Oral placement therapy

Sometimes your child knows exactly what they want to say, but their mouth won't cooperate yet. We help the jaw, lips and tongue learn the moves.

A therapist doing an oral placement exercise with a toddler while a parent watches

See what it looks like at Turtle Express

Oral placement therapy (OPT)

When it is often recommended

  • Hard to understand, even when trying
  • Mouth often hangs open
  • Lots of drooling
  • Can't copy mouth movements
  • Hard to chew or bite
  • Struggles with a straw or cup

How we work

  1. We look at the mouth moving

    We watch how the jaw, lips and tongue move during talking and eating, then agree on goals with you.

  2. One movement at a time

    Each step is practised until it is steady before we move on to the next.

  3. Feel it, see it, hear it

    Touch cues, mirrors and sounds often help a child sense what their mouth is doing.

  4. Straws, horns and games

    OPT often uses simple tools like these as play, with short practice at home.

More about oral placement therapy

What it works on

Oral placement therapy (OPT) builds strength and coordination in the jaw, lips, tongue and the soft back part of the roof of the mouth. It uses four kinds of feedback:

  • Hearing the sound
  • Seeing the movement
  • Feeling touch cues around the mouth
  • Sensing where the mouth parts are and how they move

These signs can have several causes, so an assessment tells us whether movement is part of the problem.

Part of a bigger plan

OPT is one part of a bigger plan. It is often blended with PROMPT, Hanen and AAC in speech therapy, and with chewing and drinking work in feeding therapy. The aim is real talking and easier eating, not exercises for their own sake. Our founder is certified in TalkTools OPT Levels 1 and 2 and TalkTools Feeding.

Who we see

Children with Down syndrome, apraxia, autism, low muscle tone, feeding difficulties and unclear speech. Sessions run at our centre. Ask us whether online sessions suit your child.

Questions parents ask

Is oral placement therapy the same as speech therapy?

No. It is one tool we use within speech and feeding therapy, not a replacement. It works on the movement side, while speech therapy also works on sounds, words and communication.

Which children does it help?

Mainly children whose speech or eating is affected by how the mouth muscles move, such as children with low muscle tone, Down syndrome or apraxia. After an assessment we will tell you if it fits your child.

Will I need to do exercises at home?

Usually, yes. Short, regular practice at home helps, and we show you what to do.

Every child is different. If this seems right for your child, please ask your therapist for more details.

Often helps children with

Pashyanti is really best for speech therapy. If ur kid s nonverbal thn u should approach her to listen words from ur kids mouth. She takes OPT, applies Hanen approach and prompts so that kids get maximum benefits.

Reshma Naik, Google review, May 2022

Other ways we help

Wondering if this is right for your child?

Every child’s needs are different. Talk to us, and we’ll think it through with you.

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