Tongue ties, also referred to as tethered oral tissues (TOTs) can seem like a complex issue, but what it really comes down to is understanding when functional eating, speaking and sleeping are impaired. 

 This episode is a review of Merkel-Walsh and Overland’s book Functional Assessment and Remediation of TOTs. With the information in this book, SLPs gain a clear understanding of their role in diagnosing and treating clients with TOTs. 

 Therapists with a background in a muscle-based approach to speech therapy are best equipped to serve clients with TOTs. Here’s is a list of training resources the authors suggest:

 Ages and Stages

Beckman and Associates

Chrysalis Feeding

International Association of Orofacial Myology

Northern Speech Services

Talk Tools

The Academy of Orofacial Myofunctional Therapy

The PROMPT Institute