2. OROMOTOR SYSTEM-IS IT
IMPORTANT?
• GROWTH AND DEVELOPMENT
• RICH INNERVATION- MORE SENSORY
FEEDBACK
• PRIMITIVE SYSTEM- SUCKING AT 12-14
WEEKS OF GESTATION
• STATE REGULATION- ORGANISING
BEHAVIOR
• EMOTIONAL COMPONENT
• ALLEVIATES PAIN/DECREASES
PERCEPTION OF PAIN
3. DEVELOPMENT OF THE
OROMOTOR SYSTEM
• 3 MONTHS-SUCKING WITH CO ORDINATED
BREATHING
• 6 MONTHS-TONGUE LATERALISATION
BEGINS
• 9 MONTHS-EXTERNAL JAW STABILISATION
• 12 MONTHS-TRANSFERS FOOD LATERALLY
• 18 MONTHS-CAN CHEW WITH LIPS CLOSED
4. OROMOTOR PROBLEMS IN CP
• ORAL SENSORY
– POOR ORAL AWARENESS
– POOR PROPRIOCEPTION
– DEFENSIVENESS
• OROMOTOR
– HIGH/LOW TONE
– USE OF ORAL PATTERNS FOR POSTURAL
CONTROL
– POOR STRENGTH/CO-ORDINATION
– SOFT TISSUE TIGHTNSS