- Testing Time: 15-30 minutes
- Criterion-referenced scores for ages 4;0 to 7;11
- MOST: Examiner's Manual, Test Easel, 30 Record Forms, 30 Case History Forms, all the oral-motor supplies to give the test, and a sturdy tote bag. (2007)
- Qualification Level: A
The Marshalla Oral Sensorimotor Test (MOST) is a comprehensive and quick assessment designed to put a numerical value on oral movement, oral-tactile sensitivity, facial and oral tone, as well as basic respiration, phonation, and resonation skills. The MOST is the first exam to allow speech-language pathologists an opportunity to place a numerical value on the oral exam.
The MOST identifies jaw, lip, and tongue movement problems. It is optimal for children with concomitant feeding difficulties, neurological deficits, developmental disorders, and sensory processing disorders. It is appropriate for children four years and older.
The MOST provides an Overall Oral Sensorimotor Score as well as individual scores on subtests. You may use the scores to measure pre- and post treatment abilities. This easy-to-use evaluation allows the therapist to identify strengths and weaknesses in the following areas:
- Jaw Movements
- Lip Movements
- Tongue Movements
- Oscillating Jaw, Lip, and Tongue Movements
- Oral and Facial Tone
- Respiration and Phonation Skills
- Oral-Tactile Sensitivity
The subtests of the MOST allow the examiner to look closely at individual areas of speech motor control.
- The Motor Function subtests of the MOST are designed to assess a client's control of jaw, lip, and tongue movements and praxis through 21 simple probes.
- The Sensory Function subtest measures the client's responses to incoming tactile stimulation to various areas inside and outside of the oral cavity using multiple textures in 8 simple probes.
- The Respiration and Phonation subtest provides a child-friendly examination of basic respiration and phonation skills using kazoos and whistles.
- The Resonation subtest allows the examiner to put a numerical value of the characteristics of hyper- and hyponasality.
- The Oral and Facial Tone subtest provides two simple procedures for specifying muscular tone in the face, lips and tongue.
Speech-language pathologists often write general observations about respiration, phonation, resonation, and oral movement. The MOST allows speech-language pathologists to provide scores to back up their claims. For example, in the area of "Tongue Movement," a typical report statement might be: "John demonstrated poor control of tongue movement." Using scores from the MOST, therapists can write specific statements such as: "John scored 2/8 on the Tongue Function subtest of the MOST. He failed all items related to tongue placement."
Valid And Reliable
The MOST research study sample included 160 children, ages 4;0 to 7;11 from across the United States. Data from this sample is the basis for the five subtests and the four sections of the Motor Function subtest.
MOST Complete Kit:
- Examiner's Manual
- Stimulus Easel
- 30 Record Forms
- 30 Case History Forms
- Oral-Motor Supplies Kit (see list of included items below)
- Sturdy tote bag
Oral-Motor Supplies Kit:
- 12 Toothettes
- 12 Rapper Snappers
- 12 Whizzers
- 12 Kazoos
- 12 Storage Bags
There is an audio clip available for Subtest 4, Examination of Resonance – Task #5. Go here to listen to this clip prior to administering the MOST.