Myofunctional Therapy

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Presentation transcript:

Myofunctional Therapy Annette Hulse, DO 9-18-2016 www.SantaCruzOsteopathy.com/Slides

Osteopathic Principles Function and structure are reciprocally inter-related

Nose & nasopharynx: breathing

Mouth & oropharynx: eating

Laryngopharynx: Speaking + coordinating

Functions of the Face Mouth & Pharynx Suck/Swallow Breathe Chew/Swallow Speech

Infant (Visceral) Swallow Jaws apart Tongue between gum pads Mandible stabilized by facial muscles (CN VII) & tongue Vigorous lip/cheek contractions Swallow guided/controlled lips and tongue

Mature Swallow Teeth together Mandible stabilized by muscles of mastication (CN V) Tongue tip up on palate NO lip contractions Usually by 18-24 months

How Do We Treat the Function?

Buteyko Breathing

Breathing Wind instruments (e.g. Didgeridoo) Singing (esp. choral)

Tongue

Myofunctional Exercises Tongue exercises include: Move tongue along the superior and lateral surfaces of teeth Position the tongue tip up on hard palate (“the spot”) Suck up entire tongue against palate (“caves”) Force tongue onto floor of mouth

Facial Muscles

Myofunctional Exercises Facial exercises Lip (contraction and relaxation of the orbicularis oris) Buccinators (suction and expand) Jaw muscles (lateral jaw movements)

Myofunctional Exercises Stomatognathic functions (swallowing and chewing exercises) swallowing with teeth together & tongue positioned in palate alternating chewing sides

When Should You Refer?

Tongue Tie

Mouth Breathing

Sleep Apnea

Systematic Review in 2015 Myofunctional therapy decreases AHI by ~50% in adults and 62% in children Camacho M, Certal V, Abdullatif J, et al. Myofunctional Therapy to Treat Obstructive Sleep Apnea: A Systematic Review and Meta-analysis. Sleep. 2015;38(5):669-675. doi:10.5665/sleep.4652. www.ncbi.nlm.nih.gov/pmc/articles/PMC4402674/

Thumb/Finger Sucking

Thumb/Finger Sucking

Thumb/Finger Sucking

Abnormal Tongue Postures

How Do You Find a Myofunctional Therapist?

Aomtinfo.org

Online Resources www.youtube.com/watch?v=pdDsMCvDN5Q