Transcript Myofunctional Therapy - Santa Cruz Osteopathy

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=pdDsMCv
DN5Q