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