Q: My 3-year-old client with cerebral palsy continues to have so much saliva when he speaks. I am seeking information about how to address all the saliva and bubbles that he produces during speech.
The key is to help your client:
- Suction and swallow more often during everyday activities
- Suction and swallow with greater efficiency
- Maintain lip closure during oral rest
The real help is found by doing oral-motor and feeding work. Medications or surgery sometimes are necessary in severe cases.
My little book How to Stop Drooling introduces all these ideas in a simple format. It is a look at the behavior and it will help you see the overall process.
Also see:
- A Practical Approach to Saliva Control
by Hilary Johnson and Amanda Scott (Communication Skill Builders, 1999.)
- Drooling Remediation Program by Sara Rosenfeld Johnson
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