COM Treatment Planning & Protocols 3

Question 1

A COM practitioner is treating a 7-year-old with a digit-sucking habit. According to best-practice protocols, the treatment plan should begin with:

Accepted Answer

Motivational counseling and habit-awareness strategies before introducing exercises

Answer

Motivational counseling and raising the child's habit awareness are the first steps, as habit elimination requires behavioral buy-in before physical interventions are effective.

Question 2

Which re-evaluation interval is most commonly recommended after completing the active phase of orofacial myology treatment?

Accepted Answer

At 1-month, 3-month, and 6-month post-treatment follow-ups

Answer

Staggered post-treatment follow-ups at 1, 3, and 6 months allow the clinician to catch relapse early and reinforce carry-over of correct patterns.

Question 3

When sequencing exercises within a single orofacial myology session, the recommended approach is to:

Accepted Answer

Progress from gross muscle activation to fine motor control and functional integration

Answer

Moving from gross activation to fine motor control mirrors motor learning principles, allowing the patient to build on foundational patterns before tackling complex tasks.

Question 4

A treatment plan for a post-surgical patient (e.g., following frenectomy) should include a waiting period before initiating full myofunctional exercises primarily because:

Accepted Answer

Tissue healing must be sufficiently advanced to tolerate stretching and loading forces

Answer

Adequate tissue healing is required before myofunctional loading to prevent wound dehiscence and ensure that the frenum release is maintained with proper scar tissue remodeling.

Question 5

Which of the following scenarios would most likely require MODIFICATION of a standard adult OMT treatment protocol?

Accepted Answer

Patient has a neurological condition affecting motor learning and coordination

Answer

Neurological conditions affecting motor learning require protocol modifications in pacing, repetition, cueing methods, and expected rate of progress.

(COM) Certified Orofacial Myologist Practice Test

(COM) Certified Orofacial Myologist Practice Test

COM Treatment Planning & Protocols 3