By Pam Marshalla
Q: Our SLPAs see artic kids for 5-7 minute every day. Some of the kids with frontal lisps also have reverse swallow patterns (tongue thrust swallow, infantile suckle-swallow patterns). Should the SLPAs work on this too? Will these kids fix their lisps without it? Yours is the question I hope the 21st century will answer! I personally do not think that SLPs or SLPAs who are not trained in teaching the correct swallow have any business working on it with…
By Pam Marshalla
Q: “Do you think feeding problems cause speech problems? My professor says no.” I believe you’re approaching the question from the wrong direction. My experience is that feeding problems do not cause speech problems, and speech problems do not cause feeding problems, because — My experience is that both feeding and speech problems are the result of mouth movement problems. This is easy to understand if you step away from our field and consider other movement skills.
By Pam Marshalla
Q: Can I expect correct articulation on S, Z, Sh, ZH, CH, J, T, D, N, and L when my client has a tongue crib that fills the entire alveolar ridge? The orthodontist is recommending SL therapy for the phonemes and to fix the swallow. In my experience clients usually cannot produce any of their lingua-alveolar and/or sibilant sounds correctly as long as an appliance like that is in the mouth. The appliance distorts sound, especially stridency. I usually do…
By Pam Marshalla
Q: I am an SLP with a lisp and mild problems with chewing and swallowing. I receive SL services as a child, but I quit too early and have not completely remediated my errors. What would you recommend? I would recommend that you find an SLP who is trained in orofacial myology to oversee your work on speech, eating, swallowing, and probably oral rest. An orofacial myofunctional therapist who knows what s/he is doing would be of great help to…
By Pam Marshalla
Q: My friend’s daughter has a tongue thrust (the tongue pushes forward after the swallow). The orthodontist gave her one technique–– holding gum on the roof of her mouth while she swallows. Do you have any other ideas for tongue thrust techniques for a very typically developing 2nd grader? First a few words about the general nature of this question: Asking someone for ideas about teaching a correct swallow is like asking someone for techniques to fix an articulation error. …
By Pam Marshalla
This opinion paper was originally posted as a downloadable PDF on my website, authored in November, 2012. Download the original PDF here. *** “Marshalla Eye Dropper Technique” For Drooling Elimination November 2012, Pam Marshalla, MA, CCC-SLP Speech-Language Pathologist Application This simple process is to be done in conjunction with a good program to facilitate improved oral-motor and feeding skills. It can be employed even if child is on medication or has had surgery to reduce or eliminate drooling. This method is…
By Pam Marshalla
Q: My teen client has low tone, mild articulation problems, problems with intelligibility, and imprecision of articulation (interdental lingua-alveolars, F/Th, and distorted R). He has a slack jaw and forward tongue posture at rest. His tongue appears flaccid. Cognitive skills are okay. I went to your class called 21st Century Articulation Therapy and am trying to figure out which methods to use to address low tone in speech. Also what should I do about the tongue thrust? In terms of…
By Pam Marshalla
Q: One of my high school students has a tense upper lip, which interferes with correct productions of P, B, and M, although she can produce labials in structured tasks. She also chews with her mouth open and makes smacking sounds. The resting position of her mouth often reveals her teeth, and her tense upper lip is noticeable. How can I improve her articulation as well as her looks and eating habits? Your client needs a program of orofacial myology…
By Pam Marshalla
Q: Is four years old too early to address a tongue thrust? The term “tongue thrust” has had many meanings through the years. It can mean: A strong forward thrusting of the tongue following the swallow. A reverse swallow pattern. An infantile suckle-swallow pattern. An interdental tongue protrusion on all lingua phonemes.. An interdental tongue protrusion on all the lingua-alveolar phonemes. An interdental tongue protrusion on the all the sibilants. An interdental tongue protrusion on only S and Z. To…
By Pam Marshalla
Q: I have a teenage client with a reverse swallow pattern and related anterior open bite. I plan to teach him correct oral rest, to swallow in an anterior-to-posterior direction, and to increase his tongue strength. Does this sound right? Is there something I am missing? Training correct oral rest position and correct swallow movements are the right basic ingredients of this therapy. But remember that oral swallowing entails two types of tongue movements: The tongue movements needed for food…
