Treatment Planning & Protocols Flashcards
7 cards from real COM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Treatment Planning & Protocols flashcards as text
When establishing treatment frequency for a pediatric orofacial myology patient, which factor should most influence scheduling decisions?
Answer: Severity of the myofunctional disorder and the child's learning capacity
Treatment frequency is primarily guided by the severity of the disorder and the child's ability to learn and retain new motor patterns between sessions.
In orofacial myology, what is the primary purpose of the 'carry-over' phase of treatment?
Answer: Ensuring newly learned muscle patterns become automatic in daily function
The carry-over phase focuses on integrating corrected muscle patterns into unconscious, habitual daily function such as rest posture, swallowing, and breathing.
A patient presents with an anterior open bite, tongue thrust, and mouth breathing. In what order should these issues typically be addressed in an OMT treatment plan?
Answer: Mouth breathing first, then tongue thrust, then monitor open bite
Nasal breathing must be established first because persistent mouth breathing perpetuates tongue-low posture and tongue thrust, undermining all other myofunctional interventions.
Which documentation element is most critical to include at the START of a treatment plan for medicolegal and outcome-tracking purposes?
Answer: Baseline objective measurements and photographic records
Baseline objective measurements and photographs provide the reference point against which progress is measured and serve as legal documentation of the pre-treatment status.
When a patient fails to complete home exercises consistently, the BEST protocol modification is to:
Answer: Reduce the number of exercises and simplify the home program to increase compliance
Simplifying the home program reduces overwhelm and improves compliance, which is more productive than adding burden or discontinuing care.
In planning treatment for an adult patient with a lateral lisp caused by tongue lateralization, which protocol element is MOST important?
Answer: Systematic progression from isolated tongue tip elevation to phoneme production in context
A systematic progression from isolated muscle control to phoneme production and then contextual speech is the evidence-based approach for correcting lateralization patterns.
Which statement best describes the role of the orofacial myologist in a multidisciplinary team managing obstructive sleep apnea (OSA)?
Answer: The myologist addresses oropharyngeal muscle tone as an adjunct to other OSA treatments
OMT targets oropharyngeal muscle tone and function as a complementary intervention within a broader OSA management team that may include sleep physicians and dentists.