Tag: Oral Motor Controversy

Oral Motor Treatment and Non-Speech Oral Motor Exercises (NSOME)

By Pam Marshalla

Once again I shall take a run at the question of what oral motor treatment is, and what are the differences between oral motor treatment and non-speech oral-motor exercises. This answer ensued from an email dialogue I was having with someone very concerned that SLP’s have begun to use non-speech oral-motor exercises INSTEAD of methods to facilitate sound and word productions. I tried to explain how this is wrong. ALL methods to improve speech are “oral” techniques, and they are…

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Again: What Does Oral Motor Therapy Have To Do With Speech?

By Pam Marshalla

Q: What does oral motor therapy have to do with speech? I want to take another run at this question because it arises so often. Consider: Phonemes emerge when a child’s oral-motor control is immature. Think about [b], [d] and [g]. These early voiced stops emerge when a child is about 6 months of age. That means that the oral movements used during their production are primitive. These primitive movements refine over time. From an oral-motor perspective, we can say…

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How to Define Oral-Motor Therapy (Especially for Naysayers)

By Pam Marshalla

Q: What is oral motor therapy? How do you define it and what is its purpose? This is the definition I use: Oral-motor therapy (OMT) is the process of facilitating improved jaw, lip and tongue function. Oral-motor techniques can be used in any of the following therapies: articulation, phonology, dysphagia, feeding, orofacial myology, and occupational or physical therapy. You can discover the importance of speech movements by engaging in a simple procedure. Count aloud from one to ten. Did anything move?…

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What Does Oral Motor Therapy Have to Do With Speech?

By Pam Marshalla

Q: Most oral motor exercises are not identical to the movements required for speech. No English speech sounds involve tongue wagging, whistling, tongue clicks, tongue curls, etc. So what do oral motor exercises have to do with speech? In 2007, I reviewed 73 textbooks, clinical guides, and conference proceedings in the areas of articulation, phonology, motor speech, feeding, dysphagia, orofacial myology, and oral motor. These books spanned the years 1912-2007. I was studying the history of jaw, lip, and tongue…

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