$49.00 USD

98% rating - reviews

0.25  ASHA CEUs

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


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

Ankyloglossia – What is our role and responsibility as an SLP?


"It was all very useful information! I have a client that has been getting different advice from doctors and dentists. I think I am much more equipped now to give her good advice."

– K.R., prior course participant

Read more comments about this course!

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 all 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, swallowing considerations, and most importantly the speech connection. Participants will be introduced to assessments and various techniques used to release the lingual frenum.

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

Course Overview – Run Time: 2:30:13

  1. Introduction
  2. Possible Consequences
  3. Putting Ourselves in Their Place
  4. Assessing, Grading Systems, and Case Examples
  5. Swallowing and Tongue-Tie
  6. Case Studies
  7. Helpful Descriptions and Assessment Tools
  8. Surgical Options
  9. What is Our Role and Responsibility as an SLP?
"I have a feeding and language evaluation for a 22 month old this week. Her mother has concern for lip and tongue tie. Clearly, this course will be very beneficial in my evaluation procedures and treatment with this client, as well as others on my caseload. I will definitely use my knowledge gained in this area moving forward. The content was heavily clinically based and therefore can easily be applied in daily practice."

– S.F., prior course participant

Read more comments about this course!

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. Stop and re-start the course at any point. Learners retain access to course content after completion for ongoing reference and review.

Reviews

"I appreciated knowing about the assessments that are available. I liked the videos. I liked the presenter's organization of information. I liked the information." K.H. (Feb. 2024)

"The entire course was excellent, and I plan to contact S. Holtzman with more questions. I was able to learn it at my own pace. S. Holtzman was knowledgeable, and I plan to take more of her courses that are offered through Northern Speech Services." K.B. (Feb. 2024)

"Tongue-related issues and the seriousness of tongue tie affecting patients were beneficial to discuss. The course was thorough and complete." S.W. (Feb. 2024)

"All was beneficial. The most were the videos. This was excellent information. The videos are short and understandable." R.K. (Feb. 2024)

"Beneficial protocol. I liked that I could take the course in my free time." A.G. (Feb. 2024)

"Highly recommend; the speaker was very knowledgeable; excellent content; great topic." S.D. (Feb. 2024)

"I enjoyed the video and picture examples. I had no idea that 1/3 of tongue tie releases performed in infancy may need to be done again." S.M. (Feb. 2024)

"The photos and examples were helpful. I liked learning what to use for an assessment." J.M. (Feb. 2024)

"The assessments and our roles as SLPs were helpful. I liked the thorough information." L.L. (Jan. 2024)

"I found the images very helpful in screening/assessing for tongue tie. Information was organized and comprehensive." C.L. (Jan. 2024)

"Assessing tongue tie and what is our role was beneficial. Very smooth and directed course. I liked the example with the video." Z.A. (Jan. 2024)

"Assessment tools, TAP, and learning more in-depth about our role as the SLP were beneficial. I enjoyed the visuals and ease of following along." E.S. (Jan. 2024)

"The scope and sequence of information provided was excellent. I liked discussing the criteria for identification and determination for surgery." J.B. (Jan. 2024)

"Discussing SLP's role in tongue tie was helpful. I enjoyed the discussion of assessment tools." M.M. (Jan. 2024)

"The TAP was a beneficial topic. Practical and clear info." M.K. (Jan. 2024)

"Discussing how to identify a tongue tie that may need to be released was beneficial. I learned new information." B.F. (Jan. 2024)

"I liked the specific examples of what clients look like, effects on function, and assessment criteria. Clear pictures of clients and a rundown of assessment criteria." L.M. (Dec. 2023)

"I liked the photo examples. The tongue tie assessment was helpful." C.W. (Dec. 2023)

"The evaluation and pictures were beneficial. I liked the diagnosis." A.C. (Dec. 2023)

"Every topic in this presentation was helpful in understanding the impact on speech and swallowing. Very thorough course." T.M. (Dec. 2023)

"This was an outstanding course. I learned so much and I am a professional with over 25 years of experience. The content is factual, appropriate, and evidence based. I appreciate the excellent citation of research and case studies." A.O. (Dec. 2023)

"This course was thorough. It was beneficial to discuss how to determine the need for surgery and exercises to do post-surgery." T.W. (Dec. 2023)

"Clear and interesting. Excellent evidence and resources for professionals. I never had this information in grad school and it is very valuable as we continue to see increasing numbers of clients with ankyloglossia." A.O. (Dec. 2023)

"The presenter was awesome and gave a clear and comprehensive overview of tongue tie. I gained new knowledge of how and what to look for as far as the tongue related to ankyloglossia. All the information, photos, and videos were great, as well as the methods used to measure tongue tie." E.V. (Dec. 2023)

"Discussing the role of the SLP in diagnosing tongue-tie was beneficial. I liked the slides and videos." M.B. (Dec. 2023)

"It was beneficial to discuss the symptoms and effects that ankyloglossia can have during a lifespan. This course was thorough on how to identify different grades of ankyloglossia." J.C. (Dec. 2023)

"The assessment of tongue tie was beneficial. I liked the videos and overall education." T.H. (Dec. 2023)

"I liked the actual pictures to describe. The course organization was clear." S.G. (Nov. 2023)

"Discussing how to assess and provide data to advocate for our pts was beneficial. I liked that the course was self-paced." R.K. (Nov. 2023)

"Tongue tie surgical procedures were helpful to discuss. I liked the photos and descriptions." B.G. (Nov. 2023)

"The course was so clearly presented! I liked the specific assessment protocols and discussion of normal vs abnormal." A.H. (Oct. 2023)

"I found this course very interesting and helpful. I liked everything! Easy to listen to - great things to be aware of and to look for when assessing students." C.B. (Oct. 2023)

"Learning assessment tools and when/if to refer. I liked the segmentation of information." T.M. (Oct. 2023)

"Instructor was highly engaging. Assessment information and information on the different types of tongue tie was beneficial and how they can vary based on attachment. I liked the clinical photos and videos." K.K. (Oct. 2023)

"I loved how this course went into all of the ways that ankyloglossia can affect a person beyond just feeding in infants and speech sounds in older individuals. I needed and will benefit greatly from this information. I loved the pacing of the course, including the different sections to listen to." L.F. (Oct. 2023)

"This course helped me in making a decision about a child that I have been having a hard time making a decision about. I liked the pre-test section and the information about the TAP. Specific tools were recommended and visuals of different types of tongue ties." J.L. (Oct. 2023)

"Learning the SLP role in this area. I liked the assessment tools, videos, pictures." B.T. (Oct. 2023)

"What an amazing introduction. The information shared here made me hungry to learn more. I liked the case studies, and examples were given to support learning new terminology." L.S. (Oct. 2023)

"I appreciated learning more conversation points about complications. Excellent pace and explanation." J.C. (Oct. 2023)

"Learning prevalence in newborns. I liked the images and assessment tool review." M.F. (Oct. 2023)

"Practical information. Assessment of tongue tie was beneficial." L.V. (Oct. 2023)

"I found it all to be super helpful. I loved everything about this course." V.B. (Sep. 2023)

"It is very useful to have a sense of the meaning (or lack of meaning) of buzz words like Posterior Tongue Tie. And, most importantly, it is very useful to have more knowledge on a functional analysis for tongue tie. I liked the coverage of multiple ways to assess tongue tie. I plan to learn more about Hazelbaker's tool, since I work with small children." J.W. (Sep. 2023)

"I liked the assessment tools discussed, and the visuals." R.A. (Sep. 2023)

"Well organized information and clear presentation. Learning how to evaluate patients for a tongue tie." R.M. (Sep. 2023)

"Identifying tongue tie and explaining the importance and impact to parents and follow up after surgery. I liked the photo examples and videos." C.P. (Sep. 2023)

"Beneficial assessment tools and pre/post frenectomy assessment data measures. I liked the wealth of content covered, visuals/pictures, and additional available resources." T.W. (Sep. 2023)

"Photos, videos and descriptions of what to look for when assessing tongue tie were helpful. I liked the information on consequences of tongue tie, practical information re: assessment, identification and treatment." J.B. (Sep. 2023)

"The speaker was great." C.P. (Sep. 2023)

"I feel better equipped now to educate parents regarding the impact of a potential tongue tie to feeding and speech. I liked the pictures and sequence." E.K. (Jul. 2023)

"How to measure and learning the types of tongue tie was beneficial. I was not familiar with the different types. Course was very informative, and I liked that I learned at my own pace." K.T. (Jul. 2023)

"Learning how to assess for tongue tie for both infants and toddlers as well as when to refer for release of a tie was beneficial. I liked the different assessment tools available." E.L. (Jul. 2023)

"This was an excellent seminar explaining tongue tie. It educated me on the many different problems a tongue-tied individual can experience other than difficulty with speech. This topic is not addressed sufficiently in formal graduate programs or at least when I went to school many years ago. Well done!" C.T. (Jun. 2023)

"I liked the pre & post test procedures to assess tongue function. Real life pictures and videos." A.M. (Jun. 2023)

"This course was so well organized and comprehensive. It provided information that I will integrate into my therapy skills and has made me think about "tongue tie" with a whole new perspective. The extensive investigation and presentation of the variations in ankyloglossia was beneficial. Additionally, I was impressed with how the course was so clearly presented in different sections and the presenter's investment in the material. The resources provided will surely prove to be helpful." J.H. (Jun. 2023)

"Made me aware of all the different areas of life that tongue tie impacts. I liked the photos of different types of tongue ties." J.F. (Jun. 2023)

"I liked the specifics of screening and associated problems that will lead me to look for tongue tie." B.L. (Jun. 2023)

"I learned information that I can apply in my practice immediately with clients across the lifespan. It was also wonderful to be provided with slides to take notes on." M.C. (Jun. 2023)

"Tongue tie variations, detail of assessments, presenter's own clinical experience with tongue tie functionally impaired individuals, rationale for SLP involvement, were all beneficial topics. I liked the detailed information provided. Good speaking rate." G.T. (Jun. 2023)

"Measurements, referrals, etc were beneficial. I liked that this course gives a timeline and protocol on how to treat tongue tie." N.E. (Jun. 2023)

"I liked the visuals, descriptions, and the pictured examples provided. Both research-based and extensive experience-based information." K.W. (May 2023)

"Learning responsibility & roles of SLP in regard to tongue tie. The many pictures & examples of various tongue tie were beneficial. I liked the visuals, videos, and clear explanations." E.B. (May 2023)

"Assessment of ankyloglossia was beneficial. Good pace, well-organized course. The presenter made the material interesting." E.G. (May 2023)

"Clear examples of how a tongue tie can impact so many different areas and what to look for when performing an oral mech exam." K.W. (May 2023)

"Assessment of tongue and lip tie and impact on oral function was beneficial. I liked the pictures and functional application as well as ways to address the issue once diagnosed." K.F. (May 2023)

"The topic on tongue tie and breastfeeding was beneficial. I liked the use of research." L.S. (May 2023)

"The details of ankyloglossia were beneficial. I liked the case study videos." C.S. (May 2023)

"Learning how to determine if a person may have a tongue tie that impacted them. I liked the videos and examples." C.H. (Apr. 2023)

"Specific measurement tools. I liked the examples via slides." J.F. (Apr. 2023)

"Learning what exactly to look for in an oral motor eval. I liked the videos." K.M. (Apr. 2023)

"I liked the discussion regarding assessment. The visual examples and case studies were helpful." J.H. (Apr. 2023)

"It was all very useful information! I have a client that has been getting different advice from doctors and dentists. I think I am much more equipped now to give her good advice." K.R. (Apr. 2023)

"Assessing tongue tie, and the impact it has on speech. I liked the pictures with the explanations, the videos helped too. It really helps to have an analysis of the study that has guided the ASHA position on tongue tie that is currently published as a guide for SLPs to use in practice. I would hope that those with this expertise would help get more of this into the practice portal." J.F. (Apr. 2023)

"I loved the pictures, examples, and video demonstrations. I most appreciated the discussion of current ASHA statements and other SLP statements regarding tongue tie, as it often seems to me that they do not take into account the multifaceted way that tethered oral tissues might impact many different aspects of speech." H.V. (Mar. 2023)

"Treatment of Ankyloglossia was beneficial. I liked the division of the content into smaller subsets of information." E.H. (Mar. 2023)

"To the point and thorough course. I liked the tongue tie assessments and case studies." M.O. (Mar. 2023)

"Just interesting overall!" A.R. (Mar. 2023)

"The entire presentation was extremely informative and helpful. I liked the videos presented." W.S. (Feb. 2023)

"I now feel more confident to assess tongue ties. The pictures and videos were helpful." M.G. (Feb. 2023)

"I liked the assessment content, pictures, and videos. The course is short and comprehensive." A.B. (Feb. 2023)

"Excellent overview of diagnosis and treatment. Included both infant and adult." J.J. (Feb. 2023)

"Learning types of surgeries and their differences for ankyloglossia. Great pictures and videos to explain everything." M.K. (Feb. 2023)

"The quick tongue tie assessment will help me when working with toddlers in their home. I liked that course was broken into sections and didn't seem too overwhelming." L.S. (Feb. 2023)

"Learning my role as an SLP. I liked everything." C.A. (Feb. 2023)

"I liked the assessment information. And that course could be completed on my timeline." L.S. (Feb. 2023)

"The sections were separated into different areas and I could easily refer back to an area if needed without having to look through an entire recording." M.F. (Feb. 2023)

"Assessment of tongue tie. I liked the photos and videos." J.C. (Feb. 2023)

"The images of tongue ties were beneficial. Different sections made it easy to watch." D.C. (Feb. 2023)

"Visual and functional assessments. I liked the many examples." C.L. (Feb. 2023)

"Good case study examples." J.W. (Feb. 2023)

"All of it! I liked the slides and videos." S.R. (Feb. 2023)

"Possible SID connection and other physiological connections was beneficial. Learning new, unknown data." M.B. (Feb. 2023)

"All of it!!! I have not had this in-depth of a training on this topic. The course was easy to take." R.S. (Jan. 2023)

"Clear guidelines of how to deal with tongue tie. Learning the importance of the frenectomy and avoiding the “wait and see approach." A.L. (Jan. 2023)

"Every word is gold." E.M. (Jan. 2023)

"The visuals showing varying levels and types of tongue tie were very helpful. Prior to this course, I was using generic "assessment" criteria to determine the presence of a tongue tie and although I have referred to ENTs for further evaluation, I was fine with the wait and see approach. Now that I understand more, I will be more diligent in advocating for patients to have correction sooner rather than later." K.R. (Jan. 2023)

"Functional assessment. I liked the photos of patients for real examples." A.H. (Jan. 2023)

"The discussion of different assessments and collaboration with the use of visuals was helpful." M.K. (Jan. 2023)

"Course was thorough but concise." Z.W. (Jan. 2023)

"Practical information. I also liked how the course was broken into short segments." J.A. (Jan. 2023)

"The emphasis that tongue tie diagnosis and subsequent treatment need not follow the wait-and-see method was beneficial....that action is warranted upon discovery. The case studies and visuals were very beneficial in tying the presentation altogether." K.W. (Dec. 2022)

"This entire presentation was fabulous. I liked the numerous examples of real clients and variations." C.S. (Dec. 2022)

"I had tons of questions about my patients that present as tongue tied and I found answers to those questions in this course." L.L. (Dec. 2022)

"How to do an assessment before and after surgery was beneficial. I liked the way all the information was organized." F.B. (Dec. 2022)

"Identifying different types of tongue tie and using assessment tools to determine need for surgery was beneficial." X.O. (Dec. 2022)

"I think resources regarding appearance and testing will be helpful for my daily practice. I liked that course was easily accessible." A.A. (Dec. 2022)

"The assessment protocols were great! This course had a great presenter who is very knowledgeable." E.S. (Dec. 2022)

"It was all relevant, well prepared and well delivered. Immediately relevant in clinical practice." J.A. (Dec. 2022)

"Very easy to understand and contrasting with a study that does not think tongue tie affects speech. Learning how to determine the different types of tongue ties was helpful." K.H. (Nov. 2022)

"Great pictures and examples! I have some children with combination of feeding issues (chewing, forming bolus, and open mouth) and stubborn, peculiar speech errors/patterns. I have been suspicious of tongue tie for a while, and now I know more and feel more prepared at what to look for and feel more empowered to refer to the ENT." K.S. (Nov. 2022)

"All of the material was extremely helpful. I liked the videos." L.K. (Nov. 2022)

"Covered specific things to look for when diagnosing tongue tie. I liked the pictures of tongues with examples of ties." S.M. (Nov. 2022)

"Very thorough and with case study examples." A.B. (Oct. 2022)

"It was both informational and brief with good assessment and therapy recs." K.G. (Oct. 2022)

"I found it helpful to hear the benefits of eliminating tongue tie for a pt's well-being with feeding, speech, etc. I liked how the course was divided into sections so that I could complete the course at various times." S.A. (Oct. 2022)

"Clear and informative. Learning information not received elsewhere. Learning signs of possible ankyloglossia in babies." S.H. (Oct. 2022)

"I found the diagnostics the most beneficial. I now feel more confident when I get referrals for tongue tie." D.L. (Oct. 2022)

"All of the material was very helpful. The photos help give a better visual when determining tongue tie." R.M. (Oct. 2022)

"I liked the case studies and pictures for examples." J.T. (Sept. 2022)

"I liked the images of different presentations of tongue tie." M.C. (Sept. 2022)

"I enjoyed the entire presentation. I liked how the assessments and treatments were laid out." J.M. (Aug. 2022)

"Great information in a timely manner." C.S. (Aug. 2022)

"I liked that the presentation was sectioned off into various parts to help with the flow of information." L.G. (Aug. 2022)

"Thorough presentation." C.C. (July 2022)

"I found the case studies beneficial. And really thinking it through before using the "wait and see" approach."  T.S. (July 2022)

"This was a great course to play for the student I have in clinic this semester. The background information was great for her, as she is just learning about tongue ties. The last section was most helpful for me. My student is just learning about TOTs and I wanted her to hear some of this information from someone other than myself!" A.P. (July 2022)

"It was very informative and the videos were helpful. Learning the multitude of complications (aside from speech) that can result from not having tongue tie release!" S.K. (July 2022)

"Learning some keywords to use to describe what I am seeing during assessments was good. The course was filled with content, yet highly interesting and not drawn out." V.G. (June 2022)

"It was interesting and an eye opener to learn about the different kinds of lingual attachments. Prior to this course, I hadn't seen one where the tongue tip attached to the lower mandibular. Lots of visual and examples to review! Thank you!" B.D. (June 2022)

"The whole course was extremely helpful! I will be able to reassess those articulation cases that are not generalizing and teams (including parents) have had questions about. Every detail of therapy was covered - diagnostics, treatment, programs. Liked the ease of accessing, home study, and ability to stop when needed. I really liked that the topics were broken into specific sections. The flow of information - organization - speaker's descriptions - discussion, backed by videos and pictures - and evidence based - all great."  K.H. (June 2022)

"Exposure to different assessments as well as information regarding issues possibly related to tongue-tie were good." K.G. (June 2022)

"The various ways of assessing tongue ties were very useful information, as were the case studies." M.K. (May 2022)

"How it applied to infants as that is the population that I work with. I was very interested in the information that the labial frenulum should be checked when the tongue is checked as it also can affect breast feeding and production of bi-labial sounds." J.D. (May 2022)

"Information was well organized and easily applied. I liked the tests to determine severity of tongue tie." A.P. (Apr. 2022)

"I liked the different case examples, and learning how to assess tongue ties and the type of assessments that can be used." G.B. (Apr. 2022)

"The video and picture examples are very helpful." E.E. (Mar. 2022)

"All sections were extremely valuable and informative." J.L. (Mar. 2022)

"Gave a lot of information and examples of what to look for in terms of tongue tie." A.S. (Mar. 2022)

"The assessment protocols were very enlightening. Excellent examples and pictures." R.J. (Feb. 2022)

"At your own pace; broken into sections provides a break from a large amount of information at one time." S.C. (Feb. 2022)

"Great videos/photos as examples. I like the use of case studies." J.P. (Feb. 2022)

"The examples of real cases were great and I loved the overview of assessments. The course was well organized." J.C. (Jan. 2022)

"The whole presentation was excellent. I only wish I had had this level of depth back in school. The presentation was well organized. The examples were frequent and relevant. The information was top notch, and the importance of the work was highlighted well." L.M. (Dec. 2021)

"I loved the presenters passion and really value the information on a person level as all 3 of my children were born tied."  S.B. (Dec. 2021)

"I liked all of the picture examples and explanations." A.S. (Dec. 2021)

"All of the course was beneficial! I'm really glad you reviewed that article in the end. I'm sure I read that at some point-and sadly, it was the extent of my knowledge.  It was all information that I always wondered about and searched for, but couldn't find."  S.N. (Nov. 2021)

"I've never understood the significance of the short frenum to non-speech performance such as swallowing. I haven't given tongue tie enough attention in my evaluations. I will be much more careful in my future examinations. Excellent exposure to the topic of tongue tie. Pictures and videos very helpful"  L.S. (Nov. 2021)

"The discussion about use of standardized assessment tools to present the results to Drs (and insurance companies ) to report the degree of tongue-ties in need of Frenectomy was beneficial for my daily practice.  I liked the descriptions of photos and videos of children and adults with different types of tongue-ties and lip-tie and problems they can cause."  T.D. (Oct. 2021)

"Diagnosing of tongue ties based on visual and functional assessments. Practical information on how to evaluate and treat clients with tongue tie."  M.M. (Oct. 2021)

"I have a feeding and language evaluation for a 22 month old this week. Her mother has concern for lip and tongue tie. Clearly, this course will be very beneficial in my evaluation procedures and treatment with this client, as well as others on my caseload. My graduate school professor strongly felt as though frenectomies were performed too frequently. I am thankful for this course to give me a different perspective and new considerations toward the procedures. I will definitely use my knowledge gained in this area moving forward. The presenter gave clinically relevant and research based information. The content was heavily clinically based and therefore can easily be applied in daily practice." S.F. (Sept. 2021)

"The prevalence of a tongue tie and its effect on lots of skills was helpful." L.D. (Aug. 2021)

"Explanation of the varying degrees of tongue tie & specific tests to determine the need for surgery were helpful for my daily practice. Videos and photo support during the presentation were good." K.T. (Aug. 2021)

"The course was so thorough on the topic of tongue ties and provided ways to assess and determine if there is a tongue tie." C.M. (Aug. 2021)

"The importance of a thorough assessment and impact of tongue-tie will help my daily practice." C.C. (July 2021)

"Excellent photographs and examples to help SLPs be more comfortable with the wide range of positions of the frenulum. Great data driven information and case studies which show the importance of considering surgery or not." A.F. (July 2021)

"I am just finishing the Myo one year course with Hallie Bulkin and she mentioned you several times so I wanted to get the benefit of your course. This was a great overview. The descriptions with pictures of tongue ties, the definitions, the assessments were all very clear and concise." H.S. (June 2021)

“I really enjoyed all of it and will review and study the material so that I can better serve the children I see in my practice.” J.B. (Mar. 2021)

“It was very thorough, and the instructor was clear and highly knowledgeable. I took this course as a refresher as I took an in-depth course with Sandra before. Her expertise is essential to our field to be effective with our clients. The visuals and thorough examination of the lingual frenulum (areas of attachment, size, and appearance) were for me the best part.” R.T. (Feb. 2021)

Course Objectives

  1. Describe the link between ankyloglossia and certain types of speech disorders.
  2. Define and describe ankyloglossia in its many forms.
  3. Describe the deleterious effects of tongue tie on normal oral motor functions including the preparatory stage of the swallow process.
  4. Describe the QTT "quick tongue-tie assessment" for tongue-tie.
  5. Describe two types of formal assessments.

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.
  • 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.

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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