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Z vibe training12/20/2023 If you are unsure of any of the terminology let me know!ġ. When we are looking for tongue tip elevation we need to know first if he has jaw stability, tongue retraction and tongue tip lateralization skills first these are prerequisite movements we look for. Here are some questions that may help us think about why he may be having difficulty. My question is: how can I help my son improve tongue movement? He has twelfth cranial nerve palsy, and his tongue has become so much stronger with therapy, but tongue tip elevation is still so hard for us. We do a lot, from the Z-Vibe to Chewy Tubes to the horns! We have him try to follow the Z-Vibe with his tongue, but I can’t get his tongue to lift up. We have been doing TalkTools therapy for years and love it. My six-year-old son has Moebius syndrome and recently had facial reanimation surgery. I was wondering if you could possibly help me. She works through her own private practice Elizabeth Smithson Therapy, LLC in the home setting and in the TalkTools® office in Charleston, SC.īite tube hierarchy bite tube set bite tubes bubble blowing bubble hierarchy bubble therapy down syndrome horn blowing horn hierarchy horn therapy tongue protrusion tongue retraction tongue thrust z-vibe Read more → Liz works with clients with a wide range of disabilities including Cerebral Palsy, Down Syndrome, and Spinal Muscular Atrophy. She has received specialized training in Oral Placement Therapy, Speech, Feeding, Apraxia, Sensory Processing Disorders, and PROMPT©. Liz is also a Level 5 TalkTools® Trained Therapist. She earned her Master of Speech Pathology at the University of South Carolina. Please let me know if you have any other questions.Įlizabeth Smithson, MSP, CCC-SLP is a Speech-Language Pathologist who has over 10 years of professional experience working with infants, children, adolescents and adults. The more you can work on the retraction the better. All of this will encourage tongue retraction in the mouth. I would add bubble blowing, horn blowing and chewing on the back molars (with cubes of food if able, z-vibe and the bite tubes). Everything you are already doing sounds great. It sounds like you have been working really hard with this patient to address the tongue retraction. Pediatrician and ENT have no concerns about size of tonsils I have not observed them myself yet. Mom sits in on sessions and carries over at home. What else can I do? I only get to see her one time per month at this point. I can prompt her to retract her tongue at rest but it comes right back out. As soon as she attempts to control the puff with her tongue or swallow, her tongue pushes forward again. She retracts her tongue when I place a straw in the corner of her mouth, place a puff on her molar ridge (and will maintain tongue lateralization for a short period), and when I place the elephant jiggler in her mouth. Almost as if she is intentionally pushing it all the way out. Her tongue is ALWAYS out of her mouth, far. Use to help introduce texture and to encourage the transition from puréed to textured/regular food.I have a 13 month old with Down syndrome who has a significant tongue thrust swallow pattern and tongue protrusion. One ear is smooth, and the other ear has gentle bumps for tactile input and stability to the tongue. Use the cat as a “dipper spoon” to decrease texture aversion and food anxiety. Each animal’s back has a bite block of a different thickness to work on jaw grading and stability.For children with sensory processing disorder, food sensitivites or weak mouth muscles.Turn on the Z-Vibe to incorporate gentle vibration for extra sensory input. ![]() The backs of each animal offer additional textures and pockets for the tongue to explore. ![]() ![]() With different textures and surfaces for the mouth to explore, each animal aids in oral motor exercises to strengthen muscles used for mouthing, sound production and feeding. These adorable animal faces charm children reluctant to participate in speech therapy or oral motor therapy. For Food Sensitivities and Oral Sensory Input
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