That said, we understand that some children have adverse reactions to seeing adults in masks and will leave it up to you and your therapist to decide your comfort level while still taking safety precautions. You can slowly transition your child to using a cup during the day and taper use of the bottle throughout this transition if needed. Thank you for your cooperation and understanding as we work together through these unprecedented times. This “starting place” for the tongue is very important both for speech and swallowing. GASP! Herobility Eco Sippy Cup. We are glad you found the information useful. Sippy cups are convenient and helpful with reducing spills. If your child is struggling with this transition from bottle to cup, a speech/feeding evaluation would be beneficial to evaluate the underlying oral motor pattern to see if there are any underlying immature motor patterns affecting the ability to transition to a more age appropriate cup. Just like with a bottle, baby places her tongue at the front of her mouth to form a seal and suckle while using a toddler sippy cup. From a dental perspective, according to Dr. Mark Burhenne. Question: I am an OT and a new mom to my 6-month-old daughter. Facemasks:We are asking our therapists to wear masks upon entering your home and throughout your child’s session. We ask that you and your child also wash your hands and/or use hand sanitizer upon your therapist’s arrival. I hope that helps. In this article in Baby Talk they talk about the fact that to drink from a “sippy cup” the child has to use a suckle pattern. Cup selection should not be an issue with pumped milk vs. formula/whole milk. In other words, they tend to continue the infantile sucking pattern by protruding and placing their tongue under the hard sippy spout and suckling vs. a more mature sucking pattern in which the tongue retracts (pulls back) in the mouth and the lips contract (tighten) to support a straw or cup without the use of the tongue. It is used by speech and feeding therapists around the world to teach lip rounding, tongue retraction and other oral-motor skills. Attention Deficit Hyperactivity Disorder (ADHD) & Sensory Processing Disorder. Pediatric Boulevard provides outpatient speech, feeding, physical, occupational and therapy services for children. Where do I get a miracle cup. If you need a closed cup due to traveling or fear of spillage, 360 cups and lidded cups … Palate height should not directly affect the use of a soft/flexible spouted sippy cup, straw cup or open mouth cup; therefore, any type of the cup selections noted above could be a great choice. For younger children, they may have issues with tongue tip elevation (lifting the tip of the tongue) due to constant posturing of the tongue tip being held down while suckling from a traditional sippy cup. Some great examples of Speech Language Pathologist (aka Speech Therapist) approved transitional cups from a bottle are: Kid Basix Safe Sippy™ Stainless Steel Cup, Playtex Sipsters with Pop Up Flexible Straws. Home » Blog » Feeding » Sippy Cups That Promote Toddler Speech and Language Development, Contigo Stainless Steel Autoseal West Loop Vacuum-Insulated Travel Mug, 16 Oz. By selecting a traditional sippy cup, it can hinder your child’s oral development which is vital to speech production, as well as, swallowing. Babylist. Did you know that the type of sippy cup your toddler uses can impact their speech and language development? When working with toddlers with speech delays, I always make a point to suggest new cups to parents as it can be impactful to their child’s speech development. When drinking from a sippy cup… Who wants to clean up spills on the floor, in the car, and well….everywhere? What I really need is something for my son to use while lying down (it’ll have pumped milk). Taking the client away from the sippy cup away is not the answer, however. As a speech therapist who also specializes in childhood feeding development, I recommend that my clients skip the sippy cup if they don't have a medical reason to use one. Why is this important? Josie’s wonderful speech therapist recommended Take & Toss sippy cups, which are simple hard plastic cups with hard, free flowing spouts. Protocol Acknowledgment and Health Certification: Before your child’s first in-person session, we are asking clients to submit an acknowledgment of these protocols and a health certification, which you can find here. Open cup and straw drinking promote more mature oral motor and swallowing skills, which can in turn facilitate improved speech skills. In addition, when the tongue tip can’t elevate (lift up by itself) it can also affect how your child properly swallows their food or saliva. The best quote is from an SLP “There are only a few sounds we produce with the tongue out like ‘th.’ Most words are spoken with the tongue in, and the sippy cup … As far as your comment about your grandson having a “lazy tongue”, I’ve not heard that description before and I’m intrigued at what you may be seeing to refer to his tongue as “lazy”. For more information on feeding and oral development OR If you are concerned with your child’s development, please contact our office to speak with one of our licensed therapists at (704) 821-0568 or email us your questions at info@pediatricboulevard.com. A straw cup will help to build lip, cheek, and tongue strength and will promote an appropriate resting position of the tongue for future speech development and a proper swallow … An open cup and straw cup require more movement and control from the lips, cheeks, tongue and jaw. What about sippy cups? The 360 cup may require that your child bite down or draw liquid using tightly pursed lips so that is something to consider. As with any baby going from a bottle to a cup, there is a typical transition period from the nipple of a bottle or breast to a cup. We will not enforce that policy, but we do kindly ask for compliance. $14.99 $ 14. As you know, the health and safety of our clients and therapists remain our highest priority. Sucking on a rigid piece of plastic doesn’t allow for this and can actually misshape the oral cavity and result in problems later in life like speech, airway, sleep quality, and facial form and aesthetics.”, *Read more at Ask the Dentist: https://askthedentist.com/sippy-cup-dangers/. What IS Sensory Motor and WHY Is It Important. “Appropriate use of a sippy cup is at mealtime, or drinking water between meals, when the child picks up the cup, drinks, sets it down, and goes about his or her business,” Amy L. Delaney, a … The tongue, jaw, lips and palate are all part of this process. Honey Bear Straw Cups Juice Sippy Special Needs Therapy Bottle Teaching 3.8 out of 5 stars 117. What does a Speech Language Pathologist do? Understandably, There will be a transition period if you child is used to taking a bottle before bedtime to soothe and it may not be an overnight process for the transition. My grandson has a lazy tongue. The Honey Bear Cup came highly recommended to us by the speech therapist who consulted with the physical therapist … For your clients in speech, language or feeding treatment, you can determine the best … Alternate Phone: (704) 288-2070, Hours of Operation: We respect our therapists’ individual comfort levels with safety precautions and ask that you respect them as well. Children age 4 or younger often use a sippy cup because it is convenient for the parents (the cup won’t spill liquid) and toddlers and young children love it because the suckling motion used to … It’s all about the spout! Textured ones are especially good because they provide extra sensory input / stimulation. The 360? If a child goes from the breast or bottle to a sippy cup, they tend to drink out of a traditional sippy cup as if it were bottle. Phone: (704) 821-0568 Your email address will not be published. A nipple is soft and deforms when the child sucks on it — it takes a different shape inside the mouth of the child and helps promote proper development of all the oral structures, including jawbone, palate, teeth, and oral cavity. As for your child, we realize that masks may not be appropriate for every child so we will not enforce the rule that children over the age of 2 should wear a mask. The client needs help developing the appropriate head-jaw-lip-cheek-tongue positions and movements for both speech … At about 6 months old, cup drinking can start (best not to use spouted sippy cups, these can encourage a tongue thrust). We ask that parents and caregivers also follow the guidelines and wear masks when sitting in on sessions. Don’t worry though, we can help you make a better choice for your child’s development. http://blog.asha.org/2017/02/28/sippy-cups-3-reasons-to-skip-them-and-what-to-offer-instead/. Complete our therapist match survey or schedule a free phone consultation. The best option for your child is always an open cup. As babies are presented with solid foods and open cup liquids, they develop a swallow that is more mature than the one they used for breast or bottle feeding. The next time you swallow, notice that your tongue naturally goes to the spot behind your front teeth where “teeth meets gum” and rolls back over the roof of your mouth to trigger your swallow. The economical First Essentials by NUK Fun Grips Sippy Cup (previously sold as Gerber Graduates) is made in the United States from BPA-free plastic. As a speech therapist who also specializes in childhood feeding development, I recommend that my clients skip the sippy cup if they don’t have a medical reason to use one. Sippy Cups That Promote Toddler Speech and Language Development. Thank you! A sippy cup can alter tongue placement (which also happens when using a bottle). These structural changes are what can lead to speech … Don’t worry though, we can help you make a better choice for your … From my perspective as a paediatric feeding speech pathologist, I would rather parents see sippy cups as a stepping stone- quick rest stop for their 6-7 month olds to help their learn to … 99 $16.99 $16.99. We have just started introducing solid foods, but she drinks from only a bottle. Whenever you have the opportunity to give your child an open cup, do it! For this reason, some pediatricians and speech and language pathologists … What marketing doesn’t show is that SOME sippy cups are actually harmful, just ask any speech language pathologist (speech therapist). Let’s start off by defining “sippy cup”. Flexi … *For more information please refer to http://blog.asha.org/2017/02/28/sippy-cups-3-reasons-to-skip-them-and-what-to-offer-instead/ or http://iaom.com/faq/. We have outlined our protocols for in-person sessions during COVID-19. Best Multi-Use: Pura Kiki Stainless Steel 11 Ounce Bottle. In addition, initiating a nightly routine focused on bath time and reading a book (or two) together before bedtime may help to soothe your little one before bedtime. Hand Washing:Upon arrival at your home, your therapist will wash their hands with soap and water and/or use hand sanitizer. What marketing doesn’t show is that SOME sippy cups are actually harmful, just ask any speech language pathologist (speech therapist). So, to help tease out the pros and cons of sippy cup use, I sought the advice of fellow speech-language pathologists here at Children’s Therapy TEAM, Dr. Karen Green, DDS from Pediatric … The best cups are straw cups or sippy cups that do not have a spout (think Starbucks cups… That said, I’m a mom of four kids and I realize that it’s not always realistic to use an open cup. See example picture below: Similar to what happens with thumb suckers, the development of a more forward tongue positioning can affect dentition AND speech development, most commonly seen as a frontal or lateral lisp. When toddlers continue to use the infant swallow pattern, it can affect their ability to chew and swallow effectively which could make trying new foods more challenging. When your little one is beyond the bottle and ready to graduate to a big kid cup, the perfect pit stop between the two is a sippy cup. herobility.com. Unfortunately, there’s a lack of information for parents regarding what kind of cups a child should transition to after the bottle but tons of marketing telling our parents they need get a sippy cup for children to learn cup drinking. Thanks for the great article! Initially, it may be tough for your child to transition, but often with encouragement children do well. “Sippy cups prevent normal development of the mouth. As always, please reach out with any questions or concerns. This means that the tongue is pushed in a forward position, which can also cause the teeth to protrude over time. Required fields are marked *. By using non-spill sippy cups , we can unknowingly encourage an immature swallow pattern. The flexible straw and the squeezable body of this cup make it the perfect tool to wean a child from bottles or sippy cups. Great article, thinking to add some information from here in my blog…Thanks a lot…. The best cups are straw cups or sippy cups that do not have a spout (think Starbucks cups). And for the crib? As Speech Language Pathologists (SLPs), we’re not the only ones trying to guide parents away from using traditional sippy cups. Difficulty with tongue tip elevation affects the ability to make the /t,d,l,n/ sounds appropriately. Why can’t my child sit in circle time like other children? Traditional sippy cups containing spouts/valves cause the tongue … I’ve heard great things about these sippy cups … 2814 Gray Fox Road, Indian Trail NC 28079. Learn how your comment data is processed. In case you still need persuading, pediatric dentists would also agree with our SLPs regarding the harmful effects of using traditional sippy cups. When working with toddlers with speech delays, I always make a point to suggest new cups to parents as it can be impactful to their child’s speech development. Many feeding and speech therapists recommend open cups and straw cups, but they can be a little tricky to clean at times. In their effort to be non-spill, many sippy cups on the market end up functioning much like a bottle by forcing children to suck effortfully to get any liquid. This site uses Akismet to reduce spam. A sippy cup is the same swallowing pattern as a bottle. $11.64. (Some children with swallowing problems require a valved cup for safety.) Thank you again for your cooperation and for helping all of us stay healthy! Traditional (hard plastic) sippy cups can encourage the tongue to sit more forward in the mouth. How do you know what cup to choose? We hope you and your family are continuing to stay safe and healthy! … The motor activity of suckling a breast allows the child’s oral cavity to develop properly. A sippy cup is not a necessary step, however, if you are going to use a sippy cup use one with a soft spout which allows for more challenge and development of oral motor skills. Children with low tone may drool, have difficulty drinking from regular cup or even with chewing foods. Babies should transition from this suckling reflex to a more mature sucking pattern within the first year of life. The suckling reflex consists of the tongue compressing the nipple and rolling back and forth to obtain milk. It can also be used by toddlers to transition from bottle feeding to cup drinking. The development of a more mature sucking pattern is vital in overall tongue positioning. However, if your therapist insists that your child wear a mask, then that will be a requirement directly between the two of you. Most of the recessed lid cups or flexible straw cups are available at Walmart, target or online via Amazon for purchasing. Mama Birdie Best Speech Therapist Ever Coffee Cup/Tea Mug - Script Print (Glitter Pink) 4.9 out of 5 stars 37. ... (2 Straw Brushes &1 Bottle Brush), 8-Ounce Therapy Sippy Bottles for Speech … Which would you recommend for pumped milk? When a child drinks from a sippy cup vs. an open cup vs. a straw cup, what they do with the muscles of their mouth varies. If … As a parent, we totally understand that it’s easy to grab a sippy cup and get out the door. Follow us on Facebook! Spouted cups … Your child’s oral motor development is critical to so many functions, … Looking for an eco-friendly solution to … Mon – Fri: 8:00 am – 6:30 pm, We are located at: Here are my recommendations for convenient and mess-free non-spill cups: © 2020 Tobogo Therapies LLC | Site Engineered by Practice Tech Solutions. Children should be encouraged to transition to an open mouth cup (regular cup), cup with a flexible straw (so that the straw compresses vs. a firm plastic spout), or a cup with a recessed lid to promote lip pursing (puckering) and pulling the tongue back to a more normal resting position. Let’s start with typical child development. $9.99. Buy on Amazon Buy on Buybuy BABY. Some children with special medical needs may require a valved sippy cup to maintain a safe swallow. As a pediatric speech language pathologist, I have found that information on toddler cups is not readily available. When drinking from an open cup or straw, the tip of the tongue elevates behind the top teeth to push the liquid back to swallow. While both pacifiers and sippy cups are great supports for children (and parents), there are some definite drawbacks to prolonged use when it comes to speech, language and feeding development. I know some parents are having heart palpitations just thinking of getting rid of some of their beloved sippy cups, but let me explain why some cups can be damaging. A Speech Therapist’s Guide to Sippy Cups: Your email address will not be published. Thanks! Unfortunately, as convenient as sippy cups are, some sippy cups can actually be detrimental to your child’s speech and feeding development. I don’t recommend sippy cups because sippy cups can prevent the tongue from moving into a more natural position for speech development. It has the child learn the proper motor function of the tongue. So what’s the big deal with traditional sippy cups? Decide if you want a straw, spout, or regular open cup. If you child has difficulty transitioning to a cup, it may be due to immature tongue movement (lingual movement/control) which may affect the transfer of the liquids from the front of the mouth to the back to swallow the liquids effectively. When babies begin to feed, whether bottle or by breast, they do so using a suckling reflex. As Fort Myers speech pathologists, we generally advise stepping away from the sippy cup (or never offering one in the first place). 8 Quick Questions to Consider on Pacifiers and Sippy Cups: They perpetuate a severe reverse swallow pattern, and an interdental tongue position in speech, while the sippy cup continues to be used. Oh sippy cups, how you have become a parent’s best friend. The two-part design is simple and the … Sucking from a sippy cup, bottle feeding and suckling a mother’s breast are not all equal. Both are treatable with skilled speech therapy by a licensed speech language pathologist. Children suckle the … I’m stumped. Drinking sugary drinks, including milk and fruit juice, from a sippy cup … If it is speech sounds that your grandson has difficulty with or speech clarity, that is typically caused by motor planning issues. Clinically, low muscular tone of a tongue would present as a tongue sticking out or an open mouth posture at rest with the tongue protruding forward in the mouth to the edge of the lower lip. It is also generally recommended that a child not have a cup or bottle in bed as even the natural milk sugars present in breast milk can occasionally cause tooth decay from night nursing. Best Active Sippy Cup: CamelBak eddy Kids water bottle at Amazon "For toddlers who are constantly on the move, this durable, stain-resistant cup features a patented bite valve that they will love." Typically, the hard palate is shaped during infancy and toddler hood by the tongue lying in it’s normal resting position; however, use of a hard plastic sippy cup spout, prolonged pacifier use and/or thumb sucking, may alter the natural curve of the hard palate. Also keep in mind, just as in bottle selection, you may need to try a variety of cups including those with flexible straws to see what your child seems to respond to best. Teletherapy is therapy that is provided over a secure video connection. I was wondering if you had any tips for transitioning from bottle to cup. A sippy cup is defined as a “training cup-usually plastic-with a screw or snap on lid and a spout that lets your child drink without spilling.” Traditional sippy cups have a hard plastic spout that the child would suck on to retrieve liquid from the cup. Difficulty with or speech clarity, that is provided over a secure video connection caregivers. 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