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ResearchNew Response PaperCurrent Research in the Field of Oral-Motor, Muscle-Based Therapies:Response to: Logic, Theory and Evidence Against the Use Recent literature, publications, commentaries, and presentations have emphasized the need for evidence-based research in the substantiation of oral-motor or muscle-based non-speech therapy practices (Apel, 1999; Baker & McLeod, 2004; Gierut, 1998). Out of the same claims are cautions against oral-motor therapy approaches independent of, and in conjunction with, traditional speech therapy (Clark, 2003, 2005; Forrest, 2002; Hodge, 2002; Lof, 2003; Lof, 2006; Moore & Ruark, 1996; Strand & Sullivan, 2001). It has been argued that oral-motor exercises do not prepare, strengthen, or improve movement of the oral musculature required for accurate speech production (Bowen, 2005; Clark, 2003; Forrest, 2002; Hodge, 2002; Lof, 2003), but rather, train muscles for non-speech movements. Current research projectSara R. Johnson & Associates is currently engaged in research to document the interaction between orthodontic correction of an open bite and muscle-based intervention for tongue thrust and reverse swallow patterns. This study will help determine any relationship between correction of an open bite and habitual oral-motor patterning, and if muscle-based techniques can play a part in retaining corrected orthodontic procedures.
TalkTools®/ITI /Sara R. Johnson & Associates are beginning research efforts to validate therapy practices that have been seen to work in therapeutic settings with specific populations. Many children and Adults with muscle-based deficits have had intermittent and unsuccessful therapy intervention due to non-traditional presentation of abilities. Therefore, it is our intent to provide other practitioners with the findings we have determined to be successful. To do this we will first present our findings to clinicians and researchers alike. In addition to normative studies and controlled studies, TalkTools®/ITI is examining the ways in which various therapeutic techniques affect specific populations. To this end, case studies are being conducted to document "best practices" and "what works" using muscle-based techniques. Our research goal is to first make our findings available, and second, to subject our findings to peer review. Contact Information
Jennifer Bathel
References/ StudiesMuscle-based Approach To Speech Therapy Published Article in Advance Magazine- Oral-Motor American Speech-Language-Hearing Association. (1989). Report Ad Hoc Committee on Labial-Lingual posturing
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American Speech-Language-Hearing Association. (1993). Orofacial myofunctional disorders: Knowledge and skills.
Bahr, D. C. (2001) Oral Motor Assessment and Treatment: Ages and Stages. Allyn & Bacon. Bahr, D. Coordinated Oral-Motor Treatment. Advance September, 2006. Bigenzahn, W. Fischman, L., & Maryhofer-Krammel, U. (1992). Myofunctional therapy in patients with orofacial
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Clark, H. M. (2005). Clinical decision making and oral motor treatments. The ASHA Leader, pp. 8-9, 34-35. Accessed
Clark, H. M., (2003). Neuromuscular treatments for speech and swallowing. American Journal of Speech Language
Edwards, S. (2002). An analysis of normal movement as the basis for the development of treatment techniques. In:
Eig, J. The Popular Spill-Free Vessel Suddenly Comes Under Fire For Speech Slurs, Cavities. Arizona Daily Star
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Fletcher, S., Casteel, R. & Bradley, D. (1961). Tongue thrust swallow, speech articulation, and age. Journal of Speech
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Green, J. Moore, C., Reilly, K. (2002). The sequential development of jaw and lip control for speech. Journal of
Hanson, M. (1994). Oral myofunctional disorders and articulatory patterns. In Child Phonology; Characteristics,
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Johnson, S. R. (2001). Oral-Motor exercises for speech clarity. Tucson, AZ: Innovative Therapists International. Johnson, S. R. Effective Exercises for a Short Frenum. Advance, January, 2001. Johnson, S. R. Straws As Therapy Tools. Advance, May, 1999. Johnson, S., R. (1997). The Oral-Motor Myths of Down Syndrome. Advance, August 4, 1997. Landis, C. (1994). Application of orofacial myofunctional techniques to speech therapy (clinical exchange).
Merkel-Piccini, R. Oral-Motor Issues - Letter to the Editor. Advance, January, 2004. Merkel-Piccini, R. Oral-Motor Therapy: Service Delivery Models. TalkTools / Innovative Therapists International,
Merkel-Piccini, R. The Similarities and Differences of Oral-Motor Therapy and PROMPT. TalkTools / Innovative Therapists
Merkel-Piccini, R., Johnson, S. R. Connections Between Tongue Placement and Dental Alignment. Advance, 2003. Meyer, P.G. (2000). Tongue, Lip, and Jaw Differentiation and its Relationship to Orofacial Myofunctional Treatment.
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Pitty, M. & Rosenfeld-Johnson, S. We're in this together. Poster session. American Speech Language Hearing Association, San
Rosenfeld-Johnson, S. As a parent what can I do to improve my child's feeding and speaking? Poster session. 9th World
Rosenfeld-Johnson, S. A case study in muscle-based therapy. Poster session. International Association of Logopedics and
Rosenfeld-Johnson, S. Safe feeding and prevention of ear infections in down syndrome. Poster session. 9th World Down
Rosenfeld-Johnson, S. (2001). Oral-Motor Exercises For Speech Clarity: A comprehensive, step-by-step guide, that fills the
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Toronto, A. (1975). Long-term effectiveness of oral myology. International Journal of Orofacial Myology. 1. Umberger, F. & Johnston, R. (1997). Studies related to oral- motor therapy. International Journal of Orofacial
Wadsworth, S., Maul, C. & Stevens, E. (1998). The prevalence of orofacial myofunctional disorders among children
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Williamson, S., McDade, H., & Montgomery, A. (2001, November). Assessment of oral-motor skills in children.
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