This content was created by Hallie Bulkin. This content was uploaded by Hallie Bulkin. This is a YouTube video titled "Orofacial myofunctional therapy with Lily ~ bonus practice session!" (created 2020-02-07) featuring Hallie Bulkin leading a short instructional/demo therapy session with a young patient, Lily. Hallie coaches Lily through orofacial/tongue exercises (keeping the mouth open, tongue elevation and "tongue bowl"), notes signs of fatigue, explains why repetition builds stamina, gives homework guidance (ideally three times/day, minimum once/day), and praises Lily's progress. The clip is an educational/practice session demonstrating techniques and at-home practice recommendations.
Chapters
All right, so Lily's gonna show us side to side. Good. One, two. Take your time. Keep your mouth open. Mouth is closing. Open. Good. 3. Keep your mouth open. 4. Good. Open wide. Open wide. Stop. Open wide. 5. Good. Her tongue's getting tired. 6, 7. Good. Remembering. 8, 9, and 10. So we got a little bit tired there at the end, and we definitely started to use that lower lip for some support again. But that's much improved over last night, where we were able to maybe get, like, one or two with the mouth open wide. You can see she started with her mouth open wide and went. And then you started to see the tongue fall back on the lip. That's fatigue, and that's going to happen when you're working on a new movement, because the tongue is so used to being supported by the surrounding orofacial structures, like the jaw, for example, that, you know, before actually last night, a day ago, we had this. And it's hard for me to even do it, but the jaw moved with the tongue. They moved as one unit. And she's already figured out how we can stabilize the jaw, keep the jaw open, and get that tongue to move independently of it beautifully a couple times before then starting to fatigue and going back to the jaw or kind of needing to hit reset. But it is a lot of work, right? Or it's like going to the gym, but for your mouth. And you have to really do the work to build stamina. And that is also why it's really important when we inside, we assign homework and we say, do these exercises three times a day. Some people say six times a day. I see progress if my patients do this one to three times a day. It depends on how diligent they are when they do the exercises and if somebody is there to correct them if they're a child and help them do it properly. If they're doing it properly, I do see progress. And quickly, if they do it at least once a day, twice as better. 3 times as even is the best. But I really want them doing it at least three times. But I know that's not functionally realistic for all of our families. So if you can do it at least once a day, even though I said three times, I will take it. And Lily and I only practiced this twice. We practiced it twice tonight at two separate points, and she was able to get it the first time, and she was able to maintain what you just saw bit longer tonight. So yay. Yay. Lily, you want to show them anything else? Yeah. Want to do a bowl? What's the other one you were working on. All right, so let's see her tongue bowl. Yay. Look at that. You're getting the sides of your tongue up. I'm so proud of you. That's so much easier from last night, too. So that looks really good, too. So we're doing awesome. We're going to keep working on those for the next week, and we'll update our exercises when we get really, really good at these. Right? Okay. Say bye. You're being so silly. Bye, guys.
