What is oral motor development?
Oral motor development refers to the use and function of the lips, tongue, jaw, teeth, and the hard and soft palates. The movement and coordination of these structures is very important in speech production, safe swallowing, and consuming various food textures. Normal oral motor development begins prior to birth and continues beyond age three. By age four, most children safely consume solids and liquids without choking.
Oral motor skills difficulties are seen more in Down syndrome ,Autism, Cerebral palsy children .
Why does my child have difficulty with feeding, drinking and speech?
Infants, toddlers, and children with Down syndrome/other genetic /neurogical conditions may have anatomical (structural) and physiological (functional) differences in the mouth and throat areas that make it more difficult for them to make precise movements. This affects feeding (breast as well as bottle), cup drinking, chewing and swallowing solid foods, and speech. Some anatomical differences that are seen include a small and narrow upper jaw, and a high palatal arch. Physiological differences that are seen include low muscle tone, and weak oral facial muscles. A combination of anatomical and physiological difficulties result in open mouth posture and tongue protrusion. Many children with Down syndrome/autism have hypersensitive (tactile defensive) or hyposensitive reactions to touch around the mouth. Learning to speak requires sensory feedback from the oral area, so difficulty with sensory feedback affects learning to speak. Postural stability and support and respiratory support also affect oral motor skills.
When can therapy for oral motor skills begin? How can I get help for my child?
Speech uses the same muscles that are used for sucking, swallowing, feeding, eating and drinking so therapy can begin early, in infancy. Feeding therapy will help strengthen the muscles that will later be used for speaking. As part of early intervention programs (birth-two), you may work with a feeding therapist or a speech-language pathologist/ occupational therapist . As your child begins to vocalize, making vowels and consonants as s/he plays with sounds, you can help by repeating those sounds and engaging your child in sound play. The oral motor skills team, at different ages and stages in your child’s development may include your pediatrician, dentist, orthodontist, prosthodontist, speech-language pathologist, occupational therapist, physical therapist, feeding therapist, and sensory integration specialist.
What kinds of treatment programs are available for oral motor skills?
Treatment for oral motor skills can focus on helping infants, toddlers, and young children develop oral motor skills, or on helping older children and adolescents in areas where they have difficulty. If your child is not yet speaking, therapy might focus on imitation of non-speech movements such as popping the lips or blowing bubbles..
Current best practice is to use activities such as blowing bubbles or blowing horns and whistles:
■ To help children develop awareness of the mouth and the speech articulators
■ To help children learn movements that are needed for speech sounds, e.g. rounding the lips and closing the lips
■ To serve as warm-up exercises at the beginning of therapy sessions once your child is working on speech activities
OUR APPROACH AT SUJAY CDC PEDIATRIC THERAPY
• At SUJAY CDC Pediatric Therapy, our therapists work with children with central auditory processing disorders using a multisensory approach to provide the child with experiences which help improve his/her speech and language skills, social skills, behavior, sensory processing skills, attention, and any other difficulties that are hindering his/her ability to fully succeed socially, academically and personally.
• Call Sujay CDC at 022-25446100 and book your child appointment for professional guidance
• Take the free on-line Self Assessment to obtain a visual representation of how your child is developing (doing this in conjunction with your teacher can be really helpful too).