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The Source® for Oral-Facial Exercises Updated and Expanded
Ages: 14-Adult   Grades: 9-Adult

Look at the larger picture of treating oral-facial disorders with this inclusive approach and get step-by-step treatment techniques, reproducible forms, and more than 100 pages of illustrated exercises. 


  • Improve oral-facial movement
  • Normalize sensory responses
  • Advance the level of eating and drinking
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** This is a Cloud E-Book that is accessible from any device with Internet access. .

Large type and clear line illustrations make the simple exercises easy to reproduce for clients.  Get exercises for:

  • breathing and visualization
  • posture and stretches
  • neck and shoulder
  • voice and resonance
  • cheeks
  • jaw
  • lips
  • tongue
  • nasal/forehead

Extra helps are included for:

  • drooling management
  • multisensory stimulation
  • massage
  • acupressure techniques

Organize your practice with reproducible materials that you may copy or print from the FREE CD:

  • evaluation forms
  • referral form
  • progress logs

Copyright © 2001

264-page book plus a CD of reproducible pages, evaluation tools, forms, therapy activities
  • Oral-motor exercises practiced in an efficient manner within the principles of a motor learning model were found to be effective in improving articulation in individuals with dysarthria (McGhee, Cornwell, Addis, & Jarman, 2006).
  • Individuals with dysphagia who exhibit disorders within the oral preparation or oral transit phases of swallowing will benefit from oral-motor control, and lingual and labial range of motion exercises.  These exercises will improve proper manipulation of food within the oral cavity (Logemann, 1998).
  • Respiratory weakness is common in flaccid dysarthria.  Various compensatory postures and breathing exercises are needed to improve respiratory support for functional speech (Freed, 2000).
  • Controversy exists in the speech pathology field on how nonspeech oral movements directly improve speech production.  Oral-motor exercises of tongue or jaw may not transfer directly to speech movements when performed alone; however, there is some beginning research that when these exercises are directly paired with the speech skill (such as practicing adequate lingual elevation followed by speech production of words containing lingual-alveolar phonemes) some patients may show improved speech production.  Thus, motor skill training may improve brain reorganization for speech production more so than motor strength training (Ludlow et al., 2008).

The Source for Oral-Facial Exercises Updated & Expanded incorporates these principles and is also based on expert professional practice.


Freed, D. (2000). Motor speech disorders diagnosis and treatment. San Diego, CA: Singular.

Ludlow, C.L., Hoit, J., Kent, R., Ramig, L.O., Shrivastav, R., Strand, E., et al. (2008). Translating principles of neural plasticity into research on speech motor control recovery and rehabilitation. Journal of Speech, Language, and Hearing Research, 51, S240-S258.

Logemann, J.A. (1998). Evaluation and treatment of swallowing disorders. Austin, TX: Pro-Ed.

McGhee, H., Cornwell, P., Addis, P., & Jarman, C. (2006). Treating dysarthria following traumatic brain injury: Investigating the benefits of commencing treatment during post-traumatic amnesia in two participants. Brain Injury, 20(2), 1307-1319.


Debra C. Gangale


Debra C. Gangale, M.A., CCC-SLP, has been in private practice for over 19 years.  She wishes you much love and joy on your path.  She can be reached at for information on consultations, therapy, and seminars.


The Source for Oral-Facial Exercises Updated and Expanded includes everything you'll need to evaluate a client with oral-facial disorders and to implement a therapy program.  This comprehensive listing of interventions and exercises provides you with a wide variety of tools to meet your client's needs.  The large type and clear line illustrations make the simple exercises ideal to reproduce for clients.

It's important to consider each client individually when establishing a remediation program.  Each situation brings a unique set of needs and may require ongoing modifications to the number of therapy sessions per week, short-term and long-term goals, and overall progress.  The exercises in this book will benefit clients with a variety of oral-facial disorders including those associated with:

  • Cerebral palsy
  • Parkinson's disease
  • Mental retardation
  • Head trauma
  • Cranio-facial anomalies
  • Bell's palsy

Exercises and intervention goals may be as follows and are listed per exercise:

  • balance flaccid and tense musculature
  • inhibit and facilitate movement
  • relax and focus the client
  • stimulate flaccid muscle tissue
  • decrease tactile defensiveness
  • increase productive usage of musculature for deglutition, articulation, and voicing
  • decrease pain response
  • improve vocal quality and vocal projection
  • improve attention span
  • improve communication
  • improve energy awareness
  • strengthen client, clinician, family, and support staff communication in rehabilitation
  • increase oral awareness
  • develop more precise oral movements for eating and drinking
  • increase speech intelligibility through phrasing or motor planning

The goal of The Source for Oral-Facial Exercises Updated and Expanded is to allow the individual to work with you to manage a program of recovery that is all inclusive to the individual.  This book is intended for use with inpatients, outpatients, home healthcare, or as a take-home workbook for clients.

You'll notice that some of the exercises are written to you, the speech-language pathologist (SLP), and some are written directly to the client.  This is because many of the exercises can be performed directly by the client or with assistance from an SLP or aide.  Become familiar with each page so that you are better able to locate the intervention that specifically fits your needs for rehabilitation.

An oral-motor team that supports attainment of the client's oral-motor goals is vital to success.  The ideal situation is to include all people who interact with the individual for his overall health and recovery.  Use the members of the team on a regular basis for support, instruction, and care plan development.  Team members may include:

  • patient
  • family members
  • physicians—primary physician or any other M.D. directly or indirectly related to patient recovery (e.g., otolaryngologist [ear, nose, and throat specialist])
  • nurses
  • speech-language pathologist (SLP)—certified individual trained to develop and rehabilitate communication, voice, and swallowing
  • occupational therapist (OT)—certified individual trained to develop and rehabilitate gross, fine, and perceptual motor functions for living and vocational skills
  • physical therapist (PT)—certified individual trained to rehabilitate overall skeletal muscular strength and range of motion
  • audiologist—certified individual trained to test and treat hearing-related difficulties
  • neuromuscular massage therapist—specialist in all forms of deep tissue work, myofascial release, integrative body therapy, and/or experience with medical conditions
  • augmentative communication specialist—may be an SLP who will develop an alternate means of communication (e.g., sign language, communication board, picture cards, letter board).  Augmentative communication relieves the stress of communication while regaining speech intelligibility during oral-motor therapy.
  • social worker
  • music therapist
  • art therapist
  • Feldenkrais movement specialist—individual trained to develop body awareness and improve posture and movement
  • yoga instructor
  • meditation instructor—specialist trained to teach people how to release tension, become centered, and relax through release of the breath
  • acupuncturist

Many of these specialists can be located through the yellow pages.  If not readily available by phone, the Internet or a local librarian can direct you to resources to help you build your team.  You'll also find many contacts listed throughout this book.

As much as possible, The Source for Oral-Facial Exercises Updated & Expanded emphasizes self-recovery.  Insist that the individual help as much as possible in the recovery process.  This assures the individual that he can make a difference and be a force in his own growth and recovery from the start.  This will also allow intervention to continue when the individual is dismissed from formalized therapy.

Much joy and success,