to the treatment of babies with tethered oral tissue · •Musculoskeletal & Fascial Palate, TMJ,...
Transcript of to the treatment of babies with tethered oral tissue · •Musculoskeletal & Fascial Palate, TMJ,...
Osteopathy
Anatomy
& Biodynamics
Physiology Neurology Embryology
Musculoskeletal & fascial
Nervous & circulatory system Organ & endokrine system
The Oral Ankyloglossia Syndrome a group of signs and symptoms that occur together
Compensation patterns affecting
•Oral Function
(Sucking, Chewing, Swallowing, Speech)
•Musculoskeletal & Fascial
(Posture, Torticollis, Spinal)
•Airway
(Breathing, Choking, Coughing, Apnea)
• Digestion
(Reflux, Nutritional Deficiencies, Elimination)
• Sensory
(Overwhelm, Anxiety, Hyper or Hypo
Sensitivity)
• Immunity
(Frequent Colds, Cough, Throat infections
(Effath Yasmin - GOLD LECTURE SYMPOSIUM ON TONGUE TIE )
CASE •Oral Function
Visible frenulum, trouble maintaining vacuum, clicking and
applying pressure on the lips
•Musculoskeletal & Fascial
Palate, TMJ, Masticatory mm, hyoid, supra & infra hyoid mm,
cervical fascial system, head position & cervical spine, sub occipital mm,
thorax, shoulders, low rib flaring, diaphragm, pelvis, abdominal & paravertebral mm
•Airway
High costal breathing & breathing frequency, coughing, dysphagia
• Digestion
Silent reflux, stool pattern, bloating
• Sensory
Cold & damp hands and feet, reacts strongly on stimulation, moves constantly,
sleep affected
• Immunity
2 virus infections with cough & stuffed nose
TREATMENT 1. Gentle manual adjustments of blocks*, mobilization or cranial techniques
on the findings in the area of :Spine, Pelvis, Ribs. TMJ, Hyoid bone, Palate, Skull & Skull base with extra focus on
Compression at the Jugular foramen because of the affect on venous return that can cause stasis affecting 3
important cranial nerves:
N.VAGUS influencing larynx, heart, lungs, trachea, liver, gastrointestinal tract and digestive functions, has been
linked with colic and reflux, is responsible for the coordination of sucking with breathing. N. ASSESORIUS
For the SCM and trapezius muscles. Important for movement of the neck & maintaining open airways in the suck-
swallow-breathe rhythm
N. GLOSSOPHARYNGEALElevation of pharynx, irritation of the nerve can cause reflexive guarding of the airway & initiate the gag reflex this
makes breastfeeding difficult
Compression at the condylar part of the occiput where N. HYPOGLOSSUS exits with possible effect on the movement of the tongue.
2. Soft tissue release, muscle energy techniques (if possible) & mobilization of hypertone or "tight" muscles-
Activation of hypotone muscles.
3. Fascial unwinding & stretching techniques also in relation to the organs
4. Massage to reduce hypertone muscles, improve lymphatic drainage & circulation to stimulate the metabolic balance within the muscle
5. Instructing the parents on breastfeeding postions to decrease MER, massage & reflux advice.
*blocks is used to refer to a joint whose movement is limited in one or multiple planes of motion.
It has a neurologic, vascular & lymphatic effect on the join & on the surrounding tissues and organs
THE EFFECT 1. An increased excursion of the mandible so the baby was able to open the mouth
widely
2. Decreased tension in & around the mandible, mouth & cervical spine to make the baby feed with correct technique
3. Improved latch via more effective lip or tongue movement by better cirkulation,
innervation, muscle & fascia tension
4. Increased cervical range of motion, so the baby could stabilize & have optimal position at the breast also important for the suck-swallow breathe rhythm
5. Improved posture through the change in muscle & fascial chains
6. Improved - the mechanical part of - respiration and digestion ( via optimal
thoracic mobility and diaphragmatic action)
7. Decreased stress affecting the breathing, digestion, sleep, mood and tone of the muscles
Imagine for a moment, a relaxed, mobile baby growing up with good posture, optimal movement and motor skills, a solid nervous system that can take on the world, the ability to
chew, swallow breathe freely without any difficulty.
Let’s share this new knowledge & help each other help the littleones
Thank you for your time !
Photo : Mette Lyck