The application of oral-motor learning principle in a patient with severe communication disabilities: a case study experience

Authors

  • Saheli Biswas Department of Speech and Language Pathology, Ali Yavar Jung National Institute of Speech and Hearing Disabilities, Eastern Regional Centre, Kolkata, West Bengal, India
  • Rumela Adhikary Department of Speech and Language Pathology, Ali Yavar Jung National Institute of Speech and Hearing Disabilities, Eastern Regional Centre, Kolkata, West Bengal, India
  • Abu Hasan Department of Speech and Language Pathology, Ali Yavar Jung National Institute of Speech and Hearing Disabilities, Eastern Regional Centre, Kolkata, West Bengal, India
  • Indranil Chatterjee Department of Speech and Language Pathology, Ali Yavar Jung National Institute of Speech and Hearing Disabilities, Eastern Regional Centre, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20243523

Keywords:

Oral-motor learning, Vegetative functions, Drooling, Cerebral palsy, Sensory integration tools

Abstract

This study explores the use of oral-motor learning principles in the rehabilitation of a 7 years 7 months-old male patient with severe intellectual disability secondary to spastic cerebral palsy, seizure disorder and visual impairment. The objective was to assess the effectiveness of these principles in improving communication abilities in patients with severe communication disabilities. The patient underwent 20 therapy sessions, each lasting 45 minutes, with the goal of achieving functional communication skills up to the single-word level (5-10 words) in clinical settings. Non-speech oral motor exercises were implemented using oral-motor sensory integration toolkits to improve vegetative functions and reduce sialorrhea and enhanced speech and language skills. Both tactile and speech kits were used concurrently. The study concludes that oral-motor sensory integration toolkits may serve as standardized tools for effectively addressing oral motor deficits in patients with similar conditions.

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References

Muratori LM, Lamberg EM, Quinn L, Duff SV. Applying principles of motor learning and control to upper extremity rehabilitation. J Hand Ther. 2013;26(2):94-103.

Kim J, Hwang E, Shin H, Gil YH, Lee J. Top-down, bottom-up, and history-driven processing of multisensory attentional cues in intellectual disability: An experimental study in virtual reality. PLoS One. 2021;16(12):e0261298.

Kent RD. Non-speech Oral Movements and Oral Motor Disorders: A Narrative Review. Am J Speech Lang Pathol. 2015;24(4):763-89.

Adadan Güvenç I. Sialorrhea: A Guide to Etiology, Assessment, and Management. Salivary Glands - New Approaches in Diagnostics and Treatment. Published online January 30; 2019.

Lakraj AA, Moghimi N, Jabbari B. Sialorrhea: anatomy, pathophysiology and treatment with emphasis on the role of botulinum toxins. Toxins (Basel). 2013;5(5):1010-31.

Matsuo K, Palmer JB. Anatomy and physiology of feeding and swallowing: normal and abnormal. Phys Med Rehabil Clin N Am. 2008 Nov;19(4):691-707.

Bryjová I, Libová L, Misár M, Hozová H. Oral care and removable dentures for the elderly. Ošetřovatelské perspektivy. 2024;6(2):73-87.

McCauley RJ, Strand EA. Treatment of childhood apraxia of speech: clinical decision making in the use of nonspeech oral motor exercises. Semin Speech Lang. 2008;29(4):284-93.

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Published

2024-11-26