Don't Blow This Therapy Session! Blowing exercises and other nonspeech oral motor exercises (NSOMEs) are commonly used therapeutic techniques for children with repaired cleft palate and velopharyngeal inadequacy. Blowing exercises have a long history in the field, dating back to the early days of speech-language pathology when clinicians relied upon expert opinion to influence clinical ... Article
Article  |   October 01, 2013
Don't Blow This Therapy Session!
Author Affiliations & Notes
  • Gregory L. Lof
    Department of Communication Sciences and Disorders, Massachusetts General Hospital Institute of Health Professions, Boston, MA
  • Dennis Ruscello
    Department of Communication Sciences and Disorders, West Virginia University, Morgantown, WV
  • Disclosure: Financial: Gregory L. Lof is the department chair and a professor in the Department of Communication Sciences and Disorders at the Massachusetts General Hospital Institute of Health Professions. Dennis Ruscello is a professor in the Department of Communication Sciences and Disorders at West Viriginia University.
    Disclosure: Financial: Gregory L. Lof is the department chair and a professor in the Department of Communication Sciences and Disorders at the Massachusetts General Hospital Institute of Health Professions. Dennis Ruscello is a professor in the Department of Communication Sciences and Disorders at West Viriginia University.×
    Nonfinancial: Gregory L. Lof and Dennis Ruscello have previously published work in this subject area. Some of them are referenced in this paper.
    Nonfinancial: Gregory L. Lof and Dennis Ruscello have previously published work in this subject area. Some of them are referenced in this paper.×
Article Information
Speech, Voice & Prosodic Disorders / Special Populations / Genetic & Congenital Disorders / Speech, Voice & Prosody / Articles
Article   |   October 01, 2013
Don't Blow This Therapy Session!
SIG 5 Perspectives on Speech Science and Orofacial Disorders, October 2013, Vol. 23, 38-48. doi:10.1044/ssod23.2.38
SIG 5 Perspectives on Speech Science and Orofacial Disorders, October 2013, Vol. 23, 38-48. doi:10.1044/ssod23.2.38

Blowing exercises and other nonspeech oral motor exercises (NSOMEs) are commonly used therapeutic techniques for children with repaired cleft palate and velopharyngeal inadequacy. Blowing exercises have a long history in the field, dating back to the early days of speech-language pathology when clinicians relied upon expert opinion to influence clinical practice. However, for more than 60 years, NSOMEs such as blowing have been questioned and many empirical studies have been conducted that demonstrate the ineffectiveness of these exercises. This article provides reasons why NSOMEs, mainly blowing, should not be used in therapy. It also traces the history of blowing exercises and then summarizes some of the seminal research articles that show that they do not work. Effective evidence-based treatments for compensatory errors are also reviewed.

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