Funcational Assessment & Remediation of Tethered Oral Tissues

    April 18, 2020
    8:00 AM - 2:45 PM
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    Virtual Classroom at Your computer


    Rehab Net will be offering this course via a virtual classroom due to the current state of affairs in the USA.

    Functional Assessment & Remediation of Tethered Oral Tissues - Lori Overland, MS, CCC-SLP, NDT


    This course explores the functional assessment of TOTs and reviews current well-respected assessment tools which describe structure. With these tools, Lori and Robyn have developed the Merkel-Walsh & Overland TOTs Protocol  which looks at structure, oral motor function, pre-feeding, feeding and speech. Participants will learn to use this tool to identify the possible need for a TOTs referral, and the functional impact this diagnosis may have on feeding and speech. Their unique style of “task analysis” is a practical strategy for assessment that is immediately carried over into developing a treatment program for neuro-muscular re-education.

    Participants will learn through the concept of task analysis the specific ways in which TOTs impacts the oral motor and oral placement skills for breast, bottle, cup, straw and solid feedings in addition to speech sound production. Videos and live practicums will provide therapeutic intervention tasks that participants can implement with their clients immediately. The importance of pre and post-surgical therapy will be discussed, and surgical techniques will be explored so that therapists may be have a better understanding of the current research across disciplines on an international level.

    Learning Outcomes:

    • List three forms of TOTs.
    • Identify at least 3-5 functional impacts of TOTs on feeding skills.
    • List at least 3 speech sounds that may be affected by TOTS.
    • List at least 2 professionals that should be consulted if TOTs is suspected after a functional assessment.


    Practicum- Be Creative if you do not have any of the items on the list!! Here are some suggestions:


    • 1 set of gloves- if accessible..if not participants will be doing everything to themselves so clean hands work!
    • 1 toothette-  if you don't have a toothette, try cutting a (brand new) piece of a sponge in to a small rectangle!
    • 1 red bite block (any size...level 5-7)-  you can tape coffee stirrers, or popsicle sticks together!
      1 Tongue Depressor - Cherry)-  you can substitute a #2 bite block or a popsicle stick
    • 1 horn #1-  any flat mouth horn will do (old flute around the house!)
    • 1 Straw C Medium -  Any straw will do
    • veggie STRAWS (5 per person)-  any stick-shaped meltable snack (ie: pretzel sticks, Cheetos, Veggie Stix etc)
    • cheerios (5 per person)-  any small round cereal or a piece of a Cheeto, Bamba etc cut in to a circle
    • 1 Starbucks Cup - 12 oz with Sleeve & Lids-  any coffee cup that has a travel lid


    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)

    NOTE: This course welcomes IBCLC, dentists, surgeons, ENTs, occupational therapists, and RDHs -- however, we caution that only licensed professionals with Orofacial Myofunctional Therapy and/or feeding therapy within their scope of practice provide direct services.

    Click Here for More Information and to Register


    Rehab Net Members and Staff     n/c

    Non-Members - if registered and paid before 3/15/2020    $159

                                After 3/15/2020                                           $199

    TOTs course is both AOTA and ASHA approved for 6.0 contact hours

    Rehab Net Refund Policy

    Full refunds will be provided if you can cancel at least 10 business days before the course for any reason.  Full refunds can be oftained up to 5 business days before a course if an emergency occurred.  After these dedalines you will only receive 50% refund.


    Prior to the course day a list of items needed for the course and handouts will be emailed to you along with a link to the webinar.  If you previously registered please contact Becky at [email protected] to confirm you will still be attending.  Also if you are not a member, you will need to pay again for the course which you will need to contact us as well for that.



    $0.00 2020 Rehab Net TOTs Seminar- Member Registration

    $159.00 2020 Rehab Net TOTs Seminar - Non Member Registration
    $199.00 after 8:41 am April 2

    $59.00 2020 Rehab Net TOTS- Student Registration (SLP/OT/COTA)