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Assisting Lip Closure

Posted by Debra C. Lowsky, MS, CCC-SLP on 22nd Jul 2015

Just like its namesake, lip closure (also known as lip seal) is the ability to close one's lips.  It's important for several different speech/feeding/oral motor skills: .  .  •  Being able to close one's lips around a straw, spoon, a piece of food, etc. •  Being able to pronounce the speech sounds /p/, /b/, and /m/ •  Being able to chew food with one's …
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Practicing a Rhythmic Chewing Pattern

Posted by Debra C. Lowsky, MS, CCC-SLP on 11th May 2015

Rhythmic chewing is one component of a mature chewing pattern.  There's a tempo to the way we chew - it's not sporadic;  we don't chew fast then slow then fast again.  We chew to a silent yet steady beat in order to properly break down food. . .  In the video below, however, this young man has a very sporadic chewing pattern.  In fact, he'll …
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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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