TOTs and Speech: What You Need to Know! Live online 22.2.2024

TOTs and Speech: What You Need to Know! Live online 22.2.2024
  • Toimittaja: Talk Tools
Tuotenumero: 00067WEB
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Saatavuus: Pyynnöstä

Zoom yhteydellä netissä torstaina 22.2.2024  klo 19:00 - 21:00 Suomen aikaa

Opettaja: Robyn Merkel-Walsh, MA, CCC-SLP, COM®️

Esityksen voi katsoa nauhoitettuna vielä  2 päivää live tapahtuman jälkeen.

Course Description

TalkTools® virtual streaming workshops and webinars are recorded. Recorded presentations are available for 2 days after the dates posted and accessible only to learners who purchased a seat for this course. 


As we have learned from Mills et al. in 2019, frena are dynamic structures comprised of collagen fibers and fascia. When ankyloglossia is present the tethering of these fibers may restrict normal tongue movement resulting in functional implications. Ankyloglossia often referred to as “tethered oral tissues/TOTs” and is often the cause of disruptions to the orofacial complex known as an Orofacial Myofunctional Disorder (OMD).

OMDs are also associated with speech sound errors such as an interdental lisp and /or abnormal lingual dental articulatory placement for /t, d, l, n, ʧ, ʤ, ʃ, ʓ/ (ASHA, n.d.). It seems logical that if a tongue cannot move freely, that the movements required for speech sounds may be impacted resulting in atypical or compensatory oral placements, yet it has been suggested that individuals with a tongue-tie can compensate for limited range and speak with alternative articulatory placements.

Clinicians working with Speech Sound Disorders (SSDs) often note a correlation between tongue-tie and speech errors, but this is controversial, and therapists are left confused on which assessment tools and treatment methods are evidence-based. Robyn will discuss possible correlations between SSDs and ankyloglossia, provide an evidence-based review dating back to the 1950’s, and will discuss SSDs in tongue tied speakers and the clinical implications for assessment and treatment.


Participants will be able to: 


  1. State at least 1 type of articulation error correlated with ankyloglossia.
  2. List 1 way in which ankyloglossia may impact speech sound production.
  3. Describe an example of how ankyloglossia and speech are correlated in the literature.
Content Disclosure: This presentation will focus on treatment methods related to the use of TalkTools® resources. Other similar treatment approaches will receive limited or no coverage during this lecture