Important Nutritional, Oral Motor, Feeding, and Language ...
Important Nutritional, Oral Motor, Feeding, and Language Ideas to Ensure Optimal Development of Your Child with Down Syndrome Jill Rabin M.S. CCC-SLP/L IBCLC Pediatric Speech/Language Pathologist International Board Certified Lactation Consultant Medical Assessment/Intervention
Oral Motor/Feeding/Language Characteristics of Children with Down Syndrome Difficulty with motor planning Decreased oral sensory awareness due to low tone Overstuffing of food Tongue protrusion
Issues with middle ear fluid/hearing loss Motivated by music Excellent gestural imitation Telegraphic speech patterns Ideal Nutrition for Infants/Babies with Down Syndrome
Breastfeeding/Breast milk Organic foods/Clean diet Impact of gluten Impact of dairy Biomedical treatment
Vitamins/Supplements Appropriate feeding tools/aids Bottle-Feeding/Breastfeeding Techniques and Aids Sara Rosenfeld-Johnsons bottle-feeding technique Specialized bottles: Haberman Feeder, Dr. Browns, Innobaby, Calma, etc. Paced bottle-feeding
Firm bottle nipples Nipple shields Supplemental nursing system Bottle-feeding/Nursing Aids Oral Motor Activities/Exercises
Breastfeeding Straw drinking Open cup drinking
Tongue elevation and lateralization exercises Graded chewing Lip strength/closure activities Oral sensory awareness activities Horn hierarchy Lori Overland video Specific Oral Motor Exercises for Tongue
Tongue pointing exercises Lateralization of food bolus Tongue retraction Tongue tip definition/elevation Tongue-ties
Posterior Tongue Tie Specific Oral Motor Exercises for Lips/Jaw
Lip rounding Prolonged lip closure Lip isolation Graded chewing Bite and pull Oral tug of war Oral sensory awareness Oral proprioceptive input
Jaw Grading/Tongue Lateralization Chewy Tube Lip Rounding Exercises with Food
Combining crunchy with smooth Food shape (strips) Varying viscosity of liquids Isolating lips to pick up food items Lateralization of food items
Graded biting Foods Used in Therapy Oral Facial Tone Variability Oral Motor/Feeding Resources Debra Beckman: www.beckmanoralmotor.com Lori Overland-videos on youtube of oral motor and feeding assessments with children with Down syndrome.
Sara Rosenfeld Johnson: www.talktools.com -has special bottle feeding technique, developed many oral motor and feeding tools. Pam Marshalla: www.pammarshalla.com -gives presentations, has books, on stopping drooling, oral motor techniques, and apraxia. Speech/Language Strategies
Audiological Assessment Use of a Total Communication Approach Expansion and differentiation of vocabulary
Modeling and expansion of sentence structures Emphasis on articles in speech, e.g. the, a, etc. Incorporation of siblings in therapy Literacy Training Non-therapy activities: Tae kwon do, dance, swimming,etc. Speech/Language Resources Libby Kumin-author of Early Communication Skills in Children with Down Syndrome (2003)
focuses on speech and language skills in young children from birth to six years. What Did You Say? (2006 DVD): focuses on how to help children develop intelligible speech. Helping Children with DownSyndrome Improve Speech (2008): focuses on communication skills in older children from ages 6-14. Importance of Use of Sign Language with Children with Down Syndrome
Issues with motor planning Good at imitating gestures Allows communication until verbal speech is present Visual learners/hearing difficulties American Sign Language
Known as ASL Is the true language of the deaf Has its own syntax and grammar Best to use if child is truly deaf Third most used language in the United States Signing Exact English
Known as SEE Using ASL signs, with English grammar and syntax Its expanded with prefixes, tenses, articles, prepositions and endings Manual representation of English vocabulary and grammar Takes longer to communicate Used to teach deaf children English Example of SEE
Types of Signs Iconic Signs Nouns versus Verbs Have meaningful origins, e.g. boy, potato, onion, etc. Sign approximations Sign Language Strategies
Viewing of Signing Times videos Incorporation of siblings in therapy ASL.pro video dictionary Pairing sign with verbal words Resources to Learn Sign Language
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