Category Archives: Oral Motor

Explore oral motor tools and strategies designed to improve strength, coordination, and control of the muscles used for eating, speaking, and breathing. Resources support development in feeding, speech, and respiratory function through targeted therapeutic activities.

Levels of Whistle and Blow Toys Explained

Oral Motor, Sensory Regulation, , , , ,

Whistle and blow toys are more than just fun — they’re powerful tools in oral motor therapy that support breath control, lip closure, sensory regulation, and multisensory integration. Whether used by occupational therapists, speech-language pathologists, or other pediatric specialists, whistle and blow toys can be strategically selected and graded to match a child’s specific needs and abilities.

In the clinical guide M.O.R.E.: Integrating the Mouth With Sensory and Postural Functions, the authors explain how oral motor activities engage the sensory and postural systems simultaneously. Blowing activates the muscles of respiration and the oral-motor system while also stimulating alerting or calming effects, depending on intensity and pacing. Synchronizing breath with visual tracking or postural tasks further enhances body awareness and regulation. Selecting the right level of whistle or blow toy ensures that the activity challenges the child appropriately and supports therapeutic progress.

Understanding the Levels

Level 1 Whistles – Low Resistance, High Accessibility

These are ideal for children with reduced breath support or limited oral motor control. They require minimal pressure and allow success with less precise lip closure.

Echo microphone blow toy

Therapro Recommendations:

Level 2 Whistles – Moderate Breath Control Required


 These tools are appropriate for children who have mastered basic breath activation and are ready to develop sustained airflow and coordination.

Therapro Recommendations:

  • Whistling Straws: Require focused airflow, ideal for mid-level strength building.
  • Floating Ball Game: Combines visual tracking with breath control, great for synchronizing breath and eye coordination.
Floating Ball Game blow toy

Level 3 Whistles – High Resistance, Advanced Control

These challenge even strong blowers. They demand powerful, sustained breath and refined control, activating deeper postural and respiratory systems.

Balloon Car Racer blow toy

Therapro Recommendations:

Therapeutic Benefits

  • Breath Support & Control: Essential for speech production, sustained phonation, and self-regulation.
  • Oral Motor Development: Enhances strength and coordination of the lips, cheeks, and tongue.
  • Sensory Regulation: Blowing can be alerting or calming, depending on resistance and activity structure.
  • Multisensory Integration: Eye-breath coordination and posture-breath synchrony help develop attention and motor planning.

Therapro’s full line of whistle and blow toys is organized to help therapists and parents choose developmentally appropriate tools that support targeted outcomes. For a deeper understanding of how oral motor input integrates with sensory and postural systems, consider adding M.O.R.E. to your resource library.

Explore Therapro’s oral motor therapy tools today and discover how simple, affordable tools can deliver powerful therapeutic results.

Guest Blogger: Karen Conrad Weihrauch, PhD, OTR/L

Oral Motor Treatment Strategies: Part 3

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On June 16, 2020, Therapro hosted a very popular webinar presented by Dr. Kate Barlow on the topic of Oral Motor Treatment Strategies. In past blog posts, we reviewed great takeaways from the webinar, as well as strategies for assessments that Dr. Barlow shared with viewers. Dr. Barlow also covered some effective treatment strategies during the webinar, as attendees reviewed: 

This seminar provided great ideas on how to provide intervention strategies to children with oral motor difficulties. TH

Well presented course, instructor passionate and knowledgeable. As a PT I appreciate the information, insights, and learning content that was presented. JW

Kate is passionate about helping families and children with feeding issues. She presents a variety of strategies and explains why and how these strategies support positive outcomes. The strategies presented can also be implemented in school based practice which is a challenging setting to service and document feeding therapy. ME

Thanks – it was very helpful! Many great takeaways that I will implement in my practice right away. ML

In this post we will take a look at the treatment strategies shared by Dr. Barlow during the Oral Motor Treatment Strategies webinar.

Dr. Barlow gave useful background information to help viewers understand the “why” when planning treatment. For example, she spent time reviewing type 2 muscle fibers – did you know that most of the muscles used for swallowing are type 2 muscle fibers? Given this information, it is easy to understand why it is so important not only to use resistance but also to increase the resistance and workload when planning treatment for oral motor strengthening. Dr. Barlow also reviewed that age and cognitive consideration should be taken into account when deciding on a treatment plan. Check out some of these other effective treatment ideas that Dr. Barlow covered: 

  • To work on lip closure, try an activity as simple as blowing kisses! This is an easy strategy in which all members of the family can easily participate – without any tools!
  • For lip and tongue awareness, Dr. Barlow shared the clever idea of putting a spoon in a cup of ice water for a few hours. The cold spoon can be used in a number of ways to help bring awareness to these areas.
  • For tongue lateralization, Dr. Barlow shared some strategies using handheld munchables.
  • Dr. Barlow also covered some tools that can be used in oral motor treatment.  For example:
    • Bubbles and blow toys are fun ways to develop lip strength.
    • Lip Bloks are a helpful tool when working on tongue retraction.
    • Z-vibes can be used for so many things like developing cheek strength, working on lip closure, and developing lip and tongue awareness.
    • Straws are a fun tool that can be used to work on  lip closure and tongue retraction.

Check out the full video to watch Dr. Barlow demonstrate some of these great treatment strategies and demo some tools she uses in her own treatment!

Oral Motor Treatment Strategies: Part 2

Oral Motor, ,

On June 16, 2020, Therapro hosted an overwhelmingly popular webinar presented by Dr. Kate Barlow on the topic of Oral Motor Treatment Strategies. As one viewer stated:

“This was a totally amazing webinar on oral motor feeding. I learned so much information, and Kate was a wonderful speaker.” DSM

Dr. Barlow is an Assistant Professor at American International College (see her full bio here).   In part one of this blog series, we recapped some great takeaways from Dr. Barlow’s June 16 webinar; one of those takeaways was that all children should be screened for feeding disorders.  In this blog post, we will dive deeper into the screening and assessment strategies Dr. Barlow shared with viewers during the webinar.  

Dr. Barlow shared great tips, resources, and strategies for appropriately screening and assessing feeding disorders, noting that a good assessment is the driving force behind a good treatment plan. Dr. Barlow identified key areas to assess: lip closure and strength, reaction to gum massage, posterior cheek strength, tongue range of motion and strength, jaw strength, motor planning, and sensory assessments when appropriate. Dr. Barlow shared a decision tree that she created, explaining that it is a great way to ensure all relevant areas are covered during the screening and assessment process. With this she highlighted key questions to ask caregivers during the screening process, like the three Ps: “pain, past medical history and poop.” Other recommended questions to ask included: 

  • Is the child eating more than 10 foods?
  • How is the child being fed?
  • Where does the child eat?

Dr. Barlow’s experience in the area of pediatric feeding was clearly evident in some great pointers she offered when assessing feeding difficulties. For example:

  • Always ask about teeth brushing because of the correlation between difficulties with brushing teeth and difficulties with feeding.
  • Be sure to check that the child’s nutrition is adequate, even if they are at an appropriate weight. 
  • Monitoring oxygen saturation, temperature changes, and respiratory rates during feeding can give you clear indicators of difficulty during feeding.

Viewers left this webinar with an awareness of how crucial it is to understand the deficit areas that are causing the feeding problem. That understanding is a key piece in developing an appropriate treatment plan. We will discuss Dr. Barlow’s treatment recommendations in part three of this three-part recap of the Oral Motor Treatment Strategies webinar.

 A recommended resource for evaluating sensory based difficulties is the The Sensory Processing Measure. The home form is completed by a child’s parent or caregiver and provides norm-referenced standard scores for two higher level integrative functions-praxis and social participation-and five sensory systems – visual, auditory, tactile, proprioceptive, and vestibular.