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Clinical Forum
July 2008

Nonspeech Oral Motor Treatment Issues Related to Children With Developmental Speech Sound Disorders

Publication: Language, Speech, and Hearing Services in Schools
Volume 39, Number 3
Pages 380-391

Abstract

Purpose

This article examines nonspeech oral motor treatments (NSOMTs) in the population of clients with developmental speech sound disorders. NSOMTs are a collection of nonspeech methods and procedures that claim to influence tongue, lip, and jaw resting postures; increase strength; improve muscle tone; facilitate range of motion; and develop muscle control. In the case of developmental speech sound disorders, NSOMTs are employed before or simultaneous with actual speech production treatment.

Method

First, NSOMTs are defined for the reader, and there is a discussion of NSOMTs under the categories of active muscle exercise, passive muscle exercise, and sensory stimulation. Second, different theories underlying NSOMTs along with the implications of the theories are discussed. Finally, a review of pertinent investigations is presented.

Results

The application of NSOMTs is questionable due to a number of reservations that include (a) the implied cause of developmental speech sound disorders, (b) neurophysiologic differences between the limbs and oral musculature, (c) the development of new theories of movement and movement control, and (d) the paucity of research literature concerning NSOMTs.

Clinical Implication

There is no substantive evidence to support NSOMTs as interventions for children with developmental speech sound disorders.

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Published In

Language, Speech, and Hearing Services in Schools
Volume 39Number 3July 2008
Pages: 380-391

History

  • Received: Sep 12, 2005
  • Accepted: Nov 6, 2006
  • Published in issue: Jul 1, 2008

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Key Words

  1. nonspeech oral motor treatments (NSOMTs)
  2. developmental speech sound disorders
  3. therapeutic exercise

Authors

Affiliations

Dennis M. Ruscello [email protected]
West Virginia University, Morgantown

Notes

Contact author: Dennis M. Ruscello, Department of Speech Pathology and Audiology, P.O. Box 6122, West Virginia University, Morgantown, WV 26505-6122. E-mail: [email protected].

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