In-Person – PRIVATE GROUP | MYOTools 103 – Comprehensive Assessment of Orofacial Myofunctional Disorders

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Instructor: Robyn Merkel-Walsh MA, CCC-SLP/COM®  

Disclosure: Robyn Merkel-Walsh is a member of TalkTools® speakers bureau; receives speaker honorarium. Author of products published by TalkTools®; receives royalty payments. Robyn will receive a speaker commission from TalkTools for this course.

COURSE DESCRIPTION

Orofacial Myofunctional Disorders (OMDs) sit at the crossroads of structure and function. In some cases, a structural anomaly results in functional challenges and in other cases atypical oral habits and dysfunctional muscle-based skills result in undesirable structural changes. From infants struggling to nurse due to a tongue tie, to children with open bites caused by thumb sucking, OMDs affect patients across the lifespan. Knowing how to assess these disorders accurately is the first step toward effective treatment.

Join internationally recognized clinician and educator Robyn Merkel-Walsh for an evidence based practical course that will transform the way you evaluate OMDs. Using her signature 4 MYODomains™ framework of airway, feeding/swallowing, structure, and speech, Robyn breaks down the assessment process with clarity, depth, and clinical relevance. You’ll learn how to collect and interpret case history, dental and medical records, and how to examine the craniofacial and oral-motor systems to create individualized, evidence-informed treatment plans.

This course goes beyond theory. Through step-by-step guidance, live practicums, and visuals, you’ll walk away with the MYOTools™ you need to start applying your knowledge in the clinic the very next day. Part of the MYOTools® series, this course pairs perfectly with levels 101 and 102, but for more advance clinicians this is not a requirement. Course content is based off Robyn’s MYOSolutions, an OMD manual for speech-language pathologists, but it’s also appropriate for other licensed professionals who assess and treat OMDs such as dentists, registered dental hygienists, and occupational therapists. 

NOTE: Assessing Oral Structures 101 is a pre-requisite, and is included as a self-study module in the price of the course.

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

Learning Outcomes

Participants will: 

  1. List at least 3 topics that are necessary to assess in a case history.
  2. State the pre-requisites a patient must possess during an assessment, to initiate an orofacial myology protocol.
  3. Describe what sounds/phonemes should be tested during an orofacial myofunctional assessment.
  4. Describe at least 3 reasons why a patient should be referred to an otolaryngologist (ENT) from an OMD assessment data.
Timed Agenda

9:00-9:15 AM

Introduction

15 minutes

9:15- 10:15 AM

Medical Records and Case History

60 minutes

10:15-10:30 AM

MYOTools™ Kit: Essentials for completing an assessment

15 minutes

10:30-10:40 AM

Break

10 minutes

10:40-10:50 AM

Infection Control: Keeping your clinic OSHA compliant

10 minutes

10:50-11:00 AM

Variations of Settings – School – Clinic – Hospital/insurance Based Clinics

10 minutes

11:00 -11:30 AM

MYODomain™ 1: Airway Assessment – Posture and Alignment – Breathing Patterns – Sleep – Airway Patency – Oral Resting Posture

30 minutes

11:30-12:15 PM

MYODomain™ 2: Feeding/Swallowing Assessment – Pre-feeding – Feeding – Swallowing

45 minutes

12:15-12:45 PM

Lunch

30 minutes

12:45-1:30 PM

MYODomain™ 3: Structural Assessment – Hard Tissue – Dentition – Soft Tissue – Frena

45 minutes

1:30-2:05PM

MYODomain™ 4: Speech Assessment – Standardized assessment – Muscle-Based Assessment – Oral Placement Considerations

35 minutes

2:05 – 2:40 PM

Coordination and Dissociation – Jaw stability – Jaw grading – Jaw-lip dissociation – Jaw-tongue dissociation

35 minutes

2:40-2:50 PM

Break

10 minutes

2:50-3:10 PM

Sensory – Considering sensory-based challenges – Sensory safe assessment spaces

20 minutes

3:10 -3:25 PM

Additional OMD Considerations – Current topics – Virtual considerations – Scope of Practice – Referrals

15 minutes

3:25 – 3:35 PM

Diagnosis – Coding

10 minutes

3:35- 3:45 PM

Report Writing (Brief Review MYOTools 101) – Using infographics – Narratives – Table-based reports – PowerPoint reports

10 minutes

3:45-4:15 PM

Eligibility Criteria for an OMD Treatment Plan – Age/cognition – Nasal patency – Lip closure – Jaw stability – Muscle vs. motor – TOTs – dysphagia

30 minutes

4:15-4:30

Conclusions/ Q & A

15 minutes

Continuing 31 Oct 25