This six-hour workshop, presented by Robyn Merkel-Walsh, M.A., CCC-SLP, explains techniques to help remediate persistent lisps, interdentalized productions of t-d-l-n, and distortions of sh-ch-r, when they are the result of a tongue thrust disorder. It is intended for use with children seven years or older who have the ability to monitor their own swallow patterns. Includes the SMILE Program manual (104pp). Approved for ASHA CEUs (0.6 CEUs, self-study).

Learning Outcomes:

- Assess myofunctional disorders based on oral-motor, swallowing, and articulation skills;
- List defining characteristics of a myofunctional disorder;
- Determine if oral-motor skills are sufficient for myofunctional therapy techniques;
- Measure treatment outcomes throughout the therapeutic process;
- Combine oral-motor, swallowing, and articulation therapy techniques for children with myofunctional disorders;
- Implement at least ten exercises for use in a tongue thrust program.

Time-Ordered Agenda:
Morning Program
A. History of Myofunctional Disorders
B. What Causes a Tongue Thrust?
C. Oral-Motor Therapy as Key to Treatment
   1. Definitions
   2. Jaw/Lips/Tongue: Dissociation, Tone, and Coordination
D. Swallowing Comparisons
E. Evaluation: Oral-Motor/Swallowing/Articulation
   1. Medical History
   2. Oral Structures and Dentition
   3. Jaw/Lips/Tongue: Sensory and Tone Checklist
   4. Oral Habits and Resting Postures
   5. Chewing
   6. Swallowing
   7. Articulation
F. Prerequisites for Tongue Thrust Therapy
G. Delivery Models

Afternoon Program
A. Hierarchical Approach to Tongue Thrust Therapy
   1. Ages 3-7: Goals, Prevention, Procedures
   2. Ages 7 and Beyond: SMILE
      a. Cheeks
      b. Lips
      c. Tongue
      d. Oral Resting Postures
      e. Liquids
      f. Chewing
      g. Solids
      h. Carryover