Course Descriptions Oral Motor Assessment & Intervention Oro-facial Deep Tissue Release Oral Motor Assessment & Intervention Course Description Oral motor impairment presents a variety of challenges for both the individual affected, and for the care team providing intervention. Often the individual experiencing oral motor difficulties is not able to follow commands. The person may not be eating or taking fluids orally, which reduces the opportunities for observation of oral movement patterns. The majority of baseline protocols currently available require at least minimal direction-following skills. The protocol developed by Beckman uses mechanical muscle response, which are not mediated cognitively, to baseline the response to pressure and movement, range of movement, variety of movement, strength of movement and control of movement for the lips, cheeks, jaw, and tongue. In this two day course, participants will actively participate in hands-on practice for compensatory handling techniques for the following concerns: tonic bite, tonic bite on a utensil, slow oral transit, tongue thrust, cough, gag and vomit. The participants will complete an oral motor protocol with each other, analyze the results, and discuss data tracking. The participants will also complete hands-on practice for specific oral motor interventions to address the deficit areas discovered during baseline assessment. Additional topics of discussion may include: goal writing, diet texture progression, tube to oral issues, adaptive mealtime utensils, oral hygiene issues, medication administration issues, oral function for individuals with trachs, facilitating improved articulation through oral motor techniques, research issues, videofluroscopy issues for motorically involved individuals, and additional topics of importance as determined by the participants. The information and techniques presented are inclusive, and should augment the skills and knowledge base of each participant. Participants: Licensed speech pathologists and occupational therapists Intermediate Level (participant has knowledge of oral structures, muscles and innervations) Course Objectives: Participants will: Demonstrate assessment battery for determining orofacial movement patterns using the Beckman protocol Demonstrate compensatory handling techniques Demonstrate oral motor interventions and treatment techniques Pre-Post Questions How does sensory input affect oral motor patterns? How does gravity affect oral motor patterns? What components must be assessed to determine oral motor function? What interventions would increase secretion control and decrease drooling? What interventions would decrease tongue thrust? Oro-facial Deep Tissue Release Course Description During this course, participants who have previously attended the Beckman two day course will practice specific deep tissue release for the upper and lower lips, upper and lower cheeks, midface, jaw and tongue. These interventions focus on increased range of movement for these structures. In addition, participants will have the opportunity to review techniques about which they have questions from the two day course. Participants are invited to bring videotaped case studies for discussion and problem solving. INSTRUCTIONAL LEVEL - ADVANCED INSTRUCTIONAL OBJECTIVES Demonstrate intervention options for mobility of the lips, cheeks, midface, jaw and tongue using deep tissue release Problem solve issues regarding client specific oral motor and mealtime concerns Demonstrate oral motor assessment and intervention techniques as determined by the participants