Inhibit to Automate

 

Froggymouth

 

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The First and Only Anoetic Oro-Facial Myofunctional Rehabilitation Device

 
     

THE FROGGYMOUTH CONCEPT BREAKDOWN

ATYPICAL SWALLOWING INHIBITION

Atypical deglutition, also known as primary deglutition, occurs in two stages:  
 
  Sucking: This stage requires a lip seal to create negative pressure inside the oral cavity, which involves the contraction of the lip and chin muscles  
 
   Lingual Movement: This stage involves a back-and-forth motion of the tongue to facilitate swallowing through vacuum effect.  
 
However, without a proper lip seal, swallowing becomes impossible due to the lack of pressure difference.  
The Froggymouth device acts as an inhibitor of primary swallowing by avoiding the lipseal from being performed.  
 
When the seal is compromised, primary swallowing cannot be achieved, leading to saliva accumulation in the oral cavity.  
 
Consequently, the patient must adapt by occluding their dental arches and elevating the lingual dome of the tongue against the palate.
This adaptation leads to an autonomous and spontaneous discovery of secondary swallowing.
 

THE PASSIVE APPROACH

This is a functional rehabilitation method that does not require any active participation from the patient.
It was theorized as anoetic functional rehabilitation by Doctor Patrick Fellus, an ODF specialist at the Robert Debré Hospital in Paris, in 2011.
The therapeutic goal is to automate new practices by inhibiting dysfunctional circuits and establishing a protocol based on current neuroscientific data.
The reference work on the subject was published in 2020 by Doctor Fellus:“Neuroscience and Swallowing Rehabilitation: Froggymouth - An Anoetic Approach"
 
You can also find the concept in replay:
 
Dr. Fellus’ lecture at Yale University  
 
Introduction for speech therapists and paramedical professionals by Samantha Weaver  

TONGUE POSTURE CORRECTION

Chewing, swallowing, speaking, and breathing are praxes that interact and influence each other at all times. Dysfunction in any one of these can create an imbalance among all the praxes of the orofacial sphere.
 
On the other hand, automated reeducation for swallowing harmonizes the entire orofacial sphere through a chain reaction that begins with the elevation of the styloglossus muscle.
 
 Wearing Froggymouth initially forces secondary swallowing until it becomes automatic.
 
 Once this praxis becomes automatic, the tongue is raised against the palate every time you swallow.
 
 The notion of comfort determines the tongue’s position between swallows.
 
 Consequently, the tongue will adopt a raised position at rest due to repeated elevation during swallowing.
 
​"The notion of comfort is the priority of the new program: the most effective solution is chosen and then consolidated for further use." P.M. Lledo,

INDICATIONS

 Atypical Swallowing                    Oral Breathing
 
 Open & Deep Bites                       Snoring           
 
 Proclined Incisors                        Sleep Apnea  
 
    Mandible Protrusion                    Postural Issues
 
 Speech Disorders                         Drooling           
 

SIZE GUIDE

         
 
Horizontally, Froggymouth should be slightly smaller than the size of the patient's mouth.
The device must not get in contact with the patient’s labial commissures.

WHAT IS THE EFFECT ON BREATHING?

If lingual rehabilitation is essential, it also determines the patient's breathing mode. A high resting posture of the tongue's posterior part alone forms a seal that prevents air from passing through the oral cavity.Again, it's the notion of comfort described by Lledo that will permanently restore the establishment of nasal breathing through a domino effect.
 
Again, it's the notion of comfort described by Lledo that will permanently restore the establishment of nasal breathing through a domino effect.
 
“The tongue is a breathing organ. The restoration of nasal breathing must go through the reeducation of myofunctional praxis.” Dr. Takashi Ono
 
Test it out:
Place the lingual dome on the palate.
Try to breathe through your mouth.
Impossible...

 
"This double functional necessity, lingual posterior (1) and occlusal (2), too often overlooked by orofacial function rehabilitators, is likely one of the causes of frequent rehabilitation failures." Jean Delaire, 2015

WHY IS 15 MINUTES A DAY ENOUGH?

Dr. Eric Kandel, awarded the Nobel Prize in Medicine in 2000 for his groundbreaking work, provides valuable insights into neuroscience concerning memory and its connection with emotions.
 
Emotional Response to Froggymouth The inhibition of atypical swallowing leads to a critical response: the necessity to swallow, as directed by the brainstem, combined with the inability to use primary swallowing, results in an emotional shock. This emotional shock acts as a catalyst for engramming the new function into long-term memory. Following this, practitioners should focus on automating the swallowing function.
 
Find out more on this subject in Dr. Fellus Book “Neuroscience and Swallowing Rehabilitation: Froggymouth - An Anoetic Approach"
 
"An emotional event such as a car accident or a happy occasion like your wedding creates such a strong memory that you'll remember every detail even after 5 or 10 years without having to replay the scene." Dr. P. Fellus.

IS THE WEARING TIME THE SAME ON ADULTS

For adults, the concept applies just as much and in the same way. Like any learning process, the duration of the treatment may be slightly extended.

THE CRUCIAL ROLE OF TELEVISION

The television plays a significant role in maintaining the gaze, ensuring a horizontal lingual plane during swallowing. Keeping the lingual plane horizontal is crucial because a bowed head can lead to drooling, which delays the swallowing signal from the brainstem.
 
Moreover, for many patients, watching television is a pleasurable activity. This enjoyment activates the reward circuits managed by the limbic system, promoting the automation of the newly engrammed circuit.

HOW LONG DOES FROGGYMOUTH TREATMENT LAST?

Clinical studies have shown significant results within 10 weeks of treatment.
 
However, the duration can vary from one patient to another. Typically, the automated correction of tongue position with Froggymouth lasts between 2 to 6 months.
 
This treatment duration is indicative and should not dictate the end of treatment.
 
The conclusion of treatment with Froggymouth is determined by the practitioner when the automated correction of the tongue position has been achieved.