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Feeding Problems - When It's Psychological

Posted by Debra C. Lowsky, MS, CCC-SLP on 27th Mar 2017

Question:  I've read your Food Refusal article, that feeding problems are usually related to oral motor or sensory problems.  But can it be psychological?  I’ve searched the internet and can find very little practical advice about addressing the fear of solid foods for an infant/toddler. Our son (3 and 1/2 now) is still eating pureed food and we’ve done everyth …
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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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Lip Closure & Rounding Exercises

Posted by Debra C. Lowsky, MS, CCC-SLP on 30th May 2016

Lip closure (also known as lip seal) is the ability to close one's lips around a spoon, straw, cup, etc.  It's also important in order to say certain speech sounds, such as /p/b/m/, and it's a factor in preventing drooling. . . Recently I was working with a 9-year-old child who has Angelman syndrome.  The mother was asking if there was anything she could do to …
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Isolating Back of Tongue Elevation for K, G, and Y

Posted by Debra C. Lowsky, MS, CCC-SLP on 17th May 2016

For the K, G, and Y sounds, the back of the tongue elevates to the palate.  One of my favorite "tricks" to assist back of tongue elevation is to use the Z-Vibe with the Hard Spoon Tip. . . Place the bowl of the Spoon Tip on the tip of the tongue, and then have the child say the sound (as demonstrated in the video below).  By holding down the tip of the tongue with a tactile …
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