Tongue-tie & Structure

These presentations focus on the assessment, diagnosis and treatment of tongue-tie and other structural issues that have a negative impact on normal infant sucking skills and development.

Hours / Credits: 1 (details)
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USA Jaye Simpson, CLE, IBCLC, RLC

Jaye Simpson started her career in lactation in 1995, becoming a Certified Lactation Educator (CLE) through Lactation Institute. She then became an International Board Certified Lactation Consultant (IBCLC) in 2000. In 2005, Jaye completed her training in infant massage and is a Certified Instructor of Infant Massage, tailoring her classes for parents whose babies have special needs and structural issues due to birth trauma.  Specializing in working with babies with structural issues, Jaye’s studies and research led her to develop the Structure and Function training program in 2013, teaching professionals in the birth and breastfeeding fields how to evaluate infant structure and function as it relates to breastfeeding.

USA Jaye Simpson, CLE, IBCLC, RLC
Abstract:

This program will discuss Infant structural concerns: why structural issues occur, what challenges structural issues can cause and potential long term effects. Discussion will focus on pregnancy and birth related causes, effects on breastfeeding and baby behavior, and the potential long term ramifications when missed or left untreated. Discussion will incorporate and stress why it is important to recognize structural issues as soon as possible after birth.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Available in: Infant Suck Lecture Pack
Hours / Credits: 1 (details)
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Autumn R. Henning, MS, CCC-SLP, is a certified and licensed Speech-Language Pathologist with Certificate of Clinical Competence from the American Speech-Language Hearing Association (ASHA). She graduated Magna Cum Laude from the University of Kentucky with her Bachelor’s and Master’s Degrees in Communication Disorders. Autumn is a recognized provider by Ankyloglossia Bodyworkers, has been a guest presenter for Creating a Care Plan for Tongue Ties and delivered a webinar through Innara Health entitled Tethered Oral Tissues: What’s a Therapist to do?. She has served on local breastfeeding professional panels and delivered numerous presentations to parents and medical professionals. Autumn has completed specialty continuing education including Beckman Oral Motor, Vital Stim, and Foundations in Myofascial Release for Neck, Voice, and Swallowing as well more than a dozen professional courses on pediatric feeding and related topics. She is pursuing further education in the areas of lactation and orofacial myology. Autumn has experience working in the school system, early intervention, an ABA center and outpatient clinics including a nationally award-winning intensive feeding program. Autumn currently specializes in pediatric feeding at a non-profit outpatient clinic in Greenville, SC and serves on the board. She recently founded a continuing education company, Chrysalis Feeding, LLC. The flagship course is TOTS: Tethered Oral Tissues Specialty Training that launched this Fall.

Abstract:

This presentation is an introduction to tethered oral tissues and their impact on oral function beyond breastfeeding. Participants will learn about the oral skills necessary for proper speech and solid feeding and how tethered oral tissues alter this optimal function. Participants will learn how to effectively communicate with patients, families, and other medical professionals on this topic and make appropriate referrals with recognition of signs and symptoms affecting oral function.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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USA Ellen Chetwynd, PhD, MPH, BSN, IBCLC

Ellen Chetwynd PhD MPH RN BSN IBCLC is a breastfeeding researcher, lactation consultant, and advocate. Her goal is to provide excellent care that is innovative and effective. Her clinical care is equally informed by, and leads to, her research and collaborations with fellow scientists. She is an advocate of breastfeeding families of all shapes, as well as the providers who care for them. Through her work as Chair of the North Carolina Breastfeeding Coalition she has contributed to the statewide work to provide Medicaid reimbursement in North Carolina, successfully funded a project to support clinics seeking to become breastfeeding friendly and increase access to equitable support of breastfeeding, implemented a statewide breastfeeding summit, and created an interactive statewide resource listing for breastfeeding resources at the county level. In her lactation consulting work, she is sought out by parents and clinicians for her work with difficult cases of pain and dysfunctional infant suck. She is a prolific writer, and her research and publications cover topics including breastfeeding and metabolic health, reimbursement for lactation consulting, LGBTQI+ families, and breastfeeding research methodology. She recently created and co-taught a full day workshop on breastfeeding research methods, and gets fired up about the numbers behind what we do to support families. At Next Level Lactation LLC, she and her partners provide advanced lactation educational opportunities.

USA Ellen Chetwynd, PhD, MPH, BSN, IBCLC
Abstract:

Babies with oral tethering don't have access to the full range of motion needed to create negative pressure at the back of their mouths so they can draw milk out of the effectively and painlessly. We can all assess the latch, but what is happening with the tongue, the breast and nipple, and the other muscles involved in the mechanics of suck after the baby’s mouth closes over the breast? How do we identify compensatory mechanisms convince babies to change them with the broader mobility they have after frenotomy? This presentation will teach participants how to visualize/experience normal infant suck. Compensatory suck mechanisms are the techniques that infants use during feeding when they don’t have access to adequate movement in their tongue and floor of their mouth. Infants are creative, and the strategies they develop are varied. Participants will learn how to identify and categorize compensatory mechanisms and use clinical skills to differentiate and assess muscle tension related to overuse and suck mechanics at the breast. A unique set of clinical techniques that can be used by the lactation consultant and taught to the mother addressing each category of compensatory suck mechanics will be introduced and illustrated through case studies.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 8 Weeks
Presentations: 10  |  Hours / CE Credits: 10  |  Viewing Time: 8 Weeks
Webinar

The Effects of Stress On The Mother-Baby Dyad

By Elissa O'Brien, B.Sci (clin) M.Health.Sci (osteo) Member Osteopathy Australia
Hours / Credits: 1 (details)
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Australia Elissa O'Brien, B.Sci (clin) M.Health.Sci (osteo) Member Osteopathy Australia

Elissa is a passionate osteopath, business owner and mentor.

Elissa has worked as an Osteopath in private practice in Melbourne since graduating in 1998.

She started her own multidisciplinary clinic in 2002, combining osteopathy with, massage, naturopathy, kinesiology and counselling. In 2015 Elissa merged her business with a local podiatrist and started The Balwyn Health Hub.

She is well known for her treatment of children and pregnant women although her patient base also includes a strong focus for;  the family unit, the elderly, performers, athletes and the chronically ill. Her special interest in osteopathic diagnostic reasoning  often helps patients understand why chronic dysfunctions are not healing.

Elissas passion for working with pregnant women, babies and children allows close professional relationships with lactation consultants, midwives and doulas which has led to her guest lecturing at a number of  multidisciplinary conferences.

Australia Elissa O'Brien, B.Sci (clin) M.Health.Sci (osteo) Member Osteopathy Australia
Abstract:

The stresses faced by each new mother will reflect her unique experience of conception, pregnancy and birth and these stresses can significantly influence the mother-baby bond. Even the most well researched birth plan can be subject to variations and complications that will inevitably put additional stress on the mother. Difficulty breastfeeding is often one of the first signs of stress on the mother-baby unit; it’s success or failure can drastically influence the early bonds made between the dyad. The neuroendocrine system has many ways of responding to these stresses and knowledgable manual therapists have an opportunity to support both the mother and baby towards optimal physiology.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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USA Alison Hazelbaker, PhD, IBCLC, FILCA, RCST

Dr. Hazelbaker has been a therapist for over 30 years. She specializes in cross-disciplinary treatment and to that end has taken training in several modalities to best assist her clients. She is a certified Craniosacral Therapist, a Haller Method practitioner, a Lymph Drainage Therapy practitioner, a Pre and Perinatal Psychology Educator and an International Board Certified Lactation Consultant in private practice. She has authored three books, several monographs and performed clinically relevant research. As an innovator, she invented the Hazelbaker™ FingerFeeder to address infant sucking problems.

USA Alison Hazelbaker, PhD, IBCLC, FILCA, RCST
Abstract:

Has the incidence of tongue-tie increased or are we seeing more cases of "tongue-tie" because of poor differential diagnosis? In this presentation, Dr. Hazelbaker describes the differences between actual tongue-tie and sucking issues that can appear to be tongue-tie due to structural restrictions that pull the tongue back in the throat. She provides the conceptual framework for such an occurrence and shows both pictures and video that help the participant grasp the differences between the two thereby distinguishing a true tie from a faux tie in his or her clinical setting.

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Presentations: 6  |  Hours / CE Credits: 6.0  |  Viewing Time: 4 Weeks
Available in: Tongue-tie Lecture Pack
Hours / Credits: 1 (details)
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USA Alison Hazelbaker, PhD, IBCLC, FILCA, RCST

Dr. Hazelbaker has been a therapist for over 30 years. She specializes in cross-disciplinary treatment and to that end has taken training in several modalities to best assist her clients. She is a certified Craniosacral Therapist, a Haller Method practitioner, a Lymph Drainage Therapy practitioner, a Pre and Perinatal Psychology Educator and an International Board Certified Lactation Consultant in private practice. She has authored three books, several monographs and performed clinically relevant research. As an innovator, she invented the Hazelbaker™ FingerFeeder to address infant sucking problems.

USA Alison Hazelbaker, PhD, IBCLC, FILCA, RCST
Abstract:

This session addresses the types of breastfeeding problems that respond to bodywork. Dr. Hazelbaker presents examples of structurally related sucking dysfunction that indicates the need for bodywork. She discusses the three major release areas that must be addressed to resolve the sucking issue.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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Dr. Sharon A. Vallone is a graduate of Rutgers University (AB Microbiology 1978) and New York Chiropractic College (1986). She completed her Diplomate in Clinical Chiropractic Pediatrics in 1996 through Palmer College and received her appointment as Fellow in Clinical Chiropractic Pediatrics in 2003. Dr. Vallone has a private practice limited to high risk pregnancies and challenged children in Connecticut and is currently the Chair of the Board of Kentuckiana Children’s Center in Louisville, KY and past Vice Chair of the International Chiropractic Association’s Council Pediatric Council. She is an international speaker, author, and editor of the Journal of Clinical Chiropractic Pediatrics. Sharon brings 33+ years of pediatric chiropractic experience with a primary interest in pregnancy, birth trauma, breastfeeding and problems with infant /toddler neurodevelopment.

Abstract:

The impact of tethered oral tissues on the fascial system of the neonate can be the origin of both successful and unsuccessful compensatory biomechanical alterations in an attempt to breastfeed. These biomechanical alterations can manifest as asymmetries in appearance and function as well as in behavioral challenges ranging from sleep disturbance, colic like symptoms and inconsolable crying. It is important to understand these issues when looking at the whole picture so as to improve outcomes when surgical interventions are required. The goal of this lecture will be to support the attendees with understanding the relationship between structure and function and how this ties in with physical limitations like tongue and lip tie, the biomechanical assessment and discussion of manual therapies available to assist the breastfeeding dyad.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 8 Weeks
Presentations: 10  |  Hours / CE Credits: 10  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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USA Kristie Gatto, MA, CCC-SLP, COM

Kristie Gatto, MA, CCC-SLP, COM received her bachelor’s and master’s degrees from the University of Houston in Houston, Texas. She has worked as a speech-language pathologist in the public and private school systems, skilled nursing, rehabilitation and children’s hospitals, and in private practice. In 2004, Ms. Gatto became the co-owner of a private practice in Northwest Houston and began her journey in treating children with pediatric feeding disorders. After years of searching for answers in traditional feeding approaches, she underwent training in the field of Orofacial Myology and became the first certified orofacial myologist in the city of Houston in 2011. Ms. Gatto is currently the owner of The Speech and Language Connection, which has two offices in the greater Houston area and employs 21 speech-language pathologists with various specialties.

For the past ten years, she has focused her clinical skills on treating patients with issues in feeding, dysphagia, deglutition, oral sensory aversion, orofacial myology, and swallowing- related disorders, as well as articulation, phonological processing, apraxia, and early childhood intervention.

Ms. Gatto is a member of the American Speech-Language-Hearing Association (ASHA), International Association of Orofacial Myology (IAOM), American Academy of Private Practice in Speech Pathology & Audiology (AAPPSPA), Texas Speech-Language-Hearing Association (TSHA), and Houston Association for Communication Disorders (HACD). Additionally, she serves on the board of directors for the IAOM and AAPPSPA and the Community Advisory Board for the University of Houston.

USA Kristie Gatto, MA, CCC-SLP, COM
Abstract:

Babies are born with lips, tongues, jaws, cheeks and reflexes that were designed for natural acquisition of skills in feeding, drinking, facial expression and, in speech. Oral motor patterns are the functioning of these structures, whereas, the reflexes are the infant’s mode of survival. These skills occur naturally when the oral structure is intact. When abnormality to the anatomy occurs, maladaptive movements are created and compensatory strategies are learned. The infant, child, or adult modifies their muscle functioning to eat, drink, and speak that directly affects the appropriate integration of higher skills during these feeding milestones. This session will address the normal and abnormal oral motor patterns, feeding milestones and the natural integration of the reflexes.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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Canada Edith Kernerman, IBCLC, NBCI

Edith Kernerman is an International Board Certified Lactation Consultant and clinician in Toronto, seeing over 2000 breastfeeding families each year. She is co-founder and President of the International Breastfeeding Centre (IBC), co-founder and Clinic Director of the Newman Breastfeeding Clinic, (NBC), senior faculty at IBC’s Centre for Breastfeeding Studies, and an IBLCE mentor. She is the creator and founder of the International Meeting of the Minds, co-creator of Dr. Jack Newman’s Visual Guide to Breastfeeding, the L-Eat Latch and Transfer Tool; author of GamePlan for Protecting and Supporting Breastfeeding in the First 24 hours of Life and Beyond, and creator of the Pain Algorithm for Sore Nipples and Breasts. Her recent focus has been 1] not yet latching baby, 2] identifying and treating tongue and lip tie, 3] Mammary Constriction Syndrome. Kernerman is also co-founder and President of the Ontario Lactation Consultants Association. Edith Kernerman has 3 wonderful breastfed children.

Canada Edith Kernerman, IBCLC, NBCI
Abstract:

The International Breastfeeding Centre has been in need of a validated TT assessment tool that works for newborn and babies of any age, is very quick and easy to administer by a practitioner who has not been trained on the tool, has as few criteria as necessary, captures both anterior and posterior, as well as submucosal ties, is applicable to both breastfeeding and non-breastfeeding babies.  Because of this need, IBC created such a tool and proceeded to have it validated.  To this end IBC's goal was to achieve: 1. Criterion-related validity (compared to HATLFF); 2. Criterion-related validity (compared to physician's assessment); 3. Face validity (>4 Experts); and 4. Inter-rator reliability.

This talk discusses the applications of the IBC TT Assessment Tool, whether or not validation was achieved and the process to achieving it, and how the tool has been put into practice.

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Presentations: 6  |  Hours / CE Credits: 6.0  |  Viewing Time: 4 Weeks
Available in: Tongue-tie Lecture Pack
Hours / Credits: 1 (details)
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USA Michelle Emanuel, OTR/L, CIMI, CST, NBCR, RYT 200

Michelle has 20 years of experience as a Neonatal / Pediatric Occupational Therapist and over 15 years experience as a Craniosacral Therapist and Infant Massage Instructor. She is a Certified CranioSacral Therapist through the Upledger Institute. She serves as a Teacher's Assistant) for CranioSacral Therapy, SomatoEmotional Release , as well as CranioSacral Therapy for Pediatrics. In addition to this, Michelle has a wide variety of specialty baby craniosacral therapy training and experience. She is certified in Yoga, Reflexology, and infant Massage. Michelle has started to focus on her private practice, teaching her own curriculum including the Tummy Time method and and cranial nerve dysfunction for the newborn to precrawling infant.

USA Michelle Emanuel, OTR/L, CIMI, CST, NBCR, RYT 200
Abstract:

Babies with tongue/oral restrictions and Cranial Nerve Dysfunction (CND) present with clinical indicators of decreased airway patency which interrupt latch and breastfeeding skills, airway development and Autonomic Nervous System regulation. These difficulties are noted clinically by mouth breathing, open mouth posture, stridor, snoring and other noisy breathing, suboptimal breathing patterns, decreased suck/swallow/breathe coordination and poor tongue and jaw posture / movement during activity and rest. Many of us are familiar with the Vagus nerve and the vital role it plays as our body’s sensory/afferent relayer of information to the central nervous system, as well, the Vagus serves as the primary parasympathetic influence on most of our viscera, including our heart, which helps us regulate. However, what we often gloss over is the motor input to the skeletal muscles of the soft palate, pharynx, larynx and tongue which directly impact breathing. This lecture will delve into this fascinating topic and provide clinical applications.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
This presentation is currently available through a bundled series of lectures.