Tongue Oromotor Exercises
Purpose of Exercise:
– Increased range of motion and strength of tongue, which may assist speech articulation (lingual sounds) and oral phase of swallowing.
Medical Contraindications (populations to avoid this exercise):
– Recent tongue surgery; you MUST consult with your surgeon and speech therapist before attempting these exercises
Precautions / Tips:
– If you do not have a teaspoon for the strength exercise, other small flat objects (e.g. a tongue depressor / ice cream stick) may be suitable.
– Limited evidence for traditional oromotor exercises
– Lazarus, C. L., Husaini, H., Falciglia, D., DeLacure, M., Branski, R. C., Kraud, D., et al. (2014). Effects of exercise on swallowing and tongue strength in patients with oral and oropharyngeal cancer treated with primary radiotherapy with or without chemotherapy. International Journal of Oral Maxiollofacial Surgery, 43, 523–530. Negative evidence for people with head & neck cancer.
– Logemann, J.A., (1998). Evaluation and Treatment of Swallowing Disorders. Austin, TX: Pro-Ed. Second Edition.
– Logemann, J.A., Pauloski, B.R., Rademaker, A.W., & Colangello, L. (1997). Speech and swallowing rehabilitation in head and neck cancer patients. Oncology, 11(5), 651-656, 659.
– Robbins, J., Kays, S. A., Gangnon, R. E., Hind, J. A., Hewitt, A. L., Gentry, L. R., & Taylor, A. J. (2007). The effects of lingual exercise in stroke patients with dysphagia. Archives of physical medicine and rehabilitation, 88(2), 150-158.
– Yeates, E. M., Molfenter, S. M., & Steele, C. M. (2008). Improvements in tongue strength and pressure-generation precision following a tongue-pressure training protocol in older individuals with dysphagia: three case reports. Clinical interventions in aging, 3(4), 735-747. Study performed using the IOPI device.
*Articles cited are a limited sample only, and there may be other & more recent evidence which supports / contraindicates use of this exercise.