Hallie BulkinAsk HallieAI:Your On-Demand Mentor in Pediatric Feeding & Myo

Modified Myo: How to Do Myofunctional Therapy on a Trampoline!

6 Oct 2026 · 1 min

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In this brief segment Hallie Bulkin describes a customized myofunctional/oral‑motor therapy session she designed for an autistic twin in South Philadelphia. The child struggles with lip weakness, open‑mouth posture, and lacks the ability to blow air, which affects everyday tasks like blowing out birthday candles. Bulkin combines oral‑motor play (OPT) with a trampoline: the child jumps while a bubble‑wand is positioned at an incline, encouraging the child to coordinate a jump with a blow to create bubbles. This modified approach targets lip rounding, breath control, and range of motion in a safe, regulated, and enjoyable environment, diverging from traditional textbook methods but aligning with the child’s sensory preferences.

Chapters

When I see autistic twins in South Philly, one of them loves to be on the trampoline. And mom said, I really want one of his goals to be that he'll be able to blow out his birthday candles because he doesn't know how to blow. His lips are always open, they're weak. He has difficulty with that range of motion, the retracting, protruding. So we will learn to blow bubbles via OPT. But on the trampoline. So he will be jumping up and down, and I'll put the wand a little bit at an incline so when he jumps up, and he can jump and then blow. And that's, again, it's modified. It's not necessarily traditional textbook Mayo, but we're working on lip rounding. We're starting to get blowing, and he's doing it in a way where he feels safe and regulated. And I don't see anything wrong with that. I love it. I love it. I think that's awesome. Yeah.