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NSS - Northern Speech Services Speech-Language Pathology Continuing Education
and Treatment Resources
speech pathology continuing education email alerts
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Tongue Tie 101 for SLPs: What Is Our Role?

# e94   Tongue Tie 101 for SLPs: What Is Our Role?

by Sandra Holtzman, M.S., CCC-SLP, C.O.M.

0.25 CEUs

$ 44.00

$ 35.00

Ankyloglossia, or tongue tie, has recently become an area of discussion and sometimes controversy for SLPs.  To ignore it, or not to ignore it?  To refer for surgical procedure, or not to refer?  To accept speech that "sounds okay" in the presence of tongue tie, or to emphasize precise speech production?  To delve deep enough to see if there is far more than meets the eye, or to leave it to other professionals to make the decisions?  

This course will shed light on these dilemmas.  Participants will get an overview of the consequences of tongue tie as related to infant feeding issues, dental concerns, emotional and social aspects, phase one swallow considerations, and most importantly…the speech connection! Participants will be introduced to assessments and various techniques used to release the lingual frenum. Offered for 0.25 ASHA CEUs – 2.5 contact hours (Run Time: 2:28:13).

Content Disclosure: The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found by clicking on the Presenter & Disclosures tab.

Course Format: Video PowerPoint presentation with author narration and downloadable handout.  

At eCourse conclusion, participants will be able to:

  • Understand the link between ankyloglossia and certain types of speech disorders.
  • Define and describe ankyloglossia in its many forms.
  • Describe the deleterious effects of tongue tie on normal oral motor functions including the preparatory stage of the swallow process.
  • Utilize the QTT "quick tongue tie assessment" for tongue tie.
  • Become familiar with two types of formal assessments.

A score of 80% or better must be received on the post-test in order to 
receive a certificate of completion.

Sandra R. Holtzman, M.S., CCC-SLP, C.O.M., is an ASHA certified speech-language pathologist who has specialized in orofacial myology for more than 30 years. She is a certified orofacial myologist and a member of the International Association of Orofacial Myology (IAOM). Sandra is presently serving on both the Board of Directors and the Board of Examiners of the IAOM.

Sandra has addressed SLPs, dental professionals, and other specialists across the United States on the connection between orofacial musculature and speech disorders, tongue-tie (ankyloglossia), thumb and digit sucking habits, mouth breathing, and other topics.  In 2000, Sandra established Neo-Health Services, Inc., which provides continuing education workshops, therapy for orofacial myofunctional disorders and other speech-language disorders, and supplies oral myofunctional products. She is author of Orofacial Myology: From Basics to Habituation (aka the "Myo Manual"). 

Speaker Disclosures:

Financial — Sandra Holtzman is the author of online CE courses sponsored by Northern Speech Services; receives royalty payments.

Financial Sandra Holtzman is the author of the text, Orofacial Myology: From Basics to Habituation; receives royalty payments.

Financial — Sandra Holtzman is the owner of Neo-Health Services, Inc; ownership interests.

Nonfinancial — Sandra Holtzman has no relevant nonfinancial relationships to disclose.

 


Intended Audience

  • SLP

This program is offered for 0.25 CEUs (Intermediate level; Professional area).

Offered for 2.5 CEEs. Northern Speech Services’ continuing education activities are eligible for Speech-Language and Audiology Canada (SAC) Continuing Education Equivalents (CEEs) in speech-language pathology. An activity’s eligibility for CEEs does not imply SAC’s endorsement of its content or any associated products or procedures.

Content Disclosure: The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found by clicking on the Presenter & Disclosures tab.

ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of CEUs is noted above. Note that 0.1 CEU = 1 contact hour = equals 1 CEE.

Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.

ASHA CE Registry:  During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

ASHA CEUS: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:

  • Current ASHA Member
  • ASHA Certificate of Clinical Competence (CCC) Holder
  • Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
  • Credentialed by a state regulatory agency to practice SLP or audiology
  • Credentialed by a national regulatory agency to practice SLP or audiology
  • Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC
  • Currently enrolled in a masters or doctoral program in SLP or audiology

If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.

Additional accrediting agencies by which Northern Speech is an approved CE provider:

  • California: NSS is approved as a provider of continuing education by the California Speech-Language Pathology & Audiology Board. Provider #PDP4. Online CEU limits may apply; please contact SLPAHADB for current online CEU acceptance policies.
  • Iowa: NSS is approved as a provider of continuing education by the Iowa Board of Speech Pathology and Audiology Examiners. Provider #169.
  • Kansas: NSS is approved as a provider of continuing education by the Kansas Department of Health and Environment. Provider #LTS-S0005.
  • Florida: NSS is approved as a provider of continuing education by the Florida Speech-Language Pathology and Audiology Board. Provider #SPA-026.  
  • New Jersey: NSS is approved as a provider of continuing education by the New Jersey Department of Education.  Provider #1654.
  • Peer Reviewed: This course was peer reviewed and registered with ASHA on 02/28/2016.

  • Course Completion Timeframe: You have unlimited time to complete this online course. You may log off and log on as you wish in order to complete all sections of this course.

  • Content Access: Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the E-Courses tab, and then viewing your desired course.

  • Certificate of Completion: On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on the Eastern Standard Time Zone), and number of contact hours (CEUs / CEEs).

  • ASHA CE Registry Submission: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

  • Purchase Orders: Purchase orders are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.

  • More FAQ: Please click here.

More Offerings by: Sandra Holtzman

Ecourses

  E-Course # Course Title & Author CEUs Price  
e46 Orofacial Myology/Tongue Thrust: An Introduction With Assessment Applications
Sandra Holtzman, M.S., CCC-SLP, C.O.M.
0.2 $31.00
e172 R: Techniques and Interventions To Correct /r/ — Seven Steps, From Basics To Habituation
Sandra Holtzman, M.S., CCC-SLP, C.O.M.
0.15 $34.00

"I appreciated the information on infants as well as the great pictures and video examples." – M.F. (Feb. 2017)

"I love the diagnostic information that was given. This topic was not covered enough in coursework in college. I basically knew what a tongue tie was, but had not idea what to look for in diagnosis. I liked the pictures of different types of tongue tie and the confirmation of thoughts about the difficulties. I would have liked more in the form of therapy to do after surgery." – H.H. (Feb. 2017)

"I enjoyed the review of the recommended assessment tools and current, research-based guidelines for diagnosis and recommendation for surgery." – M.B. (Jan. 2017)

"I found the assessment portion of the course to be most beneficial. I appreciated the numerous photos of actual cases of ankyloglossia as they were helpful in learning how to identify the condition." – E.C. (Dec. 2016)

"The portion on what to do when a child with tongue tie is referred to you for speech therapy but is not responsive was really helpful." – M.C. (Dec. 2016)

"Loved the personal testimonies! There is definitely an emotional component. These poor children/adults do have anxiety!" – K.Z. (Dec. 2016)

"I liked the pictures of specific cases to help become comfortable with determining need for surgery. However, I expected specific exercises to be done after surgery, especially with infants and toddlers, to be covered." – A.P. (Dec. 2016)

"I appreciated the discussion of submucosul and embedded frenum. The pictures were very informative." – M.K. (Nov. 2016)

"Going over the tests that can be used to determine need for surgery was helpful. The visual aids helped a lot with the course." – T.P.T. (Nov. 2016)

"The discussion regarding breast feeding was beneficial in regards to evaluating smaller babies that may have a tongue tie. The content was very organized and easy to follow." – E.G. (Oct. 2016)

"I really appreciated the visual and functional signs of ankyloglossia beyond limitations in speech sound production. VERY thorough course given the focal topic; very comprehensive course." – M.R. (Oct. 2016)

"I liked the tangible means of quantifying the impact of ankyloglossia on oral motor movements." – A.D. (Sept. 2016)

"This eCourse was extremely comprehensive. The presenter was very knowledgeable about the field and presented the information in an accessible manner." – S.W. (Aug. 2016)

"I found the information to be so much more updated and honestly made more sense than what I learned in school now nearly 20 years ago. I liked that it gave no nonsense advice for practicing SLPs." – A.W. (Aug. 2016)

"I appreciated going over the importance of evaluating the structure as well as functionality of the tongue to help determine the severity of the tongue tie." – P.V.H. (July 2016)

"The entire course was very informative and kept my attention as I learned something new with each section and case study as well as reported studies." – J.L. (June 2016)

"It was an overall great course. Research mixed in with practical experience and implementation. I have a patient who just had a frenectomy, so the explanation on protocol of what to do post surgery was especially helpful." – C.M. (June 2016)

"Covered a very relevant topic and provided a lot of factual information about it with specific examples and visuals and resources." – R.W. (May 2016)

"She presented a lot of visuals and videos that were helpful when using a lot of medical terminology. All was helpful." – A.E. (April 2016)

"The discussion on the various handicaps that tongue tie can place on a person was really beneficial. I liked the visuals and the clear audio explanations." – E.G. (Mar. 2016)

"I liked the many images of a variety of types of tongue ties." – K.B.V. (Feb. 2016)

"I really appreciated the discussion on what else to consider rather than just a heart shape tongue." – K.D. (Feb. 2016)

"I found the variety of case studies vary useful in helping me gain a better understanding in what to look for and how it can negatively impact an individual. I appreciated the useful information about this topic including assessment tools and therapy recommendations." – L.R. (Feb. 2016)

"The discussion on assessment measures for determing when a sx is warranted was helpful." – K.H. (Feb. 2016)

"Learning the many things that are affected by the tongue tie was most beneficial." – C.J.R. (Feb. 2016)

"I found the way to diagnose a client with ankyloglossia very informative. Ms. Holtzman was knowledgable and easy to listen to. The information was easy to understand." – N.H. (Feb. 2016)

"I appreciated all of the visuals and pictures. I have a better idea of what I am looking for and how to direct my clients now." – J.G. (Feb. 2016)

"Learning the different ways your tongue can be tied was really beneficial." – K.W. (Feb. 2016)

"Tongue tie is often present with children I work with. I liked the data and assessments discussed." – S.B. (Jan. 2016)

"Excellent visuals, video clip examples, and definitions. Easy to follow and navigate." – J.R. (Jan. 2016)

 

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