ORO MOTOR EXERCISES


Oro motor Exercise
Oral-motor refers to the use and function of the muscles of the face (lips, tongue, cheeks and jaw) for speech, chewing and swallowing. These exercises are designed to increase the range of movement in your tongue, lips, cheeks and jaw. When doing these exercises, it is important to move the designated area as far as you can in each direction until you feel the muscles stretch, but should not make it pain. Practice these exercises, once through, 3-5 times a day initially and later 5-10 times.
JAW EXERCISES
 1. Jaw Opening 
  Open the jaw as wide as you can until you feel a stretching, but no pain.  Hold this furthest open position for 1-2 seconds initially (later 5 seconds) then relax and close your mouth.  Repeat this open posture 3-5 times.Do the same while producing the sound /ah/
 2. Side-to-Side Movement 
  Move your jaw to the right side as far as you can until it pulls but does not hurt.  Hold it there for 1-2 seconds then relax.  Move your jaw to the left side as far as you can until you feel a stretch but it does not hurt.  Hold it there for 1-2 seconds then relax. Alternate this right to left movement 5 times. Physical assistance can be give to do the same.
 3. Massage the jaw area softly
·         From upper lip to jaw
·         From lower ear to jaw
·         From center eye to jaw
·         From cheeks to jaw
TONGUE EXERCISES
 1. Tongue Extension 
 Sticking out tongue and hold tongue steady and straight for 1-2 seconds initially and later increase the duration to 4-5 sec. Relax and Repeat 3-5 times.
 2. Tongue Retraction 
  Retract tongue, touching the back of your tongue to the roof of your mouth  (as if producing the /k/).  Hold for 1 to 3 seconds. Relax and Repeat 3-5 times.
 3. Tongue Tip Up 
  Place tongue on alveolar ridge, (the area behind your top teeth.) and say “la”. Relax and Repeat 3-5 times
 4. Tongue Side To Side 
  Tongue tip to left side of mouth, hold for 3 to 5 seconds. 
  Tongue tip to right side of mouth, hold for 3 to 5 seconds. Relax and Repeat 5 to 10 times.
 5. Tongue Tip Up - Jaw Down - Placing the tongue tip on upper and lower lip respectively. Relax and Repeat 5 times. 
6. Tongue inside- Push the inside of your cheek with your tongue on the right side and then on the left side. Make the child feel the movement by touching that.
 
  LIP EXERCISES
 1. Lip Retraction 
  Smile/ produce /e/ and hold for 1-3 seconds. 
  Relax and Repeat 5 times.
 2. Lip Protrusion 
  Pucker your lips as if you were going to give someone a kiss and produce /u/.  Hold for 1-3 seconds.  Relax and Repeat 5 times.
 3. Lip Retraction and Protrusion 
  Smile then pucker your lips.  Use exaggerated movements.  Relax and Repeat 5 times.
 4.  Lip Press- Press lips tightly together for 2-3 seconds.  Relax and Repeat 5 times.
5. Stroke lips- Gently stroke the lips horizontally, repeat 5 times
CHEEKS, GUMS EXERCISES
·         Massage the cheeks from outside in clockwise and anticlockwise direction. Repeat 5 times
·         Massage the cheeks from inside from up to down, repeat 5 times
·         Massage the gums to midline from one side, repeat 5 times
·         Puffing the cheeks for 3-5 seconds
FUN AT HOME
·         Blowing can strengthens muscles of the lips and improves breath control, can use bubbles, blowing candles, thermocol balls, feathers, paper bits, cotton balls for the same.
·         Licking peanut butter, honey, jam from the roof of the mouth or behind the top front teeth improves tongue elevation/lifting.

·         Making silly faces improves strength, coordination and range of motion of the lips, jaw, and tongue.

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