Oral motor therapy targets developing awareness, strength, and mobility of the jaw, lips, tongue and cheeks. Traditional articulation therapy targets placement of the articulators (jaw, lips, and tongue). However, some child may not have the strength and coordination to move their articulators in the appropriate ways to form sounds and words. This is when oral motor therapy can help. During an articulation assessment Katie will look at what sounds your child is having trouble producing. And then an oral motor assessment will completed to determine why your child may be having difficulty producing these sounds. Not all child need oral motor therapy and this will be determined during the evaluation. Children who have not made progress with traditional articulation therapy approaches will usually see improvement when an oral motor program is implemented. The jaw, lips, tongue and cheeks are the same structures we use when eating. Therefore, an oral motor approach is used with children who have difficulty with drinking and eating. Oral motor therapy is also used to resolve issues with open mouth posture, tongue thrust, nasal sounding speech, drooling, disordered sensitivity in and around the mouth (may be overly sensitive to input or not feel input), gagging and tooth grinding.


Oral placement therapy is used in conjunction with oral motor therapy when treating speech sound errors. Oral placement therapy teaches placement of the jaw, lips and tongue using tactile cues to produce speech sounds correctly.


Feeding therapy addresses problems related to difficulty with transitioning to solid foods (puree, soft solids, textured solids), difficulty drinking from an open cup or straw, limited food preferences, difficulty chewing, difficulty moving food around mouth, difficulty clearing food from mouth and gagging. A child who has a limited range of foods they consume may be labeled a picky eater; however, there may be an underlying oral motor issue that prevents the child from safely consuming a particular food group. For example, a child who only consumes soft foods may lack the jaw strength to properly chew tougher foods, such as meat, raw fruit and raw vegetables. Speech therapists also work with infants who are demonstrating difficulty breast or bottle feeding. Therapy with infants looks at the muscles in the mouth and how they work together for successful feedings. Speech therapists may work in partnership with lactation consultants to ensure successful breast feeding. Speech therapist can help parents determine the bottle feeding system that is compatible with their child's skills.


Katie Carney Speech Therapy, LLC is private pay (cash, check, debit/credit card) and in network with Blue Cross Blue Shield PPO. Katie can provide a superbill to clients seeking reimbursement from an insurance company that is out of network.


Language therapy refers to receptive and expressive language. Receptive language refers to a child's understanding of spoken words. Expressive language refers to the type of words and length of phrases a child uses to convey his wants or needs. A child with a receptive language delay may not understand questions or be unable to follow directions. A child with an expressive language delay may only use single words to communicate or communicate only using nouns (i.e., saying "car" instead of "I want to play with cars").


Speech therapy refers to articulation which is how your child produces speech sounds individually and how they combine these sounds to form words. Speech sounds develop based on a child's age, for example we would not expect a two year old to be able to say the "r" sound because a two year old has not yet mastered the motor movements required for the "r" sound. Speech therapy also refers to the clarity of your child's speech, which is also refered to as speech intelligibility. This can include rapid speech, monotone speech, stuttering, mumbling, hypernasality and hyponasality.


Orofacial myofunctional therapy involves correcting the tongue rest posture, eliminating detrimental oral habits (i.e., thumbsucking, nail biting), decreasing muscular tension, establishing nasal breathing and a lip seal and improving independent movement of the lips, tongue and jaw through use of exercsies and sensory input. Orofacial myology is used to treat mouth breathing, articulation errors, swallowing difficulties, dental abnormalities, abnormal tongue rest posture and drooling.

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