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How to Decrease Tongue Protrusion & Encourage Retraction

Posted by Debra C. Lowsky, MS, CCC-SLP on 17th Oct 2014

Question: I have a 2 year old on my EI caseload, our program purchased a z-vibe kit for him. He is demonstrating some sensory aversion, drooling, and an open mouth posture with tongue protrusion. His tongue protrusion is beginning to affect production of his speech sounds. Are there any specific exercises I can have him do to decrease tongue protrusion?  Thank you so much for you …
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How to Develop a Rotary Chewing Pattern

Posted by Debra C. Lowsky, MS, CCC-SLP on 3rd Jun 2014

I recently completed a Clinical Swallow Evaluation and today a Videofluoroscopic Swallow Study of a 10 yr old boy's swallow (both revealed a safe swallow that is within normal limits) and observed that his is not an age-appropriate chew pattern.  He engages in a Nonstereotypic Vertical Movement during mastication.  As a result, oral prep phase is significantly extended and his mother …
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Thumb Sucking Side Effects + Strategies to Help

Posted by Debra C. Lowsky, MS, CCC-SLP on 28th Feb 2014

Question:  I have a client (5-years) who sucks her thumb.  She has a lisp and produces most of her consonants while protruding her tongue.  I perfectly understand that unless we resolve the thumb sucking, the protrusion will not going to go away, but her parents are not on the same page as me.  What techniques would you recommend to decrease the thumb sucking? .  You …
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Using Gross Motor for Oral Motor - How Trunk Turning Exercises Can Improve Tongue Lateralization

Posted by Debra C. Lowsky, MS, CCC-SLP on 18th Dec 2013

Tongue lateralization is the ability to move the tongue from side to side inside the mouth.  It's an important skill for feeding therapy and development, as the tongue lateralizes in order to manipulate food to be chewed and formed into a ball (or bolus) before swallowing.  It's also how we go "fishing" for leftover food particles in the cheeks, around the gums and teeth, and on th …
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