,M'-POSITION

Myofunktional Exercise  Collection

Application:

to enlarge click picture

Partial position of the correct BASIC-POSITION ( see there and Fig.025a). The exercise position will become the custom posture for the lips. The term simultaneously gives the catchphrase for  a mental internalization (see also PLATELET-HOLDER).

Contents:

Habituation of the stand-by position of the tongue in a fine motor balance.

Materials:

Not required.

Procedure:

- Previous exercises: As we are dealing with a habituation exercise, if necessary, the phase of sensitation, orientation and strengthening of the musculature in question has to be absolved. (See TONGUE-TIP-ORIENTATION ). For the special purpose of balancing the lip fissure and chin musculature the exercises ,E'-EXERCIS and PLATELET-HOLDER are recommended. (see paragraph ‘discussion’).

-Starting position: REST-POSITION with ,DRAWER-IN’-EXERCISE.

- Step-by-step-description:

-1 For a deliberate differentiation the patient attentively articulates an ‘N’ with the lips open. The molars are set ( see ‘Discussion’).

-2 Now the patient slightly hums an ‘M’ (,DRAWER-IN’-EXERCISE) claiming the mandible having sunk down the incisors hovering upon each other in a two millimetre distance ( the mandible rest position) and the lips slightly dapped together as if holding a tender petal.

-3 At the beginning the therapist will check the easiness of the lip tone with a finger tip, the verified distance between upper and lower incisal edges by tapping upwards from under the chin with the hand. There should be felt a neutral space before the ‚CLICK’, the tapping together of the teeth.

-Timing: The patient gets sequential and day-time instructions to monitor this position respectively take it up.

Characteristics:

Habituation, Orientation, Sensitation, fine-motor, Myobalance, Motivation.

Remarks:

The lip closure must be ensured texturally.

Discussion:

As mentioned in the paragraph ‘Propaedeutics’ the posture of the tongue tip should secured (,L’-POSITION). If aiming especially at the harmonized starting position around the lip fissure it should be guaranteed a cramping Mentalis not interfering (,I'-EXERCIS). Further on a free lip fissure closure has to be possible texturally (Mobility). If this is not the case, next, respective exercises should be arranged (see (Lip fissure closure). As in step 1 “The molars are set”: This correct posture should be watch closely. We are to generate a slight tap of the molars! The order: “Bite your teeth together” will result either in a pressing together of the incisor edges in edge-to-edge occlusion or in a tight clenching of the molars in terminal occlusion.

Instructions:

The mouth will take up its normal position “outside”without tensing up the muscles. Start is the SITTING-POSITION when the head is well balanced and the chin takes up the ,DRAWER-IN’-Position.

The teeth are hovering 2 millimetres apart.

The lips join together softly as if holding a leaflet.

The hand-mirror control ensures that no muscle is cramping.

This posture is always kept “outside”!

In the beginning it may be trained with PLATELET-HOLDER. It is exercised with that small plastic platelet on a ribbon which is caught at its outmost rim between the lips and held for a longer period.

The posture should be controlled frequently over the day till it works by itself. Finally it only rarely needs to be monitored.