NJSHA Private What is an Orofacial Practice Committee Myofunctional Disorder? (OMD) The SLP’s Role in Orofacial Myofunctional

According to the American Speech-Language- Disorders Hearing Association (ASHA), OMDs are patterns involving oral and orofacial musculature that interfere with normal growth, development, or function of SLPS CAN ASSIST WITH OMDS References orofacial structures, or call attention to themselves (Mason, n.d.A). OMDs can be found in children, American Speech-Language-Hearing Association. (n.d.). Orofacial Myofunctional Disorders. (Practice Portal). Retrieved adolescents and adults. OMDs can co-occur with a 1/15/20 from https://www.asha.org/Practice-Portal/Clinical- variety of speech and swallowing disorders. Topics/Orofacial-Myofunctional-Disorders/. Signs and symptoms include but are not limited to: American Speech-Language-Hearing Association. (2016a). • Articulation problems Code of ethics [Ethics]. Available from: • Dental abnormalities https://www.asha.org/Code-of-Ethics/ • Lip-tie American Speech-Language-Hearing Association. (2016b). • Mouth breathing Scope of practice in speech-language pathology [Scope of • Open mouth posture Practice]. Available from https://www.asha.org/policy/sp2016- • Picky eating habits 00343/. • Problems with chewing and swallowing Master reference list IAOM: • Sleep issues • Teeth grinding http://oralmotorinstitute.org/resources/Orofacial- • Thumb sucking Myofunctional-Disorders-RefList.pdf • Tongue thrusting • Tongue-tie (ankyloglossia) New Jersey Speech-Language-Hearing Association Causes of OMDs • Airway obstructions (deviated septum, large 174 Nassau Street, Suite 337 adenoids) Princeton, NJ 08542 • Craniofacial abnormalities • Improper use of pacifiers (past 12 months) and sippy cups 888-906-5742 • fax 888-729-3489 • Neurological deficits • Oral habits such as thumb sucking [email protected] • www.njsha.org • Structural anomalies 3 1 2 pathology, dentistry andmedicine. amongst other peerreviewedjournals inspeech providing evidence-based practices (EBP) Myology Orofacial of research iscontentrich. The Fact: base forthistreatment modality. exercises (NSOME)and thereisnoevidence Myth: Jersey. listed underthescopeofSLPsinstateNew Fact: Orofacial MyofunctionalTherapy(OMT). Myth: practice models. Myologists ®.Statelicensesvaryinregardto RDHs canalsobecomeCertifiedOrofacial American DentalHygienistAssociation(ADHA). in theirprofessionalpoliciesaccordingtothe Fact: Myth: Common Myths Common Interdisciplinaryandinternational OMTisatreatmentmodalitycurrently RegisteredDentalHygienistsalsolistOMT

OnlySLPscanperformOMT. OMT isaformofnon-speechoralmotor There isnolicenserequiredtopractice isapeerreviewed journal International Journal Journal International their scopeofpractice,thereforerolesinclude: speech clarityandorofacialmyologyareallwithin Jersey statelicensure.SLPsareuniqueinthatfeeding, SLP’s scopeofpracticeaccordingtoASHAandNew Assessment andtreatmentofOMDsarewithinthe What the SLP’s is role in OMD? • • • • • • • • • dental professionalsandtherapists Working withacollaborativeteamofphysicians, method ofOMDprevention Counseling mothersregardingbreastfeedingasa Promoting properdrinkingvesselsandutensils breathing Assisting withproperoralrestingpostureandnasal jaw, lips,cheeksandtongue Assessing /treatingstrengthofthemuscles OMDs Assessing/treating articulationdisordersrelatedto of feeding Assessing/treating theoralandpharyngealphases physician and cheekties)makingproperreferralstoa Assessing/treating tetheredoraltissues(tongue,lip Assessing structuralanomalies speech feeding orofacial myology Multiple professionals are involved in an OMD team. The goals are to: 6. 5. 4. 3. 2. 1. complex. Improve strength and endurance of the muscles in the orofacial feeding. or placement of food in the mouth) to improve the oral phase of Modify the handling of foods and drink (e.g., correct utensils, Pediatric Dentistry (2014). or younger asrecommended by the American Academy of Eliminate non-nutritive sucking habits by the age of three years Improve articulatory placements of speech sound production. Achieve optimal oral resting posture. Establish apatent nasal airway. PT/OT SLP OMD Team Registered Dental Oral Surgeon Orthodontist Hygienists Dentist Sleep Specialist ENT

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