This course presents an overview of the specialty area of orofacial myology and its relationship to the field of speech-language pathology. Enter the world of Orofacial Myology with Sandra R. Holtzman who for most of her career has been providing training to SLPs, dentists and medical professionals from every corner of the world. Sandra presents “gold in your hands” information to help you maximize your (pediatric and adult) clients from “Basics to Habituation.” You will learn which barriers interfere with successful treatment and receive instruction for improving your clients’ lingual, labial and mandibular coordination skills. Covered are the procedures involved in examining various orofacial structures and functions. You will also learn a detailed sequence from start to finish of the Oral Preparatory Phase of the swallow. Offered for 0.25 ASHA CEUs – 2.5 contact hours.
Course Run Time: 2:47:23
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 in the Presenter & Disclosures area.
Video PowerPoint Presentation with author narration & downloadable handout.
Sandra R. Holtzman, MS, CCC-SLP, COM, QOM, 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 the author of Orofacial Myology: From Basics to Habituation (aka the "Myo Manual").
Financial — Sandra Holtzman is a presenter 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.
This program is offered for 0.25 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
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:
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.
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.
Additional accrediting agencies by which Northern Speech is an approved CE provider:
Course Completion Timeframe:
You have unlimited time to complete our online courses. You may log off and log on as often as you’d like to in order to complete all sections of a course.
However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.
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 My Online 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 Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.
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 are currently not accepted for online orders, if you wish to submit a purchase order please do so at email@example.com or fax to 888-696-9655.
What is an Online Course?
Our Online Courses consist of video, audio, and/or text content and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any device, via your NorthernSpeech.com online account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%), a printable certificate of completion is presented to you.
Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for ASHA CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to CEUs earned online. Please note that courses offered for university students are not applicable for CEUs.
Registering for an online course:
You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.
Accessing your purchased course or returning to a purchased course:
You will be able to access your online course by logging into your Northern Speech account and then clicking the My Online Courses tab on your profile screen. Click the course you would like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.
Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.
Number of CEUs offered:
We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.
State licensing boards and online CEUs:
NSS is an ASHA CE Provider and most state licensing boards DO accept ASHA CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs 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 CEU limits related to home-study courses prior to enrolling in an online course.
Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page. Most courses include closed captioning.
Most of our online courses provide a link to download the accompanying handout as a PDF file.
Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.
For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Firefox, Edge, Internet Explorer, etc.) and newest version of your computer's operating system. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.
Course Cancellation Policy:
A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded.
Please click here for any special needs requests, and we will do our best to accommodate them.
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"The whole course was excellent and will be utilized for the basis for articulation therapy. I liked the sequence of information, the pace, the videos; especially the proficiency exam." K.H. (July 2021)
"Sandra's definition of Orofacial Myology is the clearest in my mind on explaining what it is about." K.R. (June 2021)
"I learned about the importance of resting tongue position. The pictures and videos to support what was taught" K.L. (May 2021)
“The presenter was very knowledgeable, and the information was practical and interesting.” – T.M. (Mar. 2021)
“I feel ready to start making changes to the way I have done assessments and therapy for years because of this course. Dr. Holtzman repeated what was important, emphasized what we needed to know so that it was easy to learn. Best course I have ever taken!! I cannot wait for more!” – J.R. (Feb. 2021)
“The presenter is knowledgeable, engaging, and clearly enjoys her work. It was short but suited to the topic and course objectives. The techniques were clearly explained.” – V.P. (Jan. 2021)
“Great information on the relationship between resting postures and speech. It was clearly presented and packed with information, but practical enough to apply right away.” – A.L. (Dec. 2020)
“I enjoyed learning about the different types of assistance to help achieve various lingual movements and placements.” – M.T. (Nov. 2020)
“I liked that it provided multiple strategies for achieving each goal.” – A.C. (Oct. 2020)
“The speaker was engaging and gave reference to many different sources of information as well as offered her clinical opinions.” S.S. (Sep. 2020)
“I appreciated the specific exercises and the word lists to use in support of the proper resting placement of the tongue, as well as the suggested instruments to use to implement exercises. Her thoroughness addressed the questions in my head. It was almost as if she was reading my mind." – M.B. (Aug. 2020)
“I liked the method-specific exercises that I can use during treatment immediately. I also appreciated the information on resting tongue posture and its impacts on speech production. The information, examples, and methods provided a good learning experience. The presenter was very knowledgable on this topic.” – M.R. (Jul. 2020)
“This course was so informative. I wish it was taught in our grad program, along with our general articulation class. It was a wealth of information!” – S.C. (Jun. 2020)
"This course gave a great introduction into the world of oral facial myology treatment. It was a great course." – L.S. (May 2020)
"I thought the entire course was extremely beneficial and easy to understand. I hope to be able to complete a better oral mechanism exam with the tools and strategies provided as well as to address incorrect tongue resting posture." – J.S. (Apr. 2020)
"Currently I am working on my COM and am an SLP specializing in OMD so I found all topics relevant and relate-able. I enjoyed the supplemental videos and visuals provided. I found all topics for a beginner course appropriate and feel that the course was perfect the way it was presented." – A.C. (Mar. 2020)
"I appreciated getting more information about typical resting posture for the tongue/lips and how that relates to speech will help me be more confident in determining whether to refer, begin therapy, what to work on, etc." – A.B. (Feb. 2020)
"Going over how the resting oral posture can affect one's ability to quickly and accurately move into different speech sounds was most beneficial. It was thorough and the pacing was great. However, I was hoping to learn how to apply this to younger clients - aged 3-4 years." – H.G. (Feb. 2020)
"I liked that the course clearly defined SLP role in relation to orofacial disorders." – S.S. (Jan. 2020)
"I liked the specific examples of how to adjust when a client has difficulty as well as the videos and audio examples of sounds." – C.W. (Jan. 2020)
"Every aspect will be beneficial; the detailed discussion of anatomy will help me assess patients properly. Lots of information that was clearly presented." – M.M. (Dec. 2019)
"I liked the clear steps for improving oral motor ability and how to identify orofacial myology patients." – B.A. (Dec. 2019)
"I work with students age 0-3 years old. I found the information on oral structure and negative oral habits most beneficial in the sense that I can share this information with parents ASAP in my daily practice. I enjoyed being able to replay the information as often as I wanted while note-taking!" – H.X. (Dec. 2019)
"I love everything I have taken offered by Sandra Holtzman. Her very direct approach to fixing a problem has been career changing for me!" – M.M. (Nov. 2019)
"It was very organized and professionally delivered. It was thorough for an introductory course with helpful photos and videos. The assessment activities were especially beneficial." – L.D. (Nov. 2019)
"I liked the explanation of how the resting posture of the tongue is the starting and end point of speech and how important it is to be in the correct place. I liked the photos of examples." – G.D. (Oct. 2019)
"The whole course has valuable and useful information and my understanding has significantly improved. I liked the very practical information provided for assessment and treatment. The exercises will be so helpful when working with clients. I really appreciated the videos and found them clear and informative." – S.G. (Sept. 2019)
"Going over how negative oral habits interfere with speech development and the structure of the oral cavity was most beneficial. I liked the videos of patients using these techniques!" – K.C. (Aug. 2019)
"Clear, specific, concise presentation with good examples. I found the discussion on the effect of the resting posture of the tongue on speech production especially helpful." – C.S. (Aug. 2019)
"I liked the informative contents at a good level. I especially appreciated the explanation of malocclusion, definitions re overjet/overbite/crossbite, the discussion re the importance of oral prep stage in OFM, the importance of addressing barriers, and the therapy ideas." – R.W. (July 2019)
"A more in-depth definition of tongue thrust and examination was most helpful." – M.L. (June 2019)
"I most appreciated the video and photo examples. The discussion about thumb sucking and sippy cups helps me give a more complete answer to parents and helps me understand the underlying structure and function involved in this potential barrier to correct oral development and speech. Overall I truly enjoyed this course and have at least 3 students who will benefit from this immediately." – B.P. (May 2019)
"I liked the video examples and methods to accomplish accurate tongue movement and position." – L.G. (Apr. 2019)
"Everything was beneficial, but especially the discussion on malocclusions that are created was helpful. The course was very detailed, but I expected a little more on /s/ lisps." – A.W. (Mar. 2019)
"I found this course incredibly helpful and informative. It was one of the best online courses I've ever taken. I will definitely use the assessment piece and have a better understanding of the prerequisite skills for better articulation." – L.S. (Mar. 2019)
"This truly was an excellent course and very applicable to my work. I think the detailed information on ankyloglossia was probably the most helpful because I haven't heard that topic explained with so much detail. The course had very practical information to use to improve client treatment outcomes." – L.V. (Feb. 2019)
"I have provided "oral motor" therapy for my entire 30 years of practice. It has become "taboo" to our profession and I understand that it is not always used appropriately. However, this course is one of the best I have seen to help clients with incorrect resting postures and correction of the resulting speech sounds." – C.M. (Feb. 2019)
"All of it was beneficial! She provided great info re assessment AND treatment. I am very, very happy with this course. The presenter was great." – R.L. (Jan. 2019)
"I liked the speed of presentation, clarity, detailed breakdown, how the material is applicable to adults and children and can be beneficial for multiple disorders." – O.B. (Dec. 2018)
"I really appreciate and will use her sequence of progression for advancement through treatment. I will definitely use her suggestions on how to stimulate lingual movements and strength." – J.A. (Dec. 2018)
"The increased awareness of the effects of orofacial myofunctional disorders on speech was most beneficial! The treatment methods were discussed in great detail!" – K.C. (Nov. 2018)
"I liked the organization and usefulness of the information. It was a good mix of background knowledge and hands-on information." – L.S. (Oct. 2018)
"It was helpful to have a sequence of expectations described. I will be able to use this with my clients to evaluate and help them achieve better tongue position for speech. The videos of clients performing the various exercises were helpful." – E.D. (Oct. 2018)
"I don't know much about dentition, so this was a good introductory course for me." – S.G. (Sept. 2018)
"I liked the use of video examples and focus on factors that should be addressed prior to articulation therapy." – L.D. (July 2018)
"Wonderful course by Sandra! Very detailed and accurate descriptions. I am excited that more orofacial myology courses are being offered online and by expert presenters!" – A.U. (May 2018)
"It was good to hear more about negative oral habits. Sometimes I get too involved in observing function to notice what may be happening behind the scenes when I am not there that could be having a negative impact." – M.P. (Apr. 2018)
"This was a great introductory course to orofacial myology which is more than just "tongue thrust." It was a good review of various structural terms and the swallowing process that any SLP should know. I found the exercises given to work on keeping the "tongue on the spot" for the clients that have their tongue in the forward resting position particularly helpful. The videos of the various exercises further helped me feel confident in being able to do these exercises with my own clients." – A.L. (Apr. 2018)