I am now using the oral motor protocol to assessment and motor function and
sensory responses. And I also use a form to invite parent to write down what the
child like (accept/like/crave) and dislike (dislike/ refuse) in vegetables,
meat, fruit, snacks, and others.

I also use Sensory Profile and Sensory Integration clinical observation test to
assess overall sensory processing function towards different stimulation.

Could anyone give me some sugguests about what else could be used for assessing
picky eater? Is there a scale for assessing oral or orofacial hypersensitivity ?

For intervention, I am now using Wilbarger protocol and gum massage (with/
without food in pureer format). Systematic approch in increasing food texture
and food taste varities. Texture, Taste, Amount, change just 1 variables at a
time.

What else intervention strategies could be used ? Could anyone share their
approaches in handling picky eater ?

Take a look at http://www.youtube.com/watch?v=zedL0B1Engs
It made me smile (actually I even shed a tear of joy)!
Barbara McGowin, Education Director
Beckman Oral Motor

Sent from my Verizon Wireless BlackBerry

Hello,

This email message is a notification to let you know that
a file has been uploaded to the Files area of the bomri
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   File        : /BeckmanOralMotorEvalProtocol.pdf
   Uploaded by : bomedudir <bomedudir@...>
   Description : Beckman Oral Motor Assessment Form

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Regards,

bomedudir <bomedudir@...>

----- Original Message -----

From: Barbara McGowin

To: bomri@yahoogroups.com

Sent: Tuesday, March 24, 2009 7:27 AM

Subject: [bomri] Updates to Beckman Oral Motor Assessment & Intervention Manual

Attached are the following documents:

page64.pdf – this is the corrected Compensatory Handling Techniques page 64 of the Beckman Oral Motor Assessment and Intervention Manual.

Page74.pdf – This is the corrected Beckman Oral Motor Evaluation Protocol page 74 of the Beckman Oral Motor Assessment and Intervention Manual.

Page96.pdf – This is the corrected Gum Massage page 96 of the Beckman Oral Motor Assessment and Intervention Manual

A&IbindercovinsertFLAT.pdf – This is the corrected Cover Insert for the binder of the Beckman Oral Motor Assessment & Intervention Manual and includes the new address of the Beckman & Associates, Inc. clinic location.

You may want to print these pages, remove the old and insert them in your binder containing the Beckman Oral Motor Assessment and Intervention Manual.

These pages along with other documents are permanently stored in the Files section of BOMRI. They are available 24/7 for your convenience. The access them just go to the BOMRI User Group homepage, http://health.groups.yahoo.com/group/bomri/, sign in with your User Name and Password and click “Files” on the left hand column.

Barbara McGowin
Education Director, Beckman Oral Motor
Phone: (407) 590-4852
email: info@beckmanoralmotor.com
website: www.beckmanoralmotor.com

Debra Beckman, Beckman and Associates, Inc., has copyrights for Beckman Oral Motor Assessment & Intervention Protocol

Hello,

This email message is a notification to let you know that
a file has been uploaded to the Files area of the bomri
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   File        : /page64.pdf
   Uploaded by : bomedudir <bomedudir@...>
   Description : Corrected Page 64 of Beckman Oral Motor Assessment &
Intervention Manual

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Regards,

bomedudir <bomedudir@...>

The following is a query received off list-serve with response.

Hi Debra-

A colleague and I were discussing how to score lip and cheek strength
and we came across a question for you.  First of all, we work with
children-usually between the ages of 2 and 4.  When you are testing
for either of these and are giving verbal cues for the child to
activate that muscle by saying something or having them "get your
finger", how do you account for if you did not feel the contraction
because they did not understand the direction?  We know that this
contraction should be felt if the person is not cognitive or
conscious on a reflexive basis, but does this also apply to the young
child?  Can you feel the contraction in a child who is awake even if
you do not ask them to respond as listed above?

DEBRA BECKMAN'S RESPONSE
I am so glad you are completing baselines for your caseload.
The child does not have to be able understand commands, the response
then becomes reflexive.  However, if the child does understand
commands, and you think they are not responding just to vex you, I
would score it the way you feel it - 0/5 for cheek strength or 0/6
for the lip strength.  You can always update the baseline and I would
rather underestimate than over estimate.  Some 2 and 3 years olds can
and do follow commands.  Many understand the command, but have
specific oral motor weakness at these small levels of activation that
make it impossible for them to activate, just like the older lady on
the case study we showed in class.  Muscle range and strength are not
cognitive, they are mechanical properties of the muscle.  The
response is active if the person is cognitive, and reflexive if they
are not cognitive.  It is possible to be cognitive and have poor
range or strength, which would result in failure for the muscle to
activate for these small tasks on the Beckman Oral Motor Protocol.
I hope this helps with your testing.
Debra
Debra Beckman, MS, CCC-SLP
Beckman & Associates, Inc.
1211 Palmetto Ave
Winter Park, FL 32789
407-647-4740
FAX 407-647-6415
www.beckmanoralmotor.com

The following question was received off list. The question and
response in posted to the group for further discussion or questions.

Question:
I currently have a 1.4 year old patient who is in desprete need of
these exercises; however, she has a seizure disorder and is going to
start medication soon.  Is it okay for me to do an assessment and
intervention for this child, or will the oral motor stimulation cause
seizures?

Response:
Movement of the muscles of the face does not set off seizure
activity.  Seizures may occur that are unrelated to what ever you are
doing for interventions on the face.  Make certain the head is always
supported to avoid any injury should a seizure occur during therapy.
Also avoid working in a room with UV lights that may flicker and set
off seizures.
Debra

Debra Beckman, MS, CCC-SLP
Speech Language Pathologist

Beckman & Associates, Inc
1211 Palmetto Avenue
Winter Park, FL 32789
www.beckmanoralmotor.com
407-647-4740
FAX 407-647-6415

Below is a message received off listserve from Brenda who is doing a
study with premature infants. I am providing it to the group at the
request of Debra and I hope it may motivate some to get started on
research of your own.

Regards,
Barbara McGowin, Education Director, Beckman Oral Motor

************************************
Debra,

It has been almost a year since we met up in Kentucky about my "oral
stim" study with premature infants.  I wanted to let you know that I
just finished data analysis on the study, and although it was just a
pilot (n=19), it showed very promising results.  The preterm infants
who got the "Beckman Oral Motor Intervention-Premature Infant"
version (remember how we adjusted the original protocol from 15
minutes down to 5 minutes..and so I am calling that the Premature
Infant version) got through the transition from tube feedings to
bottle feedings 5 days sooner than the control group.  AMAZING!!!!
We only did the intervention once a day for 7 days.   So it looks to
be very publishable, and I'll be writing the manuscript early this
fall.

I also wanted to ask you again if it was still OK for me to write up
a short manuscript on the revisions of your original 15 minute
protocol to the 5 minute version for preterm infants.  And if so,
would you be interested in co-authoring that with me?

Let me know what you think!

I look forward to hearing from you.  My cell is 309-212-0544....it
might be good to talk to you more about it.

Again, I cannot thank you enough for meeting with me last August in
Lexington and working with me on the protocol. This is so exciting!!!!

Brenda

The correct citation is:

Beckman, D.A. (1986 Rev. 2007). Beckman Oral Motor Assessment and
Intervention.
Published by Beckman & Associates, Inc., 1211 Palmetto Ave., Winter
Park, Florida 32789.
www.beckmanoralmotor.com

The following question was received off-listserve:
We have been using many techniques treating oral motor dysfunction
and related speech problems.  Could you tell me what ICD-9 code would
be appropriate to use for these cases?

Response:
The codes we use often are
Diagnosis:  Dysarthria 784.5, Dysphagia 787.2, Poor suck 796.1,
Feeding Difficulties 783.3
Treatment: Swallowing Eval 92610, Swallowing Treatment 92526, Speech
Evaluation 92506, Speech Therapy 92507
Hope this helps!
Debra
Debra Beckman, MS, CCC-SLP
Speech Language Pathologist

Beckman & Associates, Inc
1211 Palmetto Avenue
Winter Park, FL 32789
www.beckmanoralmotor.com
407-647-4740
FAX 407-647-6415

Hello,

This email message is a notification to let you know that
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   File        : /Target Food Worksheet.pdf
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Regards,

bomedudir <bomedudir@...>

Hello,

This email message is a notification to let you know that
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   File        : /Target Food Chart.pdf
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bomedudir <bomedudir@...>

Hello,

This email message is a notification to let you know that
a file has been uploaded to the Files area of the bomri
group.

   File        : /Oral+stimulation+2007.pdf
   Uploaded by : bomedudir <bomedudir@...>
   Description : Effects of Oral Stimulation in Preterm Infants

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Regards,

bomedudir <bomedudir@...>

I'm looking for ideas to work with a cortically blind low CD child age
11 years.  She can bring a loaded spoon to her mouth and remove the
food but does not chew.  A recent refresher of the Bechman course
helped set up a program for tongue movements and chewing activities.
However, she still isn't doing any active chewing. Just one bite then
swallow.

There is great school staff involvement with daily carryover of
activities.  A gauze food bolus was used a couple years ago but given
up on.  Food is chopped fine to prevent choking. The flat spoon is used
to present food into her cheek/molar area with little to no chewing
noted.

Currently doing pressure to the middle of her tongue and sides of her
tongue as well as circular swipes within her mouth.  A probe is placed
into her molars with 4-6 very slight chews on one side and one bite on
the other.

Teaching cortically blind kids is a slow process.  We have been working
on chewing for 6+ years.  Are there any ideas out there??

I am trying to track the effectiveness of the therapy techniques. I
already take before and after pictures but wanted to add some numbers
to the data so I could show results and protect client
confidentiality.  I want to track frequency provided, duration of
service, time of day provided.  I was going to do the Beckman
assessment at set intervals to measure progress.  Eventually, I want to
be able to prove that the exercises can be done in a school setting and
the same excellent results can be obtained.  This is my first time
trying to collect data of this type so any suggestions would be
appreciated.

If you would like a certificate documenting that you are an inaugural
member of the Beckman Oral Motor Research Institute (suitable for
framing), send an email to me at info@..., put in the
subject line "BOMRI" and in the body of your message provide your name
as you would like for it to appear on the certificate and the address
where the certificate is to be mailed. All requests for Inaugural
Member Certificates must be received by midnight February 14, 2008.
Certificates will be printed, signed and mailed to you on February 15,
2008. This is a one-time, limited-time, just for fun offer from your
friendly Beckman Oral Motor Education Director. ;)

Thank you for your interest in Beckman Oral Motor research.

Barbara McGowin

Does this 3yo ASD/non-verbal client have other SI needs elsewhere? Seems like there might be a possible regulating issue going on. If he is craving proprioceptive intraorally, chances are he is craving it elsewhere, or even throughout his body. Does this client receive OT?

Sheri Stein-Blum, M.S., CCC-SLP, Ph.D. Candidate, Education
State Licensed and ASHA Certified Speech-Language Pathologist

-----Original Message-----
From: cigdemergul <cigdemergul@yahoo.com>
To: bomri@yahoogroups.com
Sent: Thu, 27 Dec 2007 12:45 am
Subject: [bomri] chewing habit

Ideas needed for a 3 year old boy who is in autistic spectrum and not
verbal.Has need for deep proprioception in his mouth and chevw tubes
and biting sticks are seems like decreasing for a while but not
helping to eliminate.We did a series of massage,vibrating tooth brush
around the gum line ,pressing on molars,frosen carrot sticks and
toothies but not successfull yet.
I appriciate for ideas.
Cigdem Ergul

---

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