Week 1 Tongue Tip Taps Duration: 30 seconds Frequency: 3 times a day for 7 days

1. Week 1 • Tongue Tip Taps Duration: 30 seconds Frequency: 3 times a day for 7 days • Relax: Let your tongue relax on the floor of your mouth, inside your bottom teeth. • Touch: Hold a tongue depressor straight up and down touching the tip of your tongue. • Tap: Tap the tip of your tongue with the tongue depressor for 30 seconds. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • Make sure you hold the tongue depressor vertically & not horizontally. • Keep your tongue as relaxed as possible during the entire 30 seconds. • Tongue Side Strokes Duration: 10 times on each side of your tongue (20 strokes total) Frequency: 3 times a day for 7 days • Tongue Out: Stick your tongue way out of your mouth. • Tongue Lift: While sticking your tongue out – curl the tip up slightly and lift the sides and bottom of your tongue up off of the bottom of your mouth, teeth, and lips. • Stroke 1: Using a tongue depressor stroke one side of your tongue starting at the back of the tongue and pulling the tongue depressor toward the tip of your tongue. • Stroke 2: Complete the previous step on the other side of your tongue. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • Make sure to hold your tongue out of your mouth as much as possible during the entire exercise. Do not let your tongue tip follow the tongue depressor back into your mouth. • Make sure to hold your tongue up off of your bottom lips and teeth as much as possible during the entire exercise. • If you have a hard time lifting your tongue out and up, try holding the tongue depressor out in front of your mouth and bringing the tip of your tongue out to touch it. • Tongue Pops Duration: 10 times for 10 seconds each time Frequency: 3 times a day for 7 days • The Spot: Put the tip of your tongue on the bumpy spot behind your top front teeth (the alveolar ridge). • Suck Up: Suck your tongue against the roof of your mouth. • Stretch: Open your mouth as wide as you can, stretching your frenum (or the small band of tissue that connects the underside of your tongue to the floor of your mouth) for 10 seconds. • Pop: Pull your tongue down hard so that your tongue makes a loud popping sound. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • If you have a hard time figuring out how to suck your tongue up to the roof of your mouth – try clicking your tongue. Watch how your tongue sucks up to the roof of your mouth each time you click your tongue. Try to slow down the movement and hold your tongue up against the roof of your mouth for longer. • When stretching your frenum, make sure that it appears skinny (like a thread). The skinnier it looks – the better your suction is. If you have a difficult time keeping it skinny – just try to make it skinnier by sucking harder each day. • Make sure that when you pop your tongue down it is loud. The louder it is, the better it is working your muscles. If you have difficulty with this at first just try to make it a little louder each day.

2. Week 2 • Tongue Tip Taps Duration: 30 seconds Frequency: 3 times a day for 7 days • Relax: Let your tongue relax on the floor of your mouth, inside your bottom teeth. • Touch: Hold a tongue depressor straight up and down touching the tip of your tongue. • Tap: Tap the tip of your tongue with the tongue depressor for 30 seconds. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • Make sure you hold the tongue depressor vertically & not horizontally. • Keep your tongue as relaxed as possible during the entire 30 seconds. • Tongue Pull Backs Duration: 20 times Frequency: 3 times a day for 7 days • Tongue Out: Stick your tongue way out of your mouth. • Tongue Lift: While sticking your tongue out – curl the tip up slightly and lift the sides and bottom of your tongue up off of the bottom of your mouth, teeth, and lips. • Pull Back: Slowly pull your tongue back into your mouth – keeping it skinny as you pull it back.. • The Spot: After you have pulled your tongue into your mouth, lift the tip of your tongue up to “the spot” (the bumpy spot behind your top front teeth). • Bite: Slowly bite down your back teeth – keeping your tongue tip on “the spot” and your tongue narrow as you bite. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • Make sure to hold your tongue up off of your bottom lips and teeth as much as possible during the entire exercise. • If you have a hard time lifting your tongue out and up, try holding the tongue depressor out in front of your mouth and bringing the tip of your tongue out to touch it. • As you complete the pull back – make sure your tongue is being pulled straight back using the back muscles in your tongue – don’t just curl the tip back to bring your tongue into your mouth. • Tongue Suck and Bite Duration: 10 times for 10 seconds each time (5 seconds open and 5 seconds closed) Frequency: 3 times a day for 7 days • The Spot: Put the tip of your tongue on the bumpy spot behind your top front teeth (the alveolar ridge). • Suck Up: Suck your tongue against the roof of your mouth. • Stretch: Open your mouth as wide as you can, stretching your frenum (or the small band of tissue that connects the underside of your tongue to the floor of your mouth) for 5 seconds. • Bite: Keeping your tongue sucked up, slowly bite down and hold for 5 more seconds. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • If you have a hard time figuring out how to suck your tongue up to the roof of your mouth – try clicking your tongue. Watch how your tongue sucks up to the roof of your mouth each time you click your tongue. Try to slow down the movement and hold your tongue up against the roof of your mouth for longer. • When stretching your frenum, make sure that it appears skinny (like a thread). The skinnier it looks – the better your suction is. If you have a difficult time keeping it skinny – just try to make it skinnier by sucking harder each day. • As you bite down, be sure not to let your tongue lose its suction power. Think about holding your tongue and the roof of your mouth still while slowly bringing your bottom jaw up to meet them. • Bite Strength Duration: 10 times for 10 seconds each time Frequency: 3 times a day for 7 days • The Spot: Put the tip of your tongue on the bumpy spot behind your top front teeth (the alveolar ridge). • Bite: Bite your back teeth together and close your lips. • Feel: Place your fingers at the point where your bottom and top jaws come together (just in front of your ears) and feel the muscles tighten as you bite. Hold your bite as tight as you can for 10 seconds. Relax your bite for a few seconds before repeating. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • Have a parent or other individual place their fingers on one side of your jaw while you place your fingers on the other side of your jaw so you can both feel the muscles tightening.

3. Week 3 • Tongue Tip Taps Duration: 30 seconds Frequency: 3 times a day for 7 days • Relax: Let your tongue relax on the floor of your mouth, inside your bottom teeth. • Touch: Hold a tongue depressor straight up and down touching the tip of your tongue. • Tap: Tap the tip of your tongue with the tongue depressor for 30 seconds. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • Make sure you hold the tongue depressor vertically & not horizontally. • Keep your tongue as relaxed as possible during the entire 30 seconds. • Tongue Pull Backs Duration: 20 times Frequency: 3 times a day for 7 days • Tongue Out: Stick your tongue way out of your mouth. • Tongue Lift: While sticking your tongue out – curl the tip up slightly and lift the sides and bottom of your tongue up off of the bottom of your mouth, teeth, and lips. • Pull Back: Slowly pull your tongue back into your mouth – keeping it skinny as you pull it back.. • The Spot: After you have pulled your tongue into your mouth, lift the tip of your tongue up to “the spot” (the bumpy spot behind your top front teeth). • Bite: Slowly bite down your back teeth – keeping your tongue tip on “the spot” and your tongue narrow as you bite. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • Make sure to hold your tongue up off of your bottom lips and teeth as much as possible during the entire exercise. • If you have a hard time lifting your tongue out and up, try holding the tongue depressor out in front of your mouth and bringing the tip of your tongue out to touch it. • As you complete the pull back – make sure your tongue is being pulled straight back using the back muscles in your tongue – don’t just curl the tip back to bring your tongue into your mouth. • Straw Swallows Duration: 15 times (5 times with a straw, 5 times without a straw, and 5 times with a straw again) Frequency: 3 times a day for 7 days • The Spot: Put the tip of your tongue on the bumpy spot behind your top front teeth (the alveolar ridge). • Straw: Place a straw horizontally directly behind your top front teeth and bite down. Do not let your tongue touch any part of the straw. • Smile: Spread your lips into a wide smile and hold them there for the remainder of the exercise (even during the swallow). • Squirt: Using a squirt bottle, spray a few squirts of water into both corners of your mouth. • Slurp: Slurp the water back hard (keeping your mouth in a smile) • Swallow: Swallow the water keeping your tongue tip on “the spot”, the rest of your tongue against the roof of your mouth, and your lips spread wide in a smile. • Repeat: Repeat these steps 5 times with the straw, 5 times without the straw, and then 5 times again with the straw. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • While swallowing your tongue should not push against the straw or your teeth. Your tongue should not push forward at all. • Once you begin the swallow repetitions make sure to keep your mouth in a smile the entire time. Closing your lips between repetitions can result in quick and thrusted swallows that will end up ultimately un-doing all the work you have completed toward a new correct swallow pattern. • Bowl Swallows Duration: 15 times Frequency: 3 times a day for 7 days • Tongue Out: Stick your tongue out – letting it rest on your bottom lip. • Tongue Bowl: Gently raise the side and tip of your tongue to create a “bowl” shape. • Squirt: Using a squirt bottle, spray a few squirts of water into the “bowl” your tongue has created. • Pull Back: Slowly pull your tongue back into your mouth – keeping it in a “bowl” shape as you pull it back.. • The Spot: After you have pulled your tongue into your mouth, lift the tip of your tongue up to “the spot” (the bumpy spot behind your top front teeth). • Bite: Slowly bite down your back teeth – keeping your tongue tip on “the spot” as you bite down. • Smile: Spread your lips into a wide smile and hold them there. • Swallow: Swallow the water keeping your tongue tip on “the spot”, and squeezing the middle of your tongue up against the roof of your mouth. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • As you complete the pull back – make sure your tongue is being pulled straight back using the back muscles in your tongue – don’t just curl the tip back to bring your tongue into your mouth. • While swallowing your tongue should not push against or past your teeth. Your tongue should not push forward at all.

4. Week 4 • K-ee-l Tongue Rolls Duration: 15 times Frequency: 3 times a day for 7 days • Relax: Let your tongue relax on the floor of your mouth, inside your bottom teeth. • Head Back: Tip your head back while completing this exercise. • Squirt: Squirt water into the back of your mouth. • Back Up: While holding the tip of your tongue on the floor of your mouth, raise the back of your tongue up to the roof of your mouth like you are going to say /k/. • Middle Up: While holding the back of your tongue up, lift the middle of your tongue up to the roof of your mouth like you are going to say /ee/. • Tip Up: While holding the back and middle of your tongue up to the roof of your mouth, raise the tip of your tongue up to the bumpy spot behind your top front teeth like you are going to say /l/. • Bite: While holding your tongue up, bite down with your back teeth. • Smile: Spread your lips wide into a smile. • Swallow: Swallow the water making sure that your tongue does not push forward against your teeth. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • If you have difficulty bringing the back, middle, or tip of your tongue up to the correct spot try actually saying the sounds /k/-/ee/-/l/ to move your tongue up. • While swallowing your tongue should not push against or past your teeth. Your tongue should not push forward at all. • Soft Food Swallows Duration: 15 times Frequency: 3 times a day for 7 days • Place Food: Place a small amount of soft food in the middle of your tongue (applesauce, pudding, yogurt, etc.). • The Spot: Put the tip of your tongue on the bumpy spot behind your top front teeth (the alveolar ridge). • Bite: Bite down on your back teeth. • Smile: Spread your lips into a wide smile. • Squeeze: Squeeze your tongue up against the roof of your mouth. • Swallow: Swallow the food. • Check: Look at your tongue in the mirror to see how much of the food you swallowed. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • When using a spoon to place the food in your mouth, it is the easiest to put the spoon in your mouth and then turn it upside down to scrape the food onto the middle of your tongue. • While swallowing your tongue should not push against the straw or your teeth. Your tongue should not push forward at all. • 3 Swallow Drinking Duration: Until a regular sized drinking glass is gone Frequency: 3 times a day for 7 days • The Spot: Put the tip of your tongue on the bumpy spot behind your top front teeth (the alveolar ridge). • Bite: Bite down on your back teeth. • Head Straight: Hold your head straight. • Raise Drink: Raise the drink up to your mouth. • Swallow: Take 3 consecutive swallows of the water, keeping your tongue tip on the spot, your teeth closed, and your head straight. Then put the drink down. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • Make sure to bring the drink to your mouth, not your mouth to the drink. • Wrap your lips around the cup, keeping your teeth closed the entire time during the drink. Don’t wrap your teeth around the drink. • While swallowing your tongue should not push against or past your teeth. Your tongue should not push forward at all.

5. Week 5 • Suck and Swallow Duration: 20 times (10 times with squeaky sucking and 10 times with quiet sucking) Frequency: 3 times a day for 7 days • The Spot: Put the tip of your tongue on the bumpy spot behind your top front teeth (the alveolar ridge).Swa • Bite Down: Bite down on your back teeth. • Smile: Spread your lips into a wide smile. • Squirt: Squirt water into the corners of your mouth. • Close Lips: Gently close your lips. • Suck Back: Suck the water back making a squeaking sound. • Smile: Spread your lips into a wide smile again. • Swallow: Swallow the water making sure that your tongue does not push forward against your teeth. • Repeat: Repeat these steps 10 times with squeaky sucking and 10 times with quiet sucking. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • Try not to let the muscles around your lips and in your chin move while you suck and swallow. Use the muscles in the back of your tongue and in your throat to swallow. • While swallowing your tongue should not push against or past your teeth. Your tongue should not push forward at all. • 1 Swallow Drinking Duration: 15 times Frequency: 3 times a day for 7 days • The Spot: Put the tip of your tongue on the bumpy spot behind your top front teeth (the alveolar ridge). • Bite Down: Bite down on your back teeth. • Head Straight: Hold your head straight. • Raise Drink: Raise the drink up to your mouth. • Sip: Close your lips and sip the water into your mouth (without swallowing). • Smile: Spread your lips into a wide smile. • Swallow: Swallow the water making sure that your tongue does not push forward against your teeth. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • Make sure to bring the drink to your mouth, not your mouth to the drink. • While swallowing your tongue should not push against or past your teeth. Your tongue should not push forward at all. • Eating Duration: Eat at least five different foods correctly each day Frequency: 7 days • Food to Mouth: Bring a piece of food up to your mouth. Do not let your tongue or lips reach out for the food. • Bite: Take a reasonable sized bite of the food. • Chew: Chew the food with your lips gently closed and move the food back into your mouth as you chew. • Bolus: When you have chewed the food long enough that it sticks together. Use your lips and cheeks to suck it onto the middle of your tongue forming a bolus or ball. • Check: Check the bolus in the mirror making sure it is in the middle of your tongue and not on or near the tip of your tongue. • The Spot: Put the tip of your tongue on the bumpy spot behind your top front teeth (the alveolar ridge). • Bite: Bite down on your back teeth. • Smile: Spread your lips into a wide smile. • Swallow: Swallow the food making sure that your tongue does not push forward against your teeth. • Tips for this exercise: • Look at your tongue in a mirror during the entire exercise. • Make sure to bring the food to your mouth, not your mouth to the food. • While swallowing your tongue should not push against or past your teeth. Your tongue should not push forward at all.