Oral Sensorimotor Stimulation

Oral sensorimotor stimulation, also referred to as oral sensory therapy, is a specialized therapeutic approach aimed at addressing oral motor challenges in individuals. This therapy targets the sensory and motor aspects of the oral cavity to enhance various functions such as chewing, swallowing, speech articulation, and overall oral motor coordination. Through a combination of sensory input and motor exercises, the therapy aims to improve muscle strength, coordination, and sensory awareness within the oral structures.

Oral sensorimotor stimulation is utilized to address a range of oral motor challenges in individuals, including hypersensitivity, difficulties with chewing or swallowing, speech articulation issues, and overall oral motor coordination deficits. By implementing structured programs comprising specific oral sensorimotor stimulation activities, therapists aim to achieve goals such as reducing hypersensitivity, improving jaw and tongue movement, reinforcing muscle strength, and enhancing overall oral motor organization. The therapy is tailored to meet the unique needs of each individual, empowering them to achieve greater independence and functionality in daily activities involving oral motor skills.

Yes, oral sensorimotor stimulation encompasses various approaches tailored to address specific oral motor challenges in individuals. These approaches may include exercises targeting specific oral movements, sensory stimulation techniques using specialized tools or toys, and activities designed to improve oral motor coordination and sensory awareness. Therapists customize therapy plans based on the individual’s assessment and goals, incorporating a combination of techniques to address their unique needs effectively.

Oral sensorimotor stimulation has demonstrated effectiveness in improving oral motor function in individuals facing challenges such as hypersensitivity, chewing or swallowing difficulties, and speech articulation issues. While the outcomes may vary depending on individual factors such as severity of challenges and response to therapy, many individuals experience significant improvements in their oral motor skills with consistent and structured therapy sessions.

During oral sensorimotor stimulation sessions, individuals engage in a variety of activities and exercises tailored to target their specific oral motor challenges. These activities may include practicing oral movements, using sensory tools for stimulation, and performing strengthening exercises for oral muscles. Sessions are conducted in a supportive and encouraging environment, with therapists providing guidance and feedback to optimize progress.

Certified physical therapists or occupational therapists with specialized training in oral motor therapy typically provide oral sensorimotor therapy. These professionals have expertise in assessing oral motor function and designing individualized therapy plans to address specific challenges effectively. They work closely with individuals and their families to ensure therapy goals are met and progress is optimized.

Oral sensorimotor stimulation is generally considered safe, with minimal risk of adverse effects. However, individuals may experience minor discomfort or fatigue during therapy sessions, similar to engaging in physical exercises. It’s essential to communicate any concerns with the therapist and monitor the individual’s progress closely to ensure a positive therapy experience.

Determining whether oral sensorimotor stimulation is suitable for your child depends on various factors, including their specific oral motor challenges, therapy goals, and individual preferences. Consulting with healthcare professionals and discussing your child’s needs and concerns can help determine if oral sensorimotor therapy aligns with their unique circumstances and can contribute positively to their oral motor development and overall well-being.

One fair-quality RCT (Abd-elmonem et al., 2021) investigated the effects of oral sensorimotor simulation on oral motor skills in infants with spastic quadriplegic CP. In this fair-quality RCT, children were randomized to receive oral sensorimotor stimulation + neurodevelopmental training (NDT) or NDT alone. Oral motor skills were assessed using the Oral Motor Assessment Scale at post-treatment (4 months). Significant between-group differences were found, favoring the oral sensorimotor stimulation + NDT vs. NDT alone.

Conclusion: There is limited evidence (Level 2a) from one fair quality RCT that oral sensorimotor simulation + NDT is more effective than NDT alone in improving oral motor skills in children with spastic quadriplegic CP.

One fair-quality double-masked RCT (Abd-elmonem et al., 2021) investigated the effects of oral sensorimotor simulation on trunk control in infants with spastic quadriplegic CP. In this fair-quality RCT, children were randomized to receive oral sensorimotor stimulation + NDT or NDT alone. Segmental trunk control was assessed using the Segmental Assessment of Trunk Control (SATCo) at post-treatment (4 months). No significant between-group differences were found between oral sensorimotor stimulation + NDT vs. NDT alone.

Conclusion: There is limited evidence (Level 2a) from one fair quality RCT that oral sensorimotor simulation + NDT is as effective as NDT alone in improving segmental trunk control in children with spastic quadriplegic CP.

One fair-quality double-masked RCT (Abd-elmonem et al., 2021) investigated the effects of oral sensorimotor simulation on physical growth in infants with spastic quadriplegic CP. In this fair-quality RCT, children were randomized to receive oral sensorimotor stimulation + NDT or NDT alone.  Physical weight was assessed using a weight scale at post-treatment (4 months). Significant between-group differences favouring the oral sensorimotor stimulation + NDT vs. NDT alone.

Conclusion: There is limited evidence (Level 2a) from one fair quality RCT that oral sensorimotor simulation + NDT is more effective than NDT alone in improving physical growth in children with spastic quadriplegic CP.

One fair-quality double-masked RCT (Abd-elmonem et al., 2021) investigated the effects of oral sensorimotor simulation on gross motor function in infants with spastic quadriplegic CP. In this fair-quality RCT, children were randomized to receive oral sensorimotor stimulation + NDT or NDT alone. Gross motor function was assessed using the gross motor function measure-88 (GMFM-88) at post-treatment (4 months). No significant between-group differences were found between the oral sensorimotor stimulation + NDT vs. NDT alone.

Conclusion: There is limited evidence (Level 2a) from one fair quality RCT that oral sensorimotor simulation + NDT is as effective as NDT alone in improving gross motor function in children with spastic quadriplegic CP.