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Functional Assessment and Remediation of TOTs (Tethered Oral Tissues)

Robyn Merkel-Walsh, Lori Overland

This is the first practical guide for speech language pathologists and related health professionals addressing the assessment and treatment of function for tethered oral issues (TOTs) in infants, children, and adults. In their combined 55-plus years of experience in speech pathology, Robyn Merkel-Walsh and Lori Overland recognized the need to look at TOTs beyond the structural rating scales, and in this comprehensive guide address the task analysis of the skills necessary to improve pre-feeding, feeding and speech in TOTs patients.