Occupational Therapy

At TOTville we utilize innovations and discoveries to enhance results for our patients through engaging interactions and activities. Our program allows kids to establish core foundational skills and enhances a broad range of basic activities and social interactions (e.g., grooming, playtime/socializing, feeding, etc.). OTs work with every child individually to develop and improve their abilities and motor skills — we build strength, balance and endurance while solidifying confidence and self esteem. At Totville we focus on the child as a whole and provide services that work not only on the child’s difficulties but also improving and advancing your child forward. We track progress and evaluate where each individual child stands in comparison to benchmarks. Our main focus is on the evaluation, assessment, treatment and ongoing support in the development of basic life skills including (but not limited to) the following:

What we can help with:

  • Social skills/engagement & relatedness
  • Self-Help Skills
  • Hand-eye coordination
  • Fine & gross motor skills
  • Balance & coordination
  • Body awareness
  • Muscle strength
  • Sensory processing & integrations
  • Motor planning
  • Bilateral integration
  • Developmental delays
  • Feeding difficulties
  • Suck therapy
  • Oral motor skills
  • Neurological impairments
  • Interpersonal skill development
  • Developmental Delay
  • Learning Disability

Children with various diagnoses including:

  • Autism
  • Attention Deficit Disorder
  • Aspergers
  • Cerebral Palsy
  • Down Syndrome
  • Musculoskeletal Disorder
  • Neuro-developmental Disorder
  • Sensory Processing Disorder/Sensory Integration
  • Dysfunction
  • Juvenile Rheumatoid Arthritis (JRA)
  • Congenital Defects
  • Spina Bifida
  • Scoliosis
  • Torticollis in Infant
  • Low Muscle Tone (Hypotonia)

Treatment methods & Protocols include:

  • Play based Sensory Integration Therapy
  • (Sensory Gym)
  • Parent Education
  • Lip and Tongue Tie Evaluation
  • Orofacial Myofunctional Therapy
  • Beckman Oral Motor Therapy
  • Kinesiotaping


Orofacial Myofunctional Disorders (OMDs) are disorders of the muscles and functions of the mouth and face. OMDs may affect many aspects of life such as breast-feeding, facial skeletal growth and development, oral hygiene, facial appearance, eating, sleeping, speech and much more. Most OMDs are the result of improper tongue’s position when swallowing. Correct swallowing depends on a harmonious relationship between the muscles of the face, mouth, and throat. Even though a person swallows 500-1000 times a day it is the tongues resting position that presents the most concern since it is more constant. Most commonly this improper tongue position is referred to as a “tongue thrust”. Even though it is common in infants, as the child develops the tongues’ position should recede. Many times the protruding tongue is found in children with developmental and speech disorders, as well as those with misaligned teeth.

With Myofunctional therapy the tongues improper position can be improved restoring the health of our patients. Our Myofunctional therapy experts will work with your child to improve facial aesthetic and correct tongues position to ensure continued oral health despite having a developmental disorder. Myofunctional therapy is an individualized approach to each child based on age, that will help improve the tongues position and allow for correct swallowing as therapy pro-gresses. With continued therapy you will see an improvement in facial appearance, oral hygiene, eating, and even sleeping. Recognizing and treating OMDs early can have an enormous benefit to improving your child’s self-esteem and re-storing confidence. At Totville we strive to educate the parents on affects of OMDs and make therapy accessible to all that need it.

What to look for

Children who are diagnosed with OMDs exhibit signs of a “protruding tongue” while speaking, swallowing, and even when at rest. This may present many prob-lems beyond the facial appearance. If not treated OMDs can cause many prob-lems, including:

  • Misaligned teeth
  • overbite, overjet and underbite
  • Tooth decay and gum disease
  • Thumb-sucking
  • Teeth-grinding
  • Facial pain
  • Speech problems
  • Mouth breathing
  • Sleep apnea
  • Stomach aches
  • Poor posture