$49.00 USD

97% rating - reviews

0.25  ASHA CEUs

Orofacial Myology/Tongue Thrust: An Introduction With Assessment Applications #e190


Presenter: Sandra R. Holtzman, MS, CCC-SLP, COM, QOM

Receive instruction for improving your client's lingual, labial and mandibular coordination skills.


"Because of this course, I feel ready to start making changes to the way I have done assessments and therapy for years. Best course I have ever taken!"

– J.R., prior course participant

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 Orofacial Myology training to SLPs, dentists and medical professionals.

Learn essential and invaluable information to help you maximize your pediatric and adult clients from “Basics to Habituation.” Participants will learn which barriers interfere with successful treatment and receive instruction for improving your client's lingual, labial and mandibular coordination skills.

Discussed are the procedures involved in examining various orofacial structures and functions. Participants will also learn a detailed sequence from start to finish of the oral preparatory phase of the swallow.

Course is offered for 0.25 ASHA CEUs – 2.5 Contact Hours.

Course Overview – Run Time: 2:47:23

  • Terminology
  • Historical Perspective
  • Normal Function
  • The SLP's Role
  • The Speech - Dental Connection
  • The Speech - Myofunctional Connection
  • Examination and Evaluation
"It was all extremely relevant to my work in early intervention and now I am very excited to learn more about orofacial myology. I liked the speaker. She conveyed the information in an organized and fun manner while also displaying her years of clinical expertise."

– S.M., prior course participant

The content of this online CE course does not focus exclusively on any specific proprietary product or service. The presenter is the author of the text, "Orofacial Myology: From Basics to Habituation" for which she receives royalties on its sale. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.

Course Format

Video PowerPoint presentation with author narration & downloadable handout. Stop and re-start the course at any point. Learners retain access to course content after completion for ongoing reference and review.

Reviews

"Learning the correct positions of tongue, teeth, lips. I liked the visuals and videos to support the narration." A.B. (Jan. 2023)

"Detailing scope of practice for Orofacial Myology and disorders it is meant to and can treat. I've been hearing of certain SLP's recommending it as a cure all and using the exercises for pretty much everything. Seems like everyone coming out of the clinic is being diagnosed with a tongue tie. I was especially taken aback when I started hearing of "posterior tongue tie." Thanks for addressing that!" X.O. (Jan. 2023)

"Practical. I liked the therapy techniques." J.D. (Jan. 2023)

"All of the information presented was beneficial to my daily practice! The link between habitual resting postures and articulation in connected speech vs. structured articulation practice will change the way I deliver articulation interventions. Clarity/organization of content, a little bit of humor, ability to go at my own pace, instructive visuals." A.S. (Jan. 2023)

"The entire course was fascinating and will change my practice. Clear explanations and videos to demonstrate technique." J.H. (Jan. 2023)

"Invaluable - measuring the frenum; learning the differences between overjet, overbite, crossbite. The "live" photos of structures vs drawings were so helpful." D.O. (Jan. 2023)

"I liked the functional activities that I can put into use immediately with students. The final 50 minutes of the presentation will change how I approach students and I will use the new strategies to help increase speech clarity and accurate motor planning." A.M. (Jan. 2023)

"I liked the introduction to terms/definitions, the breakdown of the methods, and learning that "tongue thrust" is not an actual helpful term. I liked the video examples." S.L. (Jan. 2023)

"I learned how to complete a thorough oral motor assessment that not only includes the frenum but the function of the tongue during the swallow. I liked the videos." W.H. (Jan. 2023)

"Goals, and specific steps were beneficial. I liked the application to articulation therapy." J.C. (Jan. 2023)

"Excellent and informative presenter. Assessing tongue tie and how negative oral habits can impact articulation precision was beneficial." T.H. (Jan. 2023)

"The anatomy and related physiology was very helpful. I liked the clear cut steps to determine the problem and how to decide on a treatment approach." C.S. (Dec. 2022)

"Negative oral habits and how they relate to speech production were beneficial. Liked that I could complete course at my own pace." C.M. (Dec. 2022)

"Everything in this course was well done. It answered some questions as I was thinking about some clients that exhibit some of these characteristics." A.C. (Dec. 2022)

"Explanation of habitual resting posture and its connection to speech production was beneficial. I liked the examples, pictures and methods for treatment." K.R. (Dec. 2022)

"Baseline measurements were beneficial. Course was easy to comprehend, good for an introduction course." L.R. (Dec. 2022)

"Nice sequence between observations, testing and treatment exercises." J.A. (Dec. 2022)

"The need to address oral resting posture BEFORE articulation. I liked the videos, pictures, and illustrations." A.S. (Dec. 2022)

"The steps to follow were helpful when beginning. Starting with observing habitual resting posture before proceeding with other assessments." J.A. (Dec. 2022)

"Provides information that can be immediately used." L.S. (Dec. 2022)

"Assessment of resting postures was helpful as well as the visual charts and photos." S.S. (Nov. 2022)

"I learned that the lip and tongue resting point is just as important as teaching placement of articulation sounds. I liked the videos and specific examples." T.C. (Nov. 2022)

"The dental information/terminology and lingual basics for proficiency criteria and methods to accomplish tasks were beneficial. I liked when the presenter provided pictures and videos to demonstrate." L.K. (Nov. 2022)

"I liked the exercises and videos." B.J. (Nov. 2022)

"The specific treatment suggestions for improving lingual control post frenectomy were helpful." R.R. (Nov. 2022)

"The entire course was extremely relevant. Very organized." E.B. (Nov. 2022)

"Very informative course." B.A. (Nov. 2022)

"Very good audio quality." L.J. (Nov. 2022)

"Good overall review of anatomy and how to relate it into practice." B.S. (Nov. 2022)

"I liked the exercises and mouth props." K.M. (Nov. 2022)

"The components of how to correct a tongue thrust and the video examples were good." L.B. (Nov. 2022)

"Discussion of specific exercises to target oral movement and resting posture were helpful to learn." M.C. (Oct. 2022)

"I liked the speaker's pace and energy." R.W. (Oct. 2022)

"I found the techniques beneficial for clients with orofacial concerns. The instructor was so knowledgeable and offered slides which I found extremely helpful." M.D. (Oct. 2022)

"I enjoyed the examples and videos." L.L. (Oct. 2022)

"Great exercises and examples on how to do the exercises." K.M. (Oct. 2022)

"The discussion of obligatory errors was very interesting in the aspect of exposing the source of many common errors." D.L. (Oct. 2022)

"I found it very helpful to look at the barriers, look at resting position, and consider training oral movement or differentiation patterns PRIOR to providing training on specific sounds, such as s/z or sh/j." V.D. (Oct. 2022)

"This is a good course to include as part of my training protocol for new hires." C.L. (Oct. 2022)

"The specific exercises used at the end were very helpful. Learning what to look for in an assessment was also great!" S.N. (Sept. 2022)

"The initial introduction to this topic covered a wide enough range of ideas to allow me to research it further and hopefully take another course." C.L. (Sept. 2022)

"The presenter was very clear and concise. I learned a lot to help me feel confident in treating this client population." J.L. (Sept. 2022)

"Very detailed description of normal versus disordered and clear definitions and explanations of terms."  M.V. (Sept. 2022)

"The discussion on how to begin the process for reducing tongue thrusting in regards to evaluating structures and resting/movement of tongue posture was great!  I like the use of visuals to provide more information on what I would be looking for."  S.M. (Sept. 2022)

"The specific exercises to help improve tongue function were beneficial."  E.J. (Sept. 2022)

"The course presented very clear, concise, and applicable suggestions for assessment and intervention."  P.H. (Sept. 2022)

"The step by step elicitation techniques were good to learn."  R.B. (Sept. 2022)

"The in depth oral facial exam in order to identify incorrect postures that may likely affect speech production was good."  C.L. (Sept. 2022)

"Identifying OMDS and providing appropriate support and referrals was good information."  M.A. (Aug. 2022)

"I like how it took me through step by step the "lingual basics" and the proficiency at each step before moving on."  N.H. (Aug. 2022)

"I found the specific exercises helpful as well as the steps to address prior to initiating articulation therapy."  S.H. (Aug. 2022)

"I enjoyed the review of dental aspects relating to speech therapy, the connection between the tongue and lips resting postures as they impact speech."  B.P. (Aug. 2022)

"Wow! there was so much more than I imagined. I will use all the tips on Finding the Spot that she mentioned. I do some now but she gave so many helpful suggestions to expand upon stabilizing the tongue and mandible.  There was a lot of good and practical information. I took it because I evaluated many kindergarteners with interdental lisps at the end of last year and now I will have new eyes to look at them with as first graders."  D.M. (Aug. 2022)

"Liked how functional and relevant it is. And specific exercises to incorporate that will serve as an important foundation for articulation therapy." L.H. (July 2022)

"The descriptions of the negative oral habits and the barriers to successful treatment as well as how habitual lingual and/or labial resting posture affect speech production and nasality were beneficial. I like when the presenter gave examples or showed videos of actual therapy." C.H. (July 2022)

"I liked the videos and the pace and comprehensiveness of the course, and the exercises that were discussed." J.T. (July 2022)

"Importance of tongue rest position related to speech production. I liked all the visuals." N.S. (July 2022)

"Learning how to assess the child was helpful, and how to treat the child." J.M. (July 2022)

"The whole topic was interesting as I had information from when I was a child in oral facial myology therapy, and how it has also changed since I was in college. I liked her understanding of the topic and her clarity in explaining the topic." J.D. (June 2022)

"Very clear talk, and the presentation was at a good pace. I liked the whole course." J.M. (June 2022)

"I liked the demonstrations and learning about how feeding can be impacted with prolonged thumb sucking or sippy cup use." C.M. (June 2022)

"Learning steps to decrease tongue thrust. I liked the patient videos." M.A. (June 2022)

"Great course. Gave me a lot of information that I can use for my oral motor evaluations." N.R. (June 2022)

"I liked the videos and connecting the swallowing process to speech production." C.G. (June 2022)

"I liked learning the importance of assessing airway concerns, negative oral habits, and resting tongue posture in my evaluation of speech and feeding with my current caseload. Understanding the impact of these factors helped me better understand how to help my patients. I really liked the question and answer format of her presentation. It felt more dynamic than presenters who read the slides." J.D. (Apr. 2022)

"The course is easy to understand given the number of pictures, diagrams, and descriptions." H.M. (Apr. 2022)

"The entire course is relevant for assessment and treatment. Clear presentation of information, pictures, and video examples." D.H. (Apr. 2022)

"The way it was presented was good – from background information to therapy techniques." K.E. (Mar. 2022)

"I found the detailed description of various tongue-ties and related disorders to be especially enlightening. I also appreciated the explicit descriptions and examples of positioning and production." S.S. (Mar. 2022)

"I liked the videos and visuals; without these it would have been hard to understand the content. Also, the specificity with some of the treatment measures." M.B. (Feb. 2022)

"Quality content and good use of example videos." V.J. (Feb. 2022)

"I liked the review of therapy orders for any child who may have concomitant issues or issues not primarily based on strictly speech sound errors, (i.e., not just /s/ errors)." J.M. (Feb. 2022)

“The presenter is knowledgeable, engaging, and clearly enjoys her work. The techniques were clearly explained.” V.P. (Jan. 2022)

"I liked treat the barriers first. Informative, video and picture examples, practical applications." C.M. (Jan. 2022)

"I liked the review of normal and disordered structures, assessment tools, treatment videos. Also the ability to stop and start, review." M.D. (Jan. 2022)

"Material was presented in a clear and organized manner." A.M. (Dec. 2021)

"Good use of visuals and handouts. Great information." R.H. (Dec. 2021)

"It was all extremely relevant to my work in early intervention and now I am very excited to learn more about orofacial myology.  I liked the speaker. She conveyed the information in an organized and fun manner while also displaying her years of clinical expertise." S.M. (Nov. 2021)

"I liked the practical exercises to achieve correct rest posture for the tongue."  M.D. (Oct. 2021)

"The assessments and the placement drills were beneficial. I will be doing this prior to treatment of sounds from here forward.  I liked the thoroughness of the programs." M.V. (Oct. 2021)

"It was good that she gives you a treatment program to begin with patients/ students. She is also very precise about each exercise, so that you know if you are doing it correctly.  I was very impressed by how much information she put in 2.5 hrs and how well organized it was- this makes it easier to digest. And I'm so grateful that I can go back and review the info because most of it was new for me. I definitely did not get it all the first time. I've gone back to listen to sections of it already to help learn better her specific exercises. Thank you!" J.R. (Aug. 2021)

"I have been seeing a lot of students whom I suspect of having orofacial myology dysfunction to some extent. This course gave me things to look for during my oral examinations to determine whether or not this may be impacting a child's articulation. I appreciated being able to do the course on my own schedule." D.M. (Aug. 2021)

"The correlation of resting tongue position to speech production. If you address the cause of the problem you truly address the needs of the child." C.M. (Aug. 2021)

"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. (Jul. 2021)

"Sandra's definition of Orofacial Myology is the clearest in my mind on explaining what it is about." K.R. (Jun. 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)

“Because of this course, I feel ready to start making changes to the way I have done assessments and therapy for years. Presenter repeated what was important, and 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)

Course Objectives

  1. Describe the symptoms of an oral myofunctional disorder.
  2. List the barriers to successful treatment for various speech disorders.
  3. Describe the correct resting postures of tongue, lips, and mandible and why precise speech depends on those correct resting postures.
  4. Define baselines for masseters, mentalis and orbicularis oris musculature.
  5. Tell the importance of a correct nasal breathing pattern.
  6. Describe the procedures involved in examining various orofacial structures and functions.
  7. List the basic dental terminology used to describe normal and abnormal occlusion.

Presenter & Disclosures

Sandra R. Holtzman, MS, CCC-SLP, COM, QOM, is an ASHA certified speech-language pathologist who has specialized in orofacial myology for most of her career. She is director of Neo-Health Services, Inc., an organization that provides continuing education training and supplies related to orofacial myology. Sandra and her team developed the Qualification in Orofacial Myology (QOM) to provide this highly respected and recognized credential to professionals in speech pathology and dentistry/orthodontics. She is author of Orofacial Myology: From Basics to Habituation (aka the “Myo Manual”) as well as programs for elimination of oral habits.

Speaker Disclosures:

Financial — Sandra Holtzman is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — Sandra Holtzman is the author of the text "Orofacial Myology: From Basics to Habituation"; receives royalties.

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/Accreditation

asha ce approved provider

This program is offered for 0.25 ASHA CEUs (Intermediate Level; Professional Area).

Intended Audience

  • SLP

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:

  • 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.

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:

  • 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.

Frequently Asked Questions

Customer Support: Please phone 888.337.3866 or email info@northernspeech.com.

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.

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 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:

Purchase orders are currently not accepted for online orders, if you wish to submit a purchase order please do so at info@northernspeech.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.

Receiving CEUs:

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.

Testing requirements:

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.

Course formats:

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.

Course handouts:

Most of our online courses provide a link to download the accompanying handout as a PDF file. 

Group discounts:

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.

Computer requirements:

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. 

Special Needs:

Please click here for any special needs requests, and we will do our best to accommodate them. 

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