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Digital Seminar

SUCKING: Foundation for Long Term Feeding, Speech, and Airway Health


Speakers:
Kristin Horwath, PT, DPT, CNT, NTMTC |  Jennifer Ainsworth, OTR/NTMTC |  Holly Gombs, MA, CCC-SLP
Duration:
2 Hours
Format:
Audio and Video
Copyright:
Apr 28, 2025
Product Code:
POS065583
Media Type:
Digital Seminar

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Description

Discover how newborn sucking patterns serve as critical markers for future feeding, Craniofacial, and gross motor progression in this specialized training. This session dives deep into developmental checkpoints for newborns through the first year of life. Learn to assess and enhance non-nutritive and nutritive sucking patterns while optimizing bottle and breastfeeding techniques as well as tummy time play. Gain practical, evidence-based tools for evaluating and supporting infants through targeted treatment interventions. By mastering these foundational skills, you empower families and promote quality on achieving each milestone as they build foundations for each subsequent skill. Elevate your clinical expertise with a multi-disciplinary, whole body approach to make a lasting impact on your patients.

Credit

Handouts/Brochure

Speaker

Kristin Horwath, PT, DPT, CNT, NTMTC's Profile

Kristin Horwath, PT, DPT, CNT, NTMTC Related seminars and products


Kristin Horwath, PT, DPT, CNT, NTMTC, is a pediatric physical therapist, certified neonatal therapist, and Neonatal Touch and Massage certified. Kristin has worked in a variety of settings including acute care, outpatient pediatric rehabilitation, and NICU. Kristin’s work in the NICU centered around leading program development on cranial molding, advocating and educating staff on the role of rehab in the NICU from admission to discharge, and collaborating on the development of the chronic BPD unit within the NICU, advocating for the tiniest patients that lived in the NICU for weeks to months. She presented and advocated for developmentally appropriate care in the NICU, involving a multidisciplinary approach and team effort promoting more optimal developmental outcomes. Kristin specializes in treating infants and has a passion for treating babies with a proactive approach, promoting optimal gross motor skills through intentional positioning and handling and prevention and treatment of torticollis, plagiocephaly, and body compensations associated with feeding difficulties.

 

Speaker Disclosures:
Financial: Kristin Horwath is the co-founder of Balanced Baby. She has intellectual property rights with Honeywell. Kristin Horwath receives a speaking honorarium from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Kristin Horwath is a member of the National Association of Neonatal Therapists.


Jennifer Ainsworth, OTR/NTMTC's Profile

Jennifer Ainsworth, OTR/NTMTC Related seminars and products


Jennifer Ainsworth, OTR/L, NTMTC, is a pediatric occupational therapist and Neonatal Touch and Massage certified. Jenn has cared for patients in a variety of settings throughout her career, including outpatient pediatric rehabilitation, inpatient rehabilitation and the NICU. Jenn specializes in pre-feeding, initiating po feeds and progressing through the stages of feeding with emphasis on providing education on feeding and development to moms. She has extensive training and experience in feeding difficulties from neonates through childhood. Jenn has attended neurodevelopmental treatment courses for handling and facilitation of typical motor patterns and makes the connection as to how motor patterns relate to successful feeding experience for both mom and infants. She strongly believes in the power of intentional touch and believes that feeding is best when worked on from the foundation of movement patterns and the innate developmental sucking pattern as it relates to feeding. She is passionate about empowering and educating moms so they can enjoy each stage of motherhood!


Speaker Disclosures:
Financial: Jennifer Ainsworth is the co-founder and lead occupational therapist of Balanced Baby. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Jennifer Ainsworth has no relevant non-financial relationships.


Holly Gombs, MA, CCC-SLP's Profile

Holly Gombs, MA, CCC-SLP Related seminars and products


Holly Gombs, SLP-CCC, is a speech therapist with Balanced Baby. Holly is a pediatric speech-language pathologist with 14 years of experience, specializing in oral motor therapy and pediatric feeding therapy. Her expertise spans from pre-feeding in infants to working with adolescents, with a holistic approach that emphasizes the connection between the body and mouth. Holly is dedicated to improving overall airway health, oral motor strength, and ensuring long-term success in feeding and speech. She is passionate about addressing the foundational aspects of oral development to create positive outcomes for her clients in both speech and feeding. Holly is Talk Tools, Tethered Oral Tissues Specialty, oral myofunctional trained.

Speaker Disclosures:
Financial: Holly Gombs has an employment relationship with Balanced Baby. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Holly Gombs has no relevant non-financial relationships.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.

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Objectives

  1. State how an infant’s sucking pattern has a direct impact on functional feeding (breast, bottle and solids).
  2. Understand the correlation between the resting mouth posture of an infant to long term airway health.
  3. Name 3 lingual developmental skills of an infant that are needed for proper speech and articulation.

Outline

Why is this all important

The usual suspects: the first stage to not ignore

Why motor concerns matter: motor concerns and the negative cycle

Developmental check points: a proactive approach
  • 0-3 months
  • 3-6 months
  • 6-9 months
  • 9-12+ months
Infant gross motor assessment
  • Developmental check points at 0-3 months
  • Evaluation, assessment, and management
  • Supine, side lying, prone, supported upright (antigravity vs gravity-assisted movements)
  • Mobility, postures, rom, positioning, state regulation, feeding correlations (how the body is impacting feeding and feeding impacting the body)
Tummy time
  • Positioning
  • Evaluation, assessment, & clinical reasoning
  • Clinical implications and the feeding implications
Torticollis
  • Common trends
  • Evaluation, assessment, and management
Craniofacial presentation & development
  • What to assess and observe
  • Clinical implications & common trends
  • Evaluation, assessment and management
Infant primitive reflexes
  • Primitive tonic reflexes
  • Integration
  • Impact on positioning
Muscle tone
  • Norms
  • Clinical implications
  • When to refer out
Compensations and quality of movement

Feeding: one of the first infant milestones
  • 0-3 months
  • Breast/bottle
Feeding treatment targets
  • Develop oral motor strength
  • Enhance sensory tolerance
  • Improve swallowing coordination
  • Establish self-feeding skills
  • Promotor nutritional balance
Airways treatment targets
  • Optimize breathing patterns
  • Increase airway stability
  • Promote postural alignment
  • Encourage tongue rest posture
  • Increase communication confidence
Newborn sucking pattern

Lingual developmental milestones

Assessment of NNS and NS patterns
  • Oral motor exam
  • Non-nutritive sucking pattern
  • Nutritive sucking pattern
Pacifiers
  • Therapeutic benefits
  • AAP recommendations
Newborn feeding

Bottles
  • Bottle types
  • Nipple shapes and flow rates
Suck reflex & feeding
  • Active vs passive feeder
  • Functional latch with bottle and breast
Bottle feeding
  • Positioning to support oral motor
Breastfeeding
  • Positioning to support oral motor
Impact on infant sucking and long term health
  • Why to pay closer attention?
Case study 1: baby Lola (4 month old, 0-4 month feeding journey)

0-3 month milestone skills checklist

Motor concerns 3-6 months

Pre-solids gross motor foundation
  • Recommendations for positioning
  • Expected skills clinical trends with h/o feeding difficulties (“extensor baby”; decreased out of midline movements, postural compensations
Intro to solids readiness
  • How to assess
  • Expected skills (gm and oral motor)
Videos with intro to solids in the clinic
  • Techniques to facilitate optimal oral motor skills for solids
Oral motor skills needed for proficient feeding skills
  • 0-3 months (newborn)
  • 4-6 months (supported sitter)
  • 7-9 months (crawler/independent sitter)
  • 10-12 months (beginner walker)
Speech treatment targets
  • Improve articulation
  • Develop resonance and voice control
  • Enhance speech fluency
  • Strengthen oral motor skills for speech
  • Increase communication confidence
Activities & exercises for oral motor skill development
  • Initial positive oral touch
  • Tongue extension and retraction
Oral motor preparation for speech production:
  • 0-3 months
  • 3-6 months
  • 6-9 months
  • 9-12+ months
Intake form

Case study #2

Multidisciplinary approach & team member collaboration

Closing statements
 

Target Audience

  • Speech Language Pathologists 
  • Speech Language Assistants  
  • Physical Therapists 
  • Physical Therapist Assistants 
  • Occupational Therapists 
  • Occupational Therapy Assistants 
  • Respiratory Therapists

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