Routine For: Stroke Oral Motor Routine

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Priscilla Charles
5 years ago
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1 GENERAL TIPS FOR PATIENTS, STUDENTS, OR CAREGIVERS GENERAL TIPS (Continued) ALWAYS wash hands before practicing. Practice while sitting in chair. Head should be in midline and chin parallel to floor Use a mirror whenever possible to assure desired oral and facial posturing. Breathe regularly during ALL exercises. Even if holding air in mouth, breathe through nose. Be sure to report to your Therapist any problems encountered during practice sessions. You may not be expeced to match the degree of the position shown in an exercise picture. Your Therapist will talk to you about your desired goal. CHEEK EXERCISES: GENERAL TIPS CHEEK SENSORY - 5 Intra-Oral Air Stimulation: Sides Keep lips closed during all movements, except when told to open mouth. Suck in air. Close lips and push air into both cheek cavities. Avoid pushing out lips. not allow air to escape. For exercises using both sides, it is important to move both sides evenly and not to move one side faster than the other. Remember the illustrated positions may be beyond your ability, but will help you with the desired muscle movements. Page 1 of 5

2 CHEEK SENSORY - 7 Intra-Oral Air Stimulation Side Alternating CHEEK SENSORY - 6 Intra-Oral Air Stimulation Sides to Front Suck in air. Close lips and push air into cheek cavity. Shift air from one cheek to the other. Alternate sides one time per Suck in air. Close lips and press air into both cheek cavities. Shift air to front of mouth keeping lips sealed. last position CHEEK MOTOR - 2 Elevation: Sides CHEEK MOTOR - 3 Elevation: Side Alternating Lift both cheeks evenly toward eyes in a squint. Keep lips closed. Lift one cheek toward eye. Then lift cheek on other side. Alternate sides one time per Page 2 of 5

3 CHEEK MOTOR - 5 Retraction: Sides CHEEK MOTOR - 6 Retraction: Side Alternating Pull cheeks back evenly toward ears on both sides. Keep lips closed. Pull back cheek toward ear on one side. Then pull back on other side. Keep lips closed. Alternate sides one time per LIP MOTOR - 1 Neutral Position: Closure With Pressure LIP MOTOR - 2 Protrusion: Center with Closure Press lips tightly together in a pursing position. with voice making "m" sound. puff of air making "p"sound. voice making "b" sound. sessions Keeping lips together, push them forward into a pucker. Keep lips in center of face, in line with nose. sessions Page 3 of 5

4 TONGUE SENSORY - 9 Teeth Stimulation: Center Middle TONGUE MOTOR - 1 Protrusion: Center Stretch Push tongue forward so middle is between teeth. May manually assist placement of tongue. Bite down so pressure is felt, but without hurting or damaging tongue. Keep tongue tip pointed. Feel the stretch in the back of the tongue. TONGUE MOTOR - 3 Protrusion: Center Stretch Tip Lift TONGUE MOTOR - 5 Protrusion Center Stretch Tip Lower Lift tongue tip while keeping tongue Lower tongue tip while keeping tongue Page 4 of 5

5 TONGUE MOTOR - 2 Lateralization: Outside Lip Stretch TONGUE MOTOR - 4 Lateralization Outside Lip Stretch Tip Lift Push tongue to the corner of mouth. Keep the tongue pointed. Feel the tongue stretch. Push tongue to the corner of mouth. Keep tongue stretched while lifting tongue tip. Page 5 of 5

6 CHART COPY Routine For: GENERAL TIPS FOR PATIENTS, STUDENTS, OR CAREGIVERS GENERAL TIPS (Continued) CHEEK EXERCISES: GENERAL TIPS ALWAYS wash hands before practicing. Practice while sitting in chair. Head should be in midline and chin parallel to floor Use a mirror whenever possible to assure desired oral and facial posturing. Breathe regularly during ALL exercises. Even if holding air in mouth, breathe through nose. Be sure to report to your Therapist any problems encountered during practice sessions. You may not be expeced to match the degree of the position shown in an exercise picture. Your Therapist will talk to you about your desired goal. Keep lips closed during all movements, except when told to open mouth. For exercises using both sides, it is important to move both sides evenly and not to move one side faster than the other. Remember the illustrated positions may be beyond your ability, but will help you with the desired muscle movements. CHEEK SENSORY - 5 Intra-Oral Air Stimulation: Sides CHEEK SENSORY - 7 Intra-Oral Air Stimulation Side Alternating CHEEK SENSORY - 6 Intra-Oral Air Stimulation Sides to Front Suck in air. Close lips and push air into both cheek cavities. Avoid pushing out lips. not allow air to escape. Suck in air. Close lips and push air into cheek cavity. Shift air from one cheek to the other. Alternate sides one time per Suck in air. Close lips and press air into both cheek cavities. Shift air to front of mouth keeping lips sealed. last position CHEEK MOTOR - 2 Elevation: Sides CHEEK MOTOR - 3 Elevation: Side Alternating CHEEK MOTOR - 5 Retraction: Sides Lift both cheeks evenly toward eyes in a squint. Keep lips closed. Pull cheeks back evenly toward ears on both sides. Keep lips closed. Lift one cheek toward eye. Then lift cheek on other side. Alternate sides one time per CHEEK MOTOR - 6 Retraction: Side Alternating Pull back cheek toward ear on one side. Then pull back on other side. Keep lips closed. Alternate sides one time per LIP MOTOR - 1 Neutral Position: Closure With Pressure Press lips tightly together in a pursing position. with voice making "m" sound. puff of air making "p"sound. voice making "b" sound. sessions LIP MOTOR - 2 Protrusion: Center with Closure Keeping lips together, push them forward into a pucker. Keep lips in center of face, in line with nose. sessions Page 1 of 2

7 CHART COPY Routine For: TONGUE SENSORY - 9 Teeth Stimulation: Center Middle TONGUE MOTOR - 1 Protrusion: Center Stretch TONGUE MOTOR - 3 Protrusion: Center Stretch Tip Lift Push tongue forward so middle is between teeth. May manually assist placement of tongue. Bite down so pressure is felt, but without hurting or damaging tongue. Keep tongue tip pointed. Feel the stretch in the back of the tongue. Lift tongue tip while keeping tongue TONGUE MOTOR - 5 Protrusion Center Stretch Tip Lower TONGUE MOTOR - 2 Lateralization: Outside Lip Stretch TONGUE MOTOR - 4 Lateralization Outside Lip Stretch Tip Lift Lower tongue tip while keeping tongue Push tongue to the corner of mouth. Keep the tongue pointed. Feel the tongue stretch. Push tongue to the corner of mouth. Keep tongue stretched while lifting tongue tip. COMMENTS: Patient Name/Number: Clinician Name/Signature: Date: Page 2 of 2

CHEEK SENSORY-MOTOR - 1 Proprioceptive (Touch and Move): Lift Side

CHEEK SENSORY-MOTOR - 1 Proprioceptive (Touch and Move): Lift Side Touch cheek, then press fingers into cheek to assist lift. Lift cheek without fingers. CHEEK SENSORY-MOTOR - 2 Proprioceptive (Touch and