Friday, June 15, 2012

OroFacial Muscle Re-Education

Myofunctional therapy is a program used to correct the improper function of the tongue and facial muscles. Myofunctional therapy involves strengthening of the tongue and oro-facial muscles by teaching individuals how to reposition muscles to the appropriate position.   The tongue should be kept in a high position against the hard palate during sleep with its dorsal-terminal end in constant contact with the palatine striae located on the anterior aspect of the palate.  Reeducation is typically easier in children 6 years and older, but is largely related to the degree of effort parents make in reinforcing a child to perform his or her exercises




The presented exercises are fully described in the following book:




Rééducation des fonctions dans la thérapeutique orthodontique, 1990







These exercises have been performed not only in France, but also at the Stanford Sleep Disorders Clinic as well as other countries such as Brazil, Belgium, and Taiwan.




Please repeat the following exercises for 10 repetitions and perform at least 10 sets every day (The total exercise time across the day should be 45 minutes total throughout the day). If ten sets cannot be achieved, the exercises should be performed for a minimum of 4 sets and as many repetition necessary to achieve 45 minutes of daily exercise. These exercises should be performed daily for a minimum of 2 years.


Exercise 1: Push Up The Tongue: Place the tip of the tongue against the anterior portion of the hard palate and push upwards and hold for 5 seconds and relax. Repeat 10 times.








Exercise 2: Touch Nose: Pull the tongue forward and try to touch your nose and hold for 10 seconds then relax. The subject here has difficulty performing the exercise. With practice she should be able to improve. Repeat 10 times.






Exercise 3: Touch Chin: Pull the tongue forward and try to touch your chin and hold for 10 seconds, then relax. Repeat 10 times.








Exercise 4: Push Tongue Right: Push your tongue forward and push it to the right and hold for 10 seconds, then relax. Repeat 10 times




Exercise 5: Push Tongue Left: Push your tongue forward and push it to the left and hold for 10 seconds, then relax. Repeat 10 times.




Exercise 6: Fold Tongue: Fold your tongue and try and protrude as far forward as possible while keeping it folded. Hold for 10 seconds, then relax. Repeat 10 times.







Exercise 7:  Click the Tongue. Please perform the following exercise as shown in the video below. Perform the exercise for 15 seconds and repeat 10 times. Please turn up the volume on your machine to hear the clicking sound. The first video is clicking that needs to be improved vs the second video which demonstrates loud clicking that is better. 





Exercise 8: Push Tongue Against Spoon: Push the tip of the tongue forward and straight and push hard against a spoon. Make sure to keep the tip of the tongue straight as shown below (Repeat 10 times): 

A: Good Position






B. Poor Position





Exercise 9: Hold A Spoon: Hold a spoon between your lips (Make sure that it is between the lips and NOT the teeth). At the beginning you may use only a spoon, but as you become more advanced you can use a small object (sugar cube/chocolate/etc) to add difficulty. Proper and Poor position are shown below:

Proper Position (Note Head/Neck/Spoon): 





Poor/Inappropriate Position: 





Exercise 10: Hold Button: Tie a button to a string that is at least 10 cm in length. 




Take the button and put it inside of your mouth between your lips and your teeth. Hold your lips as tight as you can and then pull on the string in a horizontal plane and do not allow the button to be pulled out. Hold for 10 seconds then relax. Repeat 10 times. For added difficulty, older children can try to hold the button (or a coin) flat in between their lips. 

Caution: Please make sure that the child is old enough to make sure that they can hold the string, or parent is holding straight to avoid the child accidentally swallowing the button. 


Pulling button with string






Holding button flat between lips



Prior to these exercises being performed, your child's frenulum should be evaluated. If he or she is having difficulties performing the exercises outline above, it may be due to a short frenulum that can be evaluated by their sleep specialist. (Treatment involves a small procedure to release the tongue into a normal position and can be discussed with sleep specialist and ear/nose/throat specialist). Below are two photos pointing to the location of the frenulum i.e. a small ligament in the middle of the tongue that attaches the tongue to the base of the mouth anteriorly








53 comments:

  1. This comment has been removed by the author.

    ReplyDelete
  2. having great post to read and know the detail about it.
    Best Prom Dresses

    ReplyDelete
  3. Post are useful and helpful for all, they all should read it.
    Online Invoice Generator

    ReplyDelete
  4. Once you are done with creating a new Apple iCloud account, you can directly login i Cloud account using the id and password provided
    icloud signin

    ReplyDelete
  5. This blog is all about swachta abhiyan which directly impacts and give you better Health and Fitness

    ReplyDelete
  6. iTunes 64bit launched by Apple Inc. is a multimedia management application
    read more

    ReplyDelete
  7. We are providing mainly important individual tasteful in Goa, Design Escorts in Goa at extremely deal prices. You all opt for certainly different conferences alternative in contact or clarify support. In contact women will get you inside their non-public homes or hotels in the middle of Goa.
    https://bit.ly/2lDUlB3
    https://bit.ly/2ulRy3f
    https://bit.ly/2vbFFhs
    https://bit.ly/2me53yB
    https://bit.ly/2K1vKAF
    https://bit.ly/2aI8drA
    https://bit.ly/2L4uvkQ

    ReplyDelete
  8. Great post. I’m not very good at writing about writing. But anyways, I love reading your article. Very well informative. All the stuffs about American Academy which has been discussed here is indeed interesting! Thank you for sharing it with us!

    Occupational Therapy For Kids

    ReplyDelete
  9. If you are one of those hunting down quality escort benefit in Udaipur you have gone to the ideal spot searching for the service. Udaipur escorts service is known for their one of a kind service in offering redirection to the clients inside, the enrolled period.
    Udaipur escorts
    Ahmedabad escorts
    Goa escorts
    Nainital escort service

    ReplyDelete
  10. This is a blog to watch for sure. I think you have a really awesome writing style by the way. Very easy to read. Your blog design is so clean too! Thank you all the hard work!

    best birthday parties for girls in marlboro

    ReplyDelete
  11. I really loved reading your blog. It was very well authored and easy to undertand. Unlike additional blogs I have read which are really not tht good. I also found your posts very interesting. In fact after reading, I had to go show it to my friend and he ejoyed it as well!

    Birthday Party for Girls Central NJ

    ReplyDelete
  12. Really helpful I am suffering this

    ReplyDelete
  13. Oceanic Counseling Group was founded by Kenza Haddock in 2019 after seeing a need for more counselors who truly care about their clients.
    The vision of our practice is to see clients healed and lives changed.Our mission is to become the leading counseling practice in Myrtle Beach through compassion
    and specialty therapy processes.
    Visit us:http://oceaniccounseling.com/
    accept and commit therapy
    rapid eye movement therapy
    emdr therapists
    grief counseling near me
    trauma therapist near me
    Myrtle beach counseling
    Counselors in Myrtle Beach
    psychotherapist near me
    mental health therapist near me
    mental health counselor near me
    mental health counselling near me
    marriage counseling near me
    family counseling near me
    couples therapy near me

    ReplyDelete
  14. If you continue to provide the same nature of escort services, you must ensure that there are some of the best agencies available in each breadth and length. There are benefits that are important when it comes to resorting to the accompanying services offered by the agency.
    Ludhiana Escort service
    Nainital Escort service
    Gurgaon Escort service
    Jodhpur Escort service
    Noida Escort service
    Dehradun Escort service
    Chandigarh Escort service

    ReplyDelete
  15. Thanks for sharing really awesome content with us if you are looking for Muscle Therapy then this is best choice for you.

    ReplyDelete
  16. If you looking for quality escort service with high profile girls in Dehradun we will sure full fun I have lots of girls Indian, Russian model and many more type of
    Dehradun escorts Call Girls
    Haridwar Call Girls
    Mussoorie Call Girls
    Nainital Call Girls
    Rishikesh Call Girls
    Rudrapur Call Girls
    Ramnagar Call Girls
    Kashipur Call Girls

    ReplyDelete
  17. Very interesting, good job and thanks for sharing such a good blog. Your article is so convincing that I never stop myself to say something about it. You’re doing a great job. Keep it up

    ISO 14001 Certification

    ReplyDelete
  18. Fantastic blog i have never ever read this type of amazing information. Tommy Jarvis Jacket

    ReplyDelete
  19. Hello, an amazing Information dude. Thanks for sharing this nice information with us. Somatic Therapy Singapore

    ReplyDelete
  20. It is a good article thanks for sharing this blog it gives lots of information

    IV Drip Near Me La Quinta CA
    IV Therapy Near Me La Quinta CA

    ReplyDelete
  21. This blog was very nicely formatted; it maintained a flow from the first word to the last.
    Oliver Tree Jacket

    ReplyDelete
  22. Pretty good post. I have really enjoyed reading your blog posts.Any way Here I am Specialist in Manufacturing of Movies, Gaming, Casual, Faux Leather Jackets, Coats And Vests See Legion Jacket

    ReplyDelete
  23. Thanks for sharing beneficial information and also visit my blog for better understanding PRP for Lips in Dubai

    ReplyDelete
  24. Nice post. Thank you to provide us this useful information. Tekkadan Jacket

    ReplyDelete
  25. Thanks for the amazing article. Keep sharing such informative blogs
    For best Best Physical Therapy Phoenix contact us.

    ReplyDelete
  26. Thank you for posting this informative blog here. This is full of useful information about myofunction therapy

    ReplyDelete
  27. Pelle jacketsc Have you ever considered writing an ebook or guest authoring on other blogs?
    I have a blog based on the same ideas you discuss and would really like to have
    you share some stories/information. I know my visitors would value your work.
    If you are even remotely interested, feel free to shoot me an e
    mail.

    ReplyDelete
  28. shop hereThank you for posting this informative blog here. This is full of useful information about

    ReplyDelete
  29. Amazing article Lot's of information to Read.juicewrldofficial

    ReplyDelete


  30. Its an interesting and useful information. We all get highly motivation from this .
    shophoodies

    ReplyDelete
  31. I never stop myself to express something about your nice work. You're working really hard. bapehoodieofficial.com

    ReplyDelete
  32. champhoodies.com Actually quite glad to say, your post is extremely fascinating to read.

    ReplyDelete
  33. I feel extremely cheerful to have seen your post. I found the most beautiful and fascinating one octobersveryownshop.com. I am really extremely glad to visit your post.

    ReplyDelete
  34. I never stop myself to express something about your nice work.yeezygapshop You're working really hard.

    ReplyDelete
  35. Thanks for the blog.Nice orofacial muscle re education information.You can also check.
    orofacial muscle re-education

    ReplyDelete
  36. This comment has been removed by the author.

    ReplyDelete
  37. This comment has been removed by the author.

    ReplyDelete
  38. Great Post!! "Myofunctional Therapy"
    Thank you so much for this wonderful article really! Such an informative post about 'OroFacial Muscle Re-Education'.
    Iv hydration therapy in la quinta

    ReplyDelete