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H&B Neurolife
Procedure

Oral-motor therapy (口肌训练)

Foundational speech-rehabilitation course: professional manual techniques and play tools to activate oral perception and build the strength of the oral muscles.

30–45 minutes
duration
1–3 months
course
4–8 weeks
effect
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Description

How the procedure works

Oral-motor therapy (口肌训练) is a foundational speech-rehabilitation course for ASD and other speech disorders. It addresses common difficulties: weak oral muscles, poor coordination, and sensitivity anomalies. Through professional manual techniques and play tools (puppets, whistles, oral-motor sticks), oral perception is activated, muscle strength builds up, and coordination improves. The goal is to form the physiological foundation for clear articulation, fluent speech, and normal swallowing and feeding: 'can speak, knows how to speak, speaks clearly'.

At H&B Neurolife International Rehabilitation Center (Shangrao), oral-motor therapy is part of the comprehensive speech program — running in parallel with speech therapy and, when indicated, with the swallowing stimulation device, auditory integration, and TMS. It is used across a wide range of oral-motor and speech difficulties: absence or delay of speech, unclear articulation, dysarthria, dysphagia, drooling, weak chewing, and oral hypersensitivity. In oral hypersensitivity the program is delivered gently — on the principle 'perception first, then gradual desensitization', without forced expansion of tolerance.

Strengths of the method as delivered at the center: professional assessment before sessions; staged training; play tools — puppets, whistles, oral-motor sticks; individual one-on-one delivery; close pairing with articulation training; suitable for all ages.

What matters most for parents

The child performs part of the exercises at home daily with the parent — this is critical for progress. The center's specialists teach the specific techniques: facial gymnastics, work with whistles, safe chewing practice. The principle 'can speak, knows how, speaks clearly' means that without work on the physiological foundation, higher speech levels cannot be built.

1

Professional assessment of oral-motor function

Specialists evaluate strength and coordination of the oral muscles (lips, tongue, lower jaw, soft palate), oral sensitivity, articulation, chewing, and swallowing; they also take a history of feeding, drooling, and tolerance of facial touch.

2

Designing the individualized program

The program follows the principle 'can speak, knows how, speaks clearly': first the foundation (strength, sensitivity), then articulation, then fluency. With oral hypersensitivity — a gentle pace, no forced desensitization.

3

Regular sessions with manual techniques and tools

Professional manual techniques + play tools — puppets, whistles, oral-motor sticks. Each tool works on a specific muscle group. One-on-one individual format.

4

Coaching parents in home exercises

Parents perform part of the exercises at home daily (facial gymnastics, work with whistles, gentle massage techniques). Specialists teach the specific techniques — this is critical for progress.

5

Re-assessment of progress and integration with the speech program

Regular re-assessment against achieved goals; integration with speech therapy and, when indicated, with the swallowing stimulation device, auditory integration, and TMS.

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Important information

Indications and contraindications

Indications

Autism spectrum disorders with speech difficulties
Non-verbal children or children with speech delay
Unclear articulation, confused sounds (b/d, zh/ch)
Oral sensitivity — refusal of tooth-brushing, feeding, touch to the face
Drooling, weak chewing, swallowing difficulties, picky eating
Stiffness or hypotonia of the oral muscles, immobile tongue
Children who want to speak but cannot due to oral-motor problems
Cerebral palsy and post-encephalopathy conditions with an oral-motor component

Contraindications

Acute infectious diseases
Fever above 37.1 °C
Acute inflammatory conditions of the mouth and throat
Severe decompensated somatic conditions
Application

What diagnoses it helps with Oral-motor therapy (口肌训练)

Aphasia

Aphasia

Loss of previously acquired speech or impaired comprehension due to damage to the brain's language areas.

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ASD

Autism and ASD

A neurodevelopmental condition that affects a child's social communication, speech, and behavior from early life.

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ASD+

ASD with co-occurring conditions

Autism spectrum disorder combined with GI problems, sleep disturbances, epilepsy, or inflammatory processes.

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CP

Cerebral Palsy (CP)

A group of persistent motor disorders caused by non-progressive brain damage during the perinatal period.

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Chewing

Weak chewing and sucking difficulties

Reduced strength and coordination of the mouth muscles affecting chewing of solid foods and — in infancy — sucking.

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Drooling

Drooling

Constant or episodic leakage of saliva from the mouth due to weak control of the mouth muscles and swallowing.

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Dysarthria

Dysarthria

Articulation and motor speech difficulties due to abnormal tone and coordination of the articulatory muscles.

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Dysphagia

Dysphagia (swallowing impairments)

Impairments of the swallowing act in children — choking, slowed bolus transit, risk of aspiration.

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Facial palsy

Facial nerve palsy

Weakness or paralysis of the facial muscles on one side of the face due to damage to the facial nerve (cranial nerve VII).

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GDD

Global Developmental Delay

A delay across several developmental domains at once — speech, motor function, cognition, and emotions.

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Intellect

Intellectual Disability

Persistent reduction of intellectual functions — from mild to severe — with varying support needs.

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Non-verbal

Non-verbal / minimally verbal

A state in which the child does not speak at all or uses an extremely limited set of words.

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Picky eating

Oral hypersensitivity and food selectivity

Heightened sensitivity in the mouth area with the associated refusal of facial touch and pronounced food selectivity.

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Encephalopathy

Post-Encephalopathic Period

Rehabilitation after encephalopathy — restoring brain function, motor abilities, speech, and cognition.

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SPD

Sensory dysregulation

Disorders of processing and integration of sensory signals — visual, auditory, tactile, vestibular, proprioceptive.

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Speech delay

Speech Developmental Delay

A delay in the child's development of receptive and expressive language relative to age norms.

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Touch

Tactile hyper- and hyposensitivity

Disorders of tactile processing — heightened or reduced sensitivity to touch and sensory-seeking behavior.

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