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Functional Assessment and Remediation of TOTS


Robyn Merkel-Walsh, MA, CCC-SLP & Lori Overland, MS, CCC-SLP, C/NDT, CLC

"I felt like a kid on Christmas when I received this book! I have referenced, reviewed & used everyday on my clinical practice. The information in this book is fabulous!!" -- Alicia R

This book is the go-to, comprehensive, evidence- based manual for the assessment and treatment of TOTs in infants, children and adults.

Functional Assessment and Remediation of TOTS
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Contributing Authors:

Anthony F. Jahn, M.D., F.A.C.S, F.R.C.S.(C)
David E. Karas, M.D.
Scott A. Siegel, M.D., D.D.S., F.A.C.S., F.I.C.S., F.A.A.P.
Sharon A. Vallone, D.C., D.I.C.C.P.

Authors, Robyn Merkel-Walsh and Lori Overland, have developed a comprehensive, evidenced-based program -- the Merkel-Walsh & Overland TOTs Protocol , to assist in the identification and functional implications of Tethered Oral Tissues (TOTs) commonly referred to as "tongue tie" or ankyloglossia. With a task analysis of the oral sensory motor skills required to eat and speak, Robyn and Lori have done organized a comprehensive assessment protocol that drives pre- and post operative care .

This practical speech and feeding program includes a pre- and post-surgical treatment plan to avoid long-term issues, such as scarring and reattachment.

This text compliments the TOTs courses taught by Robyn and Lori via TalkTools® found here:

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