TIMED AGENDA : The Functional Assessment of TOTs (Tethered Oral Tissues)

9:00-9:30:  Introduction

  • About the speakers
  • What are TOTs? 
  • Theoretical Foundations

 

9:30-10:00:  Case History/Assessment Forms

  • Structural red flags of TOTs
  • Functional red Flags of TOTs
  • Pertinent birth history
  • Pertinent medical history
  • Pertinent developmental history

 

10:00 – 10:30 Assessment

  • Current protocols and assessment tools 
  • The Merkel-Walsh Overland TOTs Protocol

 

10:30-10:45: Break

 

10:45-12:00  Structural Assessment

  • Craniofacial analysis
  • Hard tissue
  • Soft tissue
  • Frena
  • TOTs assessment techniques and tools

 

Structural Quiz

 

12:00-12:45: Lunch

 

12:45- 2:45 Functional Assessments of Pre-Feeding and Feeding Skills

  • Breast
  • Bottle
  • Spoon
  • Cup
  • Solids
  • Straw 

 

2:45 – 3:00 Break

 

3:00- 3:30:  Functional Assessment of Speech Clarity

  • Acoustics vs. placement 
  • Bilabials
  • Alveolars
  • Back Tongue Side Spread
  • Velars
  • Labiodentals
  • Linguadentals

 

3:30: 4:00: Additional TOTs Topics and Conclusions

  • TOTs team
  • Referrals 
  • Therapeutic Considerations

 

4:00-4:15 Q and A