July 24, 2012

Oral Motor Stimulation

As you know Hannah doesn't feed from a bottle and doesn't any foods orally, she LOVES her soother and hands but nothing else. The OT at the hospital wants to start working on oral stim with her no food but textures and toys. It's important to maintain oral motor skills for normal development of feeding, speech and basic things like being able to tolerate having her teeth brushed.

Considerations are:

  • Incorporate pleasant stimulation with daily play
  • May/will take along time for her to be alright with it
  • Baby's/Hannah's success is not a reflection of me/us but a reflection on where she is presently capable of 
Techniques for oral motor stimulation
  • Encourage hands and soothers in her mouth
  • Use different textures around the mouth area(cotton balls, terry cloth, soft toothbrush, soft toys)
  • Introduce exploratory toys with different textures and shapes. Toys with parts that protrude and can be stuck into the mouth (rattles teething toys ect
  • Massage/stroke all over her leg, arms, body, head and face gently with your hands or different fabrics(silk, sheepskin, flannel, cotton ect)  with even firm pressure.
  • Stroking/massaging around the mouth should be towards the mouth (down on the top lip, up on the bottom lip and in towards the sides)
  • Starting where she is comfortable and slowly building up to the point where she is not tolerating then step back slightly
  • When stress behaviour is observed the intensity of the stim should be lowered slightly. 
Ways to tell Hannah doesn't like what's happening
  • Pulling away with her head
  • Gagging
  • Wrecking(like shes about to vomit)
  • Coughing
  • Crying
  • Becoming pale or more red in the face
  • Becoming sweaty
  • Not making eye contact with you
Hospital day 466

3 comments:

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  3. We were given several recommendations but learned that more than likely, our insurance would not cover the evaluation because they would it as two speech therapy services. Insurance sees Auditory Verbal Therapy as being speech therapy - but it isn't (that's another post for another day...). oral motor toys for therapy

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