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When Kids Think Feeding Utensils Are Food

Posted by Debra C. Lowsky, MS, CCC-SLP on 13th Apr 2017

Question: I work with a child who has Down Syndrome. She is 16 months old. She presents with open mouth posture and tongue thrusting not during feeding. Mom purchased a Z-vibe and I saw your article on using the Z-vibe to promote lip closure. Only problem is....anytime we go near her mouth she thinks the item is food and tries to open her mouth and touch her tongue with it. She does not yet u …
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Oral Motor Straw Workout

Posted by Debra C. Lowsky, MS, CCC-SLP on 7th Apr 2017

Below are directions for a Straw / Lip Blok program I've used with many of my kids over the years. I usually do this in conjunction with tongue thrust therapy when their swallowing pattern needs to be changed.  And it also helps work on oral tone and tongue retraction. . . What You'll Need: 1. Krazy Straws. I typically use the ones in the picture below, in sequence f …
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Tongue Thrust Therapy

Posted by Debra C. Lowsky, MS, CCC-SLP on 12th Jul 2016

Question:  I am an SLP seeing a 8 year old student with a tongue thrust.  What products would be the best for addressing the tongue thrust?  How long does it usually take for them to affect a change in a child's lingual placement? . Great question.  For tongue thrust therapy, I use the protocol outlined in the book Swallow Right, 2nd edition by Roberta Pierc …
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Tongue Tip Elevation Exercises

Posted by Debra C. Lowsky, MS, CCC-SLP on 26th Jun 2016

Tongue tip elevation is the ability to lift the tip of one's tongue up to the alveolar ridge (the spot just behind the upper front teeth).  As a shorthand, we often call this location "on spot," as in, "get your tongue tip on spot!" Tongue tip elevation is an oral motor skill necessary to say certain speech sounds (t, d, n, l, s, and z).  It's also where the tongue should rest …
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