This session is part of two comprehensive series:
Birth to Three Annual Conference 2 PROGRAM B – ON-DEMAND
and
Birth to Three Annual Conference 2 – ON-DEMAND
COURSE DESCRIPTON:
There is an increased awareness of Tethered Oral Tissue (TOTs) and incidence and prevalence is on the rise secondary to a multitude of available courses, books, research articles, case studies, and the internet. With this increased knowledge base comes a responsibility for differential diagnosis. Dentists, oral surgeons, physicians and therapists may evaluate patients and determine structural characteristics and signs/symptoms of tethering. These same signs and symptoms may be characteristic of pediatric feeding disorders and/or other orofacial myofunctional disorders.
An Orofacial Myofunctional Disorder (OMD) is present when form and function interact and impact breathing, speaking, swallowing and sleep. These individual subsystems may be disordered without the presence of TOTs but rather an issue of blocked airway, dysphagia, hypotonia, motor planning challenges or other diagnoses.
Research in the area of TOTs is evolving and as clinicians we need to be willing to critically consider available research in addition to our clinical experiences. “There is no doubt that a gap exists between clinical practice and research. Evidence-based approach improves clinical decision making and standard of care.” (Durr-E-Sudef, 2019). Understanding levels of research is the first step in this process.
In addition to assessing structure, a functional assessment of TOTs in the B-3 population should include task analysis of oral sensory skills to support feeding and sound production, considerations of sleep, airway and dental development (Merkel-Walsh & Overland, 2018).
This 90-minute session will provide a review of levels of research, examples of published research, and an overview of assessment of structure and function.
LEARNING OBJECTIVES:
- Differentiate between characteristics of a tongue tie vs. other structural disorders.
- Identify potential muscle-based implications of a tongue tie and how this might impact a child’s communication during daily activities.
- Choose a current structural assessment for lingual mobility based on evidence-based research.
AUDIENCE:
Birth to three therapists including OTs, PTs, SLPs, and Special Educators.
COURSE OUTLINE:
Look at the Research
“Don’t throw out the baby with the bath water”:
- Differentiating TOTs and other feeding/ orofacial myofunctional disorders
Etiologies of Pediatric Feeding Disorders and orofacial myofunctional disorders
Functional assessment of TOTs
Lori L. Overland, M.S., CCC-SLP, C/NDT, CLC, FOM is a licensed speech and language pathologist with her neurodevelopmental certification and certificate as a lactation counselor as well as having a fellowship in orofacial myology. Lori specializes in oral sensory-motor/feeding therapy, oral placement and orofacial myofunctional disorders in children. Lori’s private practice focuses on infants, toddlers and preschool children with oral sensory-motor/feeding disorders. Lori consults with children from all over the world providing evaluations, re-evaluations, program plans and week long, family-centered feeding therapy programs. Lori also provides consults to local school districts and Birth-to-Three organizations. Her goal in addressing feeding and speech challenges is to improve the quality of life for both the children she serves and their families.
Lori has teamed up with Robyn Merkel-Walsh M.A., CCC-SLP/COM to provide mentoring services through Mouths in Motion Mentoring. In addition to her private practice, Alphabet Soup, Lori is a member of the TalkTools® speakers’ bureau. Lori has lectured on sensory-motor/feeding disorders around the United States and internationally. Lori was accepted, multiple times, to present poster and live presentations on a sensory-motor approach to feeding, self-limited diets, tethered oral tissue, and complementary feeding at the annual convention of the American Speech, Language and Hearing Association. Lori is a member of ASHA, CSHA, LISHA, NYSSLHA, the IAOM, ICAP, a board member of the oral motor institute and a Breathe Institute Ambassador. Lori holds degrees from Hofstra University and Adelphia University.
Lori Overland receives an honorarium from Education Resources.
Lori Overland has no relevant nonfinancial relationships to disclose.
Once you purchase an online course you will have access to the course materials. If you have purchased this course, please ensure you have logged in to your account in order to take the exam.
Once you purchase an online course, you will have the opportunity to take an exam to test your retention of the material. If you have purchased this course, please ensure you have logged in to your account in order to take the exam. The exam must be completed with a pass rate of 80% or more in order to receive your certificate of attendance.
Continuing Education Hours for disciplines not listed below: 1.5 contact hours (0.15 CEUs). Intermediate level. License #______________.
Education Resources Inc. is an AOTA Approved Provider of professional development. Course approval ID# 11368. This Distance Learning-Independent Course is offered at 1.5 contact hours 0.15 CEUs (Intermediate Level, OT Service Delivery & Foundational Knowledge). AOTA does not endorse specific course content, products or clinical procedures. This course can be used toward your NBCOT renewal requirements for 1.5 units. Provider for the FL Occupational Therapy Association CE Broker for 1.5 CE Hours - approval #____. ASHA CE Provider (Intermediate level). This session applies 0.15 ASHA CEUs toward approval but must be combined with all Part B Sessions to receive ASHA CEUS. ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures. Approved by the FL Physical Therapy Association for 1.5 CE Hours - approval #_______. This course has been approved by the MD State Board of Physical Therapy Examiners for 1.5 Continuing Education Hours. This session applies 1.5 CE hours toward approval but must be combined with entire course to receive approval by the MN Board of PT, #______. Approval #____ by the NJ State Board of Physical Therapy Examiners for ___ CECs. Approved sponsor by the State of IL Department of Financial and Professional Regulation for Physical Therapy for 1.5 contact hours. The Illinois Early Intervention Training Program has approved this event for ____ hours of EI credential credit in the area of Intervention. Approved provider by the NY State Board of PT for 1.5 contact hours (0.15 CEUs). This session applies 1.5 hours toward approval but must be combined with entire course to receive approval by the OH PT Association - Approval #___. Education Resources is an approved agency by the PT Board of CA for 1.5 contact hours. This activity is provided by the TX Board of PT Examiners accredited provider #2210017TX for 1.5 CCUs and meets continuing competence requirements for PTs and PTAs licensure renewal in TX. Approved Provider for OK State Board of Medical Licensure & Supervision #BAP202310003. 1.5 hours of this course qualify towards the discipline-specific hours for the 20-hour requirement for NDTA re-certification. They do NOT qualify towards the 8-hour NDTA Instructor requirement for re-certification.
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