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Interdisciplinary cooperation – health information

Interdisciplinary cooperation

In the case of myofunctional therapy, speech therapists and orthodontists work hand in hand.

(dbp / fru) Disorders of the musculature in the mouth-facial area are referred to in the jargon as “orofacial muscle dysfunction”. The German Association for Speech Therapy (dbl) explains on its website that the movement and coordination processes as well as the muscular balance of all swallowing structures (cheek, lip and tongue muscles) are affected. A uniform treatment guideline for the treatment of such symptoms is currently not available. Thus, an interdisciplinary collaboration between paediatricians, speech therapists and orthodontists and surgeons is necessary to help affected patients. Otolaryngologists may also be involved in so-called myofunctional therapy.

Impaired pronunciation and dental and jaw malpositions

The German Association for Speech Therapy lists symptoms that may occur in the context of a functional orofacial disorder. These include incomplete oral closure, frequent mouth breathing, increased salivation, sensory and motor deficits of the tongue (limited tongue mobility) or tongue advancement when speaking of muscular dysbalance of the mouth, face and neck. “If, in addition to one or more of these symptoms of orofacial dysfunction, there is a tongue kick against the teeth (tongue protrusion), this is called a myofunctional disorder (MFS),” explains the dbl.

According to dbl, possible consequences of an untreated functional orofacial disorder are disturbed chewing, biting and swallowing, a “wet” pronunciation and articulation disorders in sibilants (eg, shetism or sigmatism). When swallowing, the tongue also hits the teeth permanently, which can lead to tooth and jaw malpositions.

“Shut up”

Sabine Fuhlbrück, myofunctional therapist from Leipzig, has over 20 years of experience with orofacial muscle dysfunction and knows the symptoms as well. She knows that many children with increased mouth breathing have to listen to the following request very often: “Close your mouth.” Enlarged throat almonds can be used, for example. As the cause of the frequent mouth breathing. If the tonsils are surgically removed, the cause is eliminated, but the habit of breathing through the mouth remains abundant. This must then be “trained” again.

In general, you can train a lot in terms of orofacial disorders. This z. B. Logopedists and orthodontists. They use perception-therapeutic methods, train with the patients the correct lip and tongue rest, including mouth closure and nasal breathing, support orofacial regulation through targeted muscle function training (oral motor exercises) and initiate the physiological swallowing pattern. Those affected can then continue the training at home and thereby significantly improve their body awareness.

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Christina Cherry
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