The Jaw Rehabilitation Program is used effectively with patients who are delayed in developing oral motor function for biting and chewing skills. It is used to co-ordinate vertical movement of the jaw with placement of the bolus laterally to develop symmetrical and repetitive mandibular function. This allows for mastication of firmer textures to help transition from enteral feeding to oral feeding.
Each Jaw Rehabilitation Program Kit includes:
- the Jaw Rehabilitation Program Manual
- 8 Chewy Tubes (3 Yellow – stem size 9.5mm, 3 Red – stem size 12.7mm, 1 Green knobby – stem size 15mm, and 1 P & Q pack)
- 25 Jaw Assessment Forms
Seven Levels of Treatment
The Jaw Rehabilitation Program is comprised of seven levels of treatment. Two long-term goals are specified for each level. Each long-term goal is subdivided into several short-term objectives which lead to the successful outcome of the long-term goal.
Levels I & II
Target development of prerequisite sensory and motor skills needed for biting and chewing behaviour.
Levels III & IV
Target the development of initial motor patterns of repetitive vertical jaw movement gradually building on these skills toward higher level abilities.
Levels V, VI & VII
Target development of more mature patterns of extended rhythmical and repetitive excursion/closure biting motion.
The Jaw Assessment Form offers a thorough guide on which to document a patient’s pre- and post-treatment level of function. The components of the Jaw Assessment form include:
- Structural integrity
- Range of motion
- Functional movement
- Quality of motion
- Food texture
A step-by-step series of oral motor treatment goals and objectives
- Develop adequate mastication, safe swallowing of a bolus
- Prevent danger of choking, blockage of the airway
- Develop oral motor function for improved oral hygiene i.e. management of saliva
- Initiate pre-biting mandibular movement in response to tactile stimulation
- Develop repetitive jaw excursion and closure skill
- Refine rhythmical vertical biting motion
- Transition patients from gastrostomy feeding tube to oral feeding
- Transition patients from pureed diet to soft mechanical bolus
- Teach patients to initiate up/down pattern of jaw movement (pre-biting skill)
- Increase number of up/down cycles of jaw motion
- Strengthen inadequate muscle function for mastication