How to teach chewing hierarchy level number four in children with Down Syndrome

As always…a big thank you to Lori Overland for sharing and teaching me so much over the past year.  I have purchased many of her DVD’s, products and teaching materials through  Your life takes you where you are supposed to be…and I am grateful on my journey that I have been able to help so many families all over the world…please post with any questions.


Chewing Hierarchy Level Number 4

This is the five point bite.  So you will be presenting the stick shaped bolus (veggie stick or Snikiddy Cheese Fries) perpendicular to the lateral molar ridge.  Be sure to support your little one’s jaw if needed.  This is to prevent jutting or  sliding.  Now you will move the bolus around to the opposite molar ridge: there will be five bites in total: lateral molar ridge, lateral incisor, front central incisor, lateral incisor and finally the lateral molar ridge on the other side.  Be sure your little one takes small graded bites. 

What are we addressing:  Encourages tongue lateralization across midline

About Kim

My name is Kim Marino and I have been practicing as a licensed speech and language pathologist since 1993. I work on Long Island providing diagnostic evaluations and services to children from birth to age 21. My experience is vast and am proud to say that I work with children that may present with articulation and phonological concerns, oral motor feeding concerns, Down Syndrome feeding, cognitive rehabilitation, auditory processing delays, receptive language delays, cleft palate feeding and sound development and expressive language delays. Most importantly, I am the mother of four amazing children and am happily married to my childhood sweetheart. I feel blessed to have my four children and so lucky to share this journey in life with my husband. I always had it somewhere in my head that I wanted to develop a blog or a website of some sort so that I could provide families with an additional that parents could help their little ones become a better communicator. And as I was developing this blog....I realized that I also needed to share the stories about my life and my children....and the funny things along the way that help to keep me smiling. Whether you are a working mother or not...finding balance between home, children and life can be a challenge....I hope that my blog helps to bring a smile to your face..and also some tools to help you help your little or big one. I hope you enjoy! Kim
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