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Purposes of the Oral Motor exam:
Differential diagnosis (ruling in/out CNS/PNS damage or lesion localization)
Determine motoric abilities vs impairments (includes stimulability testing – people compensate well)
Establish baseline (rate of severity)
Principal characteristics evaluated during OME:
Symmetry
Strength
Speed/agility
Range of motion
Steadiness
Tone (muscle)
Accuracy
Reflexes
Gag response
Jaw jerk (aka maxillary reflex)
Sucking (stroke upper lip later to medial)
Rooting reflex (stroke cheek near corner)
Snout reflex (light pressure on philtrum, rection pucker lip)
Palmomental reflex (stroke palm, reaction contraction of ipsilateral mentalis)
CRANIAL NERVES
CRANIAL NERVES