LIP-CLOSURE

Myofunktional Exercise  Collect ion

Application:

no illustration

Is the patient not able to shut his Rima Oris or can he accomplish it only by great effort not rarely this will be diagnosed as “too short” lips. This reflects a general description which, despite of an imaginary assessment, neither allows a conclusion about the state of the textures nor about its habitual posture/position. The typecast OMP (Open Mouth Posture, according to M. FURTENBACH: “OMH” Open Mouth Habit) should be given preference.

A true textural deficiency may be caused evolutionarily or by loss of substance / cicatricial shrinkage. A second group may be seen in continuant cramps of the radial musculature around the Orbicularis (see Anatomy: Area I, 1,  Page 16) which also may be accompanied by an adaptation of the covering skin.

Frequently yet the disorder can be classified as a third group, the dysfunctional tenseness, where the texture indeed will allow a sufficient lip closure in the relaxed state.

Contents:

In the above described last case it only will need the MOTILITY-EXERCISES to habituate a physiological muscle action. In the second last case additionally the application of means for a restitution of the physiological Mobility is recommendable (like stretching exercises) while the first described case – in addition to the above described measures – requires passive stretching exercises and manual massaging methods.

Materials:

Exercise specific.

Procedure:

- Previous exercises: Not required. See respective exercise.

- Step-by-step-description:

-1 According to the classification into the three groups mentioned at the beginning, now, in respect of the requirements of the individual case as a next step with priority the dilating of the tissues, connective tissue, tendons, fibres in the target area should be dealt with.

-2 As a second step the muscular stretching should be approached.

-3 The third step, then, should comprise mainly the neural component – Motility – and finally lead to the habituation of the muscle action. Here as well those cases are filed where ‘only’ the lip (mouth) posture has to be corrected.

- Step-by-step-description:

-1 According to the classification into the three groups mentioned at the beginning, now, in respect of the requirements of the individual case as a next step with priority the dilating of the tissues, connective tissue, tendons, fibres in the target area should be dealt with.

-2 As a second step the muscular stretching should be approached.

-3 The third step, then, should comprise mainly the neural component – Motility – and finally lead to the habituation of the muscle action. Here as well those cases are filed where ‘only’ the lip (mouth) posture has to be corrected.

-Timing: Generally see above, in the single case this should be exercise specific; in respect of the total training course the correction of facultative mouth breathing will be required as a next step or simultaneously.

Characteristics:

The correct lip closure, i.e., the physiological state (position and tonicity) is fundamentally important for the balance of forces in the relations intra- versus extra-oral against the tongue musculature.

Remarks:

The correct lip closure, i.e., the physiological state (position and tonicity) is fundamentally important for the balance of forces in the relations intra- versus extra-oral against the tongue musculature.

Discussion:

In this connection: The extensibility of the ligamentous apparatus (Tongue, lip, cheek ligaments) requires a very similar procedure, of course with the exercises for the respective target areas.

The following list was divided into three categories referring to the three case groups which, as every scheme, may only serve as a guiding principle.

The WIDE GRIN for example has been collated to Category I, the ,O’-EXERCISE to Category II. But, positioning both into one sequence in form of an alternating frequency an exercise of Category for will result.

 In the follow List of exercises arranged in the three Categories described above:

CATEGORY I

(Dilatation)

WIDE GRIN

CHUBBY LIP

GORILLA

MENTALIS MASSAGE

UPPERLIP MASSAGING (passive)

PULL-THE-TRUNK

SPECTRE

TUG-OF-WAR                     

CATEGORY II

(Mobility)

BALLOON 

BLOW THE BALL

DUCKBILL

STRAW SUCKING

HOLD A MATCH

,E'-EXERCISE

CHERRY MOUTH

CLOWNY

LIPSTRETCH

,L-M’-POSITION

,M’-POSITION

MENTALIS STRETCH

MOBILITY EXERCISES

MOUTHBREATHING

PLATELET-HOLDER   

,O’-EXERCISE

UPPERLIP STRETCHING(active)

ORBICULARIS-EXERCISES

PIPELINE

TRUMBONE

TRUNK- CIRCLING

TRUNK-EXERCISE

TIED-UP SACK

SOAPBUBBLES

HOLD A STICK

HOLD-THE STRAW

WATER PUMP

CATEGORY III

(Motility)

BABBLE

WEIGHTLIFTING

MOTILITY-EXERCISE

,P-P-P’-EXERCISE

POO-EXERCISE

PEA-SHOOTER

TEETHRINSING

,ZIP’-EXERCISE