TEMPLATE 2019 | Functional Assessment and Remediation of Tethered Oral Tissues (TOTs) [City, ST][Date] - event Talk-Tools
TEMPLATE 2019 | Functional Assessment and Remediation of Tethered Oral Tissues (TOTs) [City, ST][Date] - event Talk-Tools

**SOLD OUT** | The Functional *ASSESSMENT* of TOTs (Tethered Oral Tissues) [VIRTUAL] [September 25, 2020]

Registrations are open for November 6, 2020!

Date: September 25, 2020

Location: VIRTUAL (8:30AM - 04:00PM)

Presenter: Lori L. Overland MS CCC-SLP, C/NDT, CLC, FOM & Robyn Merkel-Walsh, MA, CCC-SLP, COM®️

The TOTs course is now being offered as 2 separate days. Click here to save by purchasing both days!

Course Description

Tethered Oral Tissues (TOTs) is the restriction of the frena or frenulum, which are small folds of tissue that connect bone to tissue and support or limit movement. The term TOTs is used to describe restriction of the frenula in the tongue
(ankyloglossia), lip (lip-tie) or buccal frena. While there are respected assessment protocols that look at the structure of the tissues, there is yet to be a detailed functional assessment that looks at the impact of TOTs on oral motor, feeding and speech skills. Lori and Robyn have done extensive literature review on TOTs and have collected several years’ worth of clinical data in preparation of this course.

This course provides participants with a “Task Analysis” of TOTs, walking through breast, bottle, cup, spoon, solid and straw feeding in addition to the oral placements required for speech clarity. Numerous demonstrations, practicums and video slides will teach participants to execute both a structural and functional assessment with child and adult protocols. Participants will also learn how to use a TOTs 5-Step Screening Tool. This course is rich with evidence based practices and will address many of the controversies that make TOTs a “hot topic”.

Learning Outcomes

  1. Participants will be able to list at least 2 assessment protocols for TOTs.
  2. Participants will be able to identify at least 3 red flags of TOTs.
  3. Participants will be able to list at least 3 ways in which TOTs impacts feeding across the lifespan.
  4. Participants will be able to list at least 2 speech sounds that can be correlated with TOTs.


 30 Min

  • Theoretical Foundations
  • What are TOTs
  • Forms to use

45 Min:  Current Protocols and Assessment Tools

15 Min: Hot Topics of TOTs

90 Min: Structural Assessment with practicum & Quiz

75 Min: Assessing Range of Motion & Task Analysis of TOTs for Pre-feeding & Feeding

  • Breast
  • Bottle
  • Spoon/ cup
  • Solids
  • Staw
  • Eating Habits

45 Min: Task Analysis of Speech

  • Bilabials
  • Alveolars
  • Back Tongue Side Spread
  • Velars
  • Labiodentals
  • Lingua-dentals

45 Min: TOTs 5-Step Screening Tool

15 Min: Q & A

Target Audience: SLPs, OTs, IBCLC, dentists, surgeons, ENTs and RDHs. 
While TalkTools welcomes all to attend and learn the course content, it is the responsibility of the professional to determine if applying the techniques fits within the scope of their practice. 

Instruction Level: Intermediate. The learning outcomes and objectives are relevant for inter-professional practice and education (IEP) programs; and can be applied across the client's lifespan in a variety of settings (schools, private practice, clinics/hospitals)

Content Disclosure: This presentation will focus on treatment methods related to the use of TalkTools® OPT resources. Other similar treatment approaches will receive limited or no coverage during this lecture.

This program is offered for 0.6 ASHA CEUs (Intermediate Level; Professional Area). (seeTalkTools ASHA CEU Policy and Process for more information). 

TalkTools®️ is an AOTA Approved Provider of continuing education. Provider #: 4782. This course qualifies for 6 contact hours or 0.6 CEUs in the Category of Occupational Therapy Process. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.

No partial credit is given. Participant must be in attendance for the entire time.

Workshop Details

PLEASE READ THIS INFORMATION  carefully before you submit your payment. Once we ship supplies you cannot be refunded. If you cannot attend the Zoom virtual workshop for any reason, you can attend an in-person workshop anytime at no additional charge. You will need to bring the materials provided.

The instructors are teaching this course in real time. No videotaping of this course is provided later. 


Registration Rates

$199 Early Bird Rate - until 07/25/20

$259 Standard Rate - 07/26/20 to 09/11/20

$289 Late Registration - 09/12/20 to day of

  • Registration Only Includes: Course supplies,and certificate of completion.
  • Registration + Textbook Includes:
  • 25% off TOTs Book
  • (book received at workshop location)

**Course supplies will only be shipped within the United States**

Instructor Bio

Lori L. Overland MS CCC-SLP, C/NDT, CLC, FOM Bio and Financial Disclosure

Robyn Merkel-Walsh, MA, CCC-SLP, COM®️ Bio and Financial Disclosure 

Recommended Tools

  • Sensi and Tips
  • Throat Scope
  • Straw Kit
  • Bite Blocks
  • Horn Kit
  • Pre-Feeding Kit
  • Feeding Kit
  • Tongue Tip Lateralization Tool
  • The Liper Device