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:
Frenectomy surgeries are often done without adequate pre and post op care. According to the research the most effective way of managing tethered oral tissue is with pre and post operative therapy. The goals of a pre op program include increasing range of motion, decreasing fascial tension, insuring the client can tolerate input and maximizing functional goals for feeding, swallowing and speech. Pre operative programs are performed by professionals including IBCLCs, speech-language pathologists, occupational therapists, physical therapists, craniosacral therapists, chiropractic physicians and osteopaths. The goals of post operative therapy include active wound management to maintain the integrity of the wound and mitigate scar tissue, and neuromuscular neuromuscular re-education techniques that support functional goals for pre and post op care re-education to remediate functional challenges.
There is a lack of consensus regarding how to best perform post op wound care and ambiguity about scope of practice and training for individuals providing care. Families are often asked to do “stretches” multiple times a day without adequate knowledge and training. Research, to date, on the efficacy of active wound care is limited.
Neuromuscular re-education is focused on functional goals for addressing oral motor skill development to support feeding, speech and resting posture. These goals are guided by the oral sensory motor milestones that infants and toddlers achieve within the first three years of life. These skills serve as a pre-requisite for feeding, swallowing and speech across the lifespan. Modalities for the 0-3 population may include lactation support, pre-feeding, therapeutic feeding and body work.
This three hour presentation will use lecture, video demonstrations and interactive practical experiences to demonstrate neuromuscular re-education techniques that support functional goals for pre and post op care.
LEARNING OBJECTIVES:
- Identify at least two benefits of pre/post op therapy for clients with tethered oral tissues.
- Differentiate between active wound management and neuromuscular re-education post frenectomy surgeries.
- Choose an appropriate pre op treatment option for addressing oral motor skill development based upon a functional assessment.
- Choose an appropriate post op treatment option for addressing oral motor skill development based upon a functional assessment.
REQUIREMENTS:
Please have either “Veggie Stix”, “Veggie Straws”, or thin pretzel sticks available for a practicum during the Pre and Post op session.
AUDIENCE:
Birth to three therapists including OTs, PTs, SLPs, and Special Educators.
COURSE OUTLINE:
What does the Research Say?
The goals of pre and post op treatment
Active wound management (AWM) vs. Neuromuscular Re-education (NMR)
Using Task Analysis and functional Assessment to Plan a Program
Pre-Feeding and Therapeutic Feeding (videos, demonstrations, practicum)
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: 3 contact hours (0.3 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 3 contact hours 0.3 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 3 units. Provider for the FL Occupational Therapy Association CE Broker for 3.5 CE Hours - approval #____. ASHA CE Provider (Intermediate level). This session applies 0.3 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 3.5 CE Hours - approval #_______. This course has been approved by the MD State Board of Physical Therapy Examiners for 3 Continuing Education Hours. This session applies __ 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 3.5 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 3.5 contact hours (0.35 CEUs). This session applies 3 hrs. 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 3 contact hours. This activity is provided by the TX Board of PT Examiners accredited provider #2210017TX for 3 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. 3 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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