Utilizing Oral Motor Exercises: Comparison among Speech Language Therapists and Special Education Teachers

Yasemin Sarı Çağlar Müge Müzeyyen Çiyiltepe
Abstract

Introduction: Oral-motor exercises (OME) are exercises involving sensory stimulation or movement of the articulators (lip, chin, tongue, velum, larynx and respiratory muscles). OME are used during management of different types of disorders. They are highly effective in the development of oral-motor skills of premature babies as well as tongue movement in neuromotor disorders, lip control, chewing ability, swallowing ability, saliva control, jaw stabilization, biting, spoon feeding, drinking water from cups. OME is also used in speech disorders. In the evidence-based practice of ASHA, OME has been stated to have no effect on speech production (articulation) disorders. Purpose: This research aimed to find answers to whether or not special education teachers (SPED) and speech language therapists (SLT) use OME in their therapies; to compare the use of OME between the two groups: which disorder and /or disability group they use them for; what exercises they apply intheir practice; which therapy materials they use; and the effectiveness of OME in case management. Method: This is a screening study to determine the therapeutic use of OME according to responses from SLT and SPED. A total of 58 questionnaire forms were collected with the feedback from 29 expert SLTs and 29 SPEDs. Results and Conclusion: Although there was a statistically significant difference in some parts of the research findings, generally there was no statistically significant difference between the two groups. This study found that SLTs and SPEDs used OME in their practice however used them for different purposes in different types of disorders. It was also found that SLTs utilized OME more effectively and appropriately than SPEDs  


Keywords

oral motor exercises, special education teacher, language and speech therapist, therapy effectiveness


References

Anuk İnce, D., Tugcu, A. U., Ecevit, A., Ciyiltepe, M., Kurt, A., Abbasoglu, A., Tekindal, M.A. & Tarcan A. (2015). Goniometer measurements of oral labial angle and evaluation of oral motor reflexes in preterm infants: Comparison to findings in term infants. Journal of Child Neurology, 30(12)1-6.

Arvedson, J. C. (2000). Evaluation of children with feeding and swallowing problems. Language, Speech and Hearing Services in Schools, 31: 28–41.

ASHA’s National Center for Evidence-Based Practice in Communication Disorders (2007). American Speech-Language-Hearing Association Annual Convention, Convention Presentation, Boston, MA.

Bahr, D. C. (2010). Oral motor assessment and treatment: Ages and stages. Boston, MA: Allyn and Bacon.

Bahr, D. C. (2008, November). The oral motor debate: where do we go from here? Poster presented at the annual meeting of the American Speech-Language-Hearing Association, Chicago, IL.

Bernstein, N. A. (1967).  The Co-ordination and Regulation of Movements. Pergamon; Oxford, United Kingdom.

Bunton K. (2008 November). Speech versus non-speech: Different tasks, different neural organization. Seminers in Speech Language, 29(4): 267-275.

Caruso, A. J. & Strand, E. A. (1999). Clinical Management of Motor Speech Disorders in Children. New York, Thieme Publishers.

Clark, H. M. (2003). Neuromuscular treatments for speech and swallowing. American Journal of Speech Language Pathology, 12, 400-415.

Dworkin, J. P. & Culatta RA (1985). Oral structural and neuromuscular characteristics in children with normal and disordered articulation. Journal of Speech and Hearing Disorders, 50, 150-156.