COM Treatment Planning & Protocols 2

Question 1

When establishing treatment frequency for a pediatric orofacial myology patient, which factor should most influence scheduling decisions?

Accepted Answer

Severity of the myofunctional disorder and the child's learning capacity

Answer

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.

Question 2

In orofacial myology, what is the primary purpose of the 'carry-over' phase of treatment?

Accepted Answer

Ensuring newly learned muscle patterns become automatic in daily function

Answer

The carry-over phase focuses on integrating corrected muscle patterns into unconscious, habitual daily function such as rest posture, swallowing, and breathing.

Question 3

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?

Accepted Answer

Mouth breathing first, then tongue thrust, then monitor open bite

Answer

Nasal breathing must be established first because persistent mouth breathing perpetuates tongue-low posture and tongue thrust, undermining all other myofunctional interventions.

Question 4

Which documentation element is most critical to include at the START of a treatment plan for medicolegal and outcome-tracking purposes?

Accepted Answer

Baseline objective measurements and photographic records

Answer

Baseline objective measurements and photographs provide the reference point against which progress is measured and serve as legal documentation of the pre-treatment status.

Question 5

When a patient fails to complete home exercises consistently, the BEST protocol modification is to:

Accepted Answer

Reduce the number of exercises and simplify the home program to increase compliance

Answer

Simplifying the home program reduces overwhelm and improves compliance, which is more productive than adding burden or discontinuing care.

(COM) Certified Orofacial Myologist Practice Test

(COM) Certified Orofacial Myologist Practice Test

COM Treatment Planning & Protocols 2