Orofacial myofunctional therapy recommended actions and frequency
| Actions | Frequency |
| Soft palate | |
| Intermittently pronouncing the vowel ‘A’ to elevate and strengthen the soft palate | 3 min/session, 5 sessions/day |
| Continuously pronouncing vowels ‘A, E, I, O, U’ | 3 min/session, 5 sessions/day |
| Performing movements that elevate the soft palate without clenching teeth or opening the mouth | Not specified |
| Pressing the tongue against the soft palate while producing ‘G, K’ sounds | Several repetitions/sessions, 3–5 sessions/day |
| Moving the soft palate upwards while pronouncing the small tongue ‘X, Q’ sounds | Several repetitions/sessions, 3–5 sessions/day |
| Tongue | |
| Pressing the tongue against the roof of the mouth, particularly the anterior and lateral palatal surfaces | 5 repetitions/session, 3 sessions/day |
| Extending the tongue tip to the upper palate and sliding it forward and backward | 3 min/session, 5 sessions/day |
| Forcefully sucking the tongue against the upper palate | 3 min/session, 5 sessions/day |
| Elevating the tongue’s middle and contracting it towards the floor of the mouth | 3 min/session, 5 sessions/day |
| Extending the tongue outward, pressing it against the upper and lower lips | 30 s/session, 3–5 sessions/day |
| Moving the tongue from side to side in a sweeping motion from the front to the back | 30 s/session, 3–5 sessions/day |
| Curving the tongue upward towards the soft palate while extending forward | Not specified |
| Pushing the tongue against the upper and lower molars bilaterally | Not specified |
| Suctioning the tongue against the upper palate and releasing with an audible sound | Not specified |
| Maintaining suction on the tongue while pressing it against the soft palate | Not specified |
| Rotating the tongue while using external resistance applied by the hand under the chin | 10 repetitions/session, 5 sessions/day |
| Extending the tongue forward and backward, then downwards | Not specified |
| Face | |
| Applying pressure to the chin muscles while pushing upward | 30 repetitions/day |
| Performing facial movements like puffing the cheeks or applying gentle facial massages | Not specified |
| Massaging under the chin using fingertips, pressing deeply | 10 repetitions/session, 5 sessions/day |
| Valsalva manoeuvre (holding breath while puffing cheeks) | 5 s/session, 5 sessions/day |
| Circular massaging movements from the front of the chin towards the neck | 1 min/day |
| Gently pressing the chin muscles upward | 10 repetitions/day |
| Oral and mandibular chewing | |
| Practicing diaphragmatic breathing and proper chewing techniques | Not specified |
| Inflating a balloon by blowing into it and maintaining pressure without deflating the cheeks | 5 repetitions/session, 1 session/day |
| Chewing exercises to strengthen the muscles involved in oral functions | 20 repetitions/day |
| Proper oral closure while chewing and breathing correctly to align upper and lower teeth | Each meal |