern ▪ Firmer 

Definition  -   a neurological pediatric speech disorder characterized by poor planning and programming of speech sound sequences.  Prevalence -  one child per 1,000. (approximately one child per elementary school, or two elementary schools) Cooccurring Conditions  -  language disorder,  fine and gross motor impairments (50 to 80%) Core Impairment - planning and/or programming of spatiotemporal parameters of movement sequences results in: errors in speech sound production and prosody. (ASHA 2007, p. 3-4) Ten Characteristics of CAS (Shriberg 2017) -Segmental Vowel Errors Voicing Errors Distorted Substitutions Difficulty Acheiving Articulatory Configurations or Transitory Movement Gestures Groping Intrusive schwa Increased Difficulty with Multi-Syllabic Words -SupraSegmental Syllable segregation Slow speech and/or diadokinetic rate Equal Stress or Lexical stress errors Basics (course notes) https://www.apraxia-kids.org/ https://www.google.com/search?q=vowel+turtles&oq=vowel+turtles&

Heidi Miller   Instagram HeidiSLP@heidimillerspeech.com  www.heidimillerspeech.com www.helppickyeaters.com  Protocol International Association of Orofacial Myology OMD - Oral Motor Disorders: Mouth Breathing Tongue Thrusting Noxious Oral Habits (Thumb Sucking, Nail Biting) Restricted Frenum TOT (Tethered Oral Tissue)  What is TOT? Airway Disruption - Adenoids, Tonsils; think ENT involvement Abnormal Movement Dental Malocclusions Sensorimotor Disfunction Myofunctional Therapy: Retraining the patterns of the tongue, lips, jaw, and facial muscles through a series of specialized and targeted exercises to change existing patterns. Goal: correct and eliminate the symptoms of dysfunctional oral habits that may be influencing improper muscle patterns, which can affect the normal growth, development, and function of the face, jaw and temporomandibular joints.  * address the cause  of orofacial dysfunctions, instead of just the symptoms . Evaluation:  Myofunction Screening Form Functional Classi