Workshops

Conheça a edição de 2019

Workshops

  • Workshop 1 | Holistic body therapy preparing for orofacial activity

    By Anna Regner and Dorota Regner

    Introduction to holistic body therapy and its benefits for orofacial treatment.

    Goal: Improve oral motor-sensory and feeding skills

    Beginning advice for orofacial therapy: Mouth and face belong to the most sensitive, delicate and intimate areas of our body.

    All contact must be friendly, sensitive and careful.

    It must convey security to the child and allow him/her enough time and space to feel confident. In some cases, however, children display a severe aversion to oral contact and even against feeding. Patience, careful attention and exercises can help treat this.

    Defining useful terminology

    Silent Motorica

    Visual contact and regulation of head control, breathing and muscle tension

    Muscle tension

    The continuous and passive contraction of the muscles which helps maintain posture (i.e. hyper- and hypo-tonic muscle tension)

    Muscle Chain

    The complete chain of connected muscles in the entire body, from the toes to the head

    Body directions

    An anatomical description of the planes dividing the human body (cranial/towards the head; caudal/towards the coccyx; ventral/to the front; dorsal/to the back; lateral/left to right or right to left; diagonal/across the torso)

    Distal (peripheral) impulses

    increase of muscle tone (hypotonia)

    improve breathing and straighten up against gravity

    distal impulses continue into and influence the orofacial area

    Distal impulses support the orofacial functions of eating and drinking

    Regulation of the oro facial muscle motor activity (through rhythmical movement and vibration of distal impulses)

    Vibration

    Regulates muscle tension and ensures proper body alignment by bringing muscles more oxygen and information through increased movement

    Craniosacral therapy - skull exercises

    Neuromotorical areas

    Points on the face which receive sensory information when stimulated, and send it to the somatosensory cortex, which analyses the information and responds with motorical movement of facial muscles

    Jaw control

    Correct, symmetrical alignment of the lower and upper jaw and tongue control

    Breathing

    The act of inhalation and exhalation bringing oxygen to the body; also regulates the body’s muscle tension and posture

    Goals for Treatment:

    Correct function of orofacial muscles through muscle chain (shoulder/hip girdle)

    Correct body and head posture

    Pelvis upright

    Hands able to find the middle line

    Prepare the body’s receptors for stimulation using the whole body (inc. distal points)

    Manual jaw stabilization with head control in order to close the mouth and keep the tongue back

    Improve function of all facial and intraoral muscles

    Normalize breathing through nose

    Improve swallowing function

    Supporting Equipment

    Orthodontic equipment, vibrating toys, tubes, suckers, etc.

    Techniques and Positioning

    Body position

    Correct body control with head and torso in middle line

    Vibration techniques

    Short, intermittent vibration for hypotonic muscle tension

    Long, sustained vibration for hypertonic muscle tension

    Exercises

    Preparing the child for treatment using Silent Motorica

    Infants

    Adults

    Regulating orofacial muscle tension

    through rhythmical movement

    through distal impulses (hands and feet)

    Sensory integration

    vestibular

    proprioceptive

    tactile

    Regulating muscle tension for hypo- and hyper-tonic muscle tension

    Massage for neurosensomotor areas of the body

    Breathing exercises

    Manual techniques of jaw control

    Intraoral exercises (gum massage, palate massage)

  • Workshop 2 | O uso da Válvula de Fala de Deglutição em pacientes utilizadores ou não de Ventilação Mecânica

    Por Gustavo Ghion

    (Idioma/Language: Português / Portuguese)

    Objetivos:

    informar os diferentes profissionais sobre os seguintes temas:

    -Mecanismo de proteção de via aérea;

    -Impacto da traqueostomia na comunicação e na deglutição;

    -Válvulas de Fala:

    -Tipos, mecanismo de funcionamento, particularidades;

    -Critérios de Indicação e Contra-indicação para o uso da Válvula de Fala;

    -Protocolo de avaliação e utilização da válvula de fala e deglutição Passy-Muir em pacientes traqueostomizados não usuários de ventilação mecânica;

    -Protocolo de avaliação e utilização da válvula de fala e deglutição Passy-Muir em pacientes traqueostomizados usuários de ventilação mecânica;

    -Adequação dos parâmetros ventilatórios do respirador.

    -Benefícios do uso da válvula de fala e deglutição;

    -Avaliação de ocorrência de aprisionamento de ar (air trapping) com o uso da válvula, através da manometria de pressão trans-traqueal;

  • Workshop 3 | Videoendoscopia da deglutição (VED)

    By António Schindler

    (Idioma/Language: Inglês / English)

  • Workshop 4 | Clinical Assessment & Management of dysphagia in patients with head and neck cancer.

    By Roganie Govender

    (Idioma/Language: Inglês / English)

    This workshop will provide an introductory overview of the key principles in evaluating patients who present with dysphagia as a result of surgery and/or chemo-radiation therapy for head and neck cancer. It will cover assessment and rehabilitation from pre-treatment through to acute management and longer-term rehabilitation. Group discussions will include examples of patient case studies so that participants can apply newly learned principles to hypothetical clinical scenarios.

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