Wednesday, March 15, 2017

3 Reasons to Skip the Sippy Cup

Step Away From the Sippy Cup
Today, sippy cups are marketed to parents as a vital piece of feeding equipment, causing parents to consider sippy cups an essential part of a baby’s development. As a speech-language pathologist and feeding specialist, Melanie Potock couldn't disagree more.  In a recent ASHA Leader blog post, Melanie states her case. 
Here are three great reasons to skip the sippy cup:

#1: As a baby matures, so does their swallow pattern, and over-use of hard sippy spouts may get in the way of development.
During the first year of life, a baby primarily uses an anterior-posterior tongue movement to propel soft solids and liquids to the back of the mouth for swallowing. This is referred to as the infant suckle-swallow pattern. 

At around a year old, babies should develop a mature swallow pattern, where the tongue tip rises to the alveolar ridge (the bumpy gum-line ridges where we produce the /d/ sound) to start a wave-like motion in the tongue for swallowing more advanced textures. Drinking exclusively from a bottle or hard-spouted sippy cup might delay this feeding development

A bottle nipple or hard spout rests over the front third of the tongue, preventing that essential elevation so necessary for being an effective and efficient eater. When toddlers continue to use the infant swallow pattern, chewing and swallowing new foods can be challenging or messy at best.

#2: When a tongue can’t elevate, it tends to rest forward in the mouth, which can impede speech and language development.  
Often referred to as “paci-mouth,” the forward resting posture is seen in children who continue to use a pacifier for a prolonged period. The occasional use of a sippy cup may not interfere with age-appropriate mouth development. 

In today’s society, however, kids seem to have sippy cups with them most of the day. Strollers, car seats and backpacks usually contain special holders for a beverage container and parents often choose spill-proof, hard-spout sippy cups. 

When a child uses a “suckle-swallow” pattern past the developmental time frame of 6 to 12 months, his speech-language skills can’t migrate to more advanced skills until a more appropriate swallowing pattern is established.

#3: When a tongue rests forward, the mouth tends to stay open, which can alter appropriate facial development. 
Kristie Gatto, certified SLP and orofacial myologist, states that the overuse of the suckle-swallow uses genioglossus muscle movement and promotes a tongue that rests low and forward in the oral cavity. 

This posturing exacerbates the lowering of the jaw musculature and typically leads to mouth breathing. 

Current research helps facilitate a better understanding of the detriments associated with mouth breathing and a lack of appropriate facial development.

If you want more information about the serious downsides of mouth breathing, click here to link to read a previous Spontaneous Speech blog post:  10 Good Reasons to Stop Mouth Breathing Now.

What to Offer Instead

Terrific alternatives can still protect from spills:
Pop-up straw cups, like the Playtex Sipster, are guaranteed to be leak-free. Once the child masters straw drinking, it is recommended that parents cut down the straw so the tip of the straw just reaches the tip of the tongue when the mouth is closed around the straw. This ensures the tongue can still elevate.

Fun valved toppers, like the Good2Grow Spill-Proof Bottle Toppers, are a great alternative to the sippy cup. These character bottle toppers also help motivate kids to drink more water.
Image result for good to grow spill proof bottle toppers

Aluminum options with built-in straws, like the Kid Basix Safe Sippy Cup, feature a straw specifically designed to be short and angled for little mouths.

No Matter What...

Professionals recommend: 
  • children learn to drink from a straw cup by 9 months
  • children learn to drink from on open cup, held by a parent, in the first year of life
  • independent open cup drinking should be learned by 18 months

Selecting the most appropriate cup for drinking promotes proper development of speech, language and facial features. 

If you're concerned about feeding or swallowing difficulties or facial muscle, speech or language development, contact  Spontaneous Speech Therapy today.  Our therapists are available to answer questions, make recommendations and provide evidence based treatment for infants, toddlers, preschoolers and school aged children.

Call us at 361-271-1700 to set up an appointment for a free consultation.  In the meantime, please like and share this post with someone that might benefit.

Children are great imitators, so give them something great to imitate.

Melanie Potock, MA, CCC-SLP, treats children birth to teens who experience difficulty eating. She wrote the upcoming book, “Raising Kids to Love Vegetables: A 3-Step Plan That Starts With Fun and Ends With Yum!” Potock also co-authored “Raising a Healthy Happy Eater: A Stage-by-Stage Guide to Setting Your Child on the Path to Adventurous Eating (2015), “Baby Self-Feeding: Solid Food Solutions to Create Lifelong Healthy Eating Habits” and “Happy Mealtimes with Happy Kids, and produced the kids’ CD “Dancing in the Kitchen: Songs that Celebrate the Joy of Food!” Potock’s two-day course on pediatric feeding is offered for ASHA CEUs. She is an affiliate of ASHA Special Interest Group 13, Swallowing and Swallowing Disorders (Dysphagia).

Wednesday, February 22, 2017

5 Awesome Apps Perfect for Parkinson's Therapy Sessions

Using Apps to Treat Parkinson's Disease

Did you know?  

  • Parkinson's affects up to 1 million people in the U.S.
  • More than 10 million people worldwide are living with Parkinson's Disease
  • Doctors diagnose as many as 60,000 new cases each year
  • Parkinson's strikes 50 percent more men than women
  • The average age of onset is 60

Parkinson's disease is a progressive, degenerative disorder of the nervous system that affects movement. Sometimes it begins with a tremor in the hand and then will worsen over time to affect other limbs, mobility, balance, coordination, speech and swallow. 

Though there is no cure, treatments and therapy (Physical, Occupational and Speech) can help treat symptoms.  

Here are five nifty apps that can be incorporated into the treatment sessions of people with Parkinson's.

#1:  YouTube

Scientific studies are clear:  the healthful benefits of music are numerous.  
  • Music reduces stress, depression, anxiety and pain  
  • Music enhances memory
  • Music treats seizures
  • Music promotes brain healing and recover after injury
  • Music helps to organize movements in patients with Parkinson's

This video was shared on Facebook a few weeks ago ... it is a must watch! If you haven't seen it already, please take a few minutes to watch it in entirety.  It is remarkable!  

The main characters are Anicea Gunlock, an Oklahoma Physical Therapy Assistant, and her patient Larry. Watch how music streaming from a smart phone made a huge difference in this patient's walking.  Seeing is believing!

As a Speech Pathologist, music can help target volume, breathing, intonation, rhythm and pace.  Use music from YouTube (or any other music app- Pandora, Spotify, etc.) in one of your next therapy sessions... and prepare to be amazed!

#2: Metronome


People with Parkinson's often struggle to control their rate of speech.  A fast rate of speech seriously reduces intelligibility – especially when speaking with strangers.The metronome has been used as a method to help people who speak too quickly to regulate (slow) their rate of speech and to increase their intelligibility.  

Incorporate a metronome app to make sure that rushes of speech are a thing of the past.  Then sit back and enjoy speech that is slower and easier to understand.

 #3:  Speak Up Parkinson's

The Speak Up for Parkinson’s app is a useful tool for Parkinson’s patients to practice their speech. The approach used in the app pays special attention to the volume of the patient’s voice. 

Practice tools are included, a volume meter is provided and audio/video feedback is available. The app also provides helpful Speaking Tips and other valuable information. 

Speak Up for Parkinson's is an interesting addition your therapy toolbox. Give it a try!

#4:  Swallow Now

Excess saliva in the mouth can be an unpleasant and embarrassing problem for people with Parkinson's Disease. Swallow Now is an app that enables people who are having difficulty with management of saliva to receive an external prompt to swallow at predictable intervals. 

Swallow Now can be set to vibrate or emit a tone at preset times. With regular use, the Swallow Now app promotes a more frequent, automatic swallow pattern and reduces the potential embarrassment of drooling

Download the Swallow Now app and begin increasing your patient's self awareness of drooling and promoting the self regulation of regular saliva swallows.

#5:  Voice Recorder

Making recordings of a person with Parkinson's before, during and after therapy has many benefits:
  • Provides immediate feedback to your patients regarding their speech understandability
  • Gives opportunities for self assessment of voice, speech, and intelligibility
  • Helps document progress over time
  • Enables patients and family members to hear progress- builds confidence and maintains motivation
  • Allows sharing of data with others
  • Lets you perform quantifiable measurements on a variety of speech parameters

Provide auditory feedback in your next Parkinson's treatment session and help your patient increase awareness to improve their overall communication effectiveness.

If you have questions or need help managing Parkinson's for someone you love, Spontaneous Speech is available.   

Working with a Speech Language Pathologist can:

  • improve speech understandability
  • boost vocal intensity
  • enhance memory
  • increase swallow safety

Call today to for a free consultation:  361-271-1700. We're ready to help!  In the meantime, please like and share this post with anyone you know that may benefit.  

It isn't the mountains ahead that wear you out, it's the pebbles in your shoe.
Mohammad Ali