Showing posts with label oral motor. Show all posts
Showing posts with label oral motor. Show all posts

Thursday, August 17, 2017

Therapy Tip: Should I Invest in Talk Tools?

It's Therapy Thursday!! This is the day that I share a tip based upon my experience as a pediatric speech-language pathologist (SLP) and a mom of a child with special needs. Today's tip is for both parents and professionals, which is:

Should I Invest in Talk Tools?

Have you ever heard of Talk Tools? If you are a speech-language pathologist (SLP), then you have surely heard something about them. If you are a parent of a child with Down syndrome, you may have heard of them at conferences, through parent articles, or word of mouth.

Talk Tools is a company that their website says provides "the best Oral-Placement Therapy (OPT) techniques, training, and tools to clients, therapists and parents." They state that their therapy techniques add a tactile component to feeding and speech therapy, enabling clients to “feel” the movements necessary for the development of speech clarity. To see everything they offer, visit their website. 


Talk Tools is a unique company offering trainings, parent education, tools, books, and step-by-step protocols on how to achieve certain goals like improving jaw strength, for example.

As an SLP, I heard about Talk Tools through professional literature. I considered taking some courses, but the live courses were seldom held in a town near me. The costs was also expensive, but any professional training usually is.

After my daughter with Down syndrome was born in 2006, I decided I NEEDED to learn more about the philosophy from Talk Tools. Jaycee's low muscle tone made sucking hard and tiring for her. When baby food was initiated, she had a reverse swallow and a significant gag response. As I moved her through more textures, vomiting started accompanying the gagging. This happened EVERY meal I attempted with any sort of texture. Straw drinking was absent for a long time. She had major issues her in mouth that was making feedings simply miserable for the both of us.

I can't speak for every SLP out there, but I can say that my coursework and fellowship did not prepare me for these problems. I knew basic information but I didn't feel confident about treating complex pediatric oral-sensory and muscle tone related feeding issues. I needed more education not just for Jaycee but for other children I had started seeing in my job in the birth-three program.

Enter Talk Tools. I took a course. Then another one. Then another on DVD. If I went to a Down syndrome conference, I'd sit in those courses as well. In case you are wondering some of the courses I have taken are: 3-Part Treatment for OPT, What You See in the Body is What you Get in the Mouth! Bridging the Gap Between NDT, Feeding, & Speech, Organizing the Mouth for Feeding and Speech, Pre-Feeding: Preparing the Oral Musculature, and finally Developing Oral-Motor and Feeding Skills in the Down syndrome Population.

As you may have guessed, I have found strategies and methods taught through Talk Tools to be a valuable part of my daughter's early progress and other children in my private speech practice. There are many websites and companies that sell tools to help with various sensory, feeding, drinking, or tone issues. With Talk Tools, you can buy the tool such as the red chewy tube, know the reasoning behind it, know how to best use the tool, and know the guidelines for when it's mastered. The information has given me professional confidence and has helped treat many children more successfully.

In my field of speech pathology, I have heard complaints about Talk Tools. The chief complaint has been that the company is making money off of courses which are promoting the purchasing of tools they also sell. Some also doubt the effectiveness of the tools. I disagree with these opinions. When you take a training course, especially the 3 Part Treatment course given live, then you can clearly understand the rationale and passion behind the company. You will also see that they aren't just trying to sell tools. They stress in their live workshops that the tools aren't as important as knowing why, how, and when to use them.

That being said, let's get back to the original question. Should YOU invest in Talk Tools? My advice is...YES!

For professionals, I personally feel the 3-Part Treatment course is essential for professionals to get a good foundation in feeding and oral-placement therapy. From there, you might find other courses helpful depending on what your caseload entails. There are many tools that I have used again and again in my private practice. Some of these include the Honey Bear straw drinking trainer, lip blocks, the toothette vibrator, and jaw grading bite blocks. If you have children on your caseload who are orally defensive, have difficulty moving through textures, or have low tone, then Talk Tools can help you in your practice.

For parents, I think you have to be choosey with Talk Tools. The costs of these products can add up, and you really need to know what you are doing to make it successful. Therefore, I would highly recommend finding a therapist who has taken Talk Tools trainings. Even better, locate a certified Talk Tools therapist on their website and schedule an evaluation. You may have to drive a distance to find one, but an evaluation should give you a detailed treatment program with step-by-step directions on how to proceed at home. If this isn't possible, there are many articles and parent geared videos or parent friendly conference opportunities such as at national Down syndrome ones that will help you get started. I just wouldn't start buying products at random off the website without knowing how to get your desired outcomes. You can always email the company too with any questions. I have emailed a few questions over the years as I have been working with my daughter and have been given a thoughtful and helpful response back.

In short, Talk Tools has been helpful in my personal and professional life, and I know other people have found them helpful as well. Should you invest in them? I did! So, yes I believe they may help many other families like mine.


Note: Talk Tools does certify professionals through a level training program. While I have taken coursework, I am not a "certified" Talk Tools therapist. These opinions are my own and am offering them for those who are considering Talk Tools.
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Thursday, July 28, 2016

Therapy Tip-Items at Wal-Mart for Oral-Sensory Play

Welcome again to Therapy Thursday!

This is the day I share a tip based upon my experience as a pediatric speech-language pathologist and a mother of a child with special needs.

Today's tip is:

Items at Wal-Mart for Oral-Sensory Play

The teething and rattle section at my local Wal-Mart


Almost every parent purchases toys for their babies to chew on for teething and play. Providing these type of toys is just a normal part of every baby's learning experience and development.

But there are babies who need oral-sensory play to address their developmental, medical, or sensory needs. Who? Babies who have low muscle tone including those with Down syndrome. Babies with a feeding tube with limited or no oral feedings but with the hopes of one day becoming an oral feeder. Babies who eat orally but have feeding challenges none the less.

As a speech-language pathologist, I have access to websites and catalogues selling costly tools for oral play. Many of these tools are designed to:
-provide texture for a sensory experience
-provide resistance to develop jaw strength
-provide stimulation (and therefore a specific movement) of the lips, tongue, or jaw
-encourage munching or chewing motions
-provide vibration to help the child receive added input

These specialized tools are great and useful. In fact, there are many courses and books that tell speech-language pathologist how to best use them and even have hierarchies for determining progress. I have purchased many of these and use them in my practice. But, what are parents suppose to do beyond the prescribed exercises? Many of these tools are not meant to be handed to a baby for their own oral play. Instead, they are done with a parent/SLP making sure the tool is used appropriately. These programs are great, and this entry is not about finding an alternative to them.

But the questions becomes for me as a speech-language pathologist:
How can I encourage the baby's oral-sensory play in a safe manner once I leave the house?

My answer has been to look for things available to any baby at local stores. Over the past few years, I have been finding more and more teethers and baby toys that can help fill some of the objectives I have with babies who need oral-sensory play.

Below are some products I found at my local Wal-Mart that would be useful for babies under 12 months who have been determined to need oral-sensory play. While I cannot go into too much detail in this blog about how to use each tool for a specific problem. I will tell you what I see when I look at these products as a speech-language pathologist. Hopefully, this can help you when you are shopping for your child.




Here are some things I like about the Munchkin Orajel Massaging Teether:
-It has bite activated vibration which should encourage baby to repeat biting.
-There are different textures on the teething parts which will give different feedback to the baby.
-The actual teething parts of this are made of different shapes. These allow the baby to use different teeth or to use varying amounts of force to compress the teether.


Next up is the RaZ-Berry Teether.
-I especially like this for those babies who are tube fed and need oral stimulation during feedings. This pacifier type teether is not smooth but has bumps and textures on it giving different feedback than a typical pacifier.
-This can be frozen to allow a cold temperature to be introduced and therefore add another layer of stimulation to the baby's mouth.


This is the Gummi Teething Necklace.
-This is a very basic version of an expensive version sold by therapeutic companies. This has texture on the teether to give the baby additional feedback in their mouth.
-The necklace is designed to be worn on the mother while the baby chews. This could be beneficial for babies who need oral play but like to be on mom's lap often. This teething necklace isn't necessarily that special, but I see where it would have uses for particular babies.


Now, let's look at the Nuby 3 Step Teether Set.
-I love how this includes three teethers going from Step 1 to 3. While they determine the steps on which teeth are needed for the teether, it can be also be said that these teethers go from least resistance to most resistance. That means the amount of jaw strength needed to compress or bite the teether increases through the steps.
-Again, I love that each teether has different textures on them for providing different feedback for baby's mouth.




Here we have the Infantino Vibrating Teether.
-I love anything that vibrates to give more feedback to the baby, especially those with low muscle tone.
-Vibration is again activated with biting, so this may give you some indication of the baby's jaw strength.


Finally, this is one of my go to products in my therapy practice, the NUK tooth and gum cleanser with a finger brush. Though, this is a product that baby cannot use alone.
-Proving oral stimulation of the gums and teeth is essential early on for babies who have low muscle tone or feeding difficulties. This product is great because you get the cleanser and also the finger brush to provide this stimulation. If the baby cannot tolerate the cleanser, you can still use the finger brush.
-The finger brush can also be used to encourage munching movements on a baby by stimulating the back molar region of the gums. This is a technique that I have learned about by taking courses through Talk Tools. For more information on this, please consult a trained SLP.


I hope you can see what I see when I look at these types of products for babies and promoting oral-sensory play. Check out your local stores and see what you find.



Therapy Thursday is for educational purposes only and not intended as therapeutic advice. Please consult your child's speech-language pathologist to see how and if these products can be used for your child.


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