Orofacial Myofunctional Therapy: When It Feels Like Something More Is Going On

 

Parents, you know your child better than anyone else. You do all the therapy and appointments but there is still something off and you cannot quite put your finger on what it is. A little fact about the human body - it is all connected! Our efforts for therapy may be covering up some symptoms of something much bigger and that is where myofunctional therapy comes in!

While all the symptoms indicating need for myofunctional therapymay look random, they are all interconnected and begin with our mouth/airway. Fascinating, huh?

Symptoms we tend to see:

  • Sleep

    • waking up tired

    • restless sleep

    • frequent wakings in the night

    • snoring

    • night terrors

    • bedwetting at an older age

    • Teeth grinding

  • Eating

    • messy eating

    • difficulty chewing and/or swallowing

    • gagging

    • overstuffing

    • labeled as a “picky” eater

  • Behavior

    • difficult time focusing

    • hyperactive or impulsive

    • dysregulated

    • it feels like your child has ADHD

  • Posture

    • open mouth posture (mouth breathing)

    • forward head posture

    • slouched when sitting

  • Oral Habits

    • thumb sucking, especially as an older child

    • nail biting

    • prolonged pacifier use

    • lip or cheek chewing

    • tongue thrust, lisp

  • Dental

    • no spacing between baby teeth

    • high, narrow arch on palate

    • tongue and/or lip ties

    • poor motor control for speech and chewing

    • orthodontic concerns, including relapses

All of these help us find the root cause! These patterns seem small but overtime can actually make significant challenges for your child, including dental/jaw misalignment, speech concerns, behavioral concerns, and sleep concerns. 

But why OMT?

Myofunctional therapists target the root cause to ensure your body is set up for success! Myofunctional therapy builds awareness, strength, coordination, and proper function so the body can work as it was designed, naturally and efficiently! Pretty cool!

Therapy consists of specialized, gentle exercises designed to retrain the muscles in the face and jaw. Since every person has different symptoms and concerns, a myofunctional therapist can look at what muscle is being impacted and provide specific exercises to help. This program is not a one size fits all and is targeted specifically for your child and their needs. 

During therapy, the therapist, child, and family members will work together to focus on correcting these dysfunctional oral habits:

  • mouth breathing

  • incorrect tongue posture (Check out this resource for how you can start helping your child with this today!)

  • tongue thrusting

  • oral habits

  • improper labial (lip) seal

Early intervention is important with myofunctional therapy as we can then set a foundation for proper breathing and oral rest posture which can support children as they grow and develop. 

Therapy is family focused, encouraging, and built around real life. We know families are busy and these home exercises can be built right into your already established daily routines :) 

Myofunctional therapists play a part in this care for your child. However, collaboration with other healthcare professionals is also important when looking at the whole picture and ensuring we are providing the most comprehensive care possible.

Your myofunctional therapist may refer you to other professionals, but this is not to discourage you but to empower you! 

Here is what other professionals can help with on this journey:

  • Dentists - ensure there is enough room in the mouth for the tongue to rest properly 

    • bite alignment

    • palatal expanders, braces, other orthodontic appliances

    • tongue/lip ties releases

  • Allergists - clear up nasal congestion for better nasal breathing

    • test for possible allergies - food and environmental then help treat them

    • airway inflammation or chronic congestion

  • ENTs (Ear, Nose, Throat Specialists) - to address any structural concerns blocking the airway and preventing nasal breathing

    • evaluate airways obstructions - enlarged tonsils and/or adenoids

    • address nasal breathing complications

    • provide surgical interventions if required

  • Pediatricians - look at child’s overall growth

    • monitors child’s development

    • addresses any other underlying medical concerns that may be impacting

  • YOU!

    • carryover home exercises

    • encourage progress by staying positive and keeping exercises fun

    • bring awareness for postural changes and reminders for proper tongue placement throughout the day

So what is the goal of all of this?

Myofunctional therapy work with children age 4 and up to establish better oral rest posture and proper nasal breathing by strengthening muscles and improving coordination between all the structures. Parents often report better sleep, more energy, increased focus, improved eating habits, and an overall healthier child. 

We are here to help you! If any of this sounds like your child, reach out to us today. We are more than happy to walk alongside you on this journey.

Let’s grow healthier together!!

Brittany Hoffmire, MS, CCC-SLP/L

The Way to Grow Pediatric Therapy Team 🌟


 

about our featured writer:

Meet Brittany, speech-language pathologist and feeding therapist, and our go-to expert for all things gestalt language processing, picky eating, and Orofacial Myofunctional Therapy! Brittany received her Master’s of Science from St. Ambrose University, and has been a staple on team Way to Grow since May 2020. Growing up watching her Mom provide in-home care, Brittany was drawn to speech therapy through her own fascination with the clients’ AAC device! Brittany knew right away that she wanted to help others find their “voice”. Furthermore, having been diagnosed with Selective Mutism as a child also motivated Brittany to pursue a career that has been an integral part of her life. Brittany loves working with children and their families to build relationships and celebrate milestones. In her free time, Brittany enjoys watching 80’s and 90’s movies like Jurassic Park or Back to the Future. You might also find her “in the wild” attending baseball games or checking out local coffee shops with her husband or beloved nephews!

 
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