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Examination of the mouth including lips, jaw, teeth, hard and soft palate and tongue. The exam involves assessing both structure and function or movement to determine adequacy for speech.
This assessment is used by Speech and Language Therapists to evaluate oral motor skills. Oral motor skills refer to the movement of muscles of the face (e.g. lips and jaw) and oral area (e.g. tongue and soft palate), especially the movements related to speech.
Two components of an oral mechanism examination, i.e., incomplete lingual range of motion and incomplete facial symmetry, increased the odds of aspiration as observed during subsequent instrumental dysphagia testing.
Gloves. Tongue Depressor. Pen Light. Small hand held mirror. Watch ( stop watch) Other helpful tools : sucker, cotton guaze.
DETAILED INSTRUCTIONS: Say, Open your mouth, and observe tongue at rest. Say, Stick out your tongue. Observe symmetry and range of motion. Place a tongue depressor against the tip of their protruded tongue. Say, Stick your tongue out and up. Observe range of motion and symmetry.
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Observe strength, range of motion, and symmetry. Minimal strength and range of motion may signal underlying structural or innervation issues (atrophy, apraxia, dysarthria, etc.)
Motor speech disorders include two primary conditions: dysarthria and apraxia of speech. In these conditions, the connection between the brain and the speech mechanism is damaged or interrupted. This makes it difficult to control and/or coordinate the muscles of the face, tongue, or larynx for the purposes of speaking.
Oral motor skills refer to the movements of the muscles in the mouth, jaw, tongue, lips and cheeks. The strength, coordination and control of these oral structures are the foundation for feeding related tasks, such as sucking, biting, crunching, licking and chewing.
A motor speech exam enables an SLP to observe speech ability of the client across various speech attempts using stimuli that vary in length and/or complexity and which are systematically organized in a hierarchical fashion.
Oral motor skills include awareness, strength, co-ordination, movement and endurance of the mouth; jaw, tongue, cheeks and lips. All references to child or children mean either a child or young person.

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