Speech Therapy for Swallowing: Helping Your Child Thrive

Nicole S.

Swallowing is a seemingly simple act, but it’s a complex dance of muscles in the mouth and throat.

It’s crucial for your child’s growth and development, allowing them to consume food and liquids safely and efficiently.  However, sometimes children experience difficulties with swallowing, known as dysphagia.

This can be caused by a variety of factors, from neurological conditions to structural abnormalities.  If you’re concerned about your child’s swallowing, speech therapy can be a powerful tool to help them overcome these challenges and thrive.

How Can Speech Therapy Help Your Child?

Speech-language pathologists (SLPs) are healthcare professionals trained to evaluate and treat swallowing difficulties.

During an initial assessment, the SLP will observe your child eating and drinking, possibly using specialized tests like a modified barium swallow (where your child consumes a liquid containing barium, which shows up on X-rays, allowing the SLP to visualize the swallowing process).  

This evaluation helps the SLP understand the nature of your child’s swallowing problems and identify the underlying cause.

Speech therapy for swallowing offers a range of benefits.

It can help improve the strength and coordination of the muscles involved in swallowing, from the tongue and lips to the throat.

This not only reduces the risk of aspiration (food or liquid going into the lungs), but also makes the eating experience safer and more enjoyable for your child.  Through therapy, your child can learn safe swallowing techniques, allowing them to consume a wider variety of foods and liquids, promoting better nutrition and hydration.

Goals of Speech Therapy for Swallowing

The specific goals of speech therapy for swallowing will vary depending on your child’s individual needs. However, some common goals include:

  • Improved Oral Motor Skills: These skills involve the coordinated movement of the lips, tongue, jaw, and cheeks. Strengthening these muscles can significantly improve your child’s ability to control food in the mouth and initiate a safe swallow.
  • Strengthening Tongue and Lip Muscles: The tongue plays a vital role in moving food around the mouth and pushing it towards the back for swallowing. Strengthening these muscles can help with chewing, food manipulation, and the actual swallowing action.
  • Achieving Safe Swallowing Techniques: The SLP will teach your child specific techniques to ensure a safe and efficient swallow. This may involve learning proper head and neck positioning, tongue placement, and breath control during swallowing.

Techniques Used by Speech Therapists

Speech therapists have a toolbox of techniques designed to address different aspects of swallowing difficulties. Here are some common approaches:

  • Oral Motor Exercises: These are fun and engaging activities that target the muscles involved in swallowing. They can involve blowing bubbles, lip smacking, tongue stretches, and chewing exercises with different textures.
  • Sensory Stimulation: If your child has difficulty feeling their mouth and throat, the SLP may use sensory stimulation techniques to improve their awareness. This might involve gentle massage of the lips and tongue, or introducing different textures for them to explore with their mouth.
  • Neuromuscular Electrical Stimulation (NMES): In some cases, the SLP may use NMES, which involves gentle electrical currents to stimulate weakened muscles. This can be helpful for children with neurological conditions affecting swallowing function.
  • Diet Modifications: The SLP may recommend modifying your child’s diet to make swallowing easier. This might involve thickening liquids, changing the texture of food (pureeing, chopping), or introducing smaller bites.
  • Therapeutic Positioning: Certain head and neck positions can facilitate a more efficient swallow. The SLP may teach your child how to maintain proper posture during meals to improve swallowing safety.

What to Expect During Speech Therapy Sessions

Speech therapy sessions are designed to be playful and engaging for children. The SLP will use a variety of techniques and activities tailored to your child’s age, interests, and specific needs.  Sessions typically involve a combination of oral motor exercises, practice with safe swallowing techniques, and dietary modifications (if needed).

As a parent, your involvement is crucial to your child’s success in speech therapy.  The SLP will provide you with exercises and strategies to practice at home, reinforcing the skills learned during sessions.  This consistency is key to achieving long-term improvements in your child’s swallowing abilities.


Speech therapy offers a safe and effective way to help children with swallowing difficulties.  Through a combination of targeted exercises, therapeutic techniques, and dietary modifications, speech therapists can empower your child to  overcome swallowing challenges and enjoy a safe, healthy, and fulfilling mealtime experience.

If you have any concerns about your child’s swallowing, don’t hesitate to reach out to a pediatrician or seek a referral for a speech-language pathologist.  Early intervention is key to maximizing your child’s progress and helping them thrive. With the right support, your child can overcome their swallowing difficulties.

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