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Assessment and Intervention for Tethered Oral Tissues (TOTs) in Feeding Therapy

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1.  According to Kotlow's Classification/Grading Scale, a Class II lip-tie has...
  1. A minimal visible attachment
  2. An attachment into the area where the free and attached gingival tissue meet
  3. An insertion in front of the anterior palate
  4. An attachment just into the hard palate or anterior papilla area
2.  What is a tongue assessment tool specifically created to use with infants?
  1. Lawrence Kotlow Rating Scale
  2. Hazelbaker Assessment Tool for Lingual Frenulum Function
  3. Tabby Tongue Assessment Tool
  4. Functional Assessment of Tongue Mobility (Zaghi)
3.  What is observed during a TOT assessment for feeding therapy?
  1. Symmetry or asymmetry of the face or body
  2. Oral structures
  3. ROM of oral structures and functional feeding skills
  4. All of the above
4.  Preoperatively, the OT can provide all EXCEPT:
  1. Desensitization techniques
  2. Prescribe medicine for pain
  3. Motor planning practice
  4. Assist with tongue mobility
5.  Why is lateralization of the tongue needed during feeding?
  1. Oral prep and oral transit phases
  2. Supports chewing and swallowing
  3. Develops mature rotary chew pattern
  4. All of the above

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