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D-Restricted Ltd :
Techniques myofonctionnelles orofaciales

Body-Therapies to Aid your Infant's Feeding Ability

(ask for your therapist to have experience with infant feeding related tensions)

For a directory of manual therapy providers with experience in treating babies with feeding issues and tongue-tie please visit


Chiropractic therapy 



Cranial-Sacral therapy


Myofunctional Therapy

Should you choose to join my Facebook peer support group page, there is a thread where service-users have recommended therapists across the UK based on their treatment experience.  To join the facebook page, please just click on the link:


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Manual Therapy and Infant Feeding

What is the role of manual therapy for helping babies with feeding difficulties?

(Extracted from:

There are several healthcare professions that use manual therapy as their modality for treating the human body. Manual therapy is the hands-on method of treating the body, rather than a drug-based approach. The therapist uses a variety of techniques to support the tissues and help return function to a normal level when there has been injury or changes to the areas involved.

The techniques used can have different names depending upon the profession using them, but in general they include:

  • Mobilising a joint: taking it through a range of motion to promote full use, to ease ligamentous, capsule or muscular restrictions to full movement.

  • Soft tissue techniques: massage, stretching, inhibition, cross-fibre.

  • Active tissue techniques: asking the patient to work against the therapist e.g. Muscle Energy Technique.

  • Nerve stretching: proprioceptive neuromuscular facilitation stretching.

  • High Velocity/Low Amplitude Thrust: the “clicking” or “popping” noise of a joint when it is adjusted to regain motion.

  • Cranio-Sacral Techniques and Sacro-Occipital Technique: these are generally very subtle, “quiet” and gentle techniques. This first was developed within Osteopathy and is an extension of osteopathic principles aimed at releasing adverse tension in the tissues of the skull: meninges and other connective tissue and can be applied to other joints in the body too. The latter is the extension of Chiropractic philosophies and looks at more subtle mechanical ways of dealing with chiropractic “subluxation” patterns. Both of these approaches are popular for use in treating babies and they involve very little strong force to be applied to the body.

Most osteopaths and chiropractors who treat babies have undertaken extensive post-graduate studies in order to gain an in-depth knowledge of the embryological development of the baby. This will include the anatomy of the nerves, vessels, bones, joints and muscles relating to the brain, head, face, neck, back and body and organs during development. They understand the stages of development during embryonic life, the process of birth and the interventions or traumas that may occur during birth, and the developmental stages during the early years of life.

The aim during treatment will be, for example:

  • to relieve the compressions that occur whilst the baby is growing within the womb (uterus), particularly in the later months when space becomes restricted.

  • to relieve stresses and traumas that might result from the birth process, for example awkward presentations that require interventions such as forceps or ventousse can create trauma in the neck and head areas.

  • to improve the motion of the thoracic cage which houses the heart and lungs so that breathing is easier.

  • to improve the movement of the upper neck area so that the nerves that facilitate feeding are not impinged and the baby can physically and comfortably get their head into the right position for feeding, on both right and left side.

For the mother, osteopaths and chiropractors can work on, for instance:

  • the pelvis to reduce the symptoms of pelvic girdle pain (symphysis pubic dysfunction) that can make walking and daily activities very painful and awkward.

  • the parts of the thoracic cage (ribs and spine) that relate to the nerves that supply the breast and in turn control the milk supply and milk ejection reflexes.

  • the mothers muscles and joints to improve their function can help ensure that mother can achieve comfortable positions for birthing, for feeding, for sleeping.

Important Note:

In the United Kingdom there is increasing legislation to protect the general public and to ensure that health practitioners are adequately trained (to B.Sc. degree level or above), insured and continuing their professional development (ongoing training; CPD). Certain professions have their own governing body that regulates the training courses and the individual practitioners on the register, for example, Osteopaths are regulated by the General Osteopathic Council, Chiropractors by the General Chiropractic Council, whilst other professionals, e.g. Physiotherapists, are required to register with the Health and Care Professions Council that regulates many other professions too.

In law, these professional titles are protected and it is a criminal offence to use them if the practitioner is not registered with the relevant governing body.

The protected titles include the following:

However, there are several practitioners of manual therapy who do not enjoy the same legally protected status, but may well be trained to a high level or have a great deal of experience within their chosen field. It is the individual choice of the member of the public who chooses to use a non-regulated person to ensure the level training and experience is to their satisfaction and to be aware that whilst these practitioners may be a member of an association, it is not a governing body that has recourse within law to protect the public. For example, titles commonly seen include massage therapists, physical therapists, manual therapists, cranio-sacral therapists. Where nurses and midwives provide manual therapies they are still regulated by the Nursing and Midwifery Council in these roles.

Orofacial Myofunctional Therapy

Diana est une praticienne avancée formée dans la discipline de la thérapie myofonctionnelle orofaciale et reconnaît l'importance de renforcer les structures et les tissus musculaires buccaux environnants, pour aider la langue à retrouver sa fonction après la division de la langue.

Chez les nourrissons, la procédure d'attache de la langue (frénulotomie) est généralement indiquée lorsque le frein lingual limite le mouvement de la langue et compromet l'alimentation du nourrisson. La fonction optimale de la langue nécessite la mobilité de toute la langue pour créer un vide qui engage le mamelon/tétine pour stimuler le réflexe de succion afin de déclencher l'action péristaltique de la langue jusqu'à une déglutition rythmique audible en temps opportun (pas une gorgée !) et un transfert de lait.

Le muscle styloglosse de la langue se rétracte et élève la langue. Ce muscle s'étend de la pointe de la langue à une zone proche de l'articulation temporo-mandibulaire. Un lien de langue rend le mouvement de ce muscle plus difficile et, par conséquent, il est impossible d'obtenir une belle ouverture large afin d'obtenir une alimentation efficace et sans douleur, et dans certains cas pas du tout. J'entends fréquemment des parents gestationnels se rappeler comment, lorsqu'ils nourrissent leur bébé, ils prennent le sein avec une grande ouverture, mais ensuite la bouche du nourrisson «glisse» vers une prise peu profonde ou incapable de la maintenir, ce qui nécessite de fréquentes tentatives de prise du sein.

facial muscles tongue tie

Orofacial Myofunctional Exercises are performed differently for infants, as babies are unable to do the exercises following a command.
Instead, babies respond to stimuli and reflex. So, in order to strengthen the muscles necessary for feeding, breathing and sleeping, suggested exercises for the adult caregiver to perform on the infant work well. These are gentle, and relaxing and can easily be incorporated into a busy lifestyle.

Nourrir un nourrisson stimule les muscles orofaciaux et cela favorise la croissance du visage. De la même manière, une aspiration et une mastication correctes préviennent les altérations dentaires et les difficultés lorsque des structures telles que les lèvres et la langue bougent.  Un praticien myofonctionnel orofacial est formé pour, après avoir procédé à un bilan approfondi, et travaillé dans une approche alliée, appliquer des techniques permettant de rééquilibrer les muscles de la bouche, du visage et du cou, et de restaurer les fonctions respiratoires , mâcher et avaler.   Des exercices de rééducation neurologique sont prescrits pour aider à la normalisation des structures et fonctions crainiofaciales en développement ou développées. La préoccupation n'est pas l'apparence du frein lingual (attache de la langue), c'est la façon dont la fonction orale est affectée et les conséquences à long terme d'une diminution de la fonction orale.

La thérapie myofonctionnelle orofaciale a 3 rôles distincts qui aident à améliorer le succès de la procédure de frénulotomie (langue-tie):

1) Avant une procédure de frénulotomie, la thérapie myofonctionnelle orofaciale renforce la sensibilisation à la coordination de la force et la modification du comportement grâce à l'application de la rééducation neuromusculaire.  Diana vous fournira une fiche d'exercices et un programme pour vous accompagner dans les étapes de la rééducation neuro-musculaire.

2) La thérapie myofonctionnelle orofaciale facilite le processus de guérison en engageant la fonction et le mouvement de la langue en encourageant la force dans les zones précédemment affaiblies de la bouche, ce qui lui permet de travailler à l'amélioration des capacités d'alimentation innées.

3) Réhabilitation des structures orales pour restaurer et améliorer la fonction orale correcte. Similaire à la kinésithérapie faisant suite à une intervention chirurgicale, le traitement myofonctionnel orofacial remplit le même rôle pour aider à améliorer le succès d'une frénulotomie.  

tongue anatomy

For additional exercises and relaxation techniques; please take a look at my free online Baby Massage and Yoga Courses!

Tongue Function/Tone Strengthening Exercises

Myofunctional therapist

These exercises are found in your aftercare paperwork I gave you at your consultation.

Although doing these is absolutely optional, my recommendation is not to delay, and to commence from day 2. 

This will enable your baby to get the most benefit from the division and give him/her a 'head-start' in terms of learning ability on their feeding journey. Exercises are designed to be a playful, bonding and learning experience-If you are short on time or too busy we do not want to do these in a time-pressured situation. These exercises are designed to mimic the different aspects that the tongue uses to feed; the last thing we want to do is put your little one off feeding.

To be clear; I DO NOT advocate any form of exercise or practice that involves touching or interfering with an open wound for the reasons discussed at your consultation.

Baby Massage

(Suitable from birth to pre-crawling age)

Here we have all of the benefits of a baby massage course, to be enjoyed without even leaving the house!

Baby massage is not a new concept, and has been practised in other countries for hundreds of years, with the belief that it helps with health, happiness, security and a feeling of being loved-for parent and baby. Baby Massage is tailored for all babies right from birth until pre-crawling age. It also addresses many of the symptoms a baby may be experiencing as a result of a restrictive frenulum such as colic, trapped wind, reflux and teething without the need for medication. It also has the added benefits for parents with bonding and confidence with their baby.

Baby Massage involves the parent/caregiver learning massage techniques, in order to promote physical and emotional well-being to the baby whilst also promoting bonding and attachment skills for the parent too. Baby massage is also a great introduction to infant Yoga.

Course benefits include:

  • Aids gross & fine motor skills

  • Sleep, increases duration & frequency

  • Aids digestions, relieves constipation and colic

  • Helps with reaching developmental milestones

  • Increases parent & baby bonding

  • Increased strength & flexibility

  • Reduces stress


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