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Feeding Strategies in Babies with Down Syndrome

Feeding Strategies in Babies with Down Syndrome

Babies with Down Syndrome commonly have developing difficulties with speech and swallowing which may be addressed very early. Your baby is likely to have low oral tone including the muscles of the oral cavity. The lips and tongue are especially at risk to develop less strength that is needed as your baby grows, necessary for breast or bottle feeding, eating and speech. Because of the low tone, the tongue appears oversized, flaccid with a rounded tip and frequently at rest between the gums.

The tongue is very important in feeding. The soft palate or roof of the mouth is a soft spot growth plate like the fontanelles on he head, which eventually close as your baby grows. The stimulation of sucking the tongue against the palate is important to stimulate this closure. There is also a connection with fluid in the ears, another common problem in babies with Down Syndrome. It is critical that she sits upright to feed, with her ears higher than the mouth, to reduce the likelihood of ear fluid. Place the nipple lower than your baby’s mouth. If the tongue stimulates the palate during sucking adequately, which will also occur with proper positioning, the palate will develop in a smooth, arched manner. If her mouth is closed, her tongue is in an active phase of toning against the palate. If not, a high narrow palatal vault with a bony notch will develop. If fed in a reclined posture, your baby is susceptible to ear infections. Reclined feeding may encourage mouth breathing thereby generating more mucous in the nose which would the drain to the ear by way of the Eustachian tube.

For young infants, use a Playtex Nurser with the bag liners. Take the baby’s lead. When he sucks, press the bag to increase the volume of liquid drawn in by the tongue. He will exercise his tongue every time you press. Don’t press if the baby stops to breathe or swallow. Let the baby rest when he needs to because his endurance may be poor. Your baby will be exercising his tongue every time you press, and increase the strength of his tongue.

Babies over 8 months may be ready to use a straw which will exercise their tongue by sucking through it. It will help her retract or pull back her tongue while pursing he lips. The first straw should be straight and short, and the baby may need to tae a large amount of the straw in her mouth. As the baby increases her tongue strength, allow les and less of the straw to go into her mouth, so the tongue can be further challenged. As the baby improves her ability to use only” of a straw into her mouth to suck, give her a longer straw. The Party stores sell all kinds of straws with twists and turns that are colorful and attractive. Gradually add more complex straws as your child is able to use each one.

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Frenum Freedom

Frenum Freedom

This is a quick look at how tongue ties and upper lip ties may affect function in a variety of ways through the course of one's life. This animated video is recommended as the first place to look for a good overview about how this common anomaly can cause potentially serious health conditions.

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Healthy Breathing, ‘Round the Clock article by Nicole Archambault

Healthy Breathing, 'Round the Clock article by Nicole Archambault

Nicole Archambault Besson, a Speech Language Pathologist in California, is one of the best known researchers and clinicians on the speech pathologist’s role in disordered breathing. Difficulties with nasal breathing, during wakefulness and sleep affect many people of all ages and related to Orofacial Myofunctional disorders. It is within the scope of practice of a Speech Language Pathologist with specialized training, to understand how difficulties with nasal breathing affect development and functions such as speech, swallowing and breathing, including sleep disordered breathing. This article describes what red flags indicate disordered breathing as well as the SLP’s role in treating patients with these issues.

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Jaws: The Story of a Hidden Epidemic

Jaws: The Story of a Hidden Epidemic

There's a silent epidemic in western civilization, and it is right under our noses. Our jaws are getting smaller and our teeth crooked and crowded, creating not only aesthetic challenges but also difficulties with breathing. Modern orthodontics has persuaded us that braces and oral devices can correct these problems. While teeth can certainly be straightened, what about the underlying causes of this rapid shift in oral evolution and the health risks posed by obstructed airways?

Sandra Kahn and Paul R. Ehrlich, a pioneering orthodontist and a world-renowned evolutionist, respectively, present the biological, dietary, and cultural changes that have driven us toward this major health challenge. They propose simple adjustments that can alleviate this developing crisis, as well as a major alternative to orthodontics that promises more significant long-term relief. Jaws will change your life. Every parent should read this book.

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Adult Speech Services

Music Based Neuroacoustic Stimulation for Sound Brain Fitness

Adult Speech Services

Music Based Neuroacoustic Stimulation for Sound Brain Fitness

Alliance Speech & Language Center is proud to announce that as a longtime provider of Advanced Brain Technology (ABT) products, including The Listening Program® (TLP), we are able to offer their latest cutting edge technology. ABT develops music-based neuroacoustic products for Sound Brain Fitness for Learning, Communication, Intervention, Wellness and Performance.

Advanced Brain Technology’s newest products include Spectrum, Achieve and Sleep, as well as the latest in Bone Conduction headphone technology, Waves™. ABT now offers a new delivery of their products, through cloud, or streaming the music from most electronic devices including PC, Mac, iTouch, iPhone, iPad, or Android phone and tablets. They also provides on-screen journaling with simple and easy to use graphics for monitoring.

In addition, listeners can choose from monthly or 1 or 2 yearly subscription membership plans, If you are perusing one of the yearly memberships, you can pay the fee as well as your Waves™ headphones in 3 monthly installments as well as take advantage of the membership discount.

Shira Kirsh, M.S., CCC/SLP, Speech Language Pathologist is ready to guide you with TLP online. Go to tlp.advancedbrain.com for more information and start your 7-day free trial. Like us on Facebook at http://facebook.com/AllianceSpeechLanguageCenter and follow us on Twitter @AllianceSpchLng.

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Neuroplasticity and the Power of Music

Neuroplasticity and the Power of Music

I read an article in Toastmaster’s magazine recently about Neuroplasticity. I immediately took interest as I have been reading about and applying the principles of neuroplasticity for years in my work as a SLP. Neuroplasticity is the ability the brain has to change, depending on repeated stimulation or exposure to specific experiences or actions. When you change the wiring in the brain, you create improved associations between activities and increase the processing efficiency of thoughts and actions.

One of the most interesting books I have come across on the subject is by Norman Doidge, “The Brain That Changes Itself”. It explains how spending the amount of time that we do on certain activities, actually changes the neuropathways of our brain – changing the wiring of the brain – producing specific associations, for better or for worse. Neurons that fire together, wire together. Some positive changes might be learning a new language, learning to ballroom dance and improving your memory skills. Some negative changes might mean you develop addictions such as gambling or become desensitized to violence from playing certain video games. The more you are exposed to it, the more you need to create excitement for your brain’s neurons to fire and have release of endorphins which make you feel good. Changes to the brain are possible throughout our lifetime, although it does slow down considerably as we age. But the old adage “you can’t teach an old dog new tricks” is erroneous. However, frequency, intensity and repetition are all important if you are interested in making changes in the brain. So, choose your activities wisely and remember it’s never too late to learn something new.

The tool that I started using fervently in my practice 10 years ago, when I first started reading about neuroplasticity was something most of us really like. Music. Music has the ability to excite neurons, create mood, help us learn, facilitate action. It is used to heal, aid us in prayer, march soldiers and teach young children the alphabet and important facts. Neuroplasticity and the power of music.

Music helps us move – listening to music with a good beat provides the pace and the rhythm for everything from aerobic exercise, to running, to ice-skating, to lifting weights to cardio activities in the water. It usually has a fast, strong bass beat to help ground us and provide us with rhythm, and high tones for increased energy. It can help us be creative and inspire us. High pitch, fast pace makes us want to get up and go – whether it’s to exercise, dance or do something constructive around the house. But it also provides us with improved abstract thought.

Classical music has been particularly helpful in helping us learn. Don Campbell, who wrote “The Mozart Effect”, explains how this particular genre of music mimics language. There is intonation and turn-taking inherent in the composition, especially in Mozart’s music and other classical pieces which have mathematical patterns that are repetitive, and has been scientifically proven to improve the intelligence of young children who are exposed to it on a regular basis. Participants in music education in school perform better on the math and reading sections of the SATs and improve their memory and concentration. The corpus callosum of the brain of musicians is strengthened, bridging the left and right hemispheres of the brain and allowing them to communicate more efficiently. There are middle tones in the music that is facilitating to us for learning and thinking – a great companion to studying.

Music can help us heal – it can help us relax, lower blood pressure, even reduce the number of seizures in epileptics. It improves those recovering from stroke and head injury. With slower pace, fewer beats per minute (bpm), we entrain to the music as our breathing and heart rate slow down to match it, often used in Yoga, for instance. For those of you with insomnia, avoid watching highly stimulating TV late at night and try listening to slow music.

I have used specially engineered music with certain specifications to be used therapeutically, to help clients with auditory processing disorders, ADHD, language disorders, autism spectrum disorders and more. It is produced by Advanced Brain Technologies and is called The Listening Program® or TLP. I have seen huge transformations in my clients who follow certain listening protocols. They typically listen to special music for 30 minutes a day, 5 days a week, for at least 20 weeks. It supplements the therapy they receive. The most powerful delivery of this specially engineered music is via Bone Conduction. Advanced Brain Technologist also produces The Sound Health Series, which is music for various needs: Music for Concentration, Thinking, Learning, Relax, Destress, Inspiration and Motiviation. I also use a variety of music while patients are performing certain exercises; for young children it might be music from popular Disney or Pixar films – “Up”, “Cars” and “Frozen” to name a few. Not only do they keep up a certain pace and rhythm to the exercises they are doing, but they associate the activity with a more positive experience as they are enjoying the music as well.

So whatever your age, if you are in the market to make changes in the way you think, feel, act or heal, consider using music to aid your tasks – and choose the music thoughtfully. Consider bpm for the timing, the pitch range of the music and the mood that the music sets to match your task. Remember this simple idea behind neuroplasticity and the power of music. Neurons that fire together, wire together.

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Six Foot Tiger, Three Foot Cage

Six Foot Tiger, Three Foot Cage

Do you, or someone you know, live with snoring, teeth grinding, poor sleep, aches and pains, chronic fatigue, moodiness, and other seemingly inexplicable symptoms? Your whole body suffers oxygen deficiency from a clogged airway and poor sleep when your mouth is structurally impaired. Six-Foot Tiger, Three-Foot Cage is the first book EVER to connect the dots between your mouth structure and total health. “Six-foot tiger” is the vicious medical, dental, mood, and financial consequences of a “three-foot cage” — a mouth that's too small for the tongue. Dr. Liao shows you if Impaired Mouth is the start of a domino effect of your (or your patients') persistent, escalating, and costly symptoms. Actual cases illustrate how Holistic Mouth Solutions™ can effectively redevelop “three-foot cages” by combining innovative Whole Health approaches with stem-cell-activating oral appliances to produce unexpected and even life-changing improvements. "An Impaired Mouth is the start of a domino effect leading to medical, dental, mental, and financial troubles. Pay attention." - Sally Fallon Morell, President, The Weston A. Price Foundation “Dr. Liao’s 6FT3FC shows ingenious ways to solve snoring, sleep apnea, teeth grinding, chronic pain, and fatigue with his novel-yet-sensible Holistic Mouth Solutions.” - Steven Y. Park, MD, Author of Sleep Interrupted “A must read for all dentists, medical doctors, and patients." - Simon Yu, MD, Author of Accidental Cure

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Sleep Apnea in Children: A Handbook for Familie

Sleep Apnea in Children: A Handbook for Familie

Has your child been diagnosed with sleep apnea? If so, you're not alone. In this comprehensive handbook for parents, pediatric sleep experts provide answers to the most common and difficult questions from parents, including: What is sleep apnea? What causes sleep apnea? How is sleep apnea diagnosed? How do I prepare my child for a sleep study? What are the treatment options? Why take the tonsils and adenoids out? How do I get my child to wear CPAP?

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Sleep, Interrupted

Sleep, Interrupted

"Maybe you're stressed out and tired, and have put on a little weight. Or you have persistent pain you and your doctor can't explain. Man or woman, you may be fighting fluctuating hormone levels. Or maybe you snore like a freight train. Anything that narrows the throat and interrupts sleep, particularly breathing problems brought on by sleep position, illness, life changes, or your anatomy, may be key to understanding a host of common health issues. In this groundbreaking book, Dr. Steven Park outlines a simple, rational explanation for what s making you sick, and provides guidance for treatment options that address specific health problems." Amazon.com

Your sleep and your health go hand in hand. We treat a variety of different problems and disorders that can prevent good sleeping. If you are having trouble breathing, you wake up frequently, or feel tired during the day, schedule a time to come see us.

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Sleep-Wrecked Kids

Sleep-Wrecked Kids

How to identify sleep problems in your children and differentiate between sleep disorders from sleep disordered breathing. Learn how to myo-optimize your child for better airway health, or learn why they may need myo-correct with the proper team of professionals.

The author, Sharon Moore is a speech language pathologist and orofacial myologist in Australia who is part of a transdisciplinary team at the Canberra Sleep Clinic - the first of its kind with an orofacial myofunctional therapist on staff.

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